牙体牙髓病科成人患者牙科焦虑症患病情况及相关影响因素调查-东南大学学报医学版

牙体牙髓病科成人患者牙科焦虑症患病情况及相关影响因素调查

单位：南京大学医学院附属口腔医院/南京市口腔医院高级专家诊疗中心, 江苏南京 210008

分类号：R749.72

出版年·卷·期（页码）：2022·41·第六期（863-868）

摘要：

目的: 研究牙体牙髓病科门诊成人患者牙科焦虑症(DA)的患病情况及相关影响因素。方法: 采用一般情况调查表、牙科畏惧调查表(DFS)和焦虑模拟视觉量表(VAS-A)评估200例18岁以上牙体牙髓病科门诊成人患者DA的发生情况,采用卡方检验进行统计学分析,并使用二元Logistic回归分析DA发生的影响因素。结果: 共收回190份问卷,患者年龄18~62岁,DFS评分20~97分,平均(47.89±17.80)分,有DA者76例,占40%。卡方检验显示,DA的发生在不同性别、自我口腔健康状况认知、治疗了解程度、不良治疗经历、间接治疗经历者间差异均有统计学意义(P＜0.05);Logistic回归分析显示女性和有间接治疗经历是患DA的危险因素,而口腔卫生状况良好是患DA的保护因素;VAS-A测得DA患者产生焦虑感的因素分别为牙钻、牙钻所发出的声音、医生动作粗暴、麻醉针以及其他尖锐器械,非DA患者所焦虑的因素则集中在治疗效果、动作粗暴、牙钻、费用、治疗次数多、时间长。结论: DA在牙体牙髓病科患者中患病率较高,且受到性别、自我口腔健康状况认知、治疗了解程度、治疗经历等多种因素不同程度的影响,在牙体牙髓病科门诊治疗中应予以关注。

Objective: To investigate the incidence of dental anxiety(DA) and its related factors in adult patients from the department of endodontics. Methods: The general situation questionnaire, dental fear survey(DFS) and visual analogue scale for anxiety(VAS-A) were used to evaluate the incidence of DA in 200 adult patients over 18 years old. Chi-square test was used for statistical analysis and binary logistic regression was used to analyze the influencing factors for the incidence of DA. Results: A total of 190 questionnaires were collected,and the patients were aged from 18 to 62 years. The DFS score was 20-97 with an average of (47.89±17.80). There were 76 patients with DA, accounting for 40%. Chi-square test results showed that there were statistical differences in the distribution of gender, self oral health status cognition, treatment understanding, adverse and indirect treatment experiences(P＜0.05). Logistic regression analysis showed that the female and indirect treatment experience were the risk factors for DA, while good oral health status was the protective factor for DA. According to VAS-A scale, the factors causing anxiety in DA patients were dental drill, dental drill noise, dentists' rough action, anesthetic needle and other sharp instruments. The factors that caused anxiety in non DA patients were treatment effect, rough action, dental drill, cost, times and length of treatment. Conclusion: The incidence of DA is high among patients in endodontics department, which is affected by many factors such as gender, self oral health status cognition, treatment understanding, and treatment experience. Attention should be paid to DA treatment in the outpatient department of endodontics.

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