牙医对阻塞性睡眠呼吸暂停的认识和态度。
Knowledge and Attitude of Dentists Towards Obstructive Sleep Apnea.
机构信息
Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Ministry of Health, Jeddah, Saudi Arabia.
出版信息
Int Dent J. 2022 Jun;72(3):315-321. doi: 10.1016/j.identj.2021.05.004. Epub 2021 Jun 28.
BACKGROUND
Obstructive sleep apnoea (OSA) is the most common sleep-related breathing disorder. Dentists should play an essential role in OSA screening, referral, and management. However, few studies have investigated dentists' knowledge and attitude towards OSA.
OBJECTIVE
This cross-sectional survey aimed to assess the level of knowledge and attitude regarding OSA amongst dentists and evaluate whether the level of knowledge affects their attitude towards OSA.
METHODS
Using the Google Forms platform, an online questionnaire was distributed via e-mail to all Ministry of Health dentists (N = 352). The questionnaire included 3 sections: demographics, knowledge, and attitude. Participant responses were stratified by professional title (general dentists, specialists, or consultants) and practice sector (primary health care centres or hospitals). Descriptive statistics, independent t tests, one-way analyses of variance, and Pearson's correlation were used to analyse the data.
RESULTS
Of the 352 dentists, 191 responded to the questionnaire (54.55%). Although 80.6% of the respondents reported having previous OSA knowledge in the self-assessment question, 65.58% scored below 12 in the total knowledge scores, and 63.35% scored below 3 in the total attitude scores based on Bloom's cutoff. The mean total knowledge score was 9.86, while the mean total attitude score was 2.08. No significant differences between the mean total knowledge and attitude scores were found based on sex, professional title, or practice sector. A positive and statistically significant correlation was found between total knowledge and attitude scores (P value = .001).
CONCLUSIONS
This study showed that dentists had a low OSA-related knowledge and a negative attitude towards OSA, and a positive association was seen between knowledge level and attitude. Dental practitioners with high knowledge scores tended to have a positive attitude towards OSA. These findings suggest that dentists in Jeddah require more education and clinical training in sleep medicine to maximise patient benefits and minimise adverse outcomes.
背景
阻塞性睡眠呼吸暂停（OSA）是最常见的与睡眠相关的呼吸障碍。牙医应在 OSA 的筛查、转诊和管理中发挥重要作用。然而，很少有研究调查过牙医对 OSA 的知识和态度。
目的
本横断面调查旨在评估牙医对 OSA 的知识水平和态度，并评估知识水平是否会影响他们对 OSA 的态度。
方法
使用 Google 表单平台，通过电子邮件向所有卫生部牙医（N=352）分发在线问卷。问卷包括 3 个部分：人口统计学、知识和态度。根据专业职称（普通牙医、专家或顾问）和实践部门（初级保健中心或医院）对参与者的回答进行分层。使用描述性统计、独立 t 检验、单因素方差分析和 Pearson 相关分析来分析数据。
结果
在 352 名牙医中，有 191 名回应了问卷（54.55%）。尽管 80.6%的受访者在自我评估问题中报告了之前对 OSA 的了解，但在总知识得分中，有 65.58%的人得分低于 12，在总态度得分中，有 63.35%的人得分低于 3 根据布鲁姆的得分标准。总知识得分的平均值为 9.86，总态度得分的平均值为 2.08。基于性别、专业职称或实践部门，总知识和态度得分之间没有显著差异。总知识和态度得分之间存在正相关且具有统计学意义（P 值=0.001）。
结论
本研究表明，牙医对 OSA 的相关知识水平较低，对 OSA 的态度消极，知识水平与态度之间存在正相关。知识得分较高的牙医对 OSA 的态度往往更为积极。这些发现表明，吉达的牙医需要更多的睡眠医学教育和临床培训，以最大限度地提高患者的受益并最大限度地减少不良后果。
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