York Kaki M, Mlinac Michelle E, Deibler Marla W, Creed Torrey A, Ganem Ivonne
Department of Medicine, University of Florida, FL, USA.
J Dent Educ. 2007 Apr;71(4):532-9.
Dental schools are increasingly incorporating behavioral management strategies into the curriculum; however, little is known about the efficacy of this instruction. The purposes of this study were to evaluate student exposure to several categories of behavioral management techniques, assess student opportunity to observe faculty use of these techniques, and determine the extent of students' personal use of various behavioral management techniques. Third-year dental students (n=98, X age=26.52; s=4.05) were administered a survey assessing their exposure to and willingness to use behavioral management strategies. Results indicated differences between the techniques students recalled being taught and what they indicated they plan to use in their own future clinical practices. Student technique endorsement also varied as a function of student age, gender, ethnicity, and patient age. Despite increasing concerns regarding the use of these techniques, a significant minority of students stated that they were taught to use hand-over-mouth, verbal intimidation, and various forms of active and passive restraint/immobilization. While appreciation for behavioral management strategies within the dental school curriculum was demonstrated by the amount of didactic exposure students received, the need for increased experiential training is evident. Furthermore, student endorsement of controversial techniques appears to reflect the changing view of these techniques within the professional dental community.
牙科学院越来越多地将行为管理策略纳入课程;然而,对于这种教学的效果却知之甚少。本研究的目的是评估学生对几类行为管理技术的接触情况,评估学生观察教师使用这些技术的机会,并确定学生个人使用各种行为管理技术的程度。对三年级牙科学生(n = 98,平均年龄 = 26.52岁;标准差 = 4.05)进行了一项调查,评估他们对行为管理策略的接触情况以及使用意愿。结果表明,学生回忆所学的技术与他们表示自己未来临床实践中计划使用的技术之间存在差异。学生对技术的认可也因学生年龄、性别、种族和患者年龄而异。尽管对这些技术的使用越来越受到关注,但仍有相当一部分学生表示他们被教导使用捂住嘴、言语恐吓以及各种形式的主动和被动约束/固定。虽然学生接受的理论教学量表明了对牙科学院课程中行为管理策略的重视,但增加实践培训的必要性是显而易见的。此外,学生对有争议技术的认可似乎反映了牙科专业领域对这些技术看法的变化。