在外展计划中讲述-玩-做干预的可行性:基于小组的行为管理方法来减少焦虑
Vedaa Naik1, Prajna P Nayak1, Kunal Bhatia2
1Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.
与Tell-Show-Do (TSD) 方法相比,Tell-Play-Do (TPD) 技术在学校外展计划期间显著降低了儿童的牙焦虑. TPD改善了合作和舒适性,突出了其在小儿小组牙科设置中的价值.
科学领域:
- 儿科牙科 儿科牙科
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 在儿科牙科中,有效的行为管理至关重要,以减轻牙科焦虑并防止长期对护理的厌恶.
- 学校的牙科外展计划由于群体动态和同行影响而面临独特的挑战,需要定制的行为管理策略.
- 在以小组为基础的儿科牙科外展设置中,关于管理行为和焦虑的专业技术的研究有限.
研究的目的:
- 评估"告诉-玩-做" (TPD) 技术在参加学校牙科推广计划的儿童行为管理中的可行性和有效性.
- 评估TPD对改善合作和减少牙科焦虑在团体环境中的影响.
- 为了比较TPD与传统的"告诉-展示-做" (TSD) 方法的疗效.
主要方法:
- 集群随机化被用于将130名儿童 (6-10岁) 分配到TPD (研究) 或TSD (控制) 组 (每组n=65).
- 参与者接受了口腔预防和使用玻璃离子体水泥的I类腔恢复.
- 在干预前,干预后和治疗后测量焦虑,使用脉冲率,呼吸率,Venham的图像测试和弗兰克尔的行为评分表.
主要成果:
- 两组人都表现出减少了焦虑,但TPD技术导致焦虑水平显著降低.
- 与TSD组 (33%) 相比,TPD组的儿童表现出明显的积极行为 (60%).
- 定性和定量测量表明,随着TPD干预,舒适性和合作性有所提高.
结论:
- 告诉-玩-做 (TPD) 技术比告诉-表演-做 (TSD) 方法更有效地减少焦虑和改善儿童牙科外展计划的舒适性.
- 整合像TPD这样的社会和行为策略对于解决基于群体的牙科护理的复杂性至关重要.
- 在学校牙科设置中,TPD证明了作为基于群体的行为管理方法的可行性和有效性.
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