术前口腔宣教对急性牙髓炎患者焦虑心理的影响

The effect of dental health instruction before treatment on anxiety of patients with acute pulpitis

目的 ：探讨术前口腔宣教对急性牙髓炎患者焦虑心理的影响。方法 ：选择2011年7月—2013年6月间因急性牙髓炎就诊的154例患者,年龄19~64岁。将其随机分为试验组（78例）和对照组（76例）。试验组在治疗开始前接受口腔宣教,对照组接受常规治疗;在正式治疗开始前,对2组患者分别进行2次口腔焦虑评估问卷调查,采用SPSS12.0软件包,应用t检验和χ2检验对结果进行分析。结果 ：试验组宣教后牙科焦虑（dental anxiety）分显著低于宣教前（t=4.1346,P〈0.01）。试验组宣教后DA分显著低于对照组（t=6.2784,P〈0.01）。试验组对首次治疗的可接受度高于对照组患者,完成后续治疗情况也显著好于对照组。结论：对急性牙髓炎患者在开始治疗前进行相关疾病的口腔宣教,能够使患者增加对疾病的了解,在一定程度上减轻患者治疗过程中的压力和紧张、焦虑情绪,从而顺利完成首次治疗和后续治疗。

PURPOSE： To evaluate the effect of dental health instruction before treatment on dental anxiety of patients with acute pulpitis. METHODS： One hundred and fifty-four patients with acute pulpitis treated in our department from July 2011 to June 2013, and aged from 19 years to 64 years, were selected. They were randomly divided into experimental group and control group. Seventy-eight patients of the experimental group accepted dental health instruction before treatment, while 76 cases in the control group received regular treatment. Two questionaires of dental anxiety were proceeded to both groups respectively before treatment. The data was analyzed for Student ’s t test and Chi-square test using SPSS12.0 software package. RESULTS： Dental anxiety（DA） points of the experimental group after dental health instruction were significantly lower than that before treatment（t =4.1346, P 〈0.01）. DA points of the experimental group after dental health instruction were significantly lower than that of the control group（ t=6.2784, P〈 0.01）. The acceptability of the experimental group towards the first treatment was significantly higher than of the control group. The completion rate of the following treatment of the experimental group was also significantly higher than that of the control group.CONCLUSIONS： Dental health instruction to patients with acute pulpitis before treatment are helpful to reduce the pressure and relieve the anxiety during the treatment, so that the patients will complete the first and the following treatment successfully.