学龄前儿童参与治疗在牙科诊疗中的作用研究`

目的　探讨学龄前儿童参与疾病治疗在牙科诊疗中的作用。方法 选取2017年6月~2018年6月来我院口腔门诊首次就诊并需要复诊的3~6岁学龄前儿童90例为研究对象，根据随机数字法分为实验组和对照组，每组各45例。每次就诊对照组给予常规干预，实验组除常规干预措施外，让患儿参与疾病治疗。首诊和复诊治疗结束后采用CFSS-DS量表、Frankl量表和Houpt行为量表对两组患儿牙科畏惧程度、治疗依从性和治疗完成情况进行评定并比较其统计差异。结果 实验组复诊率为93.33%，高于对照组（77.78%），差异具有统计学意义（?2=4.406，P<0.05）。实施参与疾病治疗的实验组患儿首诊和复诊CFSS-DS评分均低于对照组，Frankl治疗依从性和Houpt治疗完成情况均优于对照组，两组比较均具有统计学差异（P均<0.05）。和首诊比较，复诊后实验组患儿CFSS-DS评分降低，Frankl治疗依从性提高，差异具有统计学意义（P均<0.05），但Houpt行为量表评定结果没有统计学差异（P>0.05）。结论 实施学龄前儿童参与疾病治疗能缓解患儿牙科畏惧程度，提高就诊率和治疗依从性。

Study on the role of participatory treatment in dental treatment of preschool children

Objective　To investigate the role of participatory treatment in dental treatment of preschool children. Methods 90 children aged 3 to 6, who first visited our stomatological clinic from June 2017 to June 2018 and needed to be re-visited, were selected. According to the random number method, they were divided into experimental group and control group, 45 cases in each group. The control group was given routine intervention, and the experimental group was given participatory treatment besides routine intervention at each visit. Children’s fear survey schedule-dental subscale (CFSS-DS), the Frankl behavior rating scale (Frankl), the Houpt behavior rating scale (Houpt) were used to evaluate the degree of dental fear, treatment compliance and treatment completion of the two groups after the first visit and the second visit, and their statistical differences were compared. Results The rate of re-visit in the experimental group was 93.33%, higher than that in the control group (77.78%), and the difference was statistically significant (?2=4.406, P<0.05). The CFSS-DS scores of the experimental group were lower than those in the control group, and the Frankl compliance and Houpt effect were better than those of the control group. There were significant differences between the two groups in the three scales(P all<0.05). Compared with the first visit, the CFSS-DS score of the experimental group was lower and Frankl treatment compliance was better, and the differences were statistically significant (P all< 0.05), but there was no significant difference in the results of the Houpt scale (P>0.05). Conclusion Participatory treatment in dental treatment of preschool children can alleviate the degree of dental fear, improve the treatment rate and compliance.