牙科恐惧心理的现况调查研究

Investigation and Study on the Status of Dental Fear

目的探讨影响牙科恐惧心理的相关因素,寻找减轻患者恐惧心理的方法及对策。方法采用Coach's牙科焦虑量表(Dental Anxiety Scale,DAS)及自制一般状况问卷调查表,随机选择医院口腔门诊患者242名进行调查分析。结果牙病患者存在恐惧心理157人,占总数64.9%,DAS平均得分(9.68±3.87)分。不同性别及不同文化程度人群心理恐惧差异具有统计学意义(P<0.01)。心理恐惧的主要原因为害怕疼痛(72%)、担心医生技术不好(44.6%),自身不愉快看牙经历(36.4%)。结论牙科恐惧症的发生率较高,它与多种因素相关,口腔医生应对其有足够的认识和了解,尽量降低患者的恐惧状态,使牙科治疗顺利进行。

Objectives To investigate the prevalence of dental fear and the influencing factors. To search for the method and countermeasures about how to reduce patient＇s psychological fear. Methods 242 patients were investi- gated randomly by dental anxiety scale and self-made scale of general conditions. Results The prevalence of dental fear was 64.9% and the average DAS score was 9.68±3.87. Significant differences were found among different sex and different education level （P〈0.01）. The most popular reason for dental fear were being afraid of pain （72 % ）, being worried about unskilled doctor （44.6 %） and personal experience of dental treatment （36.4 %）. Conclusions The prevalence of fear in this survey was high. It is relative to many kinds of factors. Dentists should gain a better understanding of this status, pay more attention to this, try to avoid or reduce the fear, and take effective measures to make clinical treatment smoothly.