护理干预对儿童牙科恐惧症的效果观察

Observation of the effect of nursing intervention on children's dental phobia

目的探讨护理干预对儿童牙科恐惧症的效果。方法选取我院拟行龋洞充填术120例深度龋齿患儿按随机数字表法平均分为两组,其中60例患儿进行传统告知+无痛麻醉的护理干预为对照组,另60例患儿给予告知-示范-操作(TSD)+无痛麻醉的护理干预为观察组,观察其对两组患儿牙科恐惧症的影响。结果观察组术中的CDAS评分显著低于术前及对照组,差异有统计学意义(P<0.05),对照组术前、中差异无统计学意义(P>0.05);观察组的Wong-Baker评分和VAS评分显著低于对照组,差异有统计学意义(P<0.05);观察组和对照组的配合率分别为(66.67%和40.00%,P<0.05)。结论行龋洞充填术的深度龋齿患儿应用TSD+无痛麻醉的护理干预,可显著减轻患儿对牙科恐惧程度及痛苦感,提高其治疗配合度。

Objective To explore the effect of nursing intervention on dental phobia in children.Methods One hundred and twenty children with deep caries in the Foshan Stomatological Hospital were divided into two groups randomly.60children with the nursing intervention of with traditional informing and painless anesthesia were selected as the control group,the other60cases with the nursing intervention of informing-Demonstration-operation(TSD)and painless anaesthesia for the observation group.The effects of the dental phobia on two groups of children were observed.Results The CDAS score in the observation group was significantly lower than that in the pre operation and the control group(P<0.05),and the difference in the control group before and during the operation was not significant(P>0.05).The Wong-Baker score and VAS score of the observation group were significantly lower than those in the control group(P<0.05).The rate of coordination between the observation group and the control group were(66.67%and40%,P<0.05).Conclusion The nursing intervention of TSD+painless cavities with caries cavity filling for children with deep caries can significantly reduce the fear and pain of Dentistry,and improve their treatment coordination.