在连续的外科手术阶段,与拔牙相关的焦虑的模式和预测因素
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
概括
在拔牙过程中, 牙医的焦虑会达到顶峰, 尤其是局部麻醉和手术本身. 女性,失业者和接受下切除的患者有更高的风险,突出了干预目标.
科学领域:
- 口腔和面外科
- 牙科麻醉学
- 心理学
背景情况:
- 在拔牙过程中, 牙的焦虑是一个很大的问题.
- 了解焦虑模式和预测因素对于有效的患者管理至关重要.
- 这项研究解决了在牙科环境中基于证据的焦虑减轻策略的需求.
研究的目的:
- 在拔牙过程中在五个不同的时间点描述牙焦虑.
- 探索牙焦虑与疼痛感知之间的关系.
- 确定牙拔牙患者整体焦虑的预测因素.
主要方法:
- 一项涉及302名接受牙切割的患者的横截面研究.
- 在五个时间点使用修改的牙科焦虑量表 (MDAS) 测量焦虑程度.
- 统计分析包括重复测量ANOVA,相关性,奇平方测试和后勤回归.
主要成果:
- 在局部麻醉和提取过程中焦虑达到顶峰, 在手术后减少.
- 疼痛和出血是最常见的焦虑触发因素.
- 年龄较小,女性性别,失业和下/双抽取与更高的焦虑相关.
- 预期疼痛与手术前和手术期间的焦虑有很强的相关性,而实际疼痛与手术后的焦虑有很强的相关性.
结论:
- 牙焦虑是动态的,在侵袭阶段达到顶峰,并受到疼痛预期的影响.
- 女性性别,失业和下手术是高整体焦虑的关键预测因素.
- 有针对性的手术前干预和改善患者关于疼痛的沟通对于焦虑管理至关重要.
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