牙科领域传递坏消息时基于协议的培训需求：沙特阿拉伯吉达牙科专业人员的横断面调查
The Need for Protocol-Based Training in Delivering Bad News in Dentistry: A Cross-Sectional Survey Among Dental Professionals in Jeddah, Saudi Arabia.
作者信息
Qutob Akram F
机构信息
Dental Public Health/Pediatric Dentistry, King Abdulaziz University, Jeddah, SAU.
出版信息
Cureus. 2024 Jan 13;16(1):e52218. doi: 10.7759/cureus.52218. eCollection 2024 Jan.
AIM
This study aimed to explore the awareness and utilization of protocols (e.g., the SPIKES protocol) for delivering bad news among dental professionals and the perceived need for such training.
METHODS
This study employed a cross-sectional design. A web-based self-administered questionnaire was distributed among dental students, general dentists, and dental specialists/consultants in Jeddah City through social media groups. The questionnaire included questions regarding the knowledge, attitudes, and practices of delivering bad news in dentistry and the use of the SPIKES protocol. Descriptive statistics and bivariate and multivariate analyses were performed to determine the research objectives.
RESULTS
Two hundred and twelve participants responded to the questionnaire, with an almost equal distribution between genders. Specialists/consultants and dental students comprised 87.8% of the respondents. Most respondents (70%) were unaware of any protocols for delivering bad news, and approximately 89% were unaware of the SPIKES protocol. Only 7% reported using the SPIKES protocol to deliver bad news. The bivariate analysis revealed two significant associations. The first association indicated a variation in awareness based on professional status, and the second suggested that experience in delivering bad news affected perceptions of the importance of protocol-based training. Logistic regression models revealed that specialist/consultant status was significantly associated with decreased awareness of protocols (OR = 0.287, 95% CI 0.091-0.903) as compared to general dentists and that other variables, including sex and experience in delivering bad news, did not indicate a statistically significant effect.
CONCLUSION
Most dentists in Jeddah reported the need to be familiar with and practice delivering bad news in dentistry. They agreed that it would improve patients' acceptance of bad news if it were performed in a systematic and organized manner (e.g., the SPIKES protocol).
目的
本研究旨在探讨牙科专业人员对传递坏消息的方案（如SPIKES方案）的认知与应用情况，以及对这类培训的感知需求。
方法
本研究采用横断面设计。通过社交媒体群组，向吉达市的牙科学生、普通牙医以及牙科专家/顾问发放基于网络的自填式问卷。问卷包含有关牙科领域传递坏消息的知识、态度和实践以及SPIKES方案使用情况的问题。进行描述性统计以及双变量和多变量分析以确定研究目标。
结果
212名参与者回复了问卷，男女分布几乎相等。专家/顾问和牙科学生占受访者的87.8%。大多数受访者（70%）不知道任何传递坏消息的方案，约89%不知道SPIKES方案。只有7%的人报告使用SPIKES方案传递坏消息。双变量分析揭示了两个显著关联。第一个关联表明基于专业地位的认知存在差异，第二个关联表明传递坏消息的经验影响对基于方案培训重要性的认知。逻辑回归模型显示，与普通牙医相比，专家/顾问身份与方案认知度降低显著相关（OR = 0.287，95% CI 0.091 - 0.903），而包括性别和传递坏消息经验在内的其他变量未显示出统计学上的显著影响。
结论
吉达的大多数牙医表示需要熟悉并实践在牙科中传递坏消息。他们一致认为，如果以系统且有组织的方式（如SPIKES方案）进行，将提高患者对坏消息的接受度。
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