醫(yī)患間交談對兒童治療合作程度的影響的研究

1、醫(yī)患間交談對兒童治療合作程度的影響的研究 作者：陳建洪, 盧紅飛, 刁惠波, 唐倩, 王萍 【摘要】 【目的】比較兒童患者在有醫(yī)患交談與無醫(yī)患交談的情況下進(jìn)行口腔治療的合作情況?！痉椒ā?將120名兒童分為甲組（1012歲），乙組（79歲），每組再隨機(jī)分為A、B、C 3小組，A組醫(yī)生不與患者直接交談，B組醫(yī)生與患者簡單交談，C組醫(yī)生與患者耐心交談并簡單示范。以Venhams Clinical Rating of Anxiety and Cooperative Behavior 為判定標(biāo)準(zhǔn)，對兒童進(jìn)行口腔治療的心理及合作情況各評出一個(gè)等級分?jǐn)?shù)?！窘Y(jié)果】 直接談話組與不直接談話組間患者的合作程度有

2、明顯區(qū)別(P 0.01)，不同年齡組間患者的合作程度也有明顯區(qū)別(P 0.05)?！窘Y(jié)論】兒童在進(jìn)行口腔治療時(shí)有醫(yī)生與其交談，對降低其牙科恐懼及增加其合作程度有明顯幫助。 【關(guān)鍵詞】 牙科畏懼癥； 合作行為； 交談 Abstract: 【Objective】 To compare different clinical rating of anxiety and cooperative behavior between the groups of children patients which talk with and do not talk with the dentist when he

3、is receiving dental services. 【Methods】 A total of 120 children patients were divided into 2 groups (10-12 years old and 7-9 years old) by their ages, and every group was randomly divided into Group A, Group B, and Group C. Group A children patients did not talk with the dentist directly, while Grou

4、p B children patients talked with the dentist directly and Group C children patients even got a display. The degree was taken down when the children patients receiving dental services according to the Venhams Clinical Rating of Anxiety and Cooperative Behavior.【Results】 There was a significant diffe

5、rence between the talking and the no talking groups (P 0.01), while the same result was found between different age groups (P 0.05。由于B、C小組的合作率無差別，故將其合并后，進(jìn)行甲組（1012歲）中A（非直接談話）小組與B、C（直接談話）小組的合作率進(jìn)行2 檢驗(yàn)，得2=11.13， P 0.01）。在甲組（10 12歲）中，直接談話與非直接談話合作率的差別有統(tǒng)計(jì)學(xué)意義（P 0.05。由于B、C小組的合作率無差別，故將其合并后，進(jìn)行79歲組中A（非直接談話）小組與B