The impact of animated video cartoons as a distraction technique on anticipatory anxiety levels among children during class I GIC restoration procedures.

IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE European Archives of Paediatric Dentistry Pub Date : 2024-10-01 Epub Date: 2024-09-15 DOI:10.1007/s40368-024-00927-1
S A Pamungkas, C Effendy, E Hartami, L A Istifiani, Z S Ulhaq
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Abstract

Purpose: Investigating the effect of visual distraction using animated video cartoons (AVCs) on anxiety of children during class I class I glass-ionomer cement (GIC) restoration procedures.

Patients and methods: This randomized clinical trial, 42 children between the ages of 5-6 years were enrolled. These participants were divided into two groups: Group 1, consisting of 21 individuals (AVCs), who were exposed to a cartoon as a visual distraction tool, and Group 2, a control group with 21 participants who did not receive any form of distraction during their first visit. Both groups underwent class I GIC restoration procedures that were conducted in a consistent manner. To evaluate the anxiety levels of the children, measurements of their pulse rate (PR) were taken at the beginning and end of the treatment. Additionally, patient behavior was assessed using the Frankl behavior rating scale (FBRS) as well as validated self-reported dental anxiety scale, the Visual Analog Scale - Anxiety (VAS-A) score.

Results: In the control group, postoperative PR increased significantly, while the AVC group experienced a decrease compared to their preoperative PR levels. Additionally, audio-visual distraction had a notable impact on FBRS scores compared to the standard approach. Similarly, the VAS-A score displayed a significant reduction when patients received audio-visual distraction compared to the control condition. Subgroup analysis by gender showed that girls tended to be more responsive to AVCs than boys when evaluated by PR and FBRS, but such findings were not observed using VAS-A. Patients with deeper caries had higher VAS-A scores than those with shallower ones. Despite the caries depth, those who received AVC seemed to be calmer, especially to those with deeper lesions, as indicated lower postoperative VAS-A scores compared to their preoperative levels, unlike the control group.

Conclusion: Our study suggests that the use of AVCs can be an effective method for reducing anxiety in children undergoing class I GIC restoration procedures.

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动画片作为一种分散注意力的技术,对儿童在进行 GIC 一级修复术时预期焦虑水平的影响。
目的:研究使用动画视频卡通(AVC)分散视觉注意力对儿童在I类玻璃-离子水门汀(GIC)修复过程中焦虑情绪的影响:这项随机临床试验共招募了 42 名 5-6 岁的儿童。这些参与者被分为两组:第一组有 21 名儿童(AVCs),通过观看动画片来分散视觉注意力;第二组为对照组,有 21 名儿童在首次就诊时未接受任何形式的视觉注意力分散。两组均以一致的方式进行 I 级 GIC 修复程序。为了评估患儿的焦虑程度,在治疗开始和结束时测量了他们的脉搏(PR)。此外,还使用弗兰克尔行为评分量表(FBRS)以及经过验证的自我报告牙科焦虑量表--视觉模拟量表--焦虑(VAS-A)评分对患者的行为进行了评估:结果:在对照组中,术后PR明显增加,而AVC组与术前PR水平相比有所下降。此外,与标准方法相比,视听分散对 FBRS 评分有明显影响。同样,与对照组相比,患者在接受视听分散注意力治疗后,VAS-A 评分明显下降。按性别进行的分组分析表明,在 PR 和 FBRS 评估中,女孩对 AVC 的反应往往比男孩更强烈,但在 VAS-A 中却没有观察到这种结果。龋齿较深的患者的 VAS-A 评分高于龋齿较浅的患者。尽管龋齿深度不同,但与对照组不同的是,接受过 AVC 治疗的患者似乎更平静,尤其是那些龋齿较深的患者,其术后 VAS-A 评分低于术前水平:我们的研究表明,使用 AVC 可以有效减轻接受 I 级 GIC 修复术的儿童的焦虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
European Archives of Paediatric Dentistry
European Archives of Paediatric Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.40
自引率
9.10%
发文量
81
期刊介绍: The aim and scope of European Archives of Paediatric Dentistry (EAPD) is to promote research in all aspects of dentistry for children, including interceptive orthodontics and studies on children and young adults with special needs. The EAPD focuses on the publication and critical evaluation of clinical and basic science research related to children. The EAPD will consider clinical case series reports, followed by the relevant literature review, only where there are new and important findings of interest to Paediatric Dentistry and where details of techniques or treatment carried out and the success of such approaches are given.
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