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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/34426完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 郭敏光 | |
| dc.contributor.author | Chin-Ping Chu | en |
| dc.contributor.author | 朱瑾萍 | zh_TW |
| dc.date.accessioned | 2021-06-13T06:07:59Z | - |
| dc.date.available | 2006-08-03 | |
| dc.date.copyright | 2006-08-03 | |
| dc.date.issued | 2006 | |
| dc.date.submitted | 2006-06-05 | |
| dc.identifier.citation | Aartman I, Everdingen TV, Hoogstraten J, Schuurs AHB (1996). Appraisal of behavioral measurement techniques for assessing dental anxiety and fear in children: A review. J Psyopath Behav Asses 18(2):153-171.
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/34426 | - |
| dc.description.abstract | 年幼的兒童在牙科治療時顯現不合作行為，常需合併身體束縛的使用，才能使治療順利地進行。雖然身體束縛在兒童牙科界偶爾使用，但相關研究卻不多。
研究目的：本實驗的目的欲探討治療不合作孩童，需使用身體束縛時，影響孩童行為的多種因素，以增進牙醫師對使用身體束縛時的瞭解。 實驗對象與方法：139位二歲至六歲學齡前孩童，因不合作行為，治療時需合併身體束縛者為觀察對象。以固定式攝影機全程記錄。再由兩位實驗記錄者獨立觀看影片，並分別逐項紀錄孩童之年齡、性別、牙醫師行為（Weintein dentist rating scale）、孩童行為（Frankl scale）家長陪同與束縛板使用次數等項目。最後，以迴歸模型進行多變項因子分析。 結果及結論：影響孩童第二次與末次就診時，是否使用束縛板和行為是否合作的因素與孩童的年齡、就診的次數、家長是否陪伴、牙醫師行為：「導引、指示」、「建立回饋」、「身體接觸」與「交談、對話」有關，其中又以「建立回饋」和「身體接觸」影響最大。而孩童性別、牙醫師行為：「同理心」則無顯著的影響。唯一影響三歲以下孩童行為的因素為家長的陪伴，然而此因素對三歲以上孩童則無顯著影響。牙醫師的行為對三歲以下孩童合併使用身體束縛並無顯著影響，而牙醫師行為：「建立回饋」和「身體接觸」則對三歲以上孩童末次就診時是否使用身體束縛、行為是否合作有顯著影響。 | zh_TW |
| dc.description.abstract | The purpose of using physical restraints during dental treatment for an uncooperative child is to gain cooperation for a safe course of treatment. However, there are few research about the clinical use of restraints.
Purpose: To find factors that may positively guide the child’s behavior and reducing use of physical restraints during dental treatments. Material and method: The sequential treatment sessions of 139 uncooperative children, age 2~6 year-old, who were treated under physical restraint were video-recorded. Two trained observers independently scored the behavior of children with the Frankl scale and that of dentists with Weinstein dentist rating scale. Multi-variate logistic regression model was used for data analyses. Results: Data analysis showed that children’s age, number of visits, parental company, and the dentist’s behavior: feedback and physical contact affect the child’s behavior under physical restraint. (p<0.01) Considering of child’s age : when children are younger than 3 years old, the only factor influences the use of restraint is parental company. But the presence or absence of parent did not affect the behavior of child who is older than 3 years old. For 3 years old or older children, the dentist’s behavior “feedback” and “physical contact” have significant effect on the probability of using restraint. However, when children are under 3 years old, the cooperation of children and the use of restraint could not be influenced by any strategies for behavior management by dentists. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-13T06:07:59Z (GMT). No. of bitstreams: 1 ntu-95-R92422019-1.pdf: 922220 bytes, checksum: 7c547e1ac076dd8ab7380100dfb8f9f4 (MD5) Previous issue date: 2006 | en |
| dc.description.tableofcontents | 目 錄
中文摘要………………………………………………………………6 英文摘要………………………………………………………………8 引言 ………………………………………………………………9 文獻回顧…………………………………………………………… 11 研究目的…………………………………………………………… 66 研究對象與方法…………………………………………………… 67 結果………………………………………………………………… 76 討論………………………………………………………………… 81 結論………………………………………………………………… 97 附表………………………………………………………………… 98 參考文獻…………………………………………………………… 116 附錄………………………………………………………………… 132 表 次 表一、 孩童之性別與年齡分佈情形.........................98 表二、各看診醫師使用身體束縛的情況......................99 表三、多變項因子迴歸分析：各因素影響末次就診時束縛板使用的情 況...............................................100 表四、孩童行為合作度與束縛板使用之關係.................101 表五、牙醫師各類行為的相關性...........................102 表六、多變項因子迴歸分析：牙醫師行為第二類.............103 表七、多變項因子迴歸分析：牙醫師行為第一、三類.........104 表八、多變項因子迴歸分析：牙醫師行為第四、五類.........105 表九、多變項因子迴歸分析：年齡小於三歲與否.............106 表十、多變項因子迴歸分析： 就診次數是否大於三次........108 表十一、多變項因子迴歸分析：各因素影響第二次就診時束縛板使用 的情況.........................................110 圖一、治療的牙醫師與孩童之關係..........................111 圖二、就診次數分佈圖....................................112 圖三、第一次、第二次與末次就診時，束縛板使用的情形......113 圖四、使用束縛板後，行為改善. 與否的情形............... 114 圖五、治療過程中，家長陪伴的情況，與行為改善與否之關係..115 附 錄 附錄一、Weinstein Dentist Behaviour Scale………….. …......132 附錄二、本研究使用之表格 ……………………………………. ..134 附錄三、The Frankl Scale ………………………………….......... 136 | |
| dc.language.iso | zh-TW | |
| dc.subject | 行為管理 | zh_TW |
| dc.subject | 束縛板 | zh_TW |
| dc.subject | 身體束縛 | zh_TW |
| dc.subject | physical resatraint | en |
| dc.subject | resttraint | en |
| dc.subject | behavior management | en |
| dc.title | 影響不合作孩童就診時
合併身體束縛後行為表現的各項因素探討 | zh_TW |
| dc.title | A study on the factors influencing the outcomes of physical restraints
for uncooperative child dental patients | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 94-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 藍萬烘,黃純德 | |
| dc.subject.keyword | 身體束縛,束縛板,行為管理, | zh_TW |
| dc.subject.keyword | physical resatraint,resttraint,behavior management, | en |
| dc.relation.page | 136 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2006-06-06 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 臨床牙醫學研究所 | zh_TW |
| 顯示於系所單位： | 臨床牙醫學研究所 | |
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