拔牙患者牙科焦虑症的调查及分析

The prevalence of dental anxiety before tooth extraction

目的调查拔牙患者拔牙术前的焦虑状况。为术前进行心理治疗和心理护理提供指导。方法采用改良Corah牙科焦虑量表(DAS)和改良的状态-特质焦虑问卷(STAI)对150例患者进行调查和统计分析。结果明显患有牙科焦虑症的患者占9.33%(DAS评分值≥13)。以下类型的患者量表评分值明显较高:女性,性格偏内向,要拔阻生齿者,自我或亲友拔牙经历痛苦者,对疼痛耐受程度低,当天精神状态差,心情紧张者。其中后两项是最主要的影响因素(P<0.01)。上述两量表的相关性显著(r=0.67)。结论拔牙患者拔牙术前的焦虑状况普遍存在,并和多种因素相关。医护人员应对焦虑患者采取必要的术前心理治疗和护理。

Objective To determine the prevalence of denta l anxiety in dental patients before t ooth extraction so as to provide psycho-logical therapy and nursing guidance for patients before extraction.Methods A modified Corah Dental Anxiety Scale(DAS)and State-Trait Anxiety Inventory(STAI )were used in 150dental patients.Results9.33%of all the patients had DAS scores≥13indicating obviously dental anxiety.Scores were significantly higher in such patients as:fe male,introverted individuals,who was to have impacted tooth extracted,who learned their relatives' painful tooth extraction experience or had it own,who had low extent of pain endurance and who was in low spirit status or in tense mood on that day.A s tep regression analysis showed that the last two factors had significant differences in both of the two scales(P<0.01).The correlation between two scales was significant (r =0.67).Conclusion The prevalence of dental anxiety in p atients before tooth extraction is extensiv e,and many factors are closely related to patients' dental anxiety level.Cure and nurse staff should take necessary measures to provide patie nts with psychological therapy and n ursing guidance before extraction.