Diş Hekimlerinin COVID-19 Salgını Sürecinde Korku Düzeylerinin ve Klinik Uygulamalarındaki Değişikliklerinin Değerlendirilmesi

Amaç: Bu çalışmada; COVID-19 salgını sürecinde diş hekimlerinin COVID-19 ile ilgili bilgi düzeylerin ve korku-anksiyete düzeylerinin belirlenmesi ayrıca bu süreçteki klinik uygulamalarında meydan gelen değişiklikleri değerlendirmek amaçlanmaktadır. Yöntem: Bu amaç ile katılımcıların sosyo demografik bilgilerini, COVID-19 ile ilgili bilgi ve korku düzeylerini ve salgın sürecinde klinik uygulamalarında meydana gelen değişiklikleri değerlendiren 30 sorudan oluşan online bir anket oluşturulmuştur. Türkiye genelinde 511 diş hekiminden elde edilen veriler istatistiksel olarak değerlendirilmiştir. Bulgular: 346’sı kadın (%67.7), 165’i erkek (%32.3) toplam 511 diş hekimi değerlendirildi. Hastalık bulaşı ve transferi açısından anksiyete ve korku düzeyleri yüksek olmakla birlikte diş hekimlerinin en yüksek oranda (%96.5) enfeksiyonu ailelerine taşımaktan korktukları görülmüşür. COVID-19 bulaş yollarının %97 oranında bilindiği, şüpheli belirtiler varlığında diş tedavilerinin %94.2 oranında ertelendiği ve dental işlemlerde N-95 maske kullanımının %87.9 oranında rutin olması gerektiğinin bildirildiği görülmüştür. Sonuç: Diş hekimlerinin anksiyete ve korku seviyelerinin arttığı, klinik uygulamalarda COVID-19 belirtilerinin sorgulanması, N-95 maske kullanımı, işlem öncesi ve sonrası el dezenfeksiyonu sağlanması gibi tedbirlere uyulduğu görülmektedir.

The Evaluation of Dentists' Fear Levels and Changes of Clinical Practices in Process of COVID-19 Outbreak

Purpose:In this study; it is aimed to determine the knowledge levels and fear-anxiety levels of dentists about COVID-19, as well as to evaluate the changes in clinical applications in the COVID-19 outbreak. Patients and Methods:For this purpose, an online questionnaire consisting of 30 questions evaluating the socio-demographic information of the participants, their level of knowledge and fear about COVID-19 and the changes in their clinical practice during the outbreak process was created. The data obtained from 511 dentists in Turkey were evaluated statistically. Results:A total of 511 dentists, 346 females (67.7%) and 165 males (32.3%), were evaluated. Although anxiety and fear levels are high in terms of disease transmission and transfer, dentists are found to be afraid to carry the infections to their families with the highest rate of 493 (96.5%). It was observed that COVID-19 transmission routes were known at 496 (97%), dental treatments were delayed by 482 (94.2%) in the presence of suspicious symptoms, and the use of N-95 masks in dental procedures should be routine at 449 (87.9%). Conclusion:It is observed that the anxiety and fear levels of the dentists are increased, measures such as questioning the symptoms of COVID-19 in clinical practice, using N-95 mask, and providing hand disinfection before and after the procedure are observed.

Keywords:

Knowledge level, COVID-19 clinical practice, fear level,

PDF

___

1. Gorbelanya AB, Baker SC, Baric RS, et al. Severe Acute Respiratory Syndrome-Related Coronavirus:The Species and Its Viruses—A Statement of The Coronavirus Study Group. Preprint at https:// wwwbiorxivorg/content/101101/20200207937862v1 2020.
2. Meng L, Hua F, Bian Z. Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine. J Dent Res. 2020;99(5):481-7.
3. World health organization. Coronavirus Disease 2019 (covid-19). Situation Report 52, 12 March 2020.
4. Chen N, Zhou M, Dong X, et al. Epidemiological and Clinical Characteristics of 99 Cases of 2019 Novel Coronavirus Pneumonia in Wuhan, China: A Descriptive Study. Lancet. 2020;395(10223):507-13.
5. Wan Y, Shang J, Graham R, et al. Receptor Recognition by the Novel Coronavirus from Wuhan: an Analysis Based on DecadeLong Structural Studies of SARS Coronavirus. J Virol. 2020;94(7). pii: e00127-20.
6. Zou X, Chen K, Zou J, et al. Single-cell RNA-seq Data Analysis on The Receptor ACE2 Expression Reveals the Potential Risk of Different Human Organs Vulnerable to 2019-nCoV infection. Front Med. 2020;14(2):185-92.
7. Xu H, Zhong L, Deng J, et al. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. Int J Oral Sci 2020;12:8.
8. Rothe C, Schunk M, Sothmann P, et al. Transmission of 2019-nCoV Infection from An Asymptomatic Contact in Germany. N Engl J Med. 2020;382(10):970-1.
9. Li Q, Guan X, Wu P, et al. Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. N Engl J Med. 2020;382(13):1199-207.
10. Kohn WG, Collins AS, Cleveland JL, et al. Guidelines for Infection Control in Dental Health-Care Settings--2003. MMWR Recomm Rep. 2003;52(RR-17):1-61.
11. Peng X, Xu X, Li Y, et al. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12(1):9.
12. Ahmed MA, Jouhar R, Ahmed N, et al. Fear and Practice Modifications among Dentists to Combat Novel Coronavirus Disease (COVID-19) Outbreak. Int J Environ Res Public Health. 2020;17(8).
13. Lydeard S. The questionnaire as a research tool. Fam Pract. 1991;8(1):84-91.
14. Wang D, Hu B, Hu C, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020.
15. World Health Organisation. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19) [Accessed 12 May 2020]. Available from URL: https://www.who.int/docs/default-source/ coronaviruse/who-china-joint-mission-on-covid-19-final-report. pdf.
16. Lai J, Ma S, Wang Y, et al. Factors Associated with Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976.
17. Shacham M, Hamama-Raz Y, Kolerman R, et al. COVID-19 Factors and Psychological Factors Associated with Elevated Psychological Distress among Dentists and Dental Hygienists in Israel. Int J Environ Res Public Health. 2020;17(8).
18. Yu J, Zhang T, Zhao D, et al. Characteristics of Endodontic Emergencies during Coronavirus Disease 2019 Outbreak in Wuhan. J Endod. 2020.
19. Izzetti R, Nisi M, Gabriele M, et al. COVID-19 Transmission in Dental Practice: Brief Review of Preventive Measures in Italy. J Dent Res. 2020:22034520920580.
20. Yang Y, Zhou Y, Liu X, , et al. Health Services Provision of 48 Public Tertiary Dental Hospitals during The COVID-19 Epidemic in China. Clin Oral Investig. 2020;24(5):1861-4.
21. Del Rio C, Malani PN. 2019 Novel Coronavirus-Important Information for Clinicians. JAMA. 2020.
22. Coulthard P. Dentistry and Coronavirus (COVID-19) - Moral DecisionMaking. Br Dent J. 2020;228(7):503-5.
23. Duruk G, Gumusboga ZS, Colak C. Investigation of Turkish dentists’ clinical attitudes and behaviors towards the COVID-19 pandemic: a survey study. Braz Oral Res 2020;34:e054.
24. Larson EL, Early E, Cloonan P, et al. An Organizational Climate Intervention Associated with Increased Handwashing and Decreased Nosocomial Infections. Behav Med. 2000;26(1):14-22.
25. Baghizadeh Fini M. What Dentists Need to Know about COVID-19. Oral Oncol. 2020;105:104741.
26. Dexter F, Parra MC, Brown JR, , et al. Perioperative COVID-19 Defense: An Evidence-Based Approach for Optimization of Infection Control and Operating Room Management. Anesth Analg. 2020.
27. Samaranayake LP, Reid J, Evans D. The Efficacy of Rubber Dam Isolation in Reducing Atmospheric Bacterial Contamination. ASDC J Dent Child. 1989;56(6):442-4.
28. Al-Amad SH, Awad MA, Edher FM, , et al. The Effect of Rubber Dam on Atmospheric Bacterial Aerosols During Restorative Dentistry. J Infect Public Health. 2017;10(2):195-200.
29. Samaranayake LP, Peiris M. Severe Acute Respiratory Syndrome and Dentistry: A Retrospective View. J Am Dent Assoc. 2004;135(9):1292-302.