家长对全身麻醉下儿童口腔治疗的接受度调查及其影响因素分析

Analysis of parents′acceptability to oral treatment for children under general anesthesia and influencing factors

目的 基于问卷调查分析家长对全身麻醉下儿童口腔治疗的接受度并探讨其影响因素。方法 选择2022年3月至2023年2月于第四军医大学口腔医院儿童口腔科行全身麻醉下口腔治疗患儿家长524名。通过调查问卷分析家长对治疗方式的接受度,以及患儿年龄、家长年龄、家庭月收入、家长龋齿状况及对牙科全身麻醉(dental general anesthesia,DGA)治疗过程了解程度等因素对家长接受度的影响。结果 本次调查共发放调查问卷524份,回收506份有效问卷,回收率为96.6%。506名家长中有237名(占46.8%)完全接受治疗方式,250名家长(占49.4%)表示一般接受,有19名家长(占3.8%)表示不能接受。多因素logistic回归模型分析结果显示,患儿年龄(OR=1.635,95%CI:1.115~2.405,P=0.012)、家长龋齿状况(OR=1.652,95%CI:1.029~2.669,P=0.039)及对DGA治疗过程了解程度(OR=0.076,95%CI:0.032~0.171,P <0.001)是家长对全身麻醉下儿童口腔治疗接受度的独立影响因素。结论 家长对全身麻醉下儿童口腔治疗不易接受的主要原因可能为患儿年龄较小、自身龋齿状况较好及对全身麻醉不太了解,在临床工作中需制定有效措施提升家长对儿童的口腔保健意识、加强DGA知识普及。

Objective Based on questionnaire survey,the acceptability of parents to oral treatment for children under general anesthesia was analyzed and its influencing factors were discussed.Methods From March 2022 to February 2023,524 parents of children for oral treatment under general anesthesia were selected in the Department of Pediatric Dentistry,Hospital of Stomatology,the Fourth Military Medical University.The acceptability of parents to the treatment was analyzed by questionnaire,and the influence of factors such as the age of children,the age of parents,the monthly family income,the status of parents′caries and the understanding of dental general anesthesia(DGA)treatment process on the acceptability of parents was analyzed.Results A total of 524 questionnaires were sent out in this survey,and 506 valid questionnaires were collected,with a recovery rate of 96.6%.Out of 506 parents,237(46.8 percent)fully accepted the treatment,250(49.4 percent)generally accepted it,and 19(3.8 percent)did not.The results of multivariate logistic regression model analysis showed that the age of the children(OR=1.635,95%CI:1.115-2.405,P=0.012),the caries status of the parents(OR=1.652,95%CI:1.029-2.669,P=0.039)and the understanding of DGA treatment process(OR=0.076,95%CI:0.032-0.171,P<0.001)were the independent factors influencing parents′acceptance of oral treatment under general anesthesia.Conclusion The main reasons for parents′difficulty in accepting oral treatment of children under general anesthesia may be young age of children,parents with lower rate of caries and poor understanding of general anesthesia.Effective measures should be developed in clinical work to enhance parents′awareness of oral health care for children and strengthen the popularization of DGA knowledge.