口腔健康状况与牙科焦虑症影响因素的研究  

Analysis of oral health status and affecting factors of dental anxiety

作　　者：廖阳阳 轩东英[1] 谢宝仪[1] 刘溦[1] 

机构地区：[1]广东省口腔医院.南方医科大学附属口腔医院,广东广州510280

出　　处：《广东牙病防治》2015年第10期538-541,共4页Journal of Dental Prevention and Treatment

基　　金：广东省医学科研基金(A2013099)

摘　　要：目的研究牙科焦虑水平与口腔健康行为及健康状况的相关性,并调查其影响因素,为了解牙科焦虑症的发生、发展及预防提供临床依据。方法采用Corah’s牙科焦虑量表(dental anxiety scale,DAS)和牙科畏惧量表(dental fear scale,DFS)对口腔门诊1 203例成人患者进行问卷调查,并记录基本资料、牙科就诊状况以及口腔健康状况。结果 1 203例患者中,高度牙科焦虑症患者(DAS≥13)占23.4%。性别、年龄、文化程度、规律就诊状况、口腔健康行为和健康状况均影响牙科焦虑水平。定期洁牙的患者牙科焦虑水平较低。经常刷牙出血和牙齿酸软的患者牙科焦虑水平显著较高。牙钻和注射麻药是牙科治疗中最易诱发牙科焦虑的因素。结论我国牙科焦虑症的患病率较高,口腔健康状况和保健意识可能会影响患者的牙科焦虑水平。Objective To investigate the correlation between adult dental anxiety and oral health status, and access the related factors contribute to dental anxiety. Methods A total of 1 203 dental patients completed a questionnaire that contained Corah＇s dental anxiety scales（DAS） and dental fear survey（DFS）. The general characteristics were described, such as socio-demographic, dental attendances and oral health status. Results The prevalence of high dental anxiety（DAS≥13） was 23. 4%. The regression analysis indicated that gender, age, education, dental attendances and oral health status were correlated with dental anxiety. The level of dental anxiety of patients with regular scaling was significant decreased. Patients with ＇always bleeding on brushing＇ and ＇always dentine hypersensitivity＇ had significantly higher level of dental anxiety. ＇Drilling with the handpiece＇ and ＇injecting the anesthetic＇ were the most important factors to contribute to dental anxiety. Conclusion There was high prevalence of dental anxiety in Chinese adult patients.The level of dental anxiety may influence by oral health status and awareness.

关 键 词：牙科焦虑症 口腔健康状况 牙科治疗 

分 类 号：R78[医药卫生—口腔医学]