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目的 评估口腔诊疗主题趣味动画结合闯关游戏行为诱导模式与传统行为诱导模式，在3～6岁儿童口腔诊疗中的应用效果。方法 选取2025年5月至2025年7月于空军军医大学口腔医院儿童口腔科就诊的3～6岁儿童180例，随机分为观察组和对照组，观察组采用口腔诊疗主题趣味动画结合闯关游戏的方法实施行为诱导，对照组采用常规行为诱导法，分别对患儿配合度、单个乳磨牙邻面龋坏治疗时间、患儿畏惧情况及家长满意度进行比较。结果 患儿诊疗配合度方面，观察组评分显著高于对照组，差异有统计学意义（P<0.001）；患儿畏惧情况方面，观察组评分显著低于对照组，差异有统计学意义（P<0.05）；家长满意度方面，行为诱导方法评价及整体满意度观察组优于对照组，差异有统计学意义（P<0.05）；单个乳磨牙邻面龋坏治疗时间，两组间差异无统计学意义（P>0.05）。结论 口腔诊疗主题趣味动画结合闯关游戏行为诱导模式可有效提升3～6岁儿童口腔诊疗配合度，缓解患儿畏惧情绪并提高家长满意度，为低龄儿童行为管理提供新思路。
Abstract：Objective To evaluate the effectiveness of traditional behavior guidance based on animated level-breaking game in proving cooperation and reducing dental fear among 3-6 years old patients during dental treatment. Methods Patients aged 3-6 years who received dental treatment in the Department of Pediatric Dentistry at The School of Stomatology, The Fourth Military Medical University between May 2025 and July 2025 were randomly assigned to either the animated group(behavior guidance based on animated level-breaking game) or the control group( traditional behavior guidance). The two groups were compared in terms of cooperation level, treatment duration, dental fear, and parental satisfaction. Results The animated group showed significantly higher cooperation score during dental treatment compared with the control group(P < 0.001). The dental fear scores were significantly lower in the animated group(P < 0.05). Parental satisfaction, including evaluation of the behavior guidance method and overall satisfaction, were also higher in the animated group(P < 0.05).There was no statistically difference in the treatment duration between the two groups(P > 0.05). Conclusion Behavior guidance based on an animated levelbreaking game effectively improves children's cooperation during dental treatment, reduces dental fear, and enhances parents' satisfaction. This interactive, game-based approach provides a novel engaging strategy for management in young children.
[1]SUN I G, CHU C H, LO E C M, et al. Global prevalence of early childhood dental fear and anxiety:A systematic review and meta-analysis[J]. J Dent, 2024, 142:104841.DOI:10.1016/j.jdent.2024.104841.
[2]徐浩,范伟,迟义凡,等.学龄前儿童牙科畏惧症现状调查及影响因素分析[J].武警后勤学院学报(医学版),2020,29(3):26-31.DOI:10.16548/j.2095-3720.2020.03.007.
[3]ARMFIELD J M, STEWART J F, SPENCER A J. The vicious cycle of dental fear:Exploring the interplay between oral health,service utilization and dental fear[J]. BMC Oral Health, 2007, 7:1.DOI:10.1186/1472-6831-7-1.
[4]DHAR V, JAYARAMAN J, MARGHALANI A A, et al. Nonpharmacological behavior guidance for children during dental treatment visits:A systematic review and Meta-analysis-part 2[J]. Pediatr Dent,2023, 45(3):197-220.
[5]刘亚蕊,朱明静,徐冬雪,等.全身麻醉下儿童龋病治疗的回顾性临床研究[J].临床口腔医学杂志, 2021, 37(8):4.DOI:10.3969/j.issn.1003-1634.2021.08.007.
[6]赵莹,林晓萍.儿童牙科畏惧症病因及行为管理方法研究进展[J].中国实用口腔科杂志,2017,10(9):562-567.DOI:10.19538/j.kq.2017.09.012.
[7]KONG X, SONG N, CHEN L, et al. Non-pharmacological interventions for reducing dental anxiety in pediatric dentistry:A network meta-analysis[J]. BMC Oral Health, 2024, 24(1):1151.DOI:10.1186/s12903-024-04919-x
[8]张静.以情境体验为主导的行为管理技术在儿童牙科焦虑中的应用研究[D].内蒙古医科大学,2020.DOI:10.27231/d.cnki.gnmyc.2020.000387.
[9]MAZAHERI R, ESHGHI A, BASHARDOOST N, et al. Assessment of intranasal midazolam administration with a dose of 0.5 mg/kg in behavior management of uncooperative children[J]. J Clin Pediatr Dent, 2008, 32(2):95-99.DOI:10.17796/jcpd.32.2.t4v60w22h712uu78.
[10]卢佳璇,余东升,罗伟,等.儿童畏惧调查表-牙科分量表中文版的研制[J].中华口腔医学杂志，2011,46(4):218-221.DOI:10.3760/cma.j.issn.1002-0098.2011.04.007.
[11]田宋青梦.认知行为疗法对减轻学龄前儿童牙科焦虑症的有效性研究[D].山西医科大学,2020.DOI:10.27288/d.cnki.gsxyu.2020.000857.
[12]PRADO I M, CARCAVALLI L, ABREU L G, et al. Use of distraction techniques for the management of anxiety and fear in paediatric dental practice:A systematic review of randomized controlled trials[J].Int J Paediatr Dent, 2019, 29(5):650-668..DOI:10.1111/ipd.12499.
[13]徐晓明,刘月华,于向华,等.儿童口腔科普短剧健康教育对10岁儿童口腔保健知信行的效果评价[J].上海口腔医学,2020,29(3):304-307.DOI:10.19439/j.sjos.2020.03.014.2020, 29(3):4.
[14]张又之,任婷婷,梁倩男,等.循证护理模式在口腔正畸患儿治疗中的应用效果[J].国际护理学杂志，2023,42(5):917-923.DOI:10.3760/cma.j.cn221370-20211025-00228.
[15]冯萧霆,段春艳,韩阳,等.全身麻醉技术下儿童口腔治疗的综合护理[J].国际护理学杂志，2022,41(20):3655-3660.DOI:10.3760/cma.j.cn221370-20210831-00927.
[16]GIZANI S, SEREMIDI K, KATSOULI K, et al. Basic behavioral management techniques in pediatric dentistry:A systematic review and meta-analysis.[J]. J Dent, 2022, 126:104303.DOI:10.1016/j.jdent.2022.104303.
[17]石兴莲,程华刚,杨德琴,等.基于“知一信一行”理论下学龄前儿童家长口腔健康知识行为干预效果研究[J].护士进修杂志,2018,33(15):1400-1403,1407. DOI:10.16821/j.cnki.hsjx.2018.15.016.
[18]刘晓,胡李平.传统告知-演示-操作综合行为管理技术在伴牙科畏惧症患儿中的应用[J].中华现代护理杂志,2024,30(33):4592-4595. DOI:10.3760/cma.j.cn115682-20231221-02713.
[19]严瑾婷,谢赛飞.多元整合模式视角下的行为诱导护理在小儿口腔正畸中的应用效果[J].当代护士(下旬刊),2023,30(8):80-83.DOI:10.19793/j.cnki.1006-6411.2023.24.019.
基本信息:
DOI：10.15956/j.cnki.chin.j.conserv.dent.2025.11.008
中图分类号:R473.78
引用信息:
[1]刘晓燕,刘蕊,高彩虹,等.趣味动画结合闯关游戏行为诱导模式在3～6岁儿童口腔诊疗中的应用[J].牙体牙髓牙周病学杂志,2025,30(11):660-663.DOI:10.15956/j.cnki.chin.j.conserv.dent.2025.11.008.
基金信息:
陕西省自然科学基础研究计划项目（2023-JC-ZD-56）
2025-11-28
2025-11-28