口腔颌面外科门诊拔牙患者牙科焦虑症调查分析

doi:10.7518/hxkq.2018.03.016

华西口腔医学杂志 ›› 2018, Vol. 36 ›› Issue (3): 314-318.doi: 10.7518/hxkq.2018.03.016

口腔颌面外科门诊拔牙患者牙科焦虑症调查分析

崔庆赢(), 陈思宇, 付帅, 张长彬, 黎明()

昆明医科大学附属口腔医院口腔颌面外科,昆明 650000

收稿日期:2016-11-23 修回日期:2018-02-08 出版日期:2018-06-01 发布日期:2018-06-01
作者简介:
崔庆赢,硕士,E-mail：513503512@qq.com
基金资助:
云南省应用基础研究计划项目（2017FE467）

Survey and analysis of tooth extraction anxiety of dental patients

Qingying Cui(), Siyu Chen, Shuai Fu, Changbin Zhang, Ming Li()

Dept. of Oral and Maxillofacial Surgery, Stomatology Hospital of Kunming Medical University, Kunming 650000, China

Received:2016-11-23 Revised:2018-02-08 Online:2018-06-01 Published:2018-06-01
Supported by:
Applied Basic Research in Yunnan Province (2017FE467).

摘要/Abstract

摘要：

目的了解口腔颌面外科门诊拔牙患者牙科焦虑症的发病情况及流行程度,探讨拔牙患者发生牙科焦虑症可能相关的因素。方法采用改良Corah’s牙科焦虑量表（MDAS）及牙科焦虑一般因素调查表评估800名12岁以上门诊患者牙科焦虑症的发生情况及流行程度,应用单因素、多因素分析方法对调查对象的牙科焦虑症状及影响因素进行分析。结果剔除无效问卷后,得到合格问卷768份,有效率为96%。MDAS平均分值为（10.21±3.29）分 ,MDAS≥13分为有高度牙科焦虑症状,其发生率为14.7%。性别、年龄、拔牙时间、亲友陪伴、既往拔牙经历、亲友拔牙经历、疼痛耐受度、精神状态、健康状况、拔牙前心理状况、口腔卫生状况各组的牙科焦虑症患病率差异有统计学意义（P<0.05）;文化程度、拔牙类型、民族、生活经历、是否喜欢听音乐、性格、职业、是否初次拔牙差异无统计学意义（P>0.05）。Logistic回归分析显示,性别、是否有亲友陪伴、拔牙前心理状况、口腔卫生对牙科焦虑症的危险性较大。结论口腔颌面外科门诊拔牙患者牙科焦虑症发病率较高,应给予重视,性别、年龄、拔牙时间、亲友陪伴、既往拔牙经历、亲友拔牙经历、疼痛耐受度、精神状况、拔牙前心理状况、口腔卫生等是牙科焦虑症的出现因素。

关键词: 牙科焦虑症, 门诊拔牙患者, 牙科焦虑量表

Abstract:

Objective This study aims to understand the current status and analyze the influencing factors of tooth extraction anxiety of dental patients. Methods The General Factor Questionnaire and Modified Dental Anxiety Scale (MDAS) were used to survey and analyze tooth extraction anxiety of 800 dental patients. Single-factor and multi-factor analyses were used for statistical data analysis. Results A total of 768 qualified questionnaires were received out of 800, the efficiency was 96%. The mean MDAS score was 10.21±3.29. The prevalence percentage of dental anxiety was 14.7%. Significant statistical differences of the incidence of dental anxiety were observed with regard to sex, age, tooth extraction time, accompanying relatives and friends, before tooth extraction, tooth extraction experience for family and friends, pain tolerance, mental health state before tooth extraction, and self-reported oral health status (P<0.05. By contrast, no significant statistical differences in the incidence of dental anxiety were observed with regard to educational level, tooth extraction type, national life experience, profession, and personality (P>0.05). Logistic regression analysis indicated that the risk factors of dental anxiety were sex, accompanying relatives and friends, mental health state before tooth extraction, and self-rated oral health status. Conclusion The prevalence percentage of tooth extraction anxiety is high for dental patients. Gender, age, health satisfaction, tooth extraction time, accom-panying relatives and friends, before tooth extraction, tooth extraction experience for family and friends, pain tolerance, mental health state before tooth extraction, and self-reported oral health status are the influencing factors of dental anxiety.

Key words: dental anxiety, outpatients tooth extraction, dental anxiety scale

中图分类号:

R782.11

崔庆赢, 陈思宇, 付帅, 张长彬, 黎明. 口腔颌面外科门诊拔牙患者牙科焦虑症调查分析[J]. 华西口腔医学杂志, 2018, 36(3): 314-318.

Qingying Cui, Siyu Chen, Shuai Fu, Changbin Zhang, Ming Li. Survey and analysis of tooth extraction anxiety of dental patients[J]. West China Journal of Stomatology, 2018, 36(3): 314-318.

图/表 2

表 1

不同分组因素牙科焦虑症患病情况及组间比较

因素		例数	患者数n/%	χ²值	P值
性别	男	305	24/7.9	18.888	0.000
	女	463	89/19.2
年龄/岁	12≤年龄<18	162	30/18.5	10.865	0.028
	18≤年龄<28	257	42/16.3
	28≤年龄<41	192	29/15.1
	41≤年龄<65	121	12/9.9
	≥65	36	0
居住地	城市	636	94/14.8	0.013	0.909
	农村	132	19/14.4
拔牙时间	上午	426	52/12.2	4.791	0.029
	下午	342	61/17.8
文化程度	小学	70	15/21.4	3.758	0.153
	中学、中专	238	29/12.2
	大学	460	69/15.0
因素		例数	患者数n/%	χ²值	P值
是否喜欢听音乐	是	704	100/14.2	1.744	0.187
	否	64	13/20.3
性格	偏内向	277	43/15.5	0.226	0.634
	偏外向	491	70/14.3
职业	工人	58	10/17.2	10.54	0.104
	农民	41	8/19.5
	职员	218	32/14.7
	干部	67	3/4.5
	军人	6	0
	学生	293	42/14.3
	下岗职工	85	18/21.2
初次拔牙	是	338	57/16.9	2.225	0.136
	否	430	56/13.0
拔牙原因	松动牙	70	8/11.4	6.633	0.085
	残根	128	11/8.6
	正畸	121	23/19.0
	阻生牙	449	71/15.8
亲友陪伴	有	528	92/17.4	9.893	0.002
	无	240	21/8.8
既往拔牙经历	良好	165	7/4.2	32.326	0.000
	一般	237	32/13.5
	痛苦	78	24/30.8
	未拔过牙	288	50/17.4
亲友拔牙经历	良好	119	6/5.0	17.661	0.001
	一般	213	28/13.1
	痛苦	132	31/23.5
	不知道	304	48/15.8
疼痛耐受度	良好	167	11/6.6	60.530	0.000
	一般	484	58/12.0
	较差	117	44/37.6
家庭经济情况	良好	157	20/12.7	5.902	0.052
	一般	157	20/12.7
	较差	454	87/19.2
生活经历	顺利	313	40/12.8	2.464	0.292
	一般	448	71/15.8
	痛苦	7	2/28.6
精神状态	良好	427	45/10.5	22.288	0.000
	一般	326	61/18.7
	较差	15	7/46.7
健康状况	良好	497	63/12.7	8.502	0.014
	一般	261	46/17.6
	较差	10	4/40.0
拔牙前心里状况	很紧张	70	44/62.9	213.883	0.000
	紧张	168	50/29.8
	有点紧张	369	19/5.1
	不紧张	161	0
口腔卫生状况	良好	285	36/12.6	9.298	0.010
	一般	431	62/14.4
	较差	52	15/28.8

表 1

表 2

参考文献 13

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因素	偏回归系数	标准误	误差平方	自由度	P值	OR
性别	-0.703	0.295	5.673	1	0.017	0.495
年龄	-0.171	0.132	1.675	1	0.196	0.843
拔牙时间	0.282	0.255	1.227	1	0.268	1.326
亲友陪伴	0.930	0.324	8.225	1	0.004	2.535
既往拔牙经历	0.103	0.121	0.718	1	0.397	1.108
亲友拔牙经历	0.111	0.131	0.718	1	0.397	1.117
疼痛耐受度	0.295	0.234	1.591	1	0.207	1.343
精神状态	0.274	0.267	1.049	1	0.306	1.315
健康状况	0.068	0.275	0.062	1	0.803	1.071
拔牙前心理状况	-1.711	0.181	89.753	1	0.000	0.181
口腔卫生	0.502	0.218	5.309	1	0.021	1.652
常数项	-0.548	1.002	0.300	1	0.584	0.578

口腔颌面外科门诊拔牙患者牙科焦虑症调查分析

Survey and analysis of tooth extraction anxiety of dental patients

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