重庆市口腔医院门诊成人患者牙科焦虑症调查分析

Survey and analysis of adult outpatients’dental anxiety in hospital of stomatology

摘要:

目的：研究口腔门诊成人患者牙科焦虑症的发病情况及流行程度，探讨与患者发生牙科焦虑症可能有关的因素。方法：采用改良Corah’s牙科焦虑量表（Modified dental anxiety scale，MDAS）评估300名18岁以上门诊患者牙科焦虑症的发生情况及流行程度，并对相关因素进行分析。结果：患者年龄18～78岁，平均（34.4±15.4）岁；MDAS分值4～19分，平均（11.98±2.34）分，门诊成人患者牙科焦虑症患病率为36.4%。性别、婚姻状态、经济收入、文化程度、自评口腔健康状态以及是否初次就诊各组的牙科焦虑症患病率差异有统计学意义（P＜0.05）；年龄、民族间差异没有统计学意义（P ＞0.05）。Logistic回归分析显示，性别、年龄、收入水平、自评口腔健康状态对牙科焦虑症的危险性较大。结论：口腔门诊成人患者牙科焦虑症发病率较高，应给予重视。患者性别、年龄、收入水平、婚姻状态、认知水平以及是否初次就诊等对牙科焦虑症有影响。

Abstract:

Objective：To evaluate the incidence and prevalence of dental anxiety in adult outpatients and to discuss the related in－ducing factors. Methods：A questionaire survey was conducted with 300 adult outpatients，aged older than 18． All participants com－pleted the modified dental anxiety scale（MDAS）． Level of dental anxiety was evaluated by MDAS. Results：The mean MDAS score was （11.98±2.34）. Prevalence rate of dental anxiety was 36.4%. Significant statistical differences of the incidence of dental anxiety were found in regarding to sex，marital status，economic income，education level，self-rated oral health status，being initial treatment or not（P＜0.05）；but not to nationality and age. Logistic regression analysis demonstrated that the risk factors of dental anxiety were sex，age，economic income and self-rated oral health status. Conclusions：The incidence of dental anxiety is high for the oral adult out－patients. The incidence of dental anxiety is positively correlated with sex，age，marital status，economic income，education level，self-rated oral health status，being initial treatment or not.