Ezgi GÜRBÜZ, Mehmet Meriç ERSÖZ, Hasan HATİPOĞLU

Periodontolojide İhmal Edilen Bir Konu Olan Tıbbi Konsültasyonlar: Kesitsel Çalışma

Amaç: Bu kesitsel çalışmada bir diş hekimliği fakültesi hastanesinin periodontoloji bölümüne başvuran hastaların konsültasyon formlarının detaylı olarak değerlendirilmesi amaçlandı. Gereç ve Yöntem: Formlar, konsültasyon talebi ve cevabı olmak üzere iki bölümde incelendi. Talep kısmında demografik veriler ve hangi bölüme konsültasyon talep edildiği değerlendirildi. Yanıt bölümünde diş tedavisi sırasında alınan önlemler (antibiyotik profilaksisi vb.) incelendi. Çalışma kapsamında konsültasyon formunun okunabilirliği ve tekrarı da incelendi. Bulgular: Analiz, 430 hastadan alınan 505 form üzerinde gerçekleştirildi. Formların %50.3'ünde antibiyotik profilaksisi, tedavi öncesi ilaç uygulaması veya ilaç rejimi değişikliği önerileri yapıldı. Antibiyotik profilaksisi 68 formda (%13.5) önerildi. Enfektif endokardit profilaksi önerilerinin %38.9'unun Amerikan Kalp Birliği kılavuzlarına göre yapıldığı tespit edildi. Okunabilirlik değerlendirmesinde talep bölümlerinin %93.7'si ilk okumada anlaşılırken, yanıtın okunabilirlik düzeyi %66.9 olarak belirlendi. Analiz sonucunda 47 formun (%9.3) yetersiz kaldığı ve tekrarlandığı görüldü. Sonuç: Diş hekimliği ve tıp disiplinleri arasındaki sağlıklı iletişim, düzenli eğitim yoluyla teşvik edilmeli ve klinisyenler yeni kılavuzlardan haberdar olmalıdırlar. Ek olarak, tıbbi konsültasyonlar yapılandırılmış formlara veya dijital iş akışlarına entegre edilmelidir.

Anahtar Kelimeler:

konsültasyon, diş hekimliği, ilaç, tıp

Medical Consultations, A Neglected Topic in Periodontology: A Cross-sectional Study

Aim: To evaluate in detail the consultation forms of patients presenting to the periodontal department of a dental faculty hospital. Material and method: The forms were analyzed in two parts: the consultation request and the response. Demographic data and the department for which consultation was requested were evaluated in the request part. In the response section, precautions taken during dental treatment (antibiotic prophylaxis, etc.) were investigated. The readability and repetition of the consultation were also studied. Results: The analysis was performed on 505 forms from 430 patients. Recommendations for antibiotic prophylaxis, preventive medication, or change of medication regimen were made in 50.3% of the forms. Antibiotic prophylaxis was recommended in 68 forms (13.5%). Of the recommended infective endocarditis prophylaxis, 38.9% were by American Heart Association guidelines. In the readability evaluation, 93.7% of the request sections were understood at the first reading, while the readability level of the response was 66.9%. It was seen that 47 forms (9.3%) were insufficient and repeated. Conclusion: Healthy communication between dental and medical disciplines should be promoted through regular education, and clinicians should be aware of the new guidelines. In addition, medical consultations should be integrated into structured forms or digital workflows.

Keywords:

Consultation, dentistry, drugs, medicine,

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