在急诊儿科牙科诊所的玩偶游戏治疗. 一个随机的临床试验
Layla N Khogeer1, Heba Jafar Sabbagh2, Osama M Felemban1
1Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, PO Box 80200, Jeddah 21589, Saudi Arabia.
BMC pediatrics
|July 3, 2025
概括
玩偶游戏疗法 (PPT) 有效地减少了牙焦虑,并改善了小孩在局部麻醉 (LA) 的紧急牙科治疗期间的行为. 这种方法对于焦虑的孩子来说比告诉-展示-做 (TSD) 技术更有效.
科学领域:
- 儿科牙科 儿科牙科
- 行为科学 行为科学
- 儿童心理学 儿童心理学
背景情况:
- 牙科的恐惧和焦虑显著阻碍了儿科牙科护理.
- 在紧急牙科设置中,有效的行为管理至关重要,特别是在局部麻醉 (LA) 管理期间.
- 对比新和传统的行为指导技术对于优化儿童患者体验至关重要.
研究的目的:
- 为了比较玩偶游戏治疗 (PPT) 与告诉-展示-做 (TSD) 技术在管理行为和减少急诊牙科治疗的儿童的焦虑方面的疗效.
- 评估这些技术对焦虑的生理指标,如心率的影响.
主要方法:
- 一项随机临床试验,涉及50名年龄在3-6岁的儿童,需要在LA.下进行紧急牙科治疗.
- 儿童被随机分为两组:PPT和TSD.
- 使用面部指数量表 (FIS) 和Venham焦虑评分量表来评估焦虑. 使用已建立的尺度 (Frankl,Venham,FLACC) 监测心率和行为.
主要成果:
- 与TSD组相比,PPT组的儿童在FIS测量时表现出明显较低的焦虑水平 (p < 0.001).
- 与TSD组相比,PPT组的平均心率在所有测量点 (在LA之前,期间,之后) 中始终较低.
- 行为评估表明,PPT组的患者体验更为积极,尽管具体数据在这里没有详细说明.
结论:
- 玩偶游戏疗法 (PPT) 是一种有效的行为修改技术,用于减少小孩接受侵袭性紧急牙科手术的焦虑.
- 与告诉-展示-做 (TSD) 技术相比,PPT在管理牙科焦虑和改善以前没有牙科接触的儿童的行为方面表现出更高的有效性.
- 这项研究强调了基于游戏的治疗干预在儿科牙科的潜力.
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