Clin Oral Investig:在不同牙科患者群体内消极的口腔健康信念是否与牙科畏惧症存在联系

2019-01-10 lishiting MedSci原创

这篇系统性回顾和meta-analysis的目的是为了缜密评估在不同牙科患者群体内消极的口腔健康信念是否与牙科畏惧症存在一定的关联。

这篇系统性回顾和meta-analysis的目的是为了缜密评估在不同牙科患者群体内消极的口腔健康信念是否与牙科畏惧症存在一定的关联。

研究对Cochrane, Embase Search, Portal BVS, Clinical Trials, Ovid, Open Gray, PubMed, Scopus和Web of Science数据库进行相关性搜寻,并手动检索包含其它感兴趣的文章。通过3种不同形式的Newcastle-Ottawa量表(cohort, case-control和cross-sectional studies)评估文献的性质与质量。基于对在牙科恐惧/焦虑与对照组之间和对牙科信念与牙科恐惧焦虑相关性检测之间牙科信念值平均差异的随机效应分析,仅对较低或不清楚/中等程度偏好的文章进行meta-analyses。

结果显示,最初搜寻到276篇文章,共有10篇纳入此回顾性分析,6篇不清楚/中等程度偏好的文章进行了meta-analyses。与对照组相比,有牙科焦虑和恐惧的患者牙科信念效应的平均差异明显增高(1.20; 95% CI 0.27-2.14; P=0.01)。另外,在牙科信念和牙科恐惧检测之间存在中等程度的正相关性(r=0.54, 95% CI 0.47-0.60; P<0.001)。

结论:基于这些结果,存在消极牙科信念与牙科恐惧症的增加存在直接相关;然而,这些结果是对不清楚/中等程度偏好文章的分析中得来。

临床意义:牙科畏惧症对获得口腔治疗以及医患关系均为重要的妨碍,会影响口腔健康水平。

原始出处:


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    2019-08-03 xjy13
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    2019-09-22 小几洁
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    2019-01-12 zhaojie88
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    2019-01-10 明月清辉

    谢谢分享,学习了

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