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在与感染新冠病毒的患者打交道的医护人员中,口腔颌面部系统症状的发生及加重情况在男性和女性之间的差异。

Difference in the occurrence and intensification symptoms of stomatognathic system between women and men in medical staff working with patients infected with COVID-19.

作者信息

Bogucki Zdzisław Artur, Giniewicz Katarzyna

机构信息

Department of Prosthetic Dentistry, Wroclaw Medical University, Poland.

Statistical Analysis Centre, Wroclaw Medical University, Poland.

出版信息

Adv Clin Exp Med. 2022 Apr;31(4):457-464. doi: 10.17219/acem/147672.

Abstract

BACKGROUND

One of the groups most exposed to potentially harmful effects of the current pandemic on physical and mental health is medical personnel, in particular those working directly with patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or suffering from coronavirus disease 2019 (COVID-19).

OBJECTIVES

The response of the body to a persisting threat, constant contact with dying people and frequent deaths of patients is chronic stress syndrome. Its symptoms may take the form of psychosomatic or somatic reactions. The aim of the study was to determine the effect of stress on the severity of temporomandibular syndrome (TMD) in medical personnel.

MATERIAL AND METHODS

The study included a group of 160 people - 120 women and 40 men aged 35-60 years, working at the hospital wards as doctors, nurses and support staff, directly with patients infected with SARS-CoV-2 and suffering from COVID-19. The research was conducted in the form of a cross-sectional survey with the use of anonymous questionnaire. The final questionnaire was developed based on the tools commonly used for TMD, bruxism, anxiety, and depression assessment - 8Q/TMD and the Patient Health Questionnaire-8 (PHQ-8).

RESULTS

After checking the significance of differences in responses to individual questions among men and women and applying the Bonferroni correction for multiple comparisons, Fisher's test and p-values for individual responses, an increase in pathological reactions was shown. The results showed that the COVID-19 pandemic has caused significant adverse effects on the psychoemotional status and causes or aggravates TMD symptoms.

CONCLUSION

The aggravation of the psychoemotional status caused by the COVID-19 pandemic can result in intensification of TMD symptoms and other symptoms in the stomatognathic system in medical staff working with patients infected with COVID-19.

摘要

背景

在当前大流行对身心健康产生潜在有害影响的人群中,医务人员是最易受影响的群体之一,尤其是那些直接与感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)或患有2019冠状病毒病(COVID-19)的患者打交道的人员。

目的

身体对持续威胁、与濒死者的持续接触以及患者频繁死亡的反应是慢性应激综合征。其症状可能表现为身心反应或躯体反应。本研究的目的是确定压力对医务人员颞下颌关节紊乱综合征(TMD)严重程度的影响。

材料与方法

该研究纳入了160人,其中120名女性和40名男性,年龄在35至60岁之间,在医院病房担任医生、护士和辅助人员,直接与感染SARS-CoV-2和患有COVID-19的患者接触。研究采用匿名问卷调查的横断面调查形式进行。最终问卷是基于常用于TMD、磨牙症、焦虑和抑郁评估的工具——8Q/TMD和患者健康问卷-8(PHQ-8)编制的。

结果

在检查男性和女性对各个问题回答的差异显著性,并应用Bonferroni多重比较校正、Fisher检验和各个回答的p值后,显示出病理反应增加。结果表明,COVID-19大流行对心理情绪状态产生了显著的不利影响,并导致或加重了TMD症状。

结论

COVID-19大流行导致的心理情绪状态恶化可能会使与感染COVID-19患者打交道的医务人员的TMD症状以及口腔颌面部系统的其他症状加重。

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