护理诊疗辅导对减轻成人牙科畏惧症的效果探讨

Alleviation effect of nursing counseling on adult dental fear

目的探讨护理诊疗辅导对成人牙科畏惧症(DF)患者情绪及心理健康状况的影响。方法在同一医师行根管治疗的患者中用疼痛视觉模拟评分表(VAS)筛选出成人DF患者40名,随机分为干预组和对照组,每组20例。干预组在患者进行口腔常规治疗前给予护理诊疗辅导,对照组仅进行常规治疗。用VAS、改良牙科焦虑量表(MDAS)在治疗前、后分别进行评分,对评分结果进行统计学分析。结果 VAS及MDAS评分显示,两组治疗前DF水平无显著性差异(P>0.05),而干预组治疗后VAS和MDAS评分较治疗前显著降低(P<0.01),较对照组显著下降(P<0.05);对照组治疗前后VAS及MDAS评分无显著差异(P>0.05)。结论对DF患者进行有效的护理诊疗辅导,对于改善DF患者心理健康状况具有一定作用。

ObjectiveTo investigate the effect of nursing counseling on the mood and psychological health status of patients with dental fear.MethodVisual analog scale（VAS） was used to identify patients with adult dental fear treated by the same doctor.Forty patients were divided randomly into the intervention group and the control group of 20 cases each.The intervention group received nursing counseling before routine dental operation.Both VAS and modified dental anxiety scale（MDAS） were assayed before and after treatment.The scores were analyzed statistically.ResultsThere as no significant difference in VAS and MDAS scores between the two groups before treatment（P0.05）.VAS and MDAS scores were significantly decreased in the intervention group after treatment compared with the control group and before treatment,while in the control group no significant difference was observed before and after treatment（P0.05）.ConclusionEffective nursing counseling can ameliorate the psychological health status of patients with dental fear.