口腔种植患者牙科焦虑的调查分析

Assessment of dental anxiety in patients undergoing surgical procedures for tooth implants

目的研究口腔种植患者牙科焦虑症的患病情况及其影响因素,探讨牙科焦虑水平与状态焦虑和特质焦虑的相关性。方法采用改良Cora’s牙科焦虑量表(MDAS)、牙科畏惧量表(DFS)、状态-特质焦虑问卷(STAI)对临床选取的121例进行种植修复的患者在术前进行横断面调查,对结果进行统计学分析。结果 121例患者中,MDAS平均得分为(12.14±2.44)分,牙科焦虑症(MDAS≥12分)患病率为60.3%。性别、收入水平、自评口腔健康、是否初次就诊及是否进行过种植手术,其各组的牙科焦虑水平差异有统计学意义(P<0.05);年龄、婚姻状况及文化程度组间差异没有统计学意义(P>0.05)。MDAS、DFS与状态焦虑量表(S-AI)评分之间具有正相关关系(P<0.01);特质焦虑量表(T-AI)与MDAS、DFS、S-AI评分之间无相关关系。结论口腔种植患者牙科焦虑症的患病率较高,焦虑水平受多种因素的影响,与S-AI呈正相关。临床上,医生在种植术前应对患者的焦虑状况加以重视。

Objective To evaluate the levels of dental anxiety and its influencing factors in patients undergoing surgical procedures for tooth implants, and to explore the relationship between dental anxiety, state anxiety and trait anxiety. Methods One hundred and twenty-one patients were examined for preoperative anxiety level using modified Cora＇s dental anxiety scale （MDAS）, dental fear scale （DFS）, state-trait anxiety inventory （STAI） before implantation surgery. And the results were statistically analyzed. Results Prevalence rate of moderate or high dental anxiety （MDAS ≥ 12） was 60.3%, and the mean MDAS score was （12.14±2.44）. The differences of anxiety level between groups in gender, income level, self-rated oral health, being initial treatment or not, and if you have a dental implant surgery was statistically significant （P〈0.05）; the differences of marital status, education level and age was not statistically significant （P〉0.05）. There was a significant positive correlation between MDAS, DFS and S-AI score （P〈0.01）, and there was no correlation betweenT-AI and MDAS, DFS, S-AI score. Conclusion Dental anxiety in patients undergoing surgical procedures for tooth implants was extensive. The level of anxiety was affected by many factors, which was positively correlated with S-AI, and suggesting the necessity of preoperative anxiety intervention in clinical practice.