皖南医学院学生牙科恐惧症调查分析  

The investigation and analysis of dental phobia among undergraduates of Wannan Medical College

作　　者：朱白鹭[1] 邢永虎[1] 肖国华[1] 

机构地区：[1]皖南医学院护理学实验中心,安徽芜湖241000

出　　处：《右江民族医学院学报》2015年第6期848-850,854,共4页Journal of Youjiang Medical University for Nationalities

摘　　要：目的研究皖南医学院在校生牙科恐惧症的发病情况、临床表现和影响因素,为牙科恐惧症的预防、治疗提供依据。方法采用自制调查问卷、改良牙科焦虑量表(MDAS)、牙科畏惧量表(DFS)对皖南医学院580名在校生进行问卷调查。结果皖南医学院在校生牙科恐惧症发病率为29.31%;最常见的生理反应为感到肌肉紧张、心跳加快和呼吸加快;引起牙科恐惧症最常见的治疗行为是牙钻磨牙时、看到钻牙时、听到牙钻声、注射麻药时。学生的性别、家庭月收入、家庭所在地、对口腔科医生的信任度、自身牙科经历、亲友牙科经历、疼痛耐受度、专业不同,牙科恐惧症患病率组间比较差异有统计学意义(P<0.05)。不同性格与就诊目的对牙科恐惧症患病率影响比较差异无统计学意义(P>0.05)。口腔专业是出现牙科恐惧症的保护因素,而痛苦的自身牙科经历、痛苦的亲友牙科经历、较差和一般的疼痛耐受度是出现牙科恐惧症的危险因素。结论牙科畏惧症的临床表现及影响因素较多,需从多方面对其预防和治疗。Objective To assess the prevalence,symptoms and influencing factors of dental phobia in undergraduates of Wannan Medical College,and to provide evidences for prevention and treatment of dental phobia. Methods A total of 580 students in Wannan Medical College were investigated by using a self-designed questionnaire,a modified dental anxiety scale（MDAS）questionnaire,and a dental fear scale（DFS）questionnaire. Results The incidence of dental phobia among students in Wannan Medical College was29.31%.The common physiological responses rated by the studied subjects were ＂muscle tenseness＂＂heart beating faster＂and ＂breathing faster＂.The common dental treatment behaviors resulting in dental fear were＂during the dental drill working＂＂seeing the dental drill working＂＂hearing the dental drill sound＂and＂during anesthetic injection＂.Significant statistical differences of the dental fear incidences were found in regarding to different gender,family economic income per month,family resident place,trust for dental doctor,dental experiences of themselves and their relatives or friends,pain tolerance（P〈0.05）.But comparison of dental fear incidences among undergraduates with different personality and different reasons of dental visit showed there were no statistical differences（P〉0.05）.Oral medicine specialty was a protection factor of dental phobia.Poor dental experiences of themselves and their relatives or friends,poor and general pain tolerance were risk factors for dental phobia. Conclusion There are a lot of clinical manifestations and influence factors of dental fear,we need to prevent and treat dental fear from many aspects.

关 键 词：牙科恐惧症 牙科焦虑量表 牙科畏惧调查量表 大学生 

分 类 号：R783.3[医药卫生—口腔医学]