影響孩童第一次看牙行為因素的探討

Factors Associated with a Child's Behavior at the First Dental Visit

唐金蓮(Jin-Lian Tang) ； 黃桂芬(Guay-Fen Huang) ； 王姻麟(Yin-Lin Wang) ； 張曉華(Hsiao-Hua Chang) ； 宋維村(Wei-Tsuen Soong) ； 郭敏光(Ming-Kuang Guo)

《中華牙醫學雜誌（中文版）》 25卷1期 (2006/03) Pp. 1-6

https://doi.org/10.7106/CJD.200603.0001

摘要

影響孩童看牙行為表現的因素，已在許多國外回溯性的研究中提出討論，但多與孩童之牙科經驗有關。而本研究的目的是要探討孩童第一次的看牙行為表現，找出與牙科經驗無關的一些關於牙科情境之既存因素。研究對象包含120位健康的孩童（62位女生及58位男生），年齡在2~6歲之間且未曾看過牙科醫師。利用問卷方式收集主要照顧者及孩童的背景資料，使用Frankl's Rating Scale來分級評估孩童在第一次看牙中的表現；此外，也紀錄了孩童的口腔衛生情形和齲齒狀況(dfs)，最後使用GEE model的羅吉斯迴歸進行統計分析。統計結果顯示，主訴牙痛、口腔衛生不良、高齲齒指數、幼小的年齡、男生諸因素與第一次看牙不合作的行為表現有關，此結果顯示著良好的口腔衛生對於孩童初次的看牙行為具有極正面的重要影響力。

關鍵字

牙科行為處理問題 ； 第一次看牙 ； 既存因素

並列摘要

Factors associated with a child's uncooperative behavior in dental settings have been discussed in a number of retrospective studies. A low percentage of negative behaviors due to a previous unpleasant dental experience was noted. The purpose of this study was to explore inherent factors which are not associated with a dental experience in a child's behavior during the first dental visit. The study consisted of 120 healthy children (62 girls and 58 boys), aged 2-6 years with no previous dental experience. Data were collected by questionnaires on the guardians' and children's background. A child's behavior during the first dental visit was evaluated using Frankl's rating scale. The caries index (dfs) and oral hygiene status were evaluated as well. A logistic regression of the GEE model was used for data analysis. Results revealed that having a toothache, poor oral hygiene, a higher caries index, and a younger age, and being male were related to uncooperative behavior during the first dental visit. The results imply that good oral hygiene practices may play an important role in positively influencing a child's behavior before the first dental visit.

並列關鍵字

dental behavior management problem DBMP ； first dental visit ； inherent factors