中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2023, Vol. 21 ›› Issue (3): 267-271.doi: 10.19438/j.cjoms.2023.03.011

• 论著 • 上一篇    下一篇

下颌埋伏阻生第三磨牙拔除术中患者牙科畏惧感调查分析

管亚芩1, 代杰文1, 何花2,*, 余丽雅1,*   

  1. 1.上海交通大学医学院附属第九人民医院 口腔颅颌面科,2.口腔综合科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011
  • 收稿日期:2023-02-15 修回日期:2023-03-18 出版日期:2023-05-20 发布日期:2023-08-16
  • 通讯作者: 余丽雅,E-mail: yuliya129@163.com;何花,E-mail:106213978@qq.com。*共同通信作者
  • 作者简介:管亚芩（1983-）,女,本科,护师,E-mail: guanguan007@126.com

Investigation of dental fear in patients undergoing impacted mandibular third molar extraction

GUAN Ya-qin1, DAI Jie-wen1, HE Hua2, YU Li-ya1   

  1. 1. Department of Oral and Maxillofacial Surgery, 2. Department of General Dentistry, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200011, China
  • Received:2023-02-15 Revised:2023-03-18 Online:2023-05-20 Published:2023-08-16

PDF (PC)

143

摘要： 目的：研究下颌埋伏阻生第三磨牙拔除术中患者牙科畏惧的发生情况,为制定相应的预防对策提供依据。方法：收集2021年8月—2021年11月于上海交通大学医学院附属第九人民医院口腔颅颌面科门诊手术室行下颌埋伏阻生第三磨牙拔除术的200例患者,采用牙科畏惧调查量表（DFS）进行问卷调查,回收有效问卷196份,分析不同年龄、性别、职业、教育程度、牙科就诊经历对患者牙科畏惧症发生情况的影响及导致牙科畏惧的相关因素。将患者随机分为常规诊疗组和舒适化干预组,每组各98例。常规组患者给予常规诊疗措施,干预组患者在常规组基础上给予舒适化干预措施,比较2组患者满意度。采用SPSS 19.0软件包对数据进行统计学分析。结果：196例患者中,35例（17.8%）发生牙科畏惧,DFS平均分为（45.21±13.48）分。性别、职业和牙科就诊经历与牙科畏惧发生率有关（P<0.05）;年龄、教育程度与牙科畏惧发生率无关（P>0.05）。拔牙事件中,引起牙科畏惧的主要因素为牙钻磨牙（31.1%）、听到牙钻声（29.6%）、看到牙钻（26.5%）以及注射麻药（23.5%）。干预组的满意度显著高于常规组（P<0.05）。结论：牙科畏惧感的发生受多种因素影响,有针对性、舒适化干预措施能提高患者满意度,对降低患者牙科畏惧感具有积极作用。

关键词: 下颌埋伏阻生第三磨牙, 牙科畏惧, 干预对策, 舒适化治疗

Abstract: PURPOSE: To explore the occurrence of dental fear in patients undergoing impacted mandibular third molar extraction, and to provide evidence for formulating corresponding preventive measures. METHODS: Two hundred patients who underwent extraction of impacted mandibular third molar in outpatient operating room of Department of Oral and Maxillofacial Surgery of Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine from August 2021 to November 2021 were selected. A questionnaire survey was conducted with Dental Fear Questionnaire (DFS) to analyze ages, genders, occupations, education levels, and dental experience on the occurrence of dental fear and the related factors leading to dental fear. A total of 196 valid questionnaires were collected, and were randomly divided into routine treatment group and comfortable intervention group, with 98 cases in each group. Routine treatment and comfortable intervention were given corresponding management, and the satisfaction was compared between the two groups. SPSS 19.0 software package was used for data analysis. RESULTS: Among 196 cases, 35 cases(17.8%) developed dental fear, the average DFS score was 45.21±13.48. There was significant differences in the incidence of dental fear among gender, occupation and dental experience(P<0.05), no significant difference in age, education level and incidence of dental fear (P>0.05). The main factors causing dental fear in tooth extraction events were when the drill was grinding teeth(31.1%), when the sound of the drill was heard (29.6%), when the drill was seen (26.5%), and when anesthetic was injected (23.5%). The satisfaction of the comfortable intervention group was significantly higher than that of the routine treatment group(P<0.05). CONCLUSIONS: The occurrence of dental fear is affected by many factors. Targeted and comfortable intervention and nursing strategies can improve patients' satisfaction and have a positive effect on reducing patients' dental fear.

Key words: Impacted mandibular third molar, Dental fear, Intervention countermeasures, Comfortable treatment

中图分类号: