CAJ | 학술논문

目的：编制一个反映儿童应对牙科诊疗情绪与效能的量表。方法：在理论分析和访谈的基础上，收集描述牙科就诊情绪及应对方法的描述，并参考牙科应对策略问卷，结合中国文化与语言习惯，组成初步问卷；通过对在校小学生人群的施测和数据的因素分析，得到反映儿童牙科诊疗应对的量表，并对该量表的信度、效度进行检验。结果：儿童牙科诊疗应对指数量表由11项组成，项目分与总分具有显著相关，相关系数为0.38-0.61；高分27%组与低分27%组比较，11个项目均有显著差异（P<0.05）；结构效度分析方面，根据因素分析结果，量表由3个维度构成，分别为情绪应对、效能应对及失用应对，3个因子的累积贡献率为51.07%；准则效度分析显示艾森克N维度得分与量表总得分及各因子得分显著相关，情绪应对因子与现有牙科畏惧量表得分呈显著相关；量表内部一致性系数为0.74，3个维度内部一致性系数为0.62-0.68。结论：本研究初步编制的儿童牙科畏惧情绪及应对效能量表项目简单，区分度高，并有良好的信度和效度，值得进一步建立常模运用于临床。
목적：편제일개반영인동응대아과진료정서여효능적량표。방법：재이론분석화방담적기출상，수집묘술아과취진정서급응대방법적묘술，병삼고아과응대책략문권，결합중국문화여어언습관，조성초보문권；통과대재교소학생인군적시측화수거적인소분석，득도반영인동아과진료응대적량표，병대해량표적신도、효도진행검험。결과：인동아과진료응대지수량표유11항조성，항목분여총분구유현저상관，상관계수위0.38-0.61；고분27%조여저분27%조비교，11개항목균유현저차이（P<0.05）；결구효도분석방면，근거인소분석결과，량표유3개유도구성，분별위정서응대、효능응대급실용응대，3개인자적루적공헌솔위51.07%；준칙효도분석현시애삼극N유도득분여량표총득분급각인자득분현저상관，정서응대인자여현유아과외구량표득분정현저상관；량표내부일치성계수위0.74，3개유도내부일치성계수위0.62-0.68。결론：본연구초보편제적인동아과외구정서급응대효능량표항목간단，구분도고，병유량호적신도화효도，치득진일보건립상모운용우림상。
Objective:To develop a scale which was able to reflect the dental coping index for children.Method:Combining some items in the dental coping strategy questionnaire, the present study collected items describing the dental coping style for children.By examining these items with schoolchild and adapting factor analysis, a dental coping index scale was compiled, which’s psychometric indexes were examined.Result:11 items were chose to constitute the dental coping index for children.There were moderate correlations among the item score to the scale score,with correlation coefficients distributed 0.38-0.61; there were significant differences between the high 27% score group and the low 27% score group;the dental coping index questionnaire for children consisted of three dimensions, which,s cumulative explanation of the variance 51.07%, with the Cronbach’s α 0.74, and 0.62-0.68 for the subscales.Conclusion:The Dental Coping index Questionnaire for children has satisfactory psychometric characteristics.It is suitable for practical usage.