Kaimenyi J T, Guthua S W, Wakiaga J, Kisumbi B
Department of Dental Surgery College of Health Sciences, University of Nairobi, Kenya.
East Afr Med J. 1994 Dec;71(12):811-5.
This study was done to determine the nature of utilization of dental auxiliaries and medical emergencies in private dental surgeries in Kenya. A self administering questionnaire with pre-paid postage was mailed to 138 dentists. 27.5% responded. 81.6% used dental auxiliaries and the main reason was to improve efficiency in managing patients. 93.5% of the auxiliaries were on job trained secondary school graduates. 63.2% of the respondents delegated duties which were mainly non-clinical. 26.3% did not delegate any duties. In a descending order, the reasons for non delegation were: that it would be risky to patients, not allowed by law, they did not find it necessary and that auxiliaries were not held responsible if something went wrong. The main duties delegated to the auxiliaries were cleaning of instruments and sterilization, mixing of restorative materials and preparing amalgam. Delegation was done primarily based on auxiliaries capability to perform the procedure and meet the set standards. 57.9% indicated that they rarely encountered medical emergencies. Syncope was the commonest emergency encountered. 72.7% indicated that auxiliaries could not handle medical emergencies because they were not trained. It is concluded that most dentists did not delegate clinical duties to dental auxiliaries and medical emergencies were rare.
本研究旨在确定肯尼亚私立牙科诊所中牙科辅助人员的使用情况及医疗紧急情况的性质。一份附预付费邮资的自填式问卷被邮寄给138名牙医。27.5%的人进行了回复。81.6%的人使用牙科辅助人员，主要原因是提高患者管理效率。93.5%的辅助人员是在职培训的中学毕业生。63.2%的受访者会分配职责，主要是分配非临床职责。26.3%的人不分配任何职责。不分配职责的原因按降序排列为：对患者有风险、法律不允许、认为没有必要以及如果出了问题辅助人员不用承担责任。分配给辅助人员的主要职责是器械清洁与消毒、修复材料调配和汞合金制备。职责分配主要基于辅助人员执行程序的能力和达到既定标准的情况。57.9%的人表示他们很少遇到医疗紧急情况。晕厥是最常遇到的紧急情况。72.7%的人表示辅助人员无法处理医疗紧急情况，因为他们没有接受过培训。研究得出结论，大多数牙医不将临床职责分配给牙科辅助人员，且医疗紧急情况很少发生。
