A qualitative look at parents' experience of their child's dental general anaesthesia
A qualitative look at parents' experience of their child's dental general anaesthesia
复制标题
DOI：
10.1111/j.1365-263x.2006.00750.x
复制
发表时间：
2006-09-01
影响因子：
3.8
通讯作者：
Weinstein, P.
中科院分区：
文献类型：
--
作者：
Amin, M. S.;Harrison, R. L.;Weinstein, P.
目标.在全身麻醉（GA）下治疗幼儿龋齿（ECC）后，龋齿复发的报道屡见不鲜。本研究采用质的研究方法，探讨父母的经验，他们的孩子的治疗下GA，和他们的看法，这种治疗对他们的孩子的影响。参与者是其子女最近在GA下进行牙科康复的父母。数据收集的半结构化，开放式访谈安排在术后预约。访谈录音，转录，检查和编码到一个定性的计算机软件程序进行分析。数据收集和分析同时进行，并根据回复修改采访指南。结果。父母们担心他们的孩子需要GA，并似乎意识到了并发症。虽然一些家长感到“内疚”并难以接受对孩子的这种治疗模式，但另一些家长则感到“无可指责”，并确信GA对他们的孩子来说“更可取”，并且优于传统治疗的上级。尽管如此，所有的父母都报告了一定程度的焦虑在GA;他们表达了自己的情绪与“恐惧”，“担心”和“关注”。GA后，大多数父母报告说，他们的孩子的牙痛量，睡眠模式，饮食习惯和父母刷牙的接受程度有所改善。父母提到的孩子行为最常见的变化是增加刷牙和减少含糖食物的消费。几个孩子谁有乳牙提取痛苦的结果，这种“损失”。全身麻醉的经历对父母和孩子都有各种各样的困扰。然而，GA的“早期”和积极的结果是牙齿健康实践的改善。父母对保持乳牙健康的态度更加积极，现在知道如何照顾孩子的牙齿。未来的探索需要揭示GA经验是否以及如何影响长期的预防行为。
Objectives. Caries relapse after treatment of early childhood caries (ECC) under general anaesthesia (GA) has been frequently reported. This research used a qualitative method of inquiry to explore parents' experience of their child's treatment under GA, and their perception of the impact of this treatment on their child.Methods. The participants were parents whose children had recently undergone dental rehabilitation under GA. Data was collected by semistructured, open-ended interviews scheduled at the postoperative appointment. Interviews were audio-taped, transcribed, checked and coded into a qualitative computer software program for analysis. Data collection and analysis were done simultaneously, and the interview guide was modified based on responses.Results. Parents were troubled that their child needed a GA and appeared aware of the complications. While some parents felt 'guilty' and struggled to accept this mode of treatment for their child, others felt 'blameless', and were convinced that the GA was 'preferable' for their child and superior to conventional treatment. Nonetheless, all parents reported some levels of anxiety during the GA; they expressed their emotions with 'fear', 'worry' and 'concern'. After the GA, improvement was reported by most parents in their child's amount of dental pain, sleeping pattern, eating habits and acceptance of parental toothbrushing. The most common changes in their child's behaviour mentioned by parents were increased toothbrushing and decreased consumption of sugary foods. Several children who had had primary teeth extracted were distressed as a result of this 'loss'.Conclusion. The general anaesthetic experience was troubling in a variety of ways for both parents and children. However, an 'early' and positive outcome of the GA was a reported improvement in dental health practices. Parents were more positive about maintaining the health of primary teeth and now knew how to take care of their child's teeth. Future exploration is required to reveal if and how the GA experience will affect long-term preventive behaviours.