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歯科不安症の子供の非薬理学的行動管理の分析:体系的なレビューとメタ解析
Kanwalpreet Kaur1, Ravinder S Saini2, Rayan Ibrahim H Binduhayyim2
1Rutgers School of Dental Medicine Newark New Jersey USA.
Health science reports
|August 22, 2025
まとめ
非薬学的行動介入は 歯科医の診察中に子供の痛みを軽減しますが 伝統的な方法と比較して 歯科医の不安を大幅に軽減しません 仮想現実の娯楽は 心配や痛みの管理にも 優れた効果を示さなかった
科学分野:
- 小児歯科
- 行動科学
- 医療技術
背景:
- 歯科不安は小児歯科における重要な問題であり,治療に影響を及ぼします.
- 非薬理学的行動介入 (NPBI) は,この不安を管理するために使用されます.
- 主要なNPBIには,仮想現実 (VR) とテール・ショー・ドー (TSD) が含まれる.
研究 の 目的:
- 小児歯科患者の不安や痛みを軽減するNPBIの有効性を体系的に検討し,メタ分析する.
- TSDのような伝統的な方法とVRを比較する
主な方法:
- PRISMA-2020のガイドラインに沿った体系的なレビューとメタ分析.
- 6, 723人の参加者を含む76件のランダム化対照試験 (RCT) を含めた.
- ランダム効果モデルと標準化された平均差を用いて,歯の不安と痛みの変化を分析した.
主要な成果:
- テール・ショー・ドー (SMD - 0.34) と比較すると,注意をそらすテクニックは歯科不安を有意に軽減しなかった.
- 気を散らすテクニックは痛みを軽減するのに効果的でした (SMD - 0. 43).
- 仮想現実 (VR) の分散は,従来の技術と比較して,不安や痛みの有意な減少を示さなかった.
結論:
- 気を散らすテクニックは痛みを和らげますが,不安の軽減にはTSDに匹敵します.
- 歯科の不安や痛みを管理する従来の方法よりも優れていることは示されなかった.
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