Krekmanova Larisa, Nilsson Stefan, Hakeberg Magnus, Klingberg Gunilla, Robertson Agneta
Department of Pediatric Dentistry Institute of Odontology at the Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.
Institute of Health and Care Sciences, and University of Gothenburg Centre for Person-Centred Care, at the Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.
Paediatr Neonatal Pain. 2021 May 10;3(2):87-97. doi: 10.1002/pne2.12052. eCollection 2021 Jun.
The aim was to study general dental practitioners' knowledge and attitudes on pain and pain management in children and adolescents, using a multidimensional questionnaire. There is little information on dentists' views on pain in children. The research question was how attitudes and knowledge may correlate to the dentists' age, sex, years of professional experience, the proportion of working time devoted to treating children and adolescents, as well as being a parent. At the time of the study, 387 general dentists working for the Public Dental Service participated in a web-based, multidimensional validated questionnaire holding the categories (A) views on the care of children in pain, (B) physiology, (C) pain alleviation, (D) medication, (E) sociology/psychology, (F) Pain assessment instruments and methods, (G) non-medication methods of pain alleviation, and (H) documentation of pain management. The age categories were given as; below 25, 25-35, 36-45, 46-55 years, and older than 55 years of age. 71% of the responders were female. The dentists' age cohort, as well as the years of professional experience, tended to make a difference as to the pain interventions in children and adolescents ( < 0.03). The female dentists, in comparison to the male dentists, conveyed different pain treatment strategies ( < 0.03). The proportion of working time devoted to treating children and adolescents, as well as being a parent, did not show significant differences regarding pain strategies. Associations were observed between the age of the dentists studied, the number of years as professionals and the knowledge and attitudes that benefit children's pain treatment. Being a parent was not significant. In this studied group, female dentists displayed significantly more care regarding pain management, than did their male colleagues. Furthermore, the study highlighted the need for a short questionnaire, user-friendly yet with retained multidimensionality.
目的是使用一份多维问卷，研究普通牙科医生对儿童和青少年疼痛及疼痛管理的知识与态度。关于牙医对儿童疼痛看法的信息很少。研究问题是态度和知识如何与牙医的年龄、性别、专业经验年限、用于治疗儿童和青少年的工作时间比例以及是否为家长相关。在研究时，为公共牙科服务机构工作的387名普通牙医参与了一项基于网络的、经过验证的多维问卷，问卷包含以下类别：(A) 对疼痛儿童护理的看法，(B) 生理学，(C) 疼痛缓解，(D) 药物治疗，(E) 社会学/心理学，(F) 疼痛评估工具和方法，(G) 非药物疼痛缓解方法，以及(H) 疼痛管理记录。年龄类别分为：25岁以下、25 - 35岁、36 - 45岁、46 - 55岁以及55岁以上。71%的受访者为女性。牙医的年龄组以及专业经验年限，在对儿童和青少年的疼痛干预方面往往存在差异（P < 0.03）。与男性牙医相比，女性牙医传达了不同的疼痛治疗策略（P < 0.03）。用于治疗儿童和青少年的工作时间比例以及是否为家长，在疼痛策略方面未显示出显著差异。在所研究的牙医年龄、专业年限与有益于儿童疼痛治疗的知识和态度之间观察到了关联。是否为家长并不显著。在这个研究群体中，女性牙医在疼痛管理方面比男性同事表现出明显更多的关注。此外，该研究强调了需要一份简短的问卷，既用户友好又保留多维性。
