认知行为干预缓解阻生智齿拔除患者牙科焦虑症的效果

Application of Cognitive-behavioral Interventions in Opsigenes Extraction Patients with Dental Anxiety

目的探讨认知行为干预在阻生智齿拔除牙科焦虑症(dental anxiety,DA)患者中的应用效果。方法 2011年9月至2012年2月,在哈尔滨医科大学附属第一医院口腔颌面外科住院拔除阻生智齿的DA患者80例,按入院先后将其分为观察组和对照组各40例,对照组患者给予常规护理指导,观察组患者在对照组的基础上进行认知行为干预,采用牙科焦虑量表(dental anxiety scale,DAS)和牙科畏惧量表(dental fear scale,DFS)评估认知行为干预前(入院当日)和干预后患者的焦虑水平。结果认知行为干预前,两组患者的DAS、DFS评分差异均无统计学意义(均P>0.05);干预后,观察组患者的DAS、DFS评分均低于干预前(均P<0.01),对照组患者的DAS、DFS评分与干预前比较差异均无统计学意义(均P>0.05);干预后,观察组患者的DAS、DFS评分均低于对照组(均P<0.01)。结论认知行为干预可有效缓解DA患者的焦虑程度,提高治疗与护理的依从性和有效性。

Objective To explore the application of cognitive-behavioral interventions on dental anxiety in opsigenes extraction patients. Methods A total of 80 opsigenes extraction patients with dental anxiety were divided into control group and observational group, with 40 patients in each group. Patients in both groups were given conventional nursing guidance, while patients in the observational group were given additional cognitive-behavioral therapy. Health education was given to both groups, while cognitive- behavioral therapy was given to the intervention group only. Anxiety levels were assessed by DAS （Dental Anxiety Scale） and DFS （Dental Fear Scale） before and after the intervention. Results No significant difference in the scores of DAS and DFS were found between the two groups before the intervention （P〉0.05）. Scores of DAS and DFS in observational group were significantly declined （P〈0. 01） after intervention, however,no significant difference was found in scores DAS and DFS in the control group after intervention （P〉0.05）. Scores of DAS and DFS in observational group were significantly lower than which in the control group （P〈0.01）. Conclusion Cognitive-behavioral intervention is proved to be effective to decline the dental anxiety and improve the effectiveness of treatment and nursing in opsigenes extraction patients.