患者对口腔根管术的恐惧情况及其与患者的疾病感知及社会支持的关系

The status of fear to oral root canal surgery and its relationship with disease perception and social support in patients

目的 调查患者对口腔根管术的恐惧情况,及其与患者疾病感知及社会支持情况的关系。方法 选取我院在2020年1月~2023年1月收治的100例行口腔根管术患者纳入研究,依据牙科焦虑量表(Modified Dental Anxiety Scale,MDAS),分为恐惧组58例(MDAS≥11分)及无恐惧组42例(MDAS <11分)。比较两组患者简易疾病感知问卷(The Brief Illness Perception Questionnaire,BIPQ)情况及社会支持评定量表(Social Support Rating Scale,SSRS)情况,并采用Pearson相关性分析口腔根管术患者BIPQ总分及SSRS总分与术前恐惧的关系。结果 恐惧组患者疾病感知情况中结局、持续时间、个人控制、同一性、关注度、了解度、情绪、BIPQ总分高于无恐惧组患者(P<0.05);恐惧组患者在客观支持度、主观支持度、社会支持利用度、SSRS总分均低于无恐惧组患者(P<0.05);相关性分析显示,口腔根管术患者BIPQ总分与MDAS呈负相关,SSRS总分与MDAS呈正相关(P<0.05)。结论 患者疾病感知及社会支持水平与术前恐惧的产生密切相关,临床应采取措施降低患者的疾病负性感知度,并增强患者的社会支持水平,从而提高患者积极度水平,进而提高患者自我管理行为能力,改善患者的预后。

Objective Investigate the disease perception and social support of patients with preoperative fear of oral root canal surgery.Methods A total of 100 patients undergoing oral root canal surgery admitted to our hospital from January 2020 to January 2023 were selected for inclusion in the study.According to the Dental Anxiety Scale(Modified Dental Anxiety Scale,MDAS),they were divided into a fear group of 58 patients(MDAS ≥ 11 points)and a non fear group of 42 patients(MDAS<11 points).Compare the situation of the Brief Illness Perception Questionnaire(BIPQ)and Social Support Rating Scale(SSRS)between two groups of patients,and use Pearson correlation analysis to analyze the relationship between the total BIPQ score and Pearson correlation analysis was used to analyze the relationship between the total BIPQ and SSRS scores of oral root canal surgery patients and preoperative fear.Results Patients in the fear group had higher overall scores in disease perception,including outcome,duration,personal control,identity,attention,understanding,emotion,and BIPQ than those in the non fear group(P<0.05).Patients in the fear group showed lower levels of objective support,subjective support,social support utilization,and total SSRS scores than those in the non fear group(P<0.05).Correlation analysis shows that the total BIPQ score of patients undergoing oral root canal surgery is negatively correlated with MDAS,while the total SSRS score is positively correlated with MDAS(P<0.05).Conclusion The patient's disease perception and social support level are closely related to the generation of preoperative fear.Clinical measures should be taken to reduce the patient's negative perception of the disease and enhance the patient's social support level,thereby increasing the patient's level of positivity,thereby improving the patient's self-management behavior ability,and ultimately improving the patient's prognosis.