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成人の根管治療不安や高い歯科不安に対する感覚芸術療法の効果:メタ解析による体系的レビュー
Shuhan Guo1, Xuexing Luo1, Jue Wang2,3,4
1Faculty of Humanities and Arts, Macau University of Science and Technology, Taipa, Macau, China.
PloS one
|September 2, 2025
まとめ
感覚芸術療法 (SAT) は,根管治療中の患者の不安と生理的ストレスを軽減する見込みを示しています. 証拠の質は異なるが,SATは歯科不安管理のための非侵襲的なアプローチを提供します.
科学分野:
- 歯科 に 関する 不安 の 管理
- 歯科における心理的介入
- 証拠 に 基づく 歯科
背景:
- 根管の治療は 歯科の患者にとって大きな不安の源です
- 感覚芸術療法 (SAT) は,手続き不安を管理するための方法としてますます探索されています.
- 歯内科におけるSATの有効性に関する既存の知識は,体系的な合成を必要とします.
研究 の 目的:
- 感覚芸術療法が内歯科手術中の不安状態を軽減する効果に関する証拠を体系的に検討し,合成する.
- 高いレベルの歯科不安を経験する患者にSATの影響を評価する.
- 歯科における不安の軽減におけるSATの証拠の質を評価する.
主な方法:
- 2025年1月以前に発表された13件のランダム化対照試験 (RCT) の体系的レビューとメタ解析.
- 参加基準はPICOS戦略に従い,根管治療を受けている成人の患者,感覚芸術への曝露,従来のケアとの比較に焦点を当てた.
- バイアスのリスクと証拠の強さは,それぞれコクランのROB2とGRADEツールを用いて評価された. メタ解析はRevMan 5. 3を用いて行われました.
主要な成果:
- 13件のRCTが含まれており,バイアスのリスクは様々であった (低い,懸念のある,高い).
- 感覚芸術療法では,不安指数,心拍数,血圧の有意な改善が示された (P < 0. 05).
- STAI-S,VAS,HR,SBP,SCなどの特定の結果指標は著しく改善し,MDASとDBPは固定効果モデルにおいて著しく改善した.
結論:
- 音楽,アロマセラピー,バーチャルリアリティなどの モダリティを含む センサリーアートセラピーは 歯科治療中に生理的なストレスや不安状態を 効果的に軽減することができます
- 証拠の質は非常に低いものから高いものまであり,SATは潜在的に費用対効果の高い非侵襲的な不安管理ツールであることを示唆しています.
- エンドドンティック不安の軽減におけるSATの臨床的有効性を確認するために,さらに高品質のRCTを推奨する.
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