- 期刊
An Exploratory Survey of Parental Attitudes and Acceptance of Behavior Management Techniques Used in Pediatric Dentistry in Taiwan
台灣父母對兒童牙科行為管理技術的接受度及態度之調查研究
摘要
Aims: The purpose of this study was to assess the parental attitudes and acceptance of behavior management techniques (BMTs) employed by dentists treating pre-school children in Taiwan and associated factors. Materials and Methods: Parents whose child was from 2 to 6 years old were recruited from the pediatric dentistry department of Wanfang Hospital, including new patients and those revisiting patients during January through April 2020. A senior resident would explain the ten BMTs to parents with photos, and then used a questionnaire to assess the degree to which they would accept each technique performed on their child. The ten techniques were as follows: (1) tell-show-do (TSD); (2) voice control; (3) passive restraint (i.e., papoose board, PB); (4) active restraint by parents; (5) active restraint by the dentist and assistant; (6) parental absence for the entire time; (7) parents not holding their child's hand when the child was not cooperative; (8) parents leaving the outpatient department (OPD) when the child was not cooperative; (9) sedation; (10) general anesthesia (GA). Parents rated their level of agreement with each of these techniques on a scale of 0 to 4, with 0 indicating completely disagree and 4 completely agree. Results: In total, 102 parents completed the questionnaire for analysis. The technique rated as most acceptable was the TSD technique (100%), while the least acceptable was parental absence for the entire time (45.1%). Parental acceptance of BMTs was not significantly associated with the patient's and the parent's gender, treatment needs, being a referred patient, and the parent's age. However, first dental visit, being a new visiting patient, patients' fear of dental treatment, cooperation, age, parent's education level and parental anxiety were found to be associated with parental acceptance of various BMTs. Besides, parental acceptance rates of various BMTs may be positively and significantly correlated within each of the following three groups of BMTs of similar nature: (1) GA and sedation; (2) passive restraint, active restraint by parents, and active restraint by the dentist and assistant; (3) parental absence for the entire time, parents not holding their child's hand when the child was not cooperative, and parents leaving the OPD when the child was not cooperative. Conclusions: Most of the techniques were accepted by over 67% of the parents, except the GA technique (50%) and parental absence for the entire time (45.1%). These findings suggest that parents have positive attitudes toward BMTs. However, adequate communication with parents is still recommended to keep them well informed when the dentists apply BMTs to pediatric patients.
並列摘要
目的：本研究目的是評估台灣學齡前兒童之父母對於兒童牙科行為管理技術態度和接受度以及相關因素。材料與方法：從萬芳醫院兒童牙科招募2至6歲孩童之父母，包括初診和複診的患者。資料收集時間為2020年一月至四月，由受訓住院醫師透過圖片及文字講解十項行為管理技術，並使用問卷調查評估父母對於醫師施行於孩童每項行為管理技術的接受程度。這十種技術如下：（1）告知－示範－說明（tell-show-do）；（2）聲音阻嚇（voice control）；（3）被動約束（使用papoose board）；（4）父母的主動約束；（5）牙醫和助手的主動約束；（6）父母全程不陪同看診；（7）父母在孩子不合作時不握孩子的手；（8）父母在孩子不合作時離開診間；（9）鎮靜；（10）全身麻醉。問卷將父母將對每項技術的同意程度定為0到4，其中0表示完全不同意，4表示完全同意。結果：總共有102位父母完成了問卷調查以進行分析。最可以接受的技術是告知－示範－說明（100％），而接受度最少的是父母全程不陪同看診（45.1％）。各項行為管理與患者和父母的性別、治療需求、轉診患者以及父母的年齡沒有顯著相關。然而，發現第一次牙科經驗、初診的患者、患者對牙科治療的恐懼、合作與否、年齡、父母的教育程度和父母的焦慮等因素與父母對各種行為管理的接受程度有關。此外，父母的接受程度在以下性質較相近的行為管理可能具有正向顯著的關係：（1）全身麻醉和鎮靜；（2）被動約束和父母的主動約束，以及牙醫和助手的主動約束；（3）父母全程不陪同看診，父母在孩子不合作時不握孩子的手，以及父母在孩子不合作時離開診間。結論：父母對於大部分行為管理技術都有六成七以上的同意度，除了全身麻醉（50％）和父母全程不陪同看診（45.1％）。推測父母對行為管理技術保持正向態度，但仍建議在施行行為管理技術前與父母進行充分溝通，使他們充分了解情況。