社区与门诊老年人牙科焦虑症及其相关因素的研究

The incidence and related factors of dental anxiety among the elders in community and dental clinic

目的:调查社区和牙科门诊老年人牙科焦虑症的发生情况及其相关的因素。方法:使用汉化Coarh's牙科焦虑量表(Dental Anxiety Scale,DAS)评定来自社区和口腔门诊的各700名老年人的牙科焦虑症(DA)情况,通过自行设计的一般情况表,收集可能与老年人DA发生有关的变量,采用多因素Logistic回归方法分析与社区、口腔门诊老年人DA发生有关因素。结果:DA的发生率在社区老人和口腔门诊老人中分别为23.86%、34.10%。Logistic回归分析显示,社区和口腔门诊老年人牙科焦虑症的共同影响因素包括性别、自我健康评价、亲友看牙经历、生活有焦虑;影响社区老年人牙科焦虑症的因素还包括看牙医的频率和既往就诊满意度。结论:老年人DA的发生在社区和口腔门诊中均普遍存在,但影响因素有所不同。减少DA对老年人口腔甚至身心健康的不良影响需要多方面共同努力。

Objective： To investigate the incidence and related factors of dental anxiety among the elders in community and dental clinic,and to provide certain reference for oral health and mental health of the elders. Method： 1400 elders from community and dental clinic were selected and evaluated DA by Coarh＇s dental anxiety scale （DAS） .Then use the logistic regression to analyze the related factors of dental anxiety. Result： The incidence of DA among elders in community and dental clinic was 23.86 % and 34.10 % respectively. The logistic regression analysis showed that sex, self-health assessment, experiences of dental care of relatives and friends, feel anxious in daily life were the related factors of dental anxiety in community and dental clinic commonly. The related factors also included frequency and satisfaction of see a dentist. Conclusion： DA is a universal phenomenon among elders in both community and dental clinic. We should make common efforts to reduce the bad influence of DA for elders＇ dental health and physical and psychological health.