大学生牙科焦虑对口腔健康相关生活质量的影响及口腔健康行为的中介作用

The Effect of Dental Anxiety on Oral Health-Related Quality of Life and the Mediating Role of Oral Health Behaviors in College Students

摘要: 本研究主要探究大学生人群中牙科焦虑症的影响因素、牙科焦虑对口腔健康相关生活质量的影响、以及口腔健康行为在其中的中介作用。本研究采用独立样本T检验、Spearman相关性检验探究大学生人群中牙科焦虑症的影响因素，并运用Bootstrap法验证口腔护理行为在牙科焦虑状况影响口腔健康相关生活质量的中介作用。研究结果显示：1) 性别、专业(是否与口腔医学相关)对牙科焦虑状况的影响显著，是否有口腔治疗经验、是否长期进行口腔治疗对牙科焦虑状况的影响呈边缘显著；2) 广泛性医疗焦虑与牙科焦虑呈显著正相关关系；3) 口腔健康行为在牙科焦虑对口腔健康相关生活质量的影响中的部分中介效应显著。因此，丰富大学生口腔护理知识、增强大学生口腔护理意愿、同时直接有效引导大学生口腔健康行为三管齐下，或是改善大学生口腔健康相关生活质量的有效方法。

Abstract: Our research mainly focused on the influencing factors of dental anxiety among college students, the influence of dental anxiety on oral health-related quality of life, and the mediating role of oral health behaviors. In this study, independent sample T test and Spearman correlation test were used to explore the influencing factors of dental anxiety among college students, and Bootstrap method was used to verify the mediating role of oral care behaviors in the influence of dental anxiety on oral health-related quality of life. Our research results are showed as follows: 1) Gender and major (whether related to oral medicine or not) had statistically significant effects on dental anxiety. What’s more, the influence of oral treatment experience and long-term oral treatment on dental anxiety was marginal significant; 2) There was a significant positive correlation between general medical anxiety (such as injection and blood drawing) and dental anxiety; 3) Oral health behavior has a significant mediating effect on the influence of dental anxiety on oral health- related quality of life. Therefore, it may be an effective method to enrich college students’ oral care knowledge, enhance their oral care willingness, and directly and effectively guide college students’ oral health behaviors for improving their oral health-related quality of life.