Pulse Rate Change After Childhood Anxiety Management with Modeling and Reinforcement Technique of Children's Dental Care

Abstract

Objective: To know the influence of handling child anxiety with modeling and reinforcement technique on changes in pulse rate in dental and oral care. Material and Methods: The sample consisted of 53 children aged 6-12 years who first came to pedodontic clinic in dental and oral hospital education of Hasanuddin University. Anxiety level was measured using objective parameters, measurement of radial pulse. Measurement of anxiety level was done before and after modeling and reinforcement was given through three treatments: I: dental models; II: game and III: video modeling and reinforcement. Data analysis was done using the Kolmogorov-Smirnov test and Friedman test. Results: There was a decrease before and after modeling and reinforcement. Before intervention, the average pulse rates in treatment I, II and III were 90.79, 88.00 and 88.38, respectively. After intervention, the average decrease in pulse rate of five beats per minute seen in the first treatment (85.15), a decrease of seven beats per minute on the second treatment (81.98), while in treatment III the average decrease was eight beats per minute (80.19) (p<0.001). Conclusion: Modeling and reinforcement technique effectively reduces children's anxiety levels for dental and oral care.

Determinants of Longitudinal Measure Pulse Rate of Chronic Heart Failure Patients at Felege Hiwot Referral Hospital, Ethiopia: A Longitudinal Modeling Data Analysis

“…When patients had one more follow up the average pulse rate decreased by 0.2871 (p-value < 0.001). It was in line with the study, 18 indicating that after the intervention, the average decrease in pulse rate occurred over time.…”

Does Virtual Reality Affect Children’s Dental Anxiety, Pain, And Behaviour? A Randomised, Placebo-Controlled, Cross-Over Trial

“…Routine distraction techniques are widely used for behaviour management in paediatric dentistry because they are simple, safe, and inexpensive [7][8][9]. These techniques aim to distract children from painful and unpleasant stimuli by means of television (TV), music, and/or storytelling [8,[10][11][12].…”

Effect of Routine dental procedures on the pulse rate and peripheral oxygen saturation in pediatric patients

“…7,24 Assessing the dental anxiety and monitoring the vital changes in the child during the routine dental treatment will help the pediatric dentist to carry out proper behavior management techniques preferred for the anxiety provoking dental procedures. 13 The pulse is more sensitive to sympatho-adrenal outflow and the change is immediate than other hemodynamic variables 8 and oxygen saturation is regarded as fifth vital sign. 11 This study was carried out to determine the changes in these vitals in children undergoing routine dental procedures.…”

“…1,12 Pulse is part of the work system of the heart, thus in a state of heart pounding in the theory put forward by psychologists is one manifestation of physical symptoms in physiological level of anxiety. 13 The average pulse rate of a child is 80-100 times per minute with a faster rate if someone is anxious or afraid. 14,15 Blood oxygen saturation as measured by the pulse oximeter has been regarded as the fifth vital sign essential for efficient patient monitoring during medical and dental procedures.…”