Al-Hidabi, Fatima Dawood
(2009)
Usage Of Dental General Anesthesia And Assessment
Of Fear Among Special Needs And Non-Special Needs
Children In Kota Bharu, Kelantan.
Masters thesis, Universiti Sains Malaysia.
Abstract
Pengenalan: Anestesia Umum Pergigian (AUP) diguna dengan meluas untuk memudahkan
rawatan pergigian agar selamat dan berkesan untuk pesakit yang mempunyai masalah fizikal,
mental dan berkompromi perubatan lagi takut dan tidak responsif kepada teknik ubahsuai
tingkah laku. Kajian ini bertujuan menentukan jenis rawatan yang dilakukan di bawah AUP dan
menilai tahap takut dalam kalangan subkjek. Kaedah: Satu kajian hirisan lintang retrospektif
telah dijalankan ke atas 193 subjek sihat dan 193 subjek berkeupayaan khusus yang berumur
kurang dari 18 tahun di dua pusat rujukan tertiari di Kota Bharu, Kelantan dari tahun 2001-2006
untuk mengenalpasti penggunaan AUP. Soalselidik Child Fear Survey Schedule-Dental Subscale
(CFSS-DS) diguna untuk menerangkan perasaan takut. Keputusan: Purata umur subjek adalah
7.4 (4.11) tahun. Masalah perubatan dalam kalangan pesakit berkeupayaan khusus termasuk
kardiovaskular, respiratori, syndrom, endokrin, perdarahan, anomali kraniofasial, neurologi,
kerosakan pelbagai sistem badan, autisme, miopati, metabolik dan HIV.
Introduction: Dental general anesthesia (DGA) is widely used to facilitate the provision
of safe and effective treatment for patients with physical, mental and medically
compromising conditions and anxious patients who fail to respond to behavior
modification techniques. This study aims to determine types of dental treatment and
assess perceived level of fear among study subjects.0 Materials and methods: A
comparative retrospective record review study of 193 special needs and 193 non-special
needs subjects aged less than 18 years was undertaken at two tertiary centers in Kota
Bharu, Kelantan from 2001-2006 to explore the utilization of DGA. Postal Child Fear
Survey Schedule-Dental Subscale (CFSS-DS) was used to describe dental anxiety and
fear. Results: Mean age was 7.4 (4.11) years. Medical problems among special needs
children were cardiovascular, respiratory, syndromes, endocrine, bleeding, craniofacial
anomalies, neurology, multi-system disorders, autism, myopathy, metabolic and HIV.
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