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牙科实践中重启新冠病毒感染高风险程序对牙科从业人员焦虑情绪的影响:一项重复测量研究

The Impact of Restarting the High-Risk Procedures for COVID-19 Infection in Dental Practice on the Anxiety of Dental Employees: A Study with Repeated Measures.

作者信息

Kirli M Cakir, Kirli U

机构信息

Department of Endodontics, Faculty of Dentistry, Yuzuncu Yil University, Van, Turkey.

Department of Psychiatry, Faculty of Medicine, Yuzuncu Yil University, Van, Turkey; School of Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands.

出版信息

Niger J Clin Pract. 2021 Sep;24(9):1391-1396. doi: 10.4103/njcp.njcp_659_20.

DOI:10.4103/njcp.njcp_659_20
PMID:34531355
Abstract

BACKGROUND

As SARS-CoV-2 is detected in the infected patients' saliva, dental employees performing aerosol-generating procedures are at high risk of being infected/spreading the infection.

AIMS

This study aimed to assess the impact of restarting the high-risk procedures for COVID-19 infection in dental practice during the pandemic on the anxiety levels of dental employees.

METHODS

All dental employees (dentists, nurses, data entry/cleaning staff) working in a university dental clinic were invited to the study and eighty-one employees (response rate: 97.5%) participated in the study. The volunteers' anxiety was measured consecutively twice with the State-Trait Anxiety Scale: First, on the day prior to restarting the high-risk procedures and the second, on the day these procedures began. Data were analyzed using t tests and the repeated measures ANOVA.

RESULTS

The state anxiety level of the dental employees increased significantly on the day that the high risk procedures were restarted (mean 42.6 vs. 49.0, d = 0.6, P < 0.001). Concerning the subgroups, the increase in state anxiety levels was significant for females (t = 3,7; d = 0,8; P < 0.001), dentists working in departments of endodontics and restorative dental care (t = 3,5; d = 0,9; P < 0.001) and nurses (t = 2,8; d = 0,9; P < 0.001). The analysis showed no significant difference in trait anxiety levels between the assessment days (mean 44.0 vs. 44.2, P = 0.9).

CONCLUSIONS

Restarting the high-risk procedures for COVID-19 infection in dental practice during the pandemic seems to be an extra stressor for dental employees' who already have high anxiety levels during the pandemic.

摘要

背景

由于在感染患者的唾液中检测到严重急性呼吸综合征冠状病毒2(SARS-CoV-2),进行产生气溶胶操作的牙科工作人员面临着被感染/传播感染的高风险。

目的

本研究旨在评估在大流行期间牙科诊所重新启动针对2019冠状病毒病(COVID-19)感染的高风险操作对牙科工作人员焦虑水平的影响。

方法

邀请在大学牙科诊所工作的所有牙科工作人员(牙医、护士、数据录入/清洁人员)参与研究,81名工作人员(回复率:97.5%)参与了研究。使用状态-特质焦虑量表连续两次测量志愿者的焦虑程度:第一次,在重新启动高风险操作的前一天;第二次,在这些操作开始的当天。使用t检验和重复测量方差分析对数据进行分析。

结果

在重新启动高风险操作的当天,牙科工作人员的状态焦虑水平显著增加(平均42.6对49.0,d = 0.6,P < 0.001)。关于亚组,女性(t = 3.7;d = 0.8;P < 0.001)、牙髓病科和口腔修复科的牙医(t = 3.5;d = 0.9;P < 0.001)以及护士(t = 2.8;d = 0.9;P < 0.001)的状态焦虑水平增加显著。分析显示评估日之间的特质焦虑水平没有显著差异(平均44.0对44.2,P = 0.9)。

结论

在大流行期间牙科诊所重新启动针对COVID-19感染的高风险操作似乎是已经在大流行期间处于高焦虑水平的牙科工作人员的额外压力源。

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