의식하진정법을 적용한 성인 환자의 치과공포 및 불안의 변화
Changes of dental anxiety and fear in adult patients applying conscious sedation
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Objectives: The purpose of this study was to determine the relationship between conscious sedation, a moderate sedation method used to reduce dental fear, and anxiety. Methods: The previously developed modified dental anxiety investigation scale (MDAS) and dental fear investigation scale (DFS) were investigated using a self-administered survey for adults aged 19 to 65 years old who visited a dental clinic located in Daegu City from April to November 2020. Those who met the ASA Recommendation Level 1 to 2 were the subjects of this study. The participants were evaluated using the sedation severity rating scale (OAA/S) during the implementation of conscious sedation. A lot of 106 valid questionnaires were analyzed using SPSS. Results: Dental fear and anxiety decreased significantly after dental care with conscious sedation. Dental fear after dental care accompanied by conscious sedation was statistically significant in females, those under the age of 40, those with a bachelor’s degree or higher, and those who weighed 60 kg or less. Conclusions: Dental care using conscious sedation was found to have an effect on the reduction of dental fear after the dental procedure. Dental fear can occur in people of all ages, and, regardless of the individual's general and physical characteristics, conscious calming is considered an effective intervention for dental fear in all adults.
Abstract
Objectives: The purpose of this study was to determine the relationship between conscious sedation, a moderate sedation method used to reduce dental fear, and anxiety. Methods: The previously developed modified dental anxiety investigation scale (MDAS) and dental fear investigation scale (DFS) were investigated using a self-administered survey for adults aged 19 to 65 years old who visited a dental clinic located in Daegu City from April to November 2020. Those who met the ASA Recommendation Level 1 to 2 were the subjects of this study. The participants were evaluated using the sedation severity rating scale (OAA/S) during the implementation of conscious sedation. A lot of 106 valid questionnaires were analyzed using SPSS. Results: Dental fear and anxiety decreased significantly after dental care with conscious sedation. Dental fear after dental care accompanied by conscious sedation was statistically significant in females, those under the age of 40, those with a bachelor’s degree or higher, and those who weighed 60 kg or less. Conclusions: Dental care using conscious sedation was found to have an effect on the reduction of dental fear after the dental procedure. Dental fear can occur in people of all ages, and, regardless of the individual's general and physical characteristics, conscious calming is considered an effective intervention for dental fear in all adults.
참고문헌 (24)
- 김수경, "예방치과서비스 경험 유무와 치과 공포도에 관한 연구", 한국치위생학회지, 18(3), pp.335~346 (2018), 한국치위생학회[DOI]
- 최준선, "13-18세 청소년을 대상으로 Dental Fear Survey 척도를 이용한 치과공포도 및 그 관련요인 분석", 대한소아치과학회지, 35(1), pp.118~126 (2008), 대한소아치과학회
- 임순환, "치과진료 경험자의 치과공포 요인 분석", 한국치위생학회지, 13(4), pp.553~560 (2013), 한국치위생학회[DOI]
- 김철홍, "치과시술을 위한 정주진정", 대한치과의사협회지, 51(7), pp.398~404 (2013), 대한치과의사협회
- 김철신, "일부 성인의 개인적 기질 및 치과 방문경험과 치과공포와의 상관성", 한국치위생학회지, 16(6), pp.1057~1066 (2016), 한국치위생학회[DOI]
- 황혜림, "치과내원 환자의 불안취약사고 경향 및 치과경험과 치과공포의 관련성", 치위생과학회지, 11(1), pp.15~21 (2011), 한국치위생과학회
- 김영욱, "Midazolam을 이용한 의식하진정법을 시행한 환자에서 나타난 선행성 및 후행성 기억상실", Journal of Dental Anesthesia and Pain Medicine, 11(2), pp.153~158 (2011), 대한치과마취과학회
- 신터전, "치과영역에서 경구진정법의 활용", 대한치과의사협회지, 51(7), pp.389~397 (2013), 대한치과의사협회
- Firat D, "Dental anxiety among adults in turkey", J Contemp Dent Pract, 7(3), pp.75~82 (2006)
- D. C. Craig, "Conscious sedation for dentistry: an update", British Dental Journal, 203(11), pp.629~631 (2007), Springer Science and Business Media LLC[DOI]
- Ronald A. Kleinknecht, "Factor analysis of the dental fear survey with cross-validation", The Journal of the American Dental Association, 108(1), pp.59~61 (1984), Elsevier BV[DOI]
- 김혜영, "임플란트 수술 시 의식하진정법이 환자의 통증과 불안에 미치는 영향", 치위생과학회지, 14(3), pp.411~416 (2014), 한국치위생과학회
- Norman L. Corah, "Development of a Dental Anxiety Scale", Journal of Dental Research, 48(4), pp.596~596 (1969), SAGE Publications[DOI]
- 김설희, "일부 고등학생의 치과불안도 평가 연구", 한국치위생학회지, 13(4), pp.645~650 (2013), 한국치위생학회[DOI]
- Chernik DA, "Validity and reliability of the observer's assessment of alertness", sedation scale : study with intravenous midazolam, 1990, pp.10(4), 244~251
- 노규정, "진정척도의 임상 적용", Journal of Dental Anesthesia and Pain Medicine, 3(1), pp.1~5 (2003), 대한치과마취과학회
- 김수경, "일부 성인의 치과 공포감 관련 요인", 한국치위생학회지, 14(6), pp.881~886 (2014), 한국치위생학회[DOI]
- 홍민희, "성별에 따른 중·장년층의 구강건강행태, 만성질환과 치주질환의 연관성", 한국산학기술학회논문지, 19(11), pp.403~410 (2018), 한국산학기술학회[DOI]
- 심광섭, "한양대의료원 치과 진정요법 클리닉의 진정요법(I)", Journal of Dental Anesthesia and Pain Medicine, 6(2), pp.113~120 (2006), 대한치과마취과학회
- 노주희, "여대생의 생활습관과 우울, 불안 및 생식건강과의 관계", 여성건강간호학회지, 24(1), pp.80~89 (2018), 한국여성건강간호학회[DOI]
- Yoon HK, "Effects of stress and personality characteristics on sleep", J Sleep Med Psychophysiol, 10(1), pp.32~38 (2003)
- 이은정, "중년후기 여성의 건강지각, 노화불안, 성공적 노화인식이 건강증진행위에 미치는 영향", 여성건강간호학회지, 23(3), pp.181~190 (2017), 한국여성건강간호학회[DOI]
- 남용옥, "치석제거 시 음악중재가 공포 및 불안 감소에 미치는 영향", 한국치위생학회지, 17(3), pp.395~404 (2017), 한국치위생학회[DOI]
- 고부일, "인지행동치료를 통한 치과불안 감소에 대한 질적 연구", 치위생과학회지, 17(1), pp.46~55 (2017), 한국치위생과학회[DOI]
