Carvalho Regina M, Costa Luciane R, Marcelo Vânia C
J Dent Educ. 2008 Nov;72(11):1343-9.
Dental students have little understanding about medical emergencies, and there is very little in-depth data about the importance they place on this important area that is fundamental to their professional training. This study aimed to identify the perceptions of a group of undergraduate dental students about the dentistry-medical emergency interface. Twenty undergraduate dental students at the Federal University of Goias, Brazil, took part in this study. The data were collected through in-depth interviews with these students and were interpreted using qualitative content analysis. Two themes emerged from this data analysis: dentistry as a comprehensive health science, and students' knowledge, feelings, and attitudes about medical emergencies in the dental office. Based on the students' perceptions, an interface between dentistry and medical emergencies in the dental office was proposed that is comprised of the following intertwined concepts: 1) dentistry is a health science profession that should focus on the whole patient instead of being limited to the oral cavity; 2) medical emergencies do occur in the dental office, but students' minimal knowledge about these incidents and their etiology causes feelings of insecurity, dissatisfaction, and a limited appreciation of the dentists' responsibility; and 3) the inability to perform proper basic life support (BLS) technique in the dental office is the ultimate consequence. Undergraduate health courses need to develop strategies to teach professionals and students appropriate behavior and attitudes when facing life-threatening emergencies.
牙科学生对医疗紧急情况了解甚少,而且关于他们对这一专业培训基础的重要领域重视程度的深入数据也非常少。本研究旨在确定一组本科牙科学生对牙科与医疗紧急情况界面的看法。巴西戈亚斯联邦大学的20名本科牙科学生参与了这项研究。通过对这些学生的深入访谈收集数据,并使用定性内容分析法进行解读。数据分析得出了两个主题:牙科作为一门综合健康科学,以及学生对牙科诊所医疗紧急情况的知识、感受和态度。基于学生的看法,提出了牙科诊所中牙科与医疗紧急情况之间的一个界面,该界面由以下相互交织的概念组成:1)牙科是一门健康科学专业,应关注整个患者,而不仅限于口腔;2)牙科诊所确实会发生医疗紧急情况,但学生对这些事件及其病因的了解极少,这导致了不安全感、不满情绪以及对牙医责任的认识有限;3)在牙科诊所无法进行适当的基本生命支持(BLS)技术是最终结果。本科健康课程需要制定策略,教导专业人员和学生在面对危及生命的紧急情况时采取适当的行为和态度。