影响健康儿童和有特殊卫生保健需求儿童SDF治疗父母满意度的因素

IF 1.5 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Frontiers in dental medicine Pub Date : 2023-11-14 DOI:10.3389/fdmed.2023.1286162
Y. O. Crystal, J. H. Jang, M. N. Janal, V. H. Raveis
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引用次数: 0

摘要

目的氟化二胺银(SDF)是一种防治龋齿的药物。本研究的目的是评估在一所大学儿科牙科诊所提供的SDF治疗的满意度,并确定可能导致家长不满意的因素。方法回顾性收集2019年2月1日至2021年2月28日在我院门诊接受SDF治疗的患儿资料。研究人员通过电话联系家长,让他们参与一项调查,评估他们对治疗的满意度。使用列联表和卡方统计将满意度作为医疗状况、治疗难易程度、SDF治疗结果、美学以及对治疗目标和副作用的理解的函数进行评估。结果在209例接受SDF治疗的患儿中,我们通过电话联系到91名家长,其中79名同意参与。特殊医疗保健需求(SHCN)患者在我们的样本中被过度代表,包括所有治疗的22.3%和参与者的36.7%。超过90%的人对治疗满意,愿意再次接受治疗,并将其推荐给他人。在49名抱怨疼痛的儿童中,SDF治疗解决了82%的抱怨。在我诊所随访的子样本中,治疗后的牙齿约有一半接受了修复治疗或拔牙,另一半未接受进一步治疗。一些儿童在其他地方接受了进一步的治疗。父母的不满意与前牙染色(p = 0.04)、需要进一步治疗(p = 0.02)和对副作用的了解较少(p = 0.002)有关。结论SDF治疗具有应用方便、脱敏效果好等优点,大多数家长对其满意。我们的研究结果表明,父母对治疗和病变染色的过渡性的理解对获得父母满意度很重要。
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Factors that influence parental satisfaction with SDF treatment in healthy children and those with special health care needs
Purpose Silver diamine fluoride (SDF) is used as a caries management agent for the arrest of dentinal caries lesions. The purpose of this study was to evaluate the satisfaction with SDF treatment provided at a university pediatric dentistry clinic, and to identify factors that may contribute to parental dissatisfaction. Methods We obtained retrospective data of children who received SDF treatment at our clinic from February 1st, 2019 to February 28th, 2021. Parents were contacted by phone to participate in a survey that evaluated their satisfaction with the treatment. Satisfaction was evaluated as a function of medical status, ease of treatment, outcome of SDF treatment, esthetics, and understanding of the treatment's goals and side effects using contingency tables and chi-square statistics. Results From 209 children who received SDF treatment, we were able to contact 91 parents by telephone, and 79 agreed to participate. Special healthcare needs (SHCN) patients were over represented in our sample, comprising 22.3% of all treated and 36.7% of participants. More than 90% were satisfied with the treatment, would do it again and would recommend it to others. Among the 49 children who complained of pain, SDF treatment resolved 82% of these complaints. In the subsample with follow-up in our clinic, approximately half of the treated teeth later received restorative treatment or were extracted, and the other half presented without further treatment. Some children received further treatment elsewhere. Parental dissatisfaction was related to staining of the anterior teeth ( p = 0.04), the need for further treatment ( p = 0.02) and a lesser understanding of side effects ( p = 0.002). Conclusion Most parents were satisfied with SDF therapy as a dental treatment choice due to its easy application and desensitizing effects. Our findings indicate that parental understanding of the interim nature of the treatment and staining of the lesions are important to achieve parental satisfaction.
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