就诊全程护理干预对成人牙科焦虑症的影响

The effect of the interference of medical care on adult dental anxiety

目的:研究护理干预措施改善成人牙科焦虑症(DA)的效果。方法:随机选取我院口腔科初诊并需复诊的成人患者,采用改良牙科焦虑量表(MDAS)问卷形式调查受检者,选择160例得分10分以上者根据是否进行护理干预分为两组,干预组(80例)、对照组(80例),比较护理干预前后的MDAS得分及缓解焦虑的有效率。结果:初诊前干预组与对照组的MDAS评分分别为13.9±2.2、14.1±2.5,两组无统计学差异;复诊前干预组MDAS评分降至10.4±1.9,明显低于干预前(P<0.01),与对照组的14.5±2.8比较差异显著,P<0.01;控制DA患者的有效率(66.25%)及MDAS减分率(51.2±11.6%)明显高于对照组(22.50%,24.6±9.9%),P<0.01。结论:适当的护理干预,可以有效地缓解DA患者的恐惧、焦虑等心理因素。

Objective: To investigate the interference effect of medical care on adult dental anxiety (DA). Methods: The adult patients who needed more than two times treating in the department of stomatology were selected. They were investigated by modified dental fear survey (MDAS). The 160 patients who got the score of MDAS over 10 were chosen and were divided into two groups according the interference of medical care.: intervention group (n=80), control group (n=80). The score and reducing scores rate of MDAS befor...