共同参与模式对牙科畏惧症儿童就诊行为的管理

The management of dental fear symptoms in children in a coparticipation model

目的在共同参与型医患互动模式下,流程化行为管理对牙科畏惧症(dental fear, DF)儿童畏惧程度的影响。方法选择98名3～6岁的牙科畏惧症儿童,随机均分为观察组、对照组。观察组在共同参与型模式下进行牙科诊疗,对照组采用传统告知—演示—操作(tell-show-do, TSD)。记录每名患儿的诊疗全程,以行为分级法为标准进行牙科畏惧程度评分。结果观察组患儿与对照组患儿治疗前的畏惧程度评分分别为3.571±0.913、3.857±1.000,2组畏惧程度评分差异无统计学意义(t=1.477,P> 0.05)。治疗中,观察组患儿与对照组患儿的畏惧程度评分分别为1.428±1.061、3.286±0.707,2组畏惧程度评分差异有统计学意义(t=10.198,P<0.001)。结论在共同参与型模式下,通过流程化的行为管理,DF患儿的恐惧程度下降,此种方式有助于改善患儿的牙科恐惧心理。

Objective To explore the impact of procedural behavior management on children with dental fear(DF)using the interactive mode of coparticipative doctor-patient interactions.Methods Ninety-eight children with dental fear and aged 3-6 years were randomly divided into an observation group and a control group.Dental treatment was performed on the observation group under the coparticipation model,while the control group adopted the traditional tell-show-do(TSD)operation.The entire process of diagnosing and treating each child was recorded,and the degree of dental fear was assessed using a behavioral grading method as the standard.Results The degrees of fear in the children in the observation group and the control group were 3.571±0.913 and 3.857±1.000.The two groups showed no significant difference in the degree of fear(t=1.477,P >0.05).During the treatment,the fear scores of the children in the observation group and the control group were 1.428±1.061 and 3.286±0.707.The two groups showed statistically significant differences in fear scores(t=10.198,P<0.001).Conclusion In the coparticipative model,the fear level of DF children was significantly reduced by process-based behavior management,which helped to improve the dental fear of the children.