The effect of progressive muscle relaxation on dental anxiety and dental fear of the disabled.
- Conditions
- Not Applicable
- Registration Number
- KCT0003378
- Lead Sponsor
- Seoul Dental Hospital for the Disabled
- Brief Summary
Oral morbidity rate among the patients with physical disabilities is high compared to the others as the treatments are often postponed due to the lack of cooperation from the patients. Even though the patients recognize the problem, dental anxiety and fear prevents them from timely treatments, resulting in deterioration in the oral health. Progressive muscle relaxation therapy is one of the treatment programs to reduce anxiety symptoms and has a number of benefits, so as to be commonly used in the medical field related to fear and anxiety. For that, this study was conducted to apply the therapy for the physically-disabled patients, to investigate its effects as a non-pharmacological dental treatment method. The study was a randomized clinical trial, and intervention period was from April 23, 2018 to September 3, 2018. As many as 70 patients voluntarily participated, and 64 subjects were selected following inclusion criteria. At the beginning of the trial, each 32 was allocated to intervention and control group, respectively (1:1 ratio). The two groups were compared for dental anxiety and dental fear through questionnaire and HRV (heart rate variability) at baseline and after 4 times of interventions. All the subjects were provided with identical education on oral health. Both the groups received 4 times of dental treatment. However, the intervention group was provided with 20 minutes of progressive muscle relaxation therapy and 10 minutes of education, as opposed to the control group, being provided with 10 minutes of education, before the treatment. After 4 times of intervention, dental anxiety was found to present a meaningful decrease for both of the groups, showing that dental health education contributed to addressing patient’s anxiety with the better communication supported by informed explanation and demonstration. However, at the questionnaire on dental anxiety, the mean value from intervention group declined by 6.69 while that of control group edged down 1.42, proving that combining the progressive muscle relaxation therapy with dental health education is more effective in reducing dental anxiety. As for dental fear, the questionnaire found that the mean value among the intervention group dropped 22.35 after the treatment, while the value of the control group decreased 7.03. It is presumed that the study result is more notable compared to the previous ones as it set the standard for dental anxiety and fear at 13. Conventional studies set the standard at 10. In case of sympathetic nerve items, the intervention group didn’t show a meaningful change. On the other hand, the control group presented a meaningful increase (P=0.0213). Both the mean beat per minute items (P=0.0176) and standard deviation of all nn items (P=0.0341) were found to decrease meaningfully among both the intervention group and control group. As a result, progressive muscle relaxation was found to contribute to addressing dental anxiety and fear, as well as stabilizing pulse and PRV (pulse rate variability). As seen, the progressive muscle relaxation can be an efficient intervention method to ease dental anxiety and fear of the patients with physical disability who are on the edge of outpatient treatment and anesthesia
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 64
The subjects with a mean score of 24 points on the cognitive function test (MMSE-K), those with a dysphoria anxiety questionnaire score of 13 points or more, a person aged 19 or older, Those who are able to respond to questions that understand and understand this study, except illiteracy, were targeted. However, in the case of the visually impaired patients, the research purpose and the contents of the questionnaire were read by the researcher objectively.
Exclusion criteria are psychiatric treatment, psychiatric inpatient treatment, psychiatric treatment, and those who have been diagnosed with mental disorders. A screening test was conducted among participants to select subjects (subjects) and exclude those who were not suitable for the criteria.
Study & Design
- Study Type
- Interventional Study
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Dental anxiety scale
- Secondary Outcome Measures
Name Time Method dental fear survey, HRV score