口腔诊疗中低龄儿童行为表现分类标准的制定与信度检验

Establishment and evaluation of a scale method for rating children's behavior in dental clinic in China

目的制定并检验口腔诊疗中低龄儿童行为表现的分类标准。方法参考 Venham 儿童行为和焦虑六分类法制定出低龄儿童在口腔诊疗中行为表现的分类标准,并由11名儿童口腔医护人员对随机选取的24段临床诊疗录像用该标准进行分类。结果此分类标准依据儿童的情绪状态、诊疗中行为表现、医师完成治疗的情况等三方面来对儿童在口腔诊疗中的行为表现进行分类。该分类标准有较好的研究者间一致性(组内相关系数=0.929)和很高的重测信度(Spearman's 相关系数=0.963)。结论该方法可以作为临床对低龄儿童在口腔诊疗中行为表现进行分类的标准。

Objective To establish and evaluate a scale method for rating children＇s behavior in dental clinic in China. Methods DV records were taken for 210 children under 8-year-old, who visited the department of pediatric dentistry of Peking University School and Hospital of Stomatology during Jun to Aug in 2004. The Venham＇s clinic anxiety rating scale and cooperative behavior rating scale were translated into Chinese, and modified according to these records. Twenty-four pieces of records were selected randomly, and 11 pediatric dentists and assistants assessed the child behavior in the 24 records. The intraclass correlation coefficient （ICC） and Spearman＇s correlation coefficient （SCC）, which denoted inter-rater reliability and intra-rater reliability, were calculated. Results The ICC was 0. 929 and the SCC was 0. 963. Conclusions The scale has good inter-rater reliability and excellent intra-rater reliability, and it is competent for rating the children＇s behavior in dental clinic in China.