摘要
目的 探讨牙体牙髓病患儿牙科畏惧症的发生及其与气质类型和社会性发展水平的关系.方法 本研究为横断面研究,采用便利抽样法选取2022年3月至2023年3月期间在湖南省儿童医院口腔科门诊就诊的327例牙体牙髓病患儿作为研究对象.采用中文版儿童牙科畏惧调查量表-牙科分量表(CFSS-DS)评估患儿牙科畏惧症情况;采用儿童气质量表(CPTS)评估患儿气质类型;采用儿童社会性发展量表评估患儿社会性发展水平;采用多因素logistic逐步回归分析评估牙体牙髓病患儿牙科畏惧症的影响因素.结果 327例牙体牙髓病患儿共有106例发生牙科畏惧症,发生率为32.42％(106/327).不同气质类型患儿的牙科畏惧症发生率差异有统计学意义(P＜0.05),麻烦型气质患儿牙科畏惧症发生率最高(37/47,78.72％),平易型气质患儿牙科畏惧症发生率最低(16/124,12.90％).不同社会性发展水平患儿牙科畏惧症发生率差异有统计学意义(P＜0.05),低水平社会性发展患儿牙科畏惧症发生率最高(34/42,80.95％).女童、有不愉快的牙科就诊经历、口腔健康意识薄弱、有牙痛症状、父母文化程度为高中及以下、家庭人均月收入＜3 000元的患儿牙科畏惧症发生率高于男童、无不愉快的牙科就诊经历、口腔健康意识良好、无牙痛症状、父母文化程度为高中以上、家庭人均月收入≥3 000元患儿(均P＜0.05).多因素logistic逐步回归分析显示,有不愉快的牙科就诊经历(OR=2.751,95％CI:1.774～4.268)、口腔健康意识薄弱(OR=2.465,95％CI:1.627～3.734)、父母文化程度高中及以下(OR=2.366,95％CI:1.583～3.535)、消极气质类型(OR=2.573,95％CI:1.685～3.929)、中等水平社会性发展(OR=0.397,95％CI:0.261～0.603)、高水平社会性发展(OR=0.416,95％CI:0.276～0.627)是牙体牙髓病患儿发生牙科畏惧症的影响因素(均P＜0.05).结论 牙体牙髓病患儿牙科畏惧症的发生率较高,与患儿气质类型及社会性发展水平相关.
Abstract
Objective To explore the occurrence of dental fear in children with dental pulp disease and its relationship with temperament type and social development level.Methods This study was a cross-sectional study,using convenience sampling method to select 327 children with dental and pulp diseases who visited the outpatient department of the Department of Stomatology of Hunan Children's Hospital from March 2022 to March 2023 as the study subjects.We used the Chinese version of the Children's Fear Survey Schedule-Dental Subscale(CFSS-DS)to evaluate the dental fear of children;The temperament types of the children were evaluated using the Chinese Preschool Children Temperament Scale(CPTS);The social development level of the children was evaluated using the Children's Social Development Scale;Multiple logistic stepwise regression analysis was used to evaluate the influencing factors of dental fear in children with dental pulp disease.Results A total of 106 out of 327 children with dental pulp disease developed dental fear,with an incidence rate of 32.42％(106/327).There was a statistically significant difference in the incidence of dental fear among children with different temperament types(P＜0.05).Children with troubled temperament had the highest incidence of dental fear(37/47,78.72％),while those with mild temperament had the lowest incidence(16/124,12.90％).There was a statistically significant difference in the incidence of dental fear among children with different levels of social development(P＜0.05).Children with low levels of social development had the highest incidence of dental fear(34/42,80.95％).Girls,children with unpleasant dental experiences,weak oral health awareness,symptoms of toothache,parents with high school education or below,and families with an average monthly income of less than 3 000 yuan had a higher incidence of dental fear than boys;The incidence of dental fear in children with no unpleasant dental treatment experience,good oral health awareness,no symptoms of toothache,parents with a high school education or above,and a family average monthly income of≥3 000 yuan was relatively low(all P＜0.05).Multivariate logistic stepwise regression analysis showed that having unpleasant dental experiences(OR=2.751,95％CI:1.774-4.268),weak oral health awareness(OR=2.465,95％CI:1.627-3.734),parents with high or lower education levels(OR=2.366,95％CI:1.583-3.535),negative temperament types(OR=2.573,95％CI:1.685-3.929),moderate social development(OR=0.397,95％CI:0.261-0.603),and high-level social development(OR=0.416,95％CI:0.276-0.627)were the risk factors of dental fear in children with dental pulp disease(all P＜0.05).Conclusions The incidence of dental fear in children with dental pulp disease is higher,which is related to their temperament type and social development level.
基金项目
湖南省卫生健康委科研项目(D202308058093)
NETL
NSTL
万方数据