牙列缺损种植修复患者焦虑状况的影响因素分析  

Analysis of the Influencing Factors of Anxiety in Patients with Dentition Defects

作　　者：莫桂英 张小红[1] 徐岚[2] 戴梅芳[1] 王珣[3] Mo Guiying;Zhang Xiaohong;Xu Lan;Dai Meifang;Wang Xun(Department of Stomatology,the First Affiliated Hospital of Suzhou University,Suzhou,215006;Department of Nursing,the First Sffiliated Hospital of Suzhou University,Suzhou,215006;Department of Outpatient Surgery,the First Affiliated Hospital of Suzhou University,Suzhou,215006)

机构地区：[1]苏州大学附属第一医院口腔科,苏州215006 [2]苏州大学附属第一医院护理部,苏州215006 [3]苏州大学附属第一医院门诊外科,苏州215006

出　　处：《基因组学与应用生物学》2020年第1期466-470,共5页Genomics and Applied Biology

摘　　要：探讨牙列缺损种植修复患者发生焦虑状况的可能影响因素。2016年3月至2017年12月期间,选择我院收治的牙列缺损行种植义齿修复患者150例作为研究对象。评价患者的状态和特质焦虑量表(STAI)、修正版牙科焦虑量表(MDAS)和VAS疼痛评分之间的相关性,Logistic回归分析确定患者焦虑的影响因素。根据术前的SAI和TAI评分将牙列缺损患者分为低焦虑组、中焦虑组和高焦虑组,高焦虑组的VAS评分和MDAS评分均显著高于其他两组(p<0.05)。SAI、TAI和MDAS评分分别与VAS评分显著正相关(r=0.664,r=0.758,r=0.437,p<0.05)。性别(女)、年龄(<25岁)、付费方式(自费)、居住地(农村)和收入(<4 000元)为牙列缺损患者产生焦虑情绪的独立危险因素。牙列缺损患者行种植修复手术前的焦虑水平与术后的疼痛正相关。性别、年龄、付费方式、居住地和收入是牙列缺损患者焦虑水平升高的独立危险因素。To investigate the possible influencing factors of anxiety in patients with dentition defects.From March 2016 to December 2017,150 patients with dentition defect treated with implant prosthesis in our hospital were selected as the research objects.The correlations between the patient’s status and trait anxiety scale(STAI),the modified dental anxieties scale(MDAS) and the VAS pain score were evaluated.Logistic regression analysis was used to determine the factors affecting the patient’s anxiety.The dentition defect patients were divided into low anxiety group,middle anxiety group and high anxiety group according to the preoperative SAI and TAI scores.The VAS score and the MDAS score of the high anxiety group were significantly higher than the other two groups(p<0.05).SAI,TAI and MDAS scores were significantly positively correlated with VAS scores(r=0.664,r=0.758,r =0.437,p <0.05).Gender(female),age(<25 years),payment method(at their own expense),place of residence(rural),and income(<4 000 yuan) are independent risk factors for anxiety in patients with dentition defects.The level of anxiety in patients with dentition defect treated with implant prosthesis is positively correlated with postoperative pain.Gender,age,payment method,place of residence and income are independent risk factors for elevated anxiety levels in patients with dentition defects.

关 键 词：牙列缺损 种植修复 焦虑 影响因素 疼痛 

分 类 号：R783.6[医药卫生—口腔医学]