مجله دانشکده دندان‌پزشکی اصفهان

بررسی علل تعویق در مراجعه به دندان‌پزشک و ارتباط آن با اضطراب و رفتار کودک حین درمان در شهر اصفهان

نوع مقاله : مقاله‌های پژوهشی

چکیده

مقدمه: عوامل متعددی در تعویق در مراجعه به دندان‌پزشک نقش دارند که می‌توانند در میزان همکاری کودک حین درمان نقش مؤثری داشته باشند. هدف از مطالعه‌ی حاضر، بررسی دلایل تعویق در مراجعه به دندان‌پزشکی و اثر آن بر اضطراب و رفتار کودک حین کار دندان‌پزشکی بود.
مواد و روش‌ها: در این مطالعه‌ی توصیفی- تحلیلی، 96 کودک 5-10 ساله‌ی ساکن اصفهان با بیش از 12 ماه تأخیر در مراجعه وارد مطالعه شدند. ابتدا والدین پرسشنامه‌ی مرتبط با علل و انگیزه‌ی تأخیر در مراجعه به دندان‌پزشکی را پر کردند. سپس مقیاس ارزیابی اضطراب و رفتار کودک با پرسش‌نامه‌ی Venham توسط یک دندان‌پزشک پر شد. داده‌ها توسط آزمون‌های Mann-Whitney، آنالیز واریانس یک‌طرفه، Kruskal-Wallis و ANOVA در نرم‌افزار SPSS نسخه‌ی 22 تجزیه و تحلیل شدند. سطح معنی‌داری کمتر از 0/05 در نظر گرفته شد.
یافته‌ها: هزینه‌ی بالای درمان، مهم‌ترین عامل تأخیر در مراجعه و جلوگیری از بروز دندان ‌درد مهم‌ترین عامل محرک در مراجعه بودند. بین میزان تعویق و نمره‌ی رفتار (0/523 = p value) و اضطراب (0/499 = p value) ارتباط معنی‌داری دیده نشد، ولی نتایج نشان داد که با افزایش میزان تعویق، کودکان نمره‌ی اضطراب بالاتر و رفتار نامطلوب‌تری از خود نشان می‌دهند. بین میزان تعویق و سن کودک (0/002 = p value) ارتباط معکوس و معنی‌داری مشاهده شد.
نتیجه‌گیری: به نظر می‌رسد که والدین کودکان، مهم‌ترین عامل برای تعویق درمان دندان‌پزشکی را هزینه‌ی بالای درمان می‌دانند. هر چه میزان تعویق در مراجعه به دندان‌پزشک بیشتر باشد، اضطراب کودک حین درمان بیشتر خواهد بود و کودک رفتار نامناسب‌تری نشان می‌دهد.
کلید واژه‌ها: دندان‌پزشکی کودکان، اضطراب، رفتار، میزان تعویق

عنوان مقاله [English]

The Assessment of Reason for Postponement of Referral to Dentist and Its Association with Child’s Anxiety and Behavior During Treatment in Isfahan

چکیده [English]

Introduction: There are several factors involved in postponement of referral to the dentist, which can affect the child's co-operation during treatment. The purpose of this study was to investigate the reasons for postponement in referring to dentistry and its effect on anxiety and behavior of the child while working in dentistry.
Materials and Methods: In this descriptive-analytical study, 96 children aged 5-10 years old living in Isfahan with more than 12 months delayed were included. Initially, the parents completed the questionnaire to the causes of delay in referring to the dentistry. Then the anxiety and behavior assessment of the child was filled with a Venham questionnaire by a dentist. Data were analyzed by Mann-Whitney, One-way ANOVA, and Kruskal-Wallis tests using SPSS 22 software. The significance level was less than 0.05.
Results: The high cost of treatment was the most important factor in postponing and prevention of dental pain was the most important factor in the referral. There was no significant relationship between delay and behavioral scores (p value = 0.523) and anxiety (p value = 0.499), but the results show that increase in delay rates, children show a higher anxiety score and a more negative attitude. There was a significant and reverse correlation between postponement and age of the child (p value = 0.002).
Conclusion: It seems that the parents consider the most important factor for postponement dental treatment as a high cost of treatment. The higher the delay in referring to the dentist, the more anxiety the child will be during treatment, and the child will show a more inappropriate behavior.
Key words: Pediatric dentistry, Anxiety, Time to treatment, Behavior

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مجله دانشکده دندان‌پزشکی اصفهان
دوره 16، شماره 4 - شماره پیاپی 4
دی 1399
صفحه 391-400