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波兰 COVID-19 爆发期间牙医的态度和专业方法:一项横断面调查。

The Attitudes and Professional Approaches of Dental Practitioners during the COVID-19 Outbreak in Poland: A Cross-Sectional Survey.

机构信息

Department of Dental Prosthetics and Dental Materials, Medical University of Silesia, 40-055 Katowice, Poland.

Department of Conservative Dentistry and Endodontics, Medical University of Silesia, 40-055 Katowice, Poland.

出版信息

Int J Environ Res Public Health. 2020 Jun 30;17(13):4703. doi: 10.3390/ijerph17134703.

Abstract

UNLABELLED

The coronavirus infectious disease 2019 (COVID-19) pandemic has put enormous pressure on health care systems around the world. Dentistry has had to adjust to the new epidemic situation to not only bring relief to suffering patients but also to avoid becoming a source of SARS-CoV-2 transmission.

METHODS

A comprehensive, cross-sectional survey was conducted between April 6 and 16, 2020 among 875 Polish dental practitioners. The aim of the research was to assess dentists' attitudes and professional approaches resulting from the COVID-19 pandemic.

RESULTS

71.2% of dentists who responded to the questionnaire decided to suspend their clinical practice during that particular time. The main factors for this fact were the shortage of personal protective equipment (PPE), the respondents' subjective perceptions of the risk of COVID-19 contraction and a general feeling of anxiety and uncertainty regarding the COVID-19 situation. The authors observed a significant decrease in the number of patients admitted weekly in April 2020 (12.06; SD, 11.55) in comparison to that in the time before the state of pandemic was declared on March 11, 2020 (49.21; SD, 24.97).

CONCLUSIONS

Due to the unpreparedness of the dental sector, both in national health and private settings, most of the Polish dentists decided to voluntarily suspend their clinical practice in order to mitigate the spread of the disease. The COVID-19 outbreak has revealed numerous shortcomings in the dental care system, especially regarding the insufficient coordination of health services related to the pandemic and lack of advanced PPE. This has led to an overwhelming feeling of fear, confusion and anxiety among dental professionals in Poland and a sudden decrease in the number of performed dental procedures. Hopefully enriched with the recent experience and due to the implementation of proper strategic and long-term measures, dental practitioners will be better prepared and adapted to global health care disruptions in the future.

摘要

目的

描述 COVID-19 大流行期间波兰牙科医生的态度和专业做法。

方法

2020 年 4 月 6 日至 16 日,对 875 名波兰牙科医生进行了一项全面的横断面调查。研究目的是评估 COVID-19 大流行期间牙科医生的态度和专业做法。

结果

71.2%的受访者决定在这段时间内暂停临床实践。主要原因是个人防护设备(PPE)短缺、受访者对 COVID-19 感染风险的主观认知以及对 COVID-19 形势的普遍焦虑和不确定性。作者观察到,与 2020 年 3 月 11 日宣布大流行状态之前相比,2020 年 4 月每周收治的患者数量显著减少(12.06;SD,11.55)。

结论

由于牙科部门在国家卫生和私人环境中都没有做好准备,大多数波兰牙医决定自愿暂停临床实践,以减轻疾病的传播。COVID-19 疫情暴露出牙科保健系统的许多缺陷,尤其是在与大流行相关的卫生服务协调不足和缺乏先进的 PPE 方面。这导致波兰牙科专业人员感到恐惧、困惑和焦虑,牙科治疗数量突然减少。希望通过最近的经验,并通过实施适当的战略和长期措施,牙科医生在未来能够更好地为全球医疗保健中断做好准备并进行调整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27e4/7370196/d4a99c698805/ijerph-17-04703-g001.jpg

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