치과내원 환자의 치과공포 감소를 위한 중재법 적용
Intervention for Reducing Dental Fear and Anxiety of Dental Patients
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초록
본 연구는 서울시 일개 치과의원에 내원한 환자를 대상으로 치과공포 수준을 측정하고, 치과공포 수준 감소를 위한중재법에 대해 환자가 요구하는 방법을 적용한 후 치과공포 중재법의 효과를 측정하였다. 개입한 치과공포 중재법에 대해서는 전체적으로 ‘도움이 된다(3.57점)’는 의견이었고, 항목별로는 ‘어떤 진료인지 미리 설명해 준다(4.38점)’, ‘진료중에 환자가 손을 들면 언제든 치료를 잠시 멈추어 준다(4.35점)’, ‘진료 중 통증이 발생할 것 같으면 미리 말해준다(4.24점)’, ‘의료진이 부드럽고 웃는 표정을 한다(4.06점)’ 순으로 도움이 된다고 하였다. 치과공포 중재법 적용 전과후의 전체적인 만족도는 각각 4.37점과 4.35점으로 높은 수준이었으나, 적용 후 미미하게 감소하였으며 이는 치과치료항목과 밀접한 연관이 있을 것으로 사료된다. 치과공포 수준을 감소하기 위해서는 환자의 치과공포 수준 뿐 아니라치과공포 중재를 위한 요구도를 파악하여 이에 맞는 개입방법을 적용하여 주는 것이 효과적이며, 이에 대한 치과의료인력에 대한 교육과 매뉴얼 개발이 필요하리라 생각된다.
Abstract
The purposes of this study were to assess dental fear and anxiety level of patients attending a dental clinic using the dental fear survey (DFS) scale, to apply interventions chosen by patients for reducing dental fear and anxiety and measure their effects. This study surveyed 34 patients who visited a dental clinic in Seoul about their self-rated health and their experience of dental fear, and measured the level of dental fear using DFS. Trained dental hygienists applied interventions desired by the patients for reducing dental fear and anxiety and, for each intervention, examined the patientsʼ satisfaction (very helpful [5 point]∼not helpful at all [1 point]). Collected data were analyzed using IBM SPSS Statistics ver. 21.0 through independent t-test or one-way ANOVA for difference in level of fear according to related characteristics, and through Wilcoxon signed rank test for comparison between before and after the intervention. The subjectsʼ mean level of fear (DFS score) was 44.53, which was an average level, and the level of dental fear was relatively high for stimulus-response (2.72). The level of dental fear was higher in those who had experienced pains or indirect dental fear from dental treatment in the past, and those whose subjectively perceived health state was poor (p＜0.05). With regard to the applied dental fear intervention, ʻHelpful (3.57)ʼ was the most common answer. Overall satisfaction before and after the application of dental fear intervention was generally high as 4.37 and 4.35, respectively, but it decreased slightly after the intervention. In order to lower the level of dental fear, it is considered effective to survey not only the level of dental fear but also patientsʼ need of dental fear interventions and to apply a suitable intervention. It is also required to educate dental workers and to develop related manuals.
참고문헌 (23)
- Lee SJ, "A review on analysis methods for dental anxiety patients", master, pp.2012
- Cohen LA, "Correlates of dental anxiety in a university population", J Public Health Dent, 42, pp.228~235 (1982)
- Cho DY, "Clinical behavior neuroscience", pp.3~21 (1985), Ilchokak
- Cohen SM, "The impact of dental anxiety on daily living", Br Dent J, 189, pp.385~390 (2000)
- 최준선, "치과공포의 수준 및 Dental Fear Survey 척도의 하위 구성요인과의 관련요인 분석", 대한구강보건학회지, 33(1), pp.51~61 (2009), 대한예방치과·구강보건학회
- Kvale G, "Dental fear in adults: a meta-analysis of behavioral interventions.", Community Dent Oral Epidemiol, 32, pp.250~264 (2004)
- O'Shea RM, "Why patients change dentists: practitioners' views", J Am Dent Assoc, 112, pp.851~854 (1986)
- Eli I, "Dental anxiety a cause for possible misdiagnosis of tooth vitality.", Int Endod J, 26, pp.251~253 (1993)
- Vassend O, "Anxiety, pain and discomfort associated with dental treatment", Behav Res Ther, 31, pp.659~666 (1993)
- Smith TA, "Fear of dental care: are we making any progress?", J Am Dent Assoc, 134, pp.1101~1108 (2003)
- Park JS, "Dental phobia: denfinition, prevalence, diagnosis &behavioral management", doctor, pp.2015
- Kim YK, "Musical intervention reduces patients’ anxiety in surgical extraction of an impacted mandibular third molar", J Oral Maxillofac Surg, 69, pp.1036~1045 (2011)
- Kleinknecht RA, "Factor analysis of the dental fear survey with cross-validation", J Am Dent Assoc, 108, pp.59~61 (1984)
- Choi SS, "Dental fear and orofacial stress symptoms of teenagers at visited dental clinics", master, pp.2004
- Moore R, "Prevalence and characteristics of dental anxiety in Danish adults.", Community Dent Oral Epidemiol, 21, pp.292~296 (1993)
- 정명희, "치과내원 환자의 이용행태 및 공포와 구강악안면 통증", 치위생과학회지, 9(3), pp.361~367 (2009), 한국치위생과학회
- 황혜림, "치과내원 환자의 불안취약사고 경향 및 치과경험과 치과공포의 관련성", 치위생과학회지, 11(1), pp.15~21 (2011), 한국치위생과학회
- de Jongh A, "Anxiety about dental hygienist treatment", Community Dent Oral Epidemiol, 21, pp.91~95 (1993)
- Settineri S, "Gender differences in dental anxiety: is the chair position important?", J Contemp Dent Pract, 6, pp.115~122 (2005)
- Armfield JM, "Management of fear and anxiety in the dental clinic: a review", Aust Dent J, 58, pp.390~407 (2013)
- Newton T, "The management of dental anxiety: time for a sense of proportion?", Br Dent J, 213, pp.271~274 (2012)
- 전보혜, "고등학생의 치과이용실태와 통증 경험에 따른 치과공포에 대한 연구", 치위생과학회지, 14(1), pp.59~66 (2014), 한국치위생과학회
- Tran D, "Anxiolytic intervention preference of dental practitioners in the Savannah, Chatham County area: a pilot study.", J Dent Hyg, 84, pp.151~155 (2010)