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連続した手術前段階における歯抜き関連の不安のパターンと予測要因
Zewei Zhang1, Yu Zhang1, Huan Liu2
1State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, School of Stomatology, the Fourth Military Medical University, Xi'an, China.
BMC oral health
|August 31, 2025
まとめ
歯抜き手術の際に 歯科の不安がピークに達します 特に局所麻酔や手術自体でです 女性,失業者,下摘出手術を受ける人は リスクが高いので 介入のターゲットに注目します
科学分野:
- 口腔・口腔外科
- 歯科麻酔科
- 心理学
背景:
- 歯抜きの手続きでは歯の不安が大きな問題です.
- 患者の不安のパターンと予測要因を理解することは 効果的な患者管理に不可欠です
- この研究は,歯科における証拠に基づいた不安緩和戦略の必要性を明らかにしています.
研究 の 目的:
- 歯抜き中の5つの異なる時間点での歯の不安を特徴づける.
- 歯科の不安と 痛みの知覚の関係を探るため
- 歯を抜く患者における全体的な不安の予測要因を特定する.
主な方法:
- 歯の抜きを受けた302人の患者を対象とした横断的な研究.
- 5つの時間点での不安レベルは,修正された歯科不安スケール (MDAS) を使用して測定されました.
- 統計的な分析には,繰り返し測定されたANOVA,相関性,Chi-squareテスト,およびロジスティック回帰が含まれています.
主要な成果:
- 局所麻酔の投与と抽出の手順で不安がピークに達し,手術後には減少した.
- 痛みと出血は最も一般的な不安の引き金でした.
- 年齢の若さ,女性の性別,失業,下/両の抽出は,より高い不安と関連していました.
- 痛みの予期は手術前および手術中の不安と強く相関し,実際の痛みは手術後の不安と相関した.
結論:
- 歯科の不安はダイナミックで 侵襲的な段階でピークに達し 痛みの予期の影響を受けます
- 女性の性別,失業,下の手術は 高い全体的な不安を予測する 重要な要因です
- 患者に痛みを伝えることが 焦慮の管理に不可欠です
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