河北医科大学学报

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行为管理在血液病患儿牙病操作治疗中的应用#br#

  

  1. 1.河北医科大学附属河北省儿童医院口腔科,河北 石家庄 050031;2.河北省卫计委健康河北指导中心政策研究室,
    河北 石家庄 050000;3. 河北医科大学附属河北省儿童医院全面质量控制办公室,河北 石家庄 050031
  • 出版日期:2019-12-25 发布日期:2018-12-29
  • 作者简介:杜宁(1985-),女,河北石家庄人,河北医科大学附属河北省儿童医院主治医师,医学硕士研究生,从事口腔疾病诊治研究。

Application of behavioral management in dental operative treatment of children with hematological diseases

  1. 1.Department of Stomatology, Affiliated Hebei Children′s Hospital of Hebei Medical University,
    Shijiazhuang 050031, China; 2.Policy Research Office of Healthy Hebei Guidance Center, Hebei
    Health and Family Planning Commission, Shijiazhuang 050000, China; 3.Total Quality
    Control Office, Affiliated Hebei Children′s Hospital of Hebei Medical
    University, Shijiazhuang 050031, China
  • Online:2019-12-25 Published:2018-12-29

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗总结近年来血液病患儿就诊于口腔科进行牙病临床操作治疗的经验,探讨行为管理在血液病患儿牙病操作治疗中是否有效。
〖HTH〗方法〖HTSS〗〖KG*2〗在口腔门诊,随机选择年龄3~7岁,需要牙科治疗的患有血液系统疾病的儿童46例,随机分为试验组和对照组各23例。试验组在临床治疗中运用语言交流、观摩学习、身体限制等行为管理方法,对照组仅进行常规操作治疗。评估分析2组患儿的就诊配合行为。
〖HTH〗结果〖HTSS〗〖KG*2〗试验组患儿牙科操作治疗配合度优于对照组,试验组合作完成治疗和强制完成治疗患儿的牙病操作治疗时间均短于对照组,试验组患儿就诊接受行为优于对照组,差异有统计学意义(P<005)。
〖HTH〗结论〖HTSS〗〖KG*2〗血液系统疾病患儿就医次数多,对医疗机构有恐惧感,在牙病临床治疗过程中应用行为管理方法正确诱导,可降低患儿的恐惧心理,增加其对医务人员的信任,从而配合治疗,促进其牙病治疗的顺利完成,减少口腔感染率,减轻其痛苦。

关键词: 血液病, 牙科治疗, 行为管理, 儿童

Abstract: [Abstract]〓Objective〖HTSS〗〓To summarize the experience of clinical treatment of dental diseases in recent years in children with hematologic diseases, to investigate the effectiveness of behavior management in the treatment of dental diseases in children with hematologic diseases.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓In oral clinic, 46 children aged 3 to 7 years with hematological diseases were randomly divided into two groups: the experimental group(n=23) and the control group(n=23). The experimental group used behavioral management methods such as language communication, observation and learning, and physical restriction in clinical treatment, while the control group was treated only with routine operation. The coordination behaviors of 2 groups of children were evaluated and analyzed.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The cooperation of dental operation in the experimental group was better than that in the control group, the time of dental operation in the experimental group was shorter than that in the control group, and the receiving behavior of the children in the experimental group was better than that in the control group. The difference was statistically significant(P<005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Children with blood system diseases have more times of going to medical treatment, have a sense of fear about the medical institutions themselves. The correct induction of behavior management in the clinical treatment of dental diseases can reduce the fear of children, increase the trust of medical staff, and promote the successful completion of dental treatment and reduce the oral infection rate, thereby alleviate the pain of children.

Key words: hematologic disease, dental treatment, behavioral managemen, children