Mollamohammadi Kermani Sara, Kuzekanani Maryam, Walsh Laurence James, Mirzaee Moghaddameh
Student Research Committee, Kerman University of Medical Sciences and Health Services, Kerman, Iran.
Endodontology Research Center, Department of Endodontics, Kerman University of Medical Sciences and Health Services, Kerman, Iran.
Iran Endod J. 2025;20(1):e25. doi: 10.22037/iej.v20i1.47343. Epub 2025 May 26.
The high prevalence of diabetes mellitus and related consequences in all populations of the world makes their management an important challenge in endodontic practice. This study aimed to evaluate the knowledge, attitudes, and performance of Iranian endodontists regarding the management of diabetic patients.
Questionnaires with 18 items were distributed to Iranian endodontists from different geographical provinces of Iran using social media. Responses to each question used a five-point Likert scale. Data for responses were analyzed using Chi-square or Fisher's exact tests.
A total of 101 valid responses were returned for analysis (50 men and 51 women). None of the respondents had aggregated scores that were rated as unfavorable on 3 domains. Knowledge was rated as favorable for 81% and acceptable for the remaining 19%. Attitude was rated as favorable for 63%, and acceptable for 37%, while performance was rated as favorable for 98% and acceptable for the remaining 2%. Also, none of the 3 variables under evaluation were influenced by demographic factors or by work experience. The most common areas of uncertainty for respondents were monitoring blood for glucose or glycated hemoglobin concentration, and decisions regarding when to prescribe antibiotics.
Overall, this cohort of endodontists displayed a high level of knowledge of the major issues involved in diabetic patient care and were confident in providing clinical care. Future programs for continuing professional development for endodontists should consider current methods used for monitoring blood glucose and glycated hemoglobin, both as point-of-care or personal devices. In addition, further education is needed on antibiotic stewardship.
糖尿病在世界所有人群中的高患病率及其相关后果使得糖尿病患者的管理成为牙髓病治疗实践中的一项重大挑战。本研究旨在评估伊朗牙髓病医生在糖尿病患者管理方面的知识、态度和表现。
通过社交媒体向来自伊朗不同地理省份的牙髓病医生发放了包含18个条目的问卷。对每个问题的回答采用五点李克特量表。使用卡方检验或费舍尔精确检验对回答数据进行分析。
共收回101份有效问卷用于分析（50名男性和51名女性）。在三个领域中，没有受访者的综合得分被评为不利。知识方面，81%被评为良好，其余19%为可接受。态度方面，63%被评为良好，37%为可接受，而表现方面，98%被评为良好，其余2%为可接受。此外，所评估的三个变量均未受人口统计学因素或工作经验的影响。受访者最常见的不确定领域是监测血糖或糖化血红蛋白浓度，以及关于何时开具抗生素的决策。
总体而言，这群牙髓病医生对糖尿病患者护理中涉及的主要问题表现出较高的知识水平，并对提供临床护理充满信心。牙髓病医生未来的继续职业发展项目应考虑目前用于监测血糖和糖化血红蛋白的方法，无论是即时检测设备还是个人设备。此外，还需要在抗生素管理方面进行进一步教育。
