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Avaliação da ansiedade dos pacientes pediátricos na clínica dentária Egas Moniz
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Abstract(s)
Objectivo: Estudo transversal e observacional para avaliar os níveis de ansiedade das crianças antes e depois de uma consulta na Clínica Dentária Egas Moniz e identificar fatores de ansiedade.
Materias e Métodos: Estudo realizado durante um período de 5 meses (Janeiro a Maio de 2023) com 63 crianças com idades compreendidas entre os 3 e os 12 anos. As crianças realizaram testes de ansiedade recorrendo à Escala de Imagem Facial e o teste de Frankl no início e no final da consulta. Em seguida, foi preenchida a Children Fear Survey Schedule Dental Subscale (CFSS-DS) para avaliar os seus factores específicos.
Resultados: Foi observada uma diferença significativa na heteroavaliação da ansiedade entre o início e o fim da consulta para as crianças com experiências negativas anteriores ou na primeira consulta. Não houve diferença significativa na auto-avaliação. As criançascom experiências negativas tinham medo das cadeiras e das fardas da clínica dentária, enquanto as que tinham feito restaurações dentárias tinham medo do sabor dos produtos dentários. Ambas as categorias de crianças tinham medo de ir à clínica dentária. As crianças com patologias crónicas e que fazia medicação frequenta apresenta medo da anestesia.
Conclusão: Os níveis de ansiedade das crianças variaram antes e depois das consultas de medicina dentária, particularmente para aquelas que tinham tido uma experiência negativa anterior ou na sua primeira visita. Os fatores externos, como as cadeiras e os uniformes, geraram mais ansiedade nas crianças com experiências negativas anteriores.
Objective: Cross-sectional and observational study to assess children's anxiety levels before and after an appointment at Dental Clinic Egas Moniz and identify anxiety factors. Materials and method: Study conducted over a 5-month period (January to May 2023) with 63 children aged between 3 and 12 years. Children underwent anxiety tests such as the Facial Image Scale and Frankl's test at the beginning and end of the consultation. They then completed the Children Fear Survey Schedule Dental Subscale (CFSS-DS) to assess their specific factors. Results: A significant difference was observed in the hetero-assessment of anxiety between the beginning and the end of the appointment for children with previous negative experiences or during their first visit. There was no significant difference in selfassessment. Children with negative experiences were afraid of the dental chairs and the dental clinic uniforms, while those who had undergone dental restorations were afraid of the taste of dental products. Both categories of children were afraid of going to the dental clinic. Children with chronic conditions who were on regular medication also expressed fear of anesthesia. Conclusion: Children's anxiety levels varied before and after dental appointments, particularly for those who had had a previous negative experience or at their first visit. External factors, such as chairs and uniforms, generated more anxiety in children with previous negative experiences.
Objectif: Étude transversale e observationnelle visant à évaluer le niveau d'anxiété des enfants avant et après un rendez-vous à la Clinique Dentaire Egas Moniz et identifier les facteurs d'anxiété. Matériels et méthodes: Étude menée sur une période de 5 mois (janvier à mai 2023) auprès de 63 enfants âgés de 3 à 12 ans. Les enfants ont passé des tests d'anxiété tels que le test de Facial Image Scale et le test de Frankl au début et à la fin de la consultation. Ils ont ensuite rempli le Children Fear Survey Schedule Dental Subscale permettant d’évaluer les facteurs spécifiques. Résultats : Une différence significative a été observée dans l'hétéro-évaluation de l'anxiété entre le début et la fin de la consultation pour les enfants ayant déjà eu des expériences négatives ou lors de leur première consultation. Il n'y avait pas de différence significative dans l'auto-évaluation. Les enfants ayant eu des expériences négatives craignaient les fauteuils et les uniformes de la clinique dentaire, tandis que ceux qui ont eu des restaurations dentaires étaient anxieux face à l’idée du goût des produits. Les deux catégories d'enfants craignaient d'aller à la clinique dentaire. Les enfants prennant fréquement des médicaments craignent l'anesthésie. Conclusion: Les niveaux d'anxiété des enfants varient avant et après les rendez-vous chez le dentiste pour ceux ayant déjà eu une expérience négative ou lors de leur première visite. Les facteurs externes, tels que les chaises et les uniformes, ont généré plus d'anxiété chez les enfants ayant déjà eu une expérience négative.
Objective: Cross-sectional and observational study to assess children's anxiety levels before and after an appointment at Dental Clinic Egas Moniz and identify anxiety factors. Materials and method: Study conducted over a 5-month period (January to May 2023) with 63 children aged between 3 and 12 years. Children underwent anxiety tests such as the Facial Image Scale and Frankl's test at the beginning and end of the consultation. They then completed the Children Fear Survey Schedule Dental Subscale (CFSS-DS) to assess their specific factors. Results: A significant difference was observed in the hetero-assessment of anxiety between the beginning and the end of the appointment for children with previous negative experiences or during their first visit. There was no significant difference in selfassessment. Children with negative experiences were afraid of the dental chairs and the dental clinic uniforms, while those who had undergone dental restorations were afraid of the taste of dental products. Both categories of children were afraid of going to the dental clinic. Children with chronic conditions who were on regular medication also expressed fear of anesthesia. Conclusion: Children's anxiety levels varied before and after dental appointments, particularly for those who had had a previous negative experience or at their first visit. External factors, such as chairs and uniforms, generated more anxiety in children with previous negative experiences.
Objectif: Étude transversale e observationnelle visant à évaluer le niveau d'anxiété des enfants avant et après un rendez-vous à la Clinique Dentaire Egas Moniz et identifier les facteurs d'anxiété. Matériels et méthodes: Étude menée sur une période de 5 mois (janvier à mai 2023) auprès de 63 enfants âgés de 3 à 12 ans. Les enfants ont passé des tests d'anxiété tels que le test de Facial Image Scale et le test de Frankl au début et à la fin de la consultation. Ils ont ensuite rempli le Children Fear Survey Schedule Dental Subscale permettant d’évaluer les facteurs spécifiques. Résultats : Une différence significative a été observée dans l'hétéro-évaluation de l'anxiété entre le début et la fin de la consultation pour les enfants ayant déjà eu des expériences négatives ou lors de leur première consultation. Il n'y avait pas de différence significative dans l'auto-évaluation. Les enfants ayant eu des expériences négatives craignaient les fauteuils et les uniformes de la clinique dentaire, tandis que ceux qui ont eu des restaurations dentaires étaient anxieux face à l’idée du goût des produits. Les deux catégories d'enfants craignaient d'aller à la clinique dentaire. Les enfants prennant fréquement des médicaments craignent l'anesthésie. Conclusion: Les niveaux d'anxiété des enfants varient avant et après les rendez-vous chez le dentiste pour ceux ayant déjà eu une expérience négative ou lors de leur première visite. Les facteurs externes, tels que les chaises et les uniformes, ont généré plus d'anxiété chez les enfants ayant déjà eu une expérience négative.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Ansiedade Facial Image Scale Frankl Children Fear Survey Schedule Dental Subscale Odontopediatria