儿童龋齿牙科焦虑症与口腔健康相关生活质量的相关性

Correlation between dental anxiety in children with dental caries and oral health-related quality of life

目的:分析儿童龋齿牙科焦虑症与口腔健康相关生活质量的相关性。方法:采用整群抽样法抽取2017年7月-2018年6月在我院口腔科就诊的龋齿患儿60例作为观察组,同期选取在口腔科就诊的健康无龋齿儿童50例作为对照组,应用一般人口学资料调查问卷、改良牙科焦虑量表(DAS)、中文版学龄前儿童口腔健康影响量表(ECOHIS)比较两组患儿人口学资料、牙科焦虑程度和口腔健康相关生活质量,并采用双变量Pearson相关性检验分析牙科焦虑程度与口腔健康相关生活质量的相关性。结果:①两组儿童在性别、独生子女、家庭结构、父母受教育程度、家庭月收入、与填表人关系方面比较,差异无统计学意义(P>0.05);②与对照组相比,观察组儿童改良牙科焦虑问卷表(MDAS)评分较高,差异有统计学意义(t=16.795,P<0.05);③与对照组相比,观察组儿童中文版学龄前儿童口腔健康影响量表(ECOHIS)中口腔症状领域评分(2.73±0.68)分、口腔功能领域评分(8.04±3.15)分、儿童心理领域评分(4.51±1.63)分、社会关系领域评分(2.96±1.42)分、父母内疚感领域评分(5.15±1.87)分及家庭经济影响领域评分(5.13±1.94)分均较高,差异有统计学意义(t=12.710,5.343,10.230,3.645,9.447,9.859;P<0.05);④经双变量Pearson相关性分析检验证实,龋齿患儿牙科焦虑程度与其ECOHIS量表中口腔症状、口腔功能、儿童心理、社会关系、父母内疚感、家庭经济影响各维度呈正相关(r=0.967,0.933,0.968,0.776,0.958,0.996;P<0.05)。结论:龋齿患儿牙科焦虑症与口腔健康相关生活质量存在相关性,故临床中应重视龋齿患儿的心理干预,以降低牙科焦虑状态,提高口腔健康相关生活质量。

Objective:To analyze the correlation between dental anxiety in children with dental caries and oral health-related quality of life.Methods:A total of 60 children with dental caries in the department of stomatology from July 2017 to June 2018 were selected as observation group by cluster sampling,and 50 healthy children without dental caries were selected as control group.The demographic data,dental anxiety and oral health-related quality of life in the two groups were compared by the general demographic data questionnaire,modified Dental Anxiety Scale(DAS)and the Chinese Early Childhood Oral Health Impact Scale(ECOHIS).The correlation between dental anxiety and oral health-related quality of life was analyzed by bivariate Pearson correlation analysis test.Results:①There was no statistical difference in the gender,only child,family structure,parents’ educational levels,monthly family income,relationship with the person filling in the form between the two groups(P>0.05).②The Modified Dental Anxiety Scale(MDAS)in observation group was higher than that in control group,and the difference was statistically significant(t=16.795,P<0.05).③Compared with control group,the scores of oral symptom,oral function,child psychology,social relation,patients’ guilt,family economic impact of ECOHIS in observation group was statistically significant higher(t=12.710,5.343,10.230,3.645,9.447,9.859;P<0.05).④The bivariate Pearson correlation analysis test confirmed that the dental anxiety of children with dental caries had positive correlation with oral symptom,oral function,child psychology,social relation,patients’ guilt,family economic impact in ECOHIS(r=0.967,0.933,0.968,0.776,0.958,0.996;P<0.05).Conclusion:The dental anxiety of children with dental caries has correlation with oral health-related quality of life.Therefore,psychological intervention should be emphasized in children with dental caries,so as to reduce dental anxiety and improve oral health-related quality of life.