家长对儿童口腔高级行为管理技术的接受度调查

Survey of parental acceptance rate to advanced behavior management techniques used in pediatric dentistry

目的研究患儿家长对儿童口腔治疗中所用高级行为管理技术的接受度,分析可能的影响因素。方法选择2017年3—6月在郑州大学第一附属医院儿童口腔科就诊的421名患儿家长为研究对象,由其完成问卷,应用100 mm视觉模拟评分法(VAS)表示家长对4种高级行为管理技术(主动固定、被动固定、镇静、全身麻醉)的接受度。运用SPSS 17.0软件进行统计学分析。结果 4种高级行为管理技术接受度顺序依次是镇静→主动固定→全身麻醉→被动固定。经Kruskal-Wallis秩和检验,4组VAS均值比较,差异有统计学意义(P<0.05);Spearman相关性检验示,家长的居住地、教育水平、年龄与各种高级管理技术接受度无相关性(P>0.05),家长收入及患儿牙齿治疗量与全麻的接受度呈负相关关系(P<0.05)。结论高级行为管理技术并不是所有人都接受的,时代不同,家长对高级行为管理技术的接受度也不同。

Objective To investigate the parental acceptance rate toward behavior management technologies used in the treatment of pediatric dentistry and analyze the influencing factors. Methods A total of 421 parents who took their children to the Department of Pediatric Dentistry in the First Affiliated Hospital of Zhengzhou University from March to June of 2017 were selected,and then parents filled the questionnaire. Parents were asked to determine the acceptability of the four different advanced behavior management technologies including active immobilization,passive immobilization,sedation,general anesthesia using a 100 mm horizontal anchored visual analogue scale(VAS). SPSS 17.0 software was used for statistical analysis. Results The order of decreasing acceptance rate was as follows,sedation,active immobilization,general anesthesia,passive immobilization. The difference between each of them was statistically significant( P < 0.05). The residence,the education level and the age of the parents did not have correlation with the acceptance rate of different technologies( P > 0.05). The income of the parents and amount of treatment was relevant to the acceptance rate of general anesthesia by Spearman correlation analysis( P < 0.05). Conclusion Advanced behavior management techniques are not all equally accepted by parents. The acceptability of the techniques varies with different times.