以TSD为主的综合行为管理技术对S-ECC伴牙科畏惧症患儿生理应激、行为表现及焦虑恐惧心理的影响

Effects of integrated behavior management techniques based on TSD on physiological stress, behavioral performance and anxiety in children with S-ECC with dental phobia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(1)
作者
作者单位

河南医学高等专科学校附属医院口腔科、河南省第二人民医院 ;

摘要
【摘要】目的:探究以传统告知-演示-操作(TSD)为主的综合行为管理技术对重度低龄儿童龋(S-ECC)伴牙科畏惧症(DF)患儿生理应激、行为表现及焦虑恐惧心理的影响。方法:选取我院2018年9月至2020年9月107例S-ECC伴DF患儿为研究对象,依据干预模式不同分为常规组和综合组。常规组予常规护理联合笑气镇静系统干预,综合组增加以TSD为主的综合行为管理技术,对比两组生理应激水平,行为表现,焦虑恐惧心理,不良反应情况。结果:两组干预后SBP水平较干预前降低,综合组低于常规组;DBP、HR水平较干预前升高,综合组高于常规组(P<0.05)。两组干预后Frankl行为量表、Houpt行为量表评分较干预前升高,综合组高于常规组;CFSS-DS评分较干预前降低,综合组低于常规组;综合组Venham临床焦虑及合作行为级别评定量表水平优于常规组(P<0.05)。综合组不良反应率1.85%低于常规组7.55%,无差异(P>0.05)。结论:以TSD为主的综合行为管理技术对S-ECC伴DF患儿进行干预,通过促使交感神经兴奋性得以调节,改善生理应激水平,调节焦虑恐惧心理,调控行为表现水平,降低呃逆、反常兴奋等不良反应的发生。
Abstract
[Abstract]Objective: To explore the effects of traditional information-demo-operation (TSD) integrated behavioral management techniques on physiological stress, behavioral performance, anxiety and fear in children with severe caries (S-ECC) and dental phobia (DF) in young children. Method: A total of 107 cases of S-ECC with DF in our hospital from September 2018 to September 2020 were selected as the research objects, and they were divided into routine group and comprehensive group according to different intervention modes. The routine group was given routine nursing combined with nitrous oxide sedation system intervention, and the comprehensive group was added with comprehensive behavior management technology based on TSD. The physiological stress level, behavior performance, anxiety and fear, and adverse reactions were compared between the two groups.Results: The level of SBP in the two groups after intervention was lower than that before intervention, and that in the comprehensive group was lower than that in the conventional group. DBP and HR levels were higher than those before intervention, and those in comprehensive group were higher than those in conventional group (P<0.05). After intervention, the scores of Frankl behavioral scale and Houpt behavioral scale in the two groups were higher than those before intervention, and those in the comprehensive group were higher than those in the routine group. CFSS-DS score was lower than before intervention, and the comprehensive group was lower than the conventional group. The level of Venham Clinical Anxiety and Cooperative Behavior Rating Scale in Comprehensive Group was better than that in Conventional Group (P<0.05). The adverse reaction rate of the comprehensive group was 1.85% lower than that of the conventional group (7.55%), and there was no difference (P>0 0.05).Conclusion: Comprehensive behavior management technology based on TSD interferes with S-ECC children with DF, improves the level of physiological stress, adjusts anxiety and fear, regulates the level of behavioral performance, and reduces the occurrence of hiccups, abnormal excitement and other adverse reactions by promoting the regulation of sympathetic nerve excitability.
关键词
【关键词】综合行为管理技术; 重度低龄儿童龋; 生理应激
KeyWord
[Key words]Integrated behavior management technology; Severe caries in young children; Physiological stress
基金项目
页码 164-167
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刘冰*. 以TSD为主的综合行为管理技术对S-ECC伴牙科畏惧症患儿生理应激、行为表现及焦虑恐惧心理的影响 [J]. 国际精神病学杂志. 2022; 49; (1). 164 - 167.

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