牙科恐惧和焦虑是儿科牙科实践中的重要问题,因为它们会干扰儿童和青少年牙科护理的提供和接受。行为指导是儿童管理的一个动态部分。它从预约前的水平开始,在儿科牙科诊所,母亲的消极态度将被训练成为改善儿童行为的积极态度。使用预期指导(AG)作为父母咨询,在那里,关于父母在孩子的牙科预约之前应该遵循的信息被提供给母亲。
■评估预约前父母咨询对儿童牙科恐惧和焦虑的影响。
■这项研究是一项随机研究,平行组,主动对照试验,其中母子二元随机分为两组:(1)试验组和(2)对照组。在基线,两组均使用恐惧和焦虑评估量表和生理参数进行恐惧和焦虑评估。使用儿童恐惧调查时间表牙科分量表评估牙科恐惧和焦虑,儿童的Venham图片测试和母亲的状态特质焦虑量表。父母的咨询指导是口头的,以书面格式和视频仅在初次预约的同一天的测试组中。从第一次预约开始6个月后,检查两组中的相同受试者的恐惧和焦虑量表以及生理参数。在研究结束时,父母咨询对牙科恐惧和焦虑的有效性是相关的。
使用卡方检验比较测试组和对照组在基线和6个月时的平均牙科恐惧和焦虑评分。卡方检验用于比较研究组和对照组中儿童和母亲的牙科恐惧和焦虑。采用Spearman秩相关检验评估儿童恐惧调查表-牙科子量表(CFSS-DS)之间的关系,Venham图片测试(VPT),状态-特质焦虑量表(STAI)评分,以及研究组和对照组的临床参数。
■结果表明,在母亲和儿童后期辅导的二元组中,牙齿恐惧和焦虑水平有了显着改善。对照组评分无明显变化。
■预约前的家长咨询澄清和指导父母关于孩子的恐惧和焦虑,并有效地缓解父母和儿童在儿科牙科诊所就诊的牙科恐惧和焦虑。
■RR,SathyaprasadS,SN,etal.预约前父母咨询对牙科手术中儿童牙科恐惧和焦虑的评估:一项随机对照试验。IntJClinPediatrDent2024;17(3):346-351。
UNASSIGNED: Dental fear and anxiety are important issues in the practice of pediatric dentistry because they interfere with both the provision and receipt of dental care in children and adolescents. Behavior guidance is a dynamic part of child management. It starts from the preappointment level, where a negative attitude of the mother will be trained to become positive for improved child behavior in the pediatric dental clinic. The use of anticipatory guidance (AG) as parental counseling, where the information on what the parents should follow before their child\'s dental appointment was provided to the mothers.
UNASSIGNED: To assess the effect of preappointment parental counseling on dental fear and anxiety in children.
UNASSIGNED: The
study was a randomized, parallel-group, active-controlled
trial, wherein the dyad of mother and child was randomly divided into two groups: (1) the test group and (2) the control group. At baseline, fear and anxiety assessment was done using fear and anxiety assessment scales and physiological parameters in both groups. Dental fear and anxiety were assessed using the children fear survey schedule dental subscale, Venham pictorial test in children and state-trait anxiety subscale in mothers. Parental counseling instructions were given verbally, in written format and by videos only in the test group on the same day of the initial appointment. The same subjects in both groups were checked for fear and anxiety scales and physiological parameters after 6 months from the first appointment. The effectiveness of parental counseling on dental fear and anxiety was correlated at the end of the
study.
UNASSIGNED: The mean dental fear and anxiety scores between the test and control groups at baseline and at 6 months were compared using the Chi-squared test. Chi-squared test was used to compare the dental fear and anxiety in children and mothers in the
study and control groups. Spearman\'s rank correlation test was used to assess the relationship between Children\'s Fear Survey Schedule-Dental Subscale (CFSS-DS), Venham Picture Test (VPT), state-trait anxiety inventory (STAI) scores, and clinical parameters in the
study and control group of both populations.
UNASSIGNED: The results showed that there was a significant improvement in the dental fear and anxiety levels in the dyads of mother and child postcounseling. The control group scores did not show any significant change.
UNASSIGNED: Preappointment parental counseling clarified and guided parents about the child\'s fear and anxiety and was effective in alleviating the dental fear and anxiety among parents and children attending pediatric dental clinics.
UNASSIGNED: R R, Sathyaprasad S, S N, et al. Assessment of Preappointment Parental Counseling on Dental Fear and Anxiety in Children in Pedodontic Dental Operatory: A Randomized Controlled
Trial. Int J Clin Pediatr Dent 2024;17(3):346-351.