Barriers To Dental Care for Children with Autism Spectrum Disorder- A Pilot Study
Barriers To Dental Care for Children with Autism Spectrum Disorder- A Pilot Study
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自闭症谱系障碍儿童牙科护理的障碍 - 一项试点研究
DOI：
10.9790/0853-150905100105
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Dr. Venkatesh Kodgi
中科院分区：
文献类型：
--
作者：
Dr. Nithya Annie Thomas;Dr. Priya Shetty;Dr. Sowmya B.;Dr. Venkatesh Kodgi
内容：自闭症谱系障碍（ASD）是一组终身神经发育障碍，其特征是严重损害社会互惠，沟通和行为。牙科保健障碍的复杂性可能是由于行为，情绪或发育障碍，无法沟通和经济抑制因素。目的：探讨自闭症谱系障碍（ASD）儿童牙科治疗的障碍。材料和方法：进行了一项基于横断面病例对照问卷调查的研究，以评估门格洛尔市ASD儿童所经历的牙科护理的主要障碍。研究小组由在芒格洛尔市特殊学校就读的3-12岁ASD儿童的父母/照顾者组成。调查问卷包括封闭式问题，关于获得牙科护理的个人障碍和牙科护理的个人障碍比例。所得数据采用卡方检验和Fischer精确检验进行评价。在p <0.001时认为具有显著性。结果：83.9%的被调查者对ASD儿童的行为管理存在困难。报告的其他障碍是儿童无法沟通和牙医缺乏知识和培训自闭症儿童。结论：本研究深入了解了门格洛尔市ASD儿童所经历的牙科护理障碍。应通过宣传和卫生政策促进获得全科医生和儿科牙医的服务。应强制要求牙医和牙科学生接受管理有特殊需要儿童的专门培训。临床意义：本研究从门格洛尔市父母/护理人员的角度确定了ASD儿童所经历的牙科护理的潜在障碍。这使人们能够更好地了解这一多样化群体可能面临的问题。更好地了解如何改善这些问题至关重要。牙医应该调整他们的做法，以满足ASD儿童的需求，并接受ASD儿童的需求不同于其他儿童的需求。
Context: Autism spectrum disorder (ASD) is a group of lifelong, neurodevelopmental disorders characterized by severe impairment of social reciprocity, communication and behavior. Complexity in barriers to dental care may be due to behavioral, emotional or developmental disturbances, inability to communicate and financial disincentives. Objective: To assess the barriers to dental care for children with autism spectrum disorder (ASD). Materials and method: A cross sectional, case control questionnaire based study was done to evaluate the main hurdles to dental care experienced by children with ASD in Mangalore city. The study group comprised of parents / care takers of children aged 3-12 years with ASD attending special schools in Mangalore city. The questionnaire comprised of closed ended questions, regarding individual barriers while accessing dental care and the proportions of individual barriers to dental care. The data obtained was evaluated using Chi-square test and Fischer’s exact test. Significance was deemed at p˂0.001. Results: 83.9% of the respondents reported difficulty in managing the behavior of the children with ASD. Other barriers reported were the child’s inability to communicate and dentist’s lack of knowledge and training children with ASD. Conclusions: This research has given an insight into the barriers to dental care experienced by children with ASD in Mangalore city. Access to general practitioners and pediatric dentists should be facilitated by awareness and health policies. Specialized training of dentists and dental students to manage children with special needs should be mandatory. Clinical implications: This research identified potential barriers to dental care experienced by children with ASD from the perspective of parents/care givers in Mangalore city. This has allowed a greater understanding of the issues that may be faced by this diverse group. It is crucial to gain a better understanding of how these problems could be ameliorated. Dentists should adapt their practices to meet the needs of children with ASD and accept that the needs of children with ASD differ from those of other children.
自闭症儿童：诊断和临床特征。
影响因子：
8
作者：
Rapin,I
通讯作者：
Rapin,I