195例牙科患者焦虑症现状及影响因素调查研究  

Studies on the status and influence factors in the 195 cases of patients with dental anxiety

作　　者：朱丹丹[1,2] 邵永新[1,3] 

机构地区：[1]辽宁医学院沈阳奥新口腔医院研究生培养基地 [2]辽宁省朝阳市中心医院口腔科,朝阳122000 [3]沈阳奥新全民口腔医院,沈阳210100

出　　处：《重庆医学》2015年第18期2540-2542,共3页Chongqing medicine

摘　　要：目的本论文旨在调查牙科患者焦虑症(DA)现状及影响因素,找出减轻牙科焦虑症的方法。方法采用便利抽样方法选取辽宁省朝阳市中心医院口腔科患者195例,通过基本资料、改良的牙科焦虑量表(MDAS)、状态焦虑量表(S-AI)和两个自制的量表进行调查。结果牙科焦虑组中女性的比例高于非焦虑组(60%vs.40%,P=0.008)。多因素Logistic回归分析发现:担心医技(OR=2.247),口内喷水(OR=2.151),影响正常功能(OR=2.589),听负面经历(OR=2.825),缺乏口腔知识(OR=2.539),害怕疼痛(OR=2.074)是DA的独立危险因素;掌握口腔知识(OR=0.374),听音乐(OR=0.279),打麻药(OR=0.305),多用鼓励语言(OR=0.460)是缓解DA的独立保护因素。结论担心医技、口内喷水、影响正常功能、听负面经历、缺乏了解口腔知识、害怕疼痛都是引起DA的常见原因,学习口腔知识、听音乐、打麻药、医护人员多用鼓励的语言是有效缓解牙科焦虑症的方法。Objective The aim of the study was to find out the status and influencing factors of dental anxiety and reduce it . Methods One hundred and ninety‐five patients in Chaoyang Central Hospital were selected via stomatology convenience sampling . Basic information ,modified dental anxiety scale（MDAS） ,State Anxiety Inventory（S‐AI） ,and two homemade scales were used to in‐vestigated .Results No difference in general baseline data was found in two groups of anxiety and non‐anxious ,except the propor‐tion of women in the group of dental anxiety was higher than non‐anxious group（60% vs .40% ,P=0 .008） .Logistic regression a‐nalysis showed that fear of bad medical technology（OR=2 .247）;spray to mouth（OR=2 .151）;affect normal chewing function（OR=2 .589）;listen to the negative experiences（OR=2 .825）;lack of knowledge of oral understanding（OR=2 .539）;fear of pain（OR=2 .074） were independent risk factors for dental anxiety .Binary Logistic regression analysis also found that understand the oral health knowledge（OR=0 .374）;listening to the music（OR=0 .279）;anesthetics（OR=0 .305）;encouragement and praise language （OR=0 .460） independent protective factors to relieve dental anxiety .Conclusion Worry about medical technology ,mouth spray , affecting normal function ,listen to the negative experiences ,lack of oral knowledge and fear of pain were common cause of dental anxiety .Study of oral knowledge ,music ,anesthetics ,medical encourage staff to use the language of praise were effective ways to re‐lieve dental anxiety .

关 键 词：焦虑症 医生病人关系 现代医学模式 表现焦虑量表 

分 类 号：R749.72[医药卫生—神经病学与精神病学] R781[医药卫生—临床医学]