CAJ | 학술논문

目的：探讨口腔科就诊患者牙科焦虑症发生情况和影响因素。方法：选择2011年4月~2013年4月到我院口腔科就诊的300例患者为调查对象,采用自编问卷和Ceorah's牙科焦虑量表(DAS)收集患者临床资料,应用SPSS17.0统计软件包进行描述性统计和二分类Logistic回归分析以找出口腔科就诊患者牙科焦虑症发生情况和影响因素,为采取针对性的预防干预措施提供参考依据。结果：300名口腔科就诊患者中有56人有牙科焦虑症,检出率为18.67%。单因素Logistic回归分析显示：牙科治疗创伤史(b值=2.172,OR值=8.767)、间接牙科经历(b值=2.063,OR值=7.881)、父母牙科焦虑症(b值=1.835,OR值=6.273)和基础疾病种类(b值=1.916,OR值=6.807)是口腔科就诊患者患牙科焦虑症的危险因素,而牙科治疗了解到位(b值=-2.981,OR值=0.052)和对疼痛的耐受能力强(b值=-1.544,OR值=0.215)是口腔科就诊患者患牙科焦虑症的保护因素。多因素Logistic回归分析显示：牙科治疗创伤史(b值=2.587,OR值=13.275)和父母牙科焦虑症(b值=2.195,OR值=9.003)是口腔科就诊患者患牙科焦虑症的危险因素,而牙科治疗了解到位(b值=-1.982,OR值=0.137)和对疼痛的耐受能力强(b值=-2.810,OR值=0.060)是口腔科就诊患者患牙科焦虑症的保护因素。结论：牙科焦虑症在口腔科就诊患者中较常见,其发生受到很多因素的影响。
목적：탐토구강과취진환자아과초필증발생정황화영향인소。방법：선택2011년4월~2013년4월도아원구강과취진적300례환자위조사대상,채용자편문권화Ceorah's아과초필량표(DAS)수집환자림상자료,응용SPSS17.0통계연건포진행묘술성통계화이분류Logistic회귀분석이조출구강과취진환자아과초필증발생정황화영향인소,위채취침대성적예방간예조시제공삼고의거。결과：300명구강과취진환자중유56인유아과초필증,검출솔위18.67%。단인소Logistic회귀분석현시：아과치료창상사(b치=2.172,OR치=8.767)、간접아과경력(b치=2.063,OR치=7.881)、부모아과초필증(b치=1.835,OR치=6.273)화기출질병충류(b치=1.916,OR치=6.807)시구강과취진환자환아과초필증적위험인소,이아과치료료해도위(b치=-2.981,OR치=0.052)화대동통적내수능력강(b치=-1.544,OR치=0.215)시구강과취진환자환아과초필증적보호인소。다인소Logistic회귀분석현시：아과치료창상사(b치=2.587,OR치=13.275)화부모아과초필증(b치=2.195,OR치=9.003)시구강과취진환자환아과초필증적위험인소,이아과치료료해도위(b치=-1.982,OR치=0.137)화대동통적내수능력강(b치=-2.810,OR치=0.060)시구강과취진환자환아과초필증적보호인소。결론：아과초필증재구강과취진환자중교상견,기발생수도흔다인소적영향。
Objective:To investigate the prevalence and influence factors in patients with dental anxiety.Methods:We select 300 patients of stomatology department in our hospital as study objects from April 2011 to April 2013, use questionnaires and self Ceorah's Dental Anxiety Scale (DAS) collecting clinical data, apply SPSS17.0 statistical package descriptive statistics and two Logistic regression analysis to identify patients with dental anxiety dental visits occur and impact factors for taking preventive interventions targeted to provide a reference.Results:56 patients who have dental anxiety,the detection rate was 18.67%.Univariate Logistic regression analysis showed:Dental trauma b(value=2.172,OR value=8.767),indirect dental experience b(value=2.063,OR value=7.881),parental dental anxiety b(value=1.835,OR values=6.273) and basic types of diseases b( value=1.916,OR value=6.807) is the dental treatment of patients suffering from dental anxiety risk factors,and dental treatment to understand place b( value=-2.981,OR value=0.052) and right pain tolerance ability b(value=-1.544,OR value=0.215) in patients suffering from dental visits is dental anxiety protective factors.Multivariate Logistic regression analysis showed:Dental trauma b( value=2.587,OR value=13.275) and parental dental anxiety b( value=2.195,OR value=9.003) is the dental treatment of patients suffering from dental anxiety risk factors and dental treatment to understand place b( value=-1.982,OR value=0.137) and pain tolerance ability b( value=-2.810,OR value=0.060) in patients suffering from dental visits is dental anxiety protective factors.Conclusion:Dental anxiety is common in patients of stomatology department, its occurrence is influenced by many factors.