摘要
目的探讨专科玩具游戏干预对学龄前患儿牙科恐惧症及生理应激反应的影响。方法选取2019年1~12月80例龋齿患儿按照随机数字表法分为试验组和对照组,每组40例,对照组给予常规护理,试验组在常规护理基础上实施专科玩具游戏干预。采用中文版儿童畏惧调查表-牙科分量表得分(children’s fear survey schedule-dental subscale,CFSS-DS)、儿童口腔诊疗中行为表现分类标准评价患儿牙科恐惧程度和治疗配合度,比较2组患者治疗前后生理应激指标的变化。结果治疗后,试验组CFSS-DS量表中口腔治疗引起的焦虑、医疗事件引起的焦虑、潜在灾祸感引起的焦虑、陌生人不信任感引起的焦虑等维度得分及总分为(22.03±7.17)分、(11.30±2.28)分、(6.53±2.47)分、(6.83±1.93)分和(46.68±8.14)分,明显低于对照组的(26.05±6.46)分、(13.38±3.93)分、(7.55±1.69)分、(8.08±1.46)分和(55.05±7.52)分,差异有统计学意义(P<0.05)。试验组治疗配合程度明显优于对照组,差异有统计学意义(Z=2.049,P=0.040)。治疗前和结束即刻,试验组患儿心率、收缩压、舒张压为(109.18±13.22)次/min、(105.10±10.01)mm Hg、(68.80±6.62)mm Hg和(121.23±16.65)次/min、(115.60±13.49)mm Hg、(75.33±6.18)mm Hg,明显低于对照组的(117.33±14.75)次/min、(112.55±13.28)mm Hg、(74.25±8.71)mm Hg和(130.33±15.63)次/min、(122.23±15.23)mm Hg、(79.18±9.65)mm Hg;治疗结束即刻,试验组患儿血氧饱和度为(98.98±0.73)%,明显低于对照组的(99.35±0.74)%,差异有统计学意义(P<0.05)。结论专科玩具游戏干预可有效降低学龄前患儿牙科恐惧症,减轻患儿生理应激反应。
Objective To investigate the effects of specialized toy games on dental fear and physiological stress response in preschool children.Methods A total of 80 children with dental caries treated during January 2019 to December 2019 were recruited,and they were randomly divided into experimental group(n=40)and control group(n=40).Routine nursing care was given to all children,and specialized toy games were given to those of experimental group.Dental fear and treatment coordination were assessed by Children’s Fear Survey Schedule-Dental Subscale(CFSS-DS)and Scale Method for Rating Children’s Behavior in Dental Clinic,respectively.Physiological stress indexes were compared between two groups before and after intervention.Results After treatment,the anxiety caused by oral therapy([22.03±7.17]points vs[26.05±6.46]points),medical events([11.30±2.28]points vs[13.38±3.93]points),potential disaster([6.53±2.47]points vs[7.55±1.69]points),strangers’distrust scores([6.83±1.93]points vs[8.08±1.46]points)and total scores of CFSS-DS([46.68±8.14]points vs[55.05±7.52]points)in the experimental group were significantly lower than those of the control group(all P<0.05).The treatment cooperation degree in the experimental group was significantly better than that in the control group(Z=2.049,P=0.040).Before treatment,the heart rate([109.18±13.22]times/min vs[117.33±14.75]times/min),systolic blood pressure(SBP)([105.10±10.01]mmHg vs[112.55±13.28]mmHg),and diastolic blood pressure(DBP)([68.80±6.62]mmHg vs[74.25±8.71]mmHg)in the experimental group were significantly lower than those in the control group(all P<0.05).Immediately after treatment,he heart rate([121.23±16.65]times/min vs[130.33±15.63]times/min),SBP([115.60±13.49]mmHg vs[122.23±15.23]mmHg),and DBP([75.33±6.18]mmHg vs[79.18±9.65]mmHg)in the experimental group were also significantly lower than those in the control group(all P<0.05).Immediately after treatment,blood oxygen saturation in the experimental group was significantly lower than that in control group([98.98±0.73]%vs[99.35±0.74]%,P<0.05).Conclusion Specialized toy games can effectively alleviate dental fear and physiological stress response among preschool children with dental diseases.
作者
施玮
徐万田
SHI Wei;XU Wantian(The Third Outpatient Department,Nanjing Stomatological Hospital,Medical School of Nanjing University,Jiangsu,Nanjing 210000,China)
出处
《河北医药》
CAS
2023年第12期1902-1906,共5页
Hebei Medical Journal
基金
江苏省卫生计生委科研课题(编号:H2018043)。
