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分析患有牙焦虑症的儿童的非药物行为管理:系统性审查和元分析
Kanwalpreet Kaur1, Ravinder S Saini2, Rayan Ibrahim H Binduhayyim2
1Rutgers School of Dental Medicine Newark New Jersey USA.
Health science reports
|August 22, 2025
概括
与传统方法相比,非药物行为干预,如分心技术可以减少儿童在牙医诊所的疼痛,但它们并不能显著降低牙焦虑. 虚拟现实也没有对焦虑或疼痛管理产生更好的影响.
科学领域:
- 儿童牙科
- 行为科学
- 医疗技术
背景情况:
- 牙焦虑是儿童牙科的一个重要问题,影响了治疗.
- 使用非药物行为干预 (NPBI) 来控制这种焦虑.
- 关键的NPBI包括虚拟现实 (VR) 和讲述展示 (TSD).
研究的目的:
- 系统地审查和分析NPBI在儿童牙科患者减轻焦虑和疼痛的有效性.
- 为了比较分散注意力的技术和VR与传统的方法如TSD.
主要方法:
- 根据PRISMA-2020指南进行系统审查和元分析.
- 包括76个随机对照试验 (RCT),参与者6723人.
- 使用随机效应模型和标准化平均差异分析了牙焦虑和疼痛的变化.
主要成果:
- 与"告诉-展示-做"相比,分散注意力的技术没有显著减少牙焦虑 (SMD -0.34).
- 分心技术在减少疼痛方面是有效的 (SMD - 0. 43).
- 与传统技术相比,虚拟现实 (VR) 的分心没有显著减少焦虑或疼痛.
结论:
- 分心技术可以缓解疼痛,但与TSD相比,可以减少焦虑.
- 虚拟现实分散注意力并没有比传统的治疗牙焦虑或疼痛的方法更好.
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