沙特阿拉伯东部省份牙科诊所的牙科焦虑筛查与管理实践

Dental Anxiety Screening and Management Practices in Dental Practice in Eastern Province, Saudi Arabia.

作者信息

AlMuhaish Luba, AlArfaj AlHanoof, AlGhannam Maha, AlMutiri Hadeel, Abuhassan Sarah, Asiri Amal, Nazir Muhammad Ashraf

机构信息

College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Department of Dental Education, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

Patient Prefer Adherence. 2022 Dec 29;16:3429-3439. doi: 10.2147/PPA.S393399. eCollection 2022.

DOI:10.2147/PPA.S393399

PMID:36601029

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9807122/

Abstract

PURPOSE

The purpose of the study was to investigate dental anxiety (DA) screening and management practices among dental professionals in Saudi Arabia. The study also evaluated correlation between patients' self-reported DA and dentists' ratings of patients' DA.

PARTICIPANTS AND METHODS

This cross-sectional observational study included dentist/patient pairs (N = 279) from the Eastern Province of Saudi Arabia. The dentists responded to a questionnaire about their DA screening and management practices and they evaluated patients' DA using the visual analogue scale (VAS). In addition, patients responded to the Modified Dental Anxiety Scale (MDAS) to measure their DA.

RESULTS

About 15.1% of dentists reported using a published scale for screening DA in dental practice and Corah's Dental Anxiety Scale and Dental Fear Survey were their main scales. However, 69.2% reported directly asking their patients about DA. The use of DA management technique was reported by 89.6% of the dentists. Approximately half of the participants (53%) reported receiving DA training in their undergraduate dentistry programs and 65.2% expressed their interest in continuing education courses related to DA. In multiple logistic regression analysis, statistically significant factors associated with DA screening practice included gender (AOR = 0.46, P = 0.037), place of work (AOR = 3.68, P = 0.039), and interest in continuing education courses (AOR = 3.21, P = 0.015). Monthly income (AOR = 0.20, P = 0.029) and directly asking patient about DA (AOR = 6.15, P = 0.025) were significant factors associated with management of patients with DA. The study also showed a significant but weak correlation between DA evaluated by the dentists and DA reported by the patients (rho = 0.185, P = 0.002).

CONCLUSION

The present study showed a low prevalence of DA screening practices among dentists. Dentists' rating of patients' DA weakly correlated with patients' self-reported DA.

摘要

目的

本研究旨在调查沙特阿拉伯牙科专业人员的牙科焦虑（DA）筛查和管理实践。该研究还评估了患者自我报告的DA与牙医对患者DA评分之间的相关性。

参与者与方法

这项横断面观察性研究纳入了沙特阿拉伯东部省份的牙医/患者对（N = 279）。牙医回答了一份关于他们的DA筛查和管理实践的问卷，并使用视觉模拟量表（VAS）评估患者的DA。此外，患者回答了改良牙科焦虑量表（MDAS）以测量他们的DA。

结果

约15.1%的牙医报告在牙科实践中使用已发表的量表进行DA筛查，科拉牙科焦虑量表和牙科恐惧调查问卷是他们主要使用的量表。然而，69.2%的牙医报告直接询问患者有关DA的情况。89.6%的牙医报告使用了DA管理技术。大约一半的参与者（53%）报告在本科牙科课程中接受过DA培训，65.2%表示对与DA相关的继续教育课程感兴趣。在多因素逻辑回归分析中，与DA筛查实践相关的具有统计学意义的因素包括性别（比值比[AOR]=0.46，P = 0.037）、工作地点（AOR = 3.68，P = 0.039）以及对继续教育课程的兴趣（AOR = 3.21，P = 0.015）。月收入（AOR = 0.20，P = 0.029）和直接询问患者有关DA的情况（AOR = 6.15，P = 0.025）是与DA患者管理相关的重要因素。该研究还显示，牙医评估的DA与患者报告的DA之间存在显著但较弱的相关性（rho = 0.185，P = 0.002）。