国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (1): 14-19.doi: 10.7518/gjkq.2018.01.003

• 论著 • 上一篇    下一篇

口腔种植患者牙科焦虑的调查分析

陈青娅1, 黄茜1, 王黎2   

  1. 1.重庆医科大学附属口腔医院修复科 口腔疾病与生物医学重庆市重点实验室 重庆 401147
    2.重庆医科大学附属口腔医院种植科 重庆市高校市级口腔生物医学工程重点实验室 重庆 401147
  • 收稿日期:2017-05-25 修回日期:2017-08-11 出版日期:2018-01-01 发布日期:2018-01-01
  • 通讯作者: 王黎,主治医师,硕士,Email:16012877@qq.com
  • 作者简介:陈青娅,主治医师,硕士,Email:78469943@qq.com
  • 基金资助:

    重庆市沙坪坝区科学技术委员会资助项目(jc201604); 2016年重庆高校创新团队建设计划资助项目(CXTDG201602006); 重庆市高校市级口腔生物医学工程重点实验室资助项目(2014)

Assessment of dental anxiety in patients undergoing surgical procedures for tooth implants

Chen Qingya1, Huang Qian1, Wang Li2   

  1. 1. Dept. of Prosthodontics, Stomatological Hospital of Chongqing Medical University; Chongqing Key Laboratory for Oral Diseases and Biomedical Sciences, Chongqing 401147, China
    2. Dept. of Implantology, Stomatological Hospital of Chongqing Medical University; Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing 401147, China
  • Received:2017-05-25 Revised:2017-08-11 Online:2018-01-01 Published:2018-01-01
  • Supported by:

    This study was supported by Shapingba Science and Technology Commission of Chongqing (jc201604), Program for Innovation Team Building at Institutions of Higher Education in Chongqing in 2016 (CXTDG201602006) and Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education (2014).

摘要:

目的 研究口腔种植患者牙科焦虑症的患病情况及其影响因素,探讨牙科焦虑水平与状态焦虑和特质焦虑的相关性。方法 采用改良Cora’s牙科焦虑量表(MDAS)、牙科畏惧量表(DFS)、状态-特质焦虑问卷(STAI)对临床选取的121例进行种植修复的患者在术前进行横断面调查,对结果进行统计学分析。结果 121例患者中,MDAS平均得分为(12.14±2.44)分,牙科焦虑症(MDAS≥12分)患病率为60.3%。性别、收入水平、自评口腔健康、是否初次就诊及是否进行过种植手术,其各组的牙科焦虑水平差异有统计学意义(P<0.05);年龄、婚姻状况及文化程度组间差异没有统计学意义(P>0.05)。MDAS、DFS与状态焦虑量表(S-AI)评分之间具有正相关关系(P<0.01);特质焦虑量表(T-AI)与MDAS、DFS、S-AI评分之间无相关关系。 结论 口腔种植患者牙科焦虑症的患病率较高,焦虑水平受多种因素的影响,与S-AI呈正相关。临床上,医生在种植术前应对患者的焦虑状况加以重视。

关键词: 牙科焦虑, 口腔种植, 量表

Abstract:

Objective To evaluate the levels of dental anxiety and its influencing factors in patients undergoing surgical procedures for tooth implants, and to explore the relationship between dental anxiety, state anxiety and trait anxiety. Methods One hundred and twenty-one patients were examined for preoperative anxiety level using modified Cora’s dental anxiety scale (MDAS), dental fear scale (DFS), state-trait anxiety inventory (STAI) before implantation surgery. And the Results were statistically analyzed. Results Prevalence rate of moderate or high dental anxiety (MDAS≥12) was 60.3%, and the mean MDAS score was (12.14±2.44). The differences of anxiety level between groups in gender, income level, self-rated oral health, being initial treatment or not, and if you have a dental implant surgery was statistically significant (P<0.05); the differences of marital status, education level and age was not statistically significant (P>0.05). There was a significant positive correlation between MDAS, DFS and S-AI score (P<0.01), and there was no correlation between T-AI and MDAS, DFS, S-AI score. Conclusion Dental anxiety in patients undergoing surgical procedures for tooth implants was extensive. The level of anxiety was affected by many factors, which was positively correlated with S-AI, and suggesting the necessity of preoperative anxiety intervention in clinical practice.

Key words: dental anxiety, dental implant, scale

中图分类号: 

  • R783.4
[1]于海洋, 蔡炜, 江帆, 等. 大学生中牙科恐惧症与人格焦虑症的相关性研究[J]. 华西口腔医学杂志, 2005, 23(1):43-45. Yu HY, Cai W, Jiang F, et al. The correlation be-tween personal anxiety and dental fear among junior college students in southwest china[J]. West Chin J Stomatol, 2005, 23(1):43-45.
[2]Gómez-de Diego R, Cutando-Soriano A, Montero-Martín J, et al. State anxiety and depression as factors modulating and influencing postoperative pain in dental implant surgery. A prospective clinical survey [J]. Med Oral Patol Oral Cir Bucal, 2014, 19(6):e592- e597.
[3]Candido MC, Andreatini R, Zielak JC, et al. Assess-ment of anxiety in patients who undergo surgical procedures for tooth implants: a prospective study[J]. Oral Maxillofac Surg, 2015, 19(3):253-258.
[4]Tarazona B, Tarazona-Álvarez P, Peñarrocha-Oltra D, et al. Anxiety before extraction of impacted lower third molars[J]. Med Oral Patol Oral Cir Bucal, 2015, 20(2):e246-e250.
[5]Liu Y, Huang X, Yan Y, et al. Dental fear and its possible relationship with periodontal status in Chinese adults: a preliminary study[J]. BMC Oral Health, 2015, 15:18.
[6]López-Jornet P, Camacho-Alonso F, Sanchez-Siles M. Assessment of general pre and postoperative an-xiety in patients undergoing tooth extraction: a pros-pective study[J]. Br J Oral Maxillofac Surg, 2014, 52(1):18-23.
[7]van Wijk AJ, de Jongh A, Lindeboom JA. Anxiety sensitivity as a predictor of anxiety and pain related to third molar removal[J]. J Oral Maxillofac Surg, 2010, 68(11):2723-2729.
[8]Queiroz AM, Carvalho AB, Censi LL, et al. Stress and anxiety in children after the use of computerized dental anesthesia[J]. Braz Dent J, 2015, 26(3):303- 307.
[9]廖阳阳, 轩东英, 谢宝仪, 等. 口腔健康状况与牙科焦虑症影响因素的研究[J]. 广东牙病防治, 2015 (10):538-541. Liao YY, Xuan DY, Xie BY, et al. Analysis of oral health status and affecting factors of dental anxiety [J]. J Dent Prevent Treat, 2015(10):538-541.
[10]邓咏梅, 王金华, 何松霖, 等. 重庆市口腔医院门诊成人患者牙科焦虑症调查分析[J]. 重庆医科大学学报, 2012, 37(10):918-920. Deng YM, Wang JH, He SL, et al. Survey and ana-lysis of adult outpatients’ dental anxiety in Chong-qing Hospital of Stomatology[J]. J Chongqing Med Univ, 2012, 37(10):918-920.
[11]Humphris GM, Dyer TA, Robinson PG. The modi-fied dental anxiety scale: UK general public popula-tion norms in 2008 with further psychometrics and effects of age[J]. BMC Oral Health, 2009, 9(1):20.
[12]梁焕友, 彭助力, 潘集阳, 等. 牙科畏惧调查(DFS)量表中文版的研制与评价[J]. 中山大学学报(医学科学版), 2006, 27(2):236-240. Liang HY, Peng ZL, Pan JY, et al. Development and evaluation of Chinese version of dental fear survey (DFS)[J]. J Sun Yat-Sen Univ (Med Sci), 2006, 27 (2):236-240.
[13]戴晓阳. 常用心理评估量表手册[M]. 北京: 人民军医出版社, 2010:156-160. Dai XY. Handbook of commonly used psychological assessment scales[M]. Beijing: People’s Military Medical Publishing House, 2010:156-160.
[14]崔翠, 祁红岩, 黄晶洁, 等. 成人牙科焦虑症流行病学调查及其相关因素分析[J]. 牙体牙髓牙周病学杂志, 2010, 20(12):714-717. Cui C, Qi HY, Huang JJ, et al. Epidemiology survey and analysis of the factors associated with dental anxiety among adult patients[J]. Chin J Conserv Dent, 2010, 20(12):714-717.
[15]Armfield JM. The extent and nature of dental fear and phobia in Australia[J]. Aust Dent J, 2010, 55(4): 368-377.
[16]Humphris GM, Freeman R, Campbell J, et al. Fur-ther evidence for the reliability and validity of the Modified Dental Anxiety Scale[J]. Int Dent J, 2000, 50(6):367-370.
[17]Sitheeque M, Massoud M, Yahya S, et al. Validation of the Malay version of the Modified Dental Anxiety Scale and the prevalence of dental anxiety in a Mala-ysian population[J]. J Investig Clin Dent, 2015, 6(4): 313-320.
[18]Appukuttan D, Datchnamurthy M, Deborah SP, et al. Reliability and validity of the Tamil version of Mo-dified Dental Anxiety Scale[J]. J Oral Sci, 2012, 54(4):313-320.
[19]DeDonno MA. Dental anxiety, dental visits and oral hygiene practices[J]. Oral Health Prev Dent, 2012, 10(2):129-133.
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