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阿联酋急诊科医生和住院医师对创伤性牙损伤的管理知识

Knowledge of Management of Traumatic Dental Injuries of Emergency Department Physicians and Residents in the United Arab Emirates.

作者信息

Al Mahmoud Amal, Al Halabi Manal, Hussein Iyad, Kowash Mawlood

机构信息

Pediatric dentist in private practice, Department of Pediatric Dentistry, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.

Associate professor and chair, Department of Pediatric Dentistry, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates, Email:

出版信息

J Dent Child (Chic). 2019 Jan 15;86(1):24-31.

Abstract

To investigate knowledge of emergency department physicians and residents (ED-Drs) about management of traumatic dental injuries (TDI) in the United Arab Emirates (UAE).
A cross sectional study of ED-Drs was conducted using a questionnaire and a score of TDI knowledge (TDI-K) was created (maximum of six). Statistical analysis was performed using chi-square, Fisher's exact, Mann-Whitney U, and Kruskal-Wallis tests, and significance was set as <0.05.
One hundred fifty-five physicians participated, with one-third reporting they encountered TDI more than once a week. Sixty percent of ED-Drs had received TDI education, of which a significantly higher proportion (84.4 percent) were Western-trained ( =0.007). Consultants and specialists had the highest knowledge scores ( =0.001). ED-Drs with five to 10 years' experience scored significantly lower (3.07±1.65) than those with less than five years of experience (3.86±1.36) and those with more than 10 years of experience (3.83±1.36, =0.034). Only 38.2 percent of general practitioners (GPs) were confident placing sutures intraorally, compared to 80.6 percent of the consultants and specialists and 57.1 percent of the residents.
Overall knowledge of TDI and their management among ED-Drs across the UAE is inadequate. GPs had the lowest knowledge and confidence to manage TDI.

摘要

调查阿联酋急诊科医生和住院医师(ED-Drs)对外伤性牙损伤(TDI)管理的了解情况。

对ED-Drs进行了一项横断面研究,使用问卷调查,并创建了一个TDI知识评分(TDI-K)(最高分为6分)。使用卡方检验、费舍尔精确检验、曼-惠特尼U检验和克鲁斯卡尔-沃利斯检验进行统计分析,显著性设定为<0.05。

155名医生参与了研究,其中三分之一报告称他们每周遇到TDI不止一次。60%的ED-Drs接受过TDI教育,其中接受西方培训的比例显著更高(84.4%)(P = 0.007)。顾问和专家的知识得分最高(P = 0.001)。有5至10年经验的ED-Drs得分(3.07±1.65)显著低于经验不足5年的(3.86±1.36)和经验超过10年的(3.83±1.36,P = 0.034)。只有38.2%的全科医生(GPs)对口腔内缝合有信心,而顾问和专家的这一比例为80.6%,住院医师为57.1%。

阿联酋各地ED-Drs对TDI及其管理的总体知识不足。全科医生对管理TDI的知识和信心最低。

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