以TSD为主的综合行为管理技术对S-ECC伴牙科畏惧症患儿行为及心理状态的影响

Effects of TSD based integrated behavior management techniques on the behavior and mental state of children with S-ECC with dental phobia

目的 探究以传统告知-演示-操作(TSD)为主的综合行为管理技术对重度低龄儿童龋(S-ECC)伴牙科畏惧症(DF)患儿生理应激、行为表现及焦虑恐惧心理的影响。方法 选取我院2018年9月~2020年9月期间收治的107例S-ECC伴DF患儿为研究对象,按随机数字表法将研究对象随机分为观察组和对照组。对照组53例予常规护理联合笑气镇痛系统干预,观察组54例加以TSD为主的综合行为管理技术,对比两组生理应激水平,行为表现,焦虑恐惧心理,不良反应情况。结果 干预后,观察组患儿收缩压水平低于对照组,舒张压、心率水平高于对照组(P<0.05)。干预后观察组患儿Frankl行为量表、Houpt行为量表评分高于对照组,CFSS-DS评分低于对照组(P<0.05)。干预后,观察组患儿焦虑发生率明显低于对照组(P<0.05)。两组患儿不良反应发生率比较差异无统计学意义(P>0.05)。结论 以TSD为主的综合行为管理技术对S-ECC伴DF患儿进行干预,可改善患儿生理应激水平,调节焦虑恐惧心理及行为表现水平,安全可靠。

Objective To explore the effects of traditional tell-demo-operation(TSD)integrated behavioral management techniques on physiological stress,behavioral performance,anxiety and fear in children with severe caries(S-ECC)and dental phobia(DF). Method A total of 107 children with S-ECC with DF admitted to our hospital from September 2018 to September 2020 were selected as the research subjects,and the subjects were randomly divided into observation group and control group according to random number table method. The control group(53 cases)was given routine nursing combined with nitrous oxide sedation system intervention,and the observation group(54 cases)was given comprehensive behavior management technology with TSD as the main factor. The physiological stress level,behavior performance,anxiety and fear,and adverse reactions between the two groups were compared. Results After intervention,the systolic blood pressure level in observation group was lower than that in control group,while diastolic blood pressure and heart rate levels were higher than those in control group(P<0.05). After intervention,the scores of Frankl behavioral scale and Houpt behavioral scale in the observation group were higher than those in the control group,and the CFSS-DS scores were lower than those in the control group(P<0.05). After intervention,the incidence of anxiety in the observation group was significantly lower than that in the control group(P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05). Conclusion The comprehensive behavior management technology mainly based on TSD can improve the physiological stress level of children with S-ECC and DF,regulate the level of anxiety and fear and behavioral performance,which is safe and reliable.