摘要
目的调查口腔门诊牙周炎患者龈上洁治及龈下刮治过程中牙科焦虑症(DA)严重程度,探讨心理及行为干预在其中的应用效果。方法将84例牙周炎伴DA患者分为4组:对照组、心理治疗组、行为治疗组及心理-行为治疗组,分别采取不干预、心理治疗、行为治疗、心理加行为双重治疗的方法。治疗前问卷调查患者牙科焦虑症的主要原因,并在龈上洁治前30 min、龈上洁治后即刻及龈下刮治前30 min记录改良Corah′s牙科焦虑量表(CDAS)评分。对调查结果进行统计分析。结果“担心疼痛”是产生DA最常见的原因,心理治疗组、行为治疗组及心理-行为治疗组龈上洁治后即刻、龈下刮治前30 min较龈上洁治前30 min的焦虑得分值低(P<0.05),且心理-行为治疗组焦虑改善最为显著(P<0.05),对照组3个时间点焦虑得分差异无明显变化(P>0.05)。结论DA与多种因素相关,临床口腔医生应及时对患者进行心理及行为双重疏导,以减少牙科焦虑症的发生,促进牙周治疗的顺利进行。
Objective To investigate the severity of dental anxiety(DA)in patients with periodontitis in the dental clinic during supragingival cleansing and subgingival curettage,and to explore the application effects of psychological-behavioral interventions.Methods Eighty-four patients with periodontitis and dental anxiety were randomly divided into four groups:the control group,the psychotherapy group,the behavior therapy group and the psycho-behavioral therapy group.They were treated with non-intervention,psychotherapy,behavioral therapy and psycho-behavioral therapy respectively.The main causes of dental anxiety were investigated by questionnaire before treatment,and the modified Corah′s Dental Anxiety Scale was recorded 30 minutes before supragingival cleansing,immediately after supragingival cleansing and 30 minutes before subgingival curettage.The results of the survey were statistically analyzed by SPSS17.0 software.Results"Worried about pain"was the most common cause of dental anxiety,the anxiety scores of immediately after supragingival cleansing and 30 minutes before subgingival curettage in the psychological treatment group,the behavioral treatment group and the psycho-behavioral treatment group were lower than that of 30 minutes before supragingival cleansing(P<0.05),and anxiety was most significantly improved in the psycho-behavioral therapy group(P<0.05).There was no significant difference in the anxiety scores of the control group at 3 time points(P>0.05).Conclusion Dental anxiety is associated with a variety of factors,clinical dentists should timely conduct psychological and behavioral counseling for patients to reduce the occurrence of dental anxiety and promote the progress of periodontal treatment.
作者
蒲东全
夏松
郭子君
郑苔菁
周霞
PU Dongquan;XIA Song;GUO Zijun;ZHENG Taijing;ZHOU Xia(Department of Stomatology,Army Medical Center of PLA,Chongqing 400042,China;Jiangbei Stomatological Clinic of Chongqing Huien Stomatological Hospital Management Co.Ltd., 400023,China)
出处
《重庆医学》
CAS
2021年第5期819-823,共5页
Chongqing medicine
基金
重庆市自然科学基金(cstc2020jcyj-msxmX0079)
陆军军医大学教育改革研究课题(2020B20)。
关键词
牙科焦虑症
牙周炎
龈上洁治
龈下刮治
心理
行为
Dental anxiety
periodontitis
gingival scaling
subgingival scaling
psychology
behavior
