口腔修复患者牙科焦虑及相关因素研究

Study on dental anxiety and correlation factors in patients undergoing prosthodontic treatment

目的:了解口腔修复患者牙科焦虑症的流行情况及相关因素,探讨牙科焦虑程度与人口统计学因子、特质焦虑等的关系。方法:采用柯氏牙科焦虑量表、焦虑自评量表及自行设计的相关调查表对230例口腔修复患者进行调查,调查结果采用SPSS 11.5软件统计分析。结果:230名研究对象(20-82岁)牙科焦虑量表得分的平均分为(9.0+/-3.1)分,牙科焦虑症的发病率为13.0%。牙科焦虑的程度与特质焦虑呈正相关,与牙科治疗史呈负相关;女性比男性焦虑程度高。"畏惧疼痛"更易导致牙科焦虑的发生。结论:口腔修复患者牙科焦虑症的发病率相对较低,但也存在高度焦虑患者;牙科焦虑与多种因素相关,临床医生应及时与患者进行沟通,以减少牙科焦虑症的发生。

Objective： This study was designed to investigate the distribution of dental anxiety in patients undergoing prosthodontic treatment,and to reveal the correlation between dental anxiety and demographic factors and trait anxiety.This survey data may assist to increase the frequency of dental visits and to prompt the corresponding satisfaction.Methods：Subjects consisted of 230 adult patients（twenty to eighty-two years old） undergoing restorative treatment.The patients were asked to complete a self-questionnaire consisting of the demographic information concerning the participants,Corah＇s dental anxiety scale（DAS）,Self-Rating Anxiety Scale（SAS） and questionaire about prosthetics designed by authors.All the statistical analysis was carried out by the SPSS（version 11.5） statistical software package.Results： The average level of anxiety was 9.0 ＋/-3.1 according to the DAS of the people（the maximum score = 18,the minimum score = 4）,13.0% suffered from dental anxiety.A positive correlation was found between dental anxiety and trait anxiety.There was a statistically significant difference between patients who had dentistry experience and the remaining group on the DAS total score（P 0.01）.A negative correlation was found between dental anxiety and dentistry experience.Women were more anxious than men（P 0.05）.A fear of pain while receiving dental treatment was more easily lead to the occurrence of dental anxiety.Conclusions： This study was found a lower prevalence of dental anxiety in patients undergoing prosthodontic treatment than other therapies.However,individual responses varied greatly.Correlation was found between dental anxiety and some factors including of trait anxiety in the patients.It appeared necessary to screen the phobics out of all patients and then offer them adequate therapy.