Obarisiagbon A, Azodo Cc, Omoaregba Jo, James Bo
Department of Oral and Maxillofacial Surgery, University of Benin Teaching Hospital, Benin City, Edo State, Southern Nigeria.
Department of Periodontics, University of Benin, Benin City, Edo State, Southern Nigeria.
Ann Med Health Sci Res. 2014 Nov;4(6):869-74. doi: 10.4103/2141-9248.144885.
Undetected and unaddressed anxiety negatively affects performance in clinical learning environments.
The aim was to investigate the anxiety provoking situations in clinical dental care delivery among students of preclinical and clinical years and house officers.
A 38-item modified Moss and McManus clinical anxiety questionnaire, general health questionnaire-12 (GHQ-12) and the Zung self-rating anxiety scale were the data collection tools.
Of the 84 recruited, 79 completed the study giving 94.0% (79/84) response rate. The median age of the participants was 25 years with 50.6% (40/79) being 20-25 years. Gender distribution revealed that males constituted 60.8% (48/79) of the participants. House officers constituted 29.1% (23/79), clinical students 36.7% (29/79), and preclinical students 34.2 (27/79) of the participants. The top anxiety provoking situations using the modified Moss and McManus clinical anxiety questionnaire were extracting wrong tooth 3.24 (1.06), inability to pass examination 3.32 (1.01), achieving examination requirement 3.19 (1.01), fracturing a tooth 3.08 (0.98) and accidental pulp exposure 2.96 (1.04). Getting diagnosis wrong, help in faint episode, not developing radiograph properly and coping with children were the anxiety provoking situations that showed statistically significant difference in the 3 studied training stages of dentistry. Bonferroni post-hoc analysis significant difference was in the preclinical and clinical students' pair for getting diagnosis wrong, not developing radiograph properly and coping with children while house officers/clinical students and house officers/preclinical students' pairs were for help in faint episode. Overall, 2.5% (2/79) had severe, 69.6% (55/79) moderate, 26.6% (21/79) mild clinical anxiety while 1 (1.3%) of the participants expressed no clinical anxiety.
Data from this study revealed that the clinical anxiety of moderate severity was prevalent among the studied dental healthcare students. The anxiety-provoking situations were also found to be majorly similar in preclinical, clinical and post-graduation clinical stages of dental training stages in Nigeria.
未被察觉和未得到解决的焦虑会对临床学习环境中的表现产生负面影响。
旨在调查临床前和临床阶段的学生以及住院医师在临床牙科护理过程中引发焦虑的情况。
采用一份经过修改的包含38个条目的莫斯和麦克马纳斯临床焦虑问卷、一般健康问卷-12（GHQ-12）以及zung自评焦虑量表作为数据收集工具。
在招募的84名研究对象中，79人完成了研究，回复率为94.0%（79/84）。参与者的年龄中位数为25岁，其中50.6%（40/79）年龄在20至25岁之间。性别分布显示，男性占参与者的60.8%（48/79）。住院医师占参与者的29.1%（23/79），临床学生占36.7%（29/79），临床前学生占34.2%（27/79）。使用经过修改的莫斯和麦克马纳斯临床焦虑问卷得出的引发焦虑的主要情况包括：拔错牙3.24（1.06）、无法通过考试3.32（1.01）、达到考试要求3.19（1.01）、牙齿折断3.08（0.98）以及意外穿髓2.96（1.04）。诊断错误、晕厥发作时的帮助、X线片拍摄不当以及应对儿童是在牙科学的3个研究培训阶段中显示出统计学显著差异的引发焦虑的情况。Bonferroni事后分析显示，在临床前和临床学生组中，诊断错误、X线片拍摄不当以及应对儿童方面存在显著差异，而在住院医师/临床学生组和住院医师/临床前学生组中，晕厥发作时的帮助方面存在显著差异。总体而言，2.5%（2/79）有严重临床焦虑，69.6%（55/79）有中度临床焦虑，26.6%（21/79）有轻度临床焦虑，而1名（1.3%）参与者未表现出临床焦虑。
本研究数据显示，中度严重程度的临床焦虑在受试牙科保健学生中普遍存在。在尼日利亚，牙科学培训阶段的临床前、临床和毕业后临床阶段中，引发焦虑的情况也大体相似。
