基于Rodgers演化概念法成年人牙科焦虑症的概念分析 [中文引用][英文引用]

目的  系统分析成人牙科焦虑症的概念内涵，明确其属性、先决条件及后果，为针对性干预策略和评估工具开发提供理论依据，助力改善患者口腔健康结局。方法  系统检索中国知网、万方数据服务知识平台、维普网、SinoMed，PubMed，Web of Science，Science Direct，Cochrane Library 数据库，检索时限为建库至 2025 年 10 月 1 日，基于 Rodgers 演化概念分析法的理论框架进行讨论分析。结果  共纳入 36 篇文献，成年人牙科焦虑症包括情绪性反应、回避行为、生理反应、负性认知、感知失控 5 个概念属性；先决条件涉及创伤性经历、个体易感性、医患关系、社会因素；后果包括口腔健康恶化、经济负担加重、生活质量下降、代际传递。结论  成人牙科焦虑是涉及心理、生理、行为的复杂症候群，需多维度干预。未来应结合 AI 技术优化评估工具，开发整合认知行为疗法、抚慰犬辅助等非药物策略，并将 DA 防控纳入国家口腔健康政策体系。

Objective To systematically analyse the conceptual connotation of dental anxiety（DA）in adults，clarify its attributes，antecedents and consequences，thereby providing a theoretical basis for developing targeted intervention strategies and assessment tools，and improving oral health of patients. Methods Systematic searches were conducted on following databases from the inception to 1st October，2025：CNKI，Wanfang Data，VIP，SinoMed，PubMed，Web of Science，ScienceDirect，and the Cochrane Library. Rodgers’evolutionary concept analysis was used for analysis. Results A total of 36 articles were included. Adult DA encompassed five defined attributes：emotional responses，avoidance behaviours，physiological responses，negative cognition and perceived loss of control. Antecedents involved in traumatic experiences，individual susceptibility，dentist-patient relationship and social factors. Consequences included deterioration of oral health，increased financial burden，diminished quality of life and intergenerational transmission. Conclusion Adult DA is a complex syndrome that requires psychological，physiological and behavioural interventions. Future efforts should optimise assessment tools，develop non-pharmacological strategies by integrating cognitive-behavioural therapy dog assisted interventions，and incorporate DA prevention and control into the national oral health policy.