养老机构内老人牙科焦虑症流行病学调查

摘要

[目的]调查养老机构内老人牙科焦虑症(DA)的流行情况.[方法]采用改良的牙科焦虑量表(MDAS)对养老机构140位老人的DA发生情况进行问卷调查和统计分析.[结果]养老机构内老人MDAS平均得分为(6.80±3.28)分;DA发生率为7.86％;MDAS得分在不同文化程度、对疼痛的不同耐受程度以及不同的看牙经历间有显著性差异;对MDAS得分的影响因素前5项为:疼痛的耐受程度、年龄、当天精神状态、文化程度、性格,其中疼痛的耐受程度有非常显著性影响(P=0.001).[结论]养老机构内老人DA发生率较低,疼痛的耐受程度和年龄对DA的发生有显著性影响.%[Objective] To determine the prevalence of dental anxiety (DA) in the elderly in old-age care institutions. [Methods] The prevalence of DA in 140 elders was investigated by using the modified Dental Anxiety Scale (MDAS). [Results] The mean MDAS score was 6.8071±3.2848 in the elderly in old-age care institutions. The prevalence rate of DA was 7.86%. Among the elders, there was significant difference for the comparison of MDAS scores in degree of education, different pain tolerance and experiences of dental care. The order of factors about MDAS scores were (from high to low):pain tolerance, age, mental state, degree of education, character, experiences of dental care, oral hygiene, family financial situations, relatives experiences of dental care, gender and health situation. The pain tolerance had highly significant influence among these factors. [Conclusions] The prevalence rate of DA was low in the elderly in old-age care institutions. The prevalence of DA was significantly influenced by difference in pain tolerance and age.