综合医院牙科门诊老年患者焦虑症及影响因素研究

目的：了解牙科门诊老年患者焦虑症流行情况及影响因素,为临床防治牙科焦虑症提供科学依据.方法：2012年2月-2013年2月,利用自制牙科焦虑症相关因素调查问卷和改良牙科焦虑量表（MDAS）,对352例牙科门诊老年患者进行问卷调查.对患者焦虑水平进行评分,并对其影响因素进行多因素logistic回归分析.结果：352例患者中,焦虑症的现患率为56.3％.多因素logistic回归分析结果显示,性别（OR--0.23,95％CI=0.18 ～ 1.07; P=0.0115）、既往躯体创伤史（OR=2.87,95％CI=2.85 ～4.00; P=0.0306）和是否初次就诊（OR =6.69,95％CI=5.03～ 7.64; P＜0.0001）与焦虑症的关系有统计学意义.结论：牙科焦虑症报告率较高,有必要通过针对性的干预措施来有效降低牙科焦虑症的发生及焦虑水平,以提高牙科诊治效果.

A survey on the rate and influencing factors on anxiety of elderly patients in dental clinic

Objective： To investigate the situation and influencing factors on anxiety of elderly patients in dental clinic, providing evidences for intervening measures. Methods： 352 elderly patients from February 2012 to February 2013 were involved. Self-made questionnaire on dental anxiety and modified dental anxiety scale （MDAS） were used. A multiple logistic regression model was used to analyze the affecting factors of anxiety. Results： The rate of anxiety in 352 patients was 56.3%. In the multiple logistic regression model, gender （OR =0.23, 95%CI =0.18-1.07; P=0.0115）, Previous physical trauma history （OR 2.87, 95%CI -2.85-4.00; P-0.0306） and the first visit （OR =6.69, 95%CI =5.03-7.64; P〈0.0001） were significantly associated with anxiety. Conclusions： The anxiety rate of elderly patients in dental clinic was high. It is necessary to effectively reduce the rate and level of anxiety with intervention strategies.