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題名 | 塑行用於三歲以下兒童之牙科初診=Shaping Used for Children under 3 Years Old during First Dental Visit |
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作 者 | 施凱元; 謝承祐; 林彥光; 項家蘭; | 書刊名 | 臺灣兒童牙醫學雜誌 |
卷期 | 14:1 2014.03[民103.03] |
頁次 | 頁4-8 |
分類號 | 417.69 |
關鍵詞 | 塑行; 初診; 合作行為; Shaping; First dental visit; Cooperative behavior; |
語文 | 中文(Chinese) |
中文摘要 | 行為管理是兒童接受牙科治療成功與否的關鍵因子之一。對於從無牙科經驗之兒童,塑行(shaping)是以漸進方式逐步建立幼童對於牙科環境及治療的接受度。本研究對象為民國100年整年至本院第一次牙科就診之2~3歲幼童,以兩階段行為誘導方式令其認識牙科環境與器械之過程,篩選有完整就診行為紀錄之病例,並根據就診過程中四個時間點:①於診療椅旁坐在父母腿上介紹氣槍與慢速手機加毛刷;②兒童離開父母坐上診療椅;③診療椅躺下;④躺在診療椅上再一次介紹器械與塗氟,加以評估與分析。共有140位2~3歲兒童參與本研究,共73位男生與67位女生,平均年齡為30個月,各階段依兒童行為表現合作與否給予積分(每個階段合作就得積分一分,如四個階段均合作得積分四分),再以獨立t檢定等方式分析1.男女生表現差異;2.各階段合作表現差異;3.不同級職醫師看診與兒童行為表現之關連;4.年齡與表現關聯。研究結果顯示以兩階段行為引導3歲以下幼童之牙科初診行為分數表現無論幼童性別或看診醫師級職皆無顯著差異。年齡大小雖無顯著差異,但有微弱正相關暗示隨著年齡增加合作度也會增加。就診進行塑行過程中兒童離開家長單獨坐上診療椅與診療椅躺下造成兒童不合作之比率較高。 |
英文摘要 | Children's behavior is a key factor for successful dental care. For children without any dental experience, shaping is a procedure that successive approximation for children to be familiar with dental environment or treatment. Sample in this study are children at age 2 to 3 and for first dental visit at Wanfang hospital during 2011. They are also with complete behavior record during 2 stage TSD procedure, including 4 sections: (1) show three way & low speed with brush under parents' hug, (2)leave parents & go on to dental chair, (3)dental chair lay down, (4) show three way & low speed with brush when child lay down & fluoride application. The child with cooperative behavior during any of each section gets 1 point, ie, gets 4 points if the child cooperate all through 4 sections. The result how that children's behavior are no significant relationship with gender, doctor's level or age. But the weak positive correlation between age & cooperation imply children become more cooperative with age. Children behave more uncooperative when leaving parents to dental chair & lay-down of dental chair. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。