Ebru DELİKAN, Seçil ÇALIŞKAN, Sena KİZİLASLAN

Çocuklarda Genel Anestezi Altında Diş Tedavileri Sonrası Veli Memnuniyeti

Amaç:Bu çalışmada, çocukları genel anestezi altında diş çürüğü nedeniyle tedavi gören ebeveynlerin memnuniyet düzeylerinin araştırılması ve memnuniyet düzeylerini etkileyen tedavi öncesi faktörlerin belirlenmesi amaçlanmıştır. Yöntem:Çalışmaya genel anestezi altında nazal entübasyonla dental tedavileri yapılan dental fobi/anksiyete, sistemik hastalık ve fiziksel/ mental engele sahip 230 çocuk dahil edildi. 13 sorudan oluşan anketteki sorular hasta ebeveynleri ile telefonla konuşularak yöneltildi (genel anesteziden en az bir ay sonra) ve cevaplar aynı pedodontist tarafından kaydedildi. Verilerin istatistiksel analizi için ki-kare, T testi ve Spearman korelasyon testleri yapıldı.Bulgular:Bu çalışmaya dahil edilen hastalar, yaşları 1.5 ile 18 arasında (ortalama yaş: 6.4 ±2.7 yaş) değişen 139 erkek ve 91 kız çocuğundan oluşuyordu. Genel anestezi altında tedavi edilen hastaların sistemik durum dağılımları; 58 mental engelli, 150 sağlıklı ( dental korku/ anksiyete) ve 23 sistemik hastalıklı şeklindeydi. Ebeveyn memnuniyeti ile genel anestezi altında yapılan tedavilerin zorluk derecesi ve genel anestezi hakkında velilerin başlangıç bilgi düzeyleri arasında anlamlı farklılık tespit edildi. Ebeveynlerin büyük bir çoğunluğu çocuklarının genel anestezi altında tedavi edilmesinden memnundu: %68,3 çok memnun ve %30,3 orta derecede memnun. Ayrıca, çocukların başarısız tedavi deneyimi ile genel anestezi için bekleme süresi ve memnuniyet durumu arasında pozitif yönde anlamlı korelasyon tespit edildi. Sonuç:Çocuklarda GA altında diş bakımı konusunda ebeveyn memnuniyeti düzeyi yüksekti. Ebeveynler tarafından bildirildiği gibi, GA kullanımının en önemli yan etkisi diş korkusudur. Çocuklarda, bu korku her zaman doğru bir şekilde teşhis edilmeli ve önlenmelidir. Genel anestezi altında diş tedavileri, ancak kesinlikle gerekli olduğunda yapılmalıdır.

Anahtar Kelimeler:

Genel Anestezi, Ebeveyn Bildirimi, Çocuk Diş Hekimliği

Parenteral Satisfaction After Dental Rehabilitation Under General Anesthesia in Children

Objectives:The aim of this study was to investigate the satisfaction levels of parents whose children had been treated under general anesthesia for dental treatment, and to determine pre-treatment factors affecting satisfaction levels. Methods:A total of 230 children treated under general anesthesia with nasal intubation due to dental phobia/ anxiety, systemic disease or physical/ mental disabilities were included in the study. There were 13 questions in the questionnaire and the data were collected from the parents on the phone (minimum a month after general anesthesia) and the answers were recorded by the same pediatric dentist. For statistical analysis of the data, Chi square, T test and Spearman correlation tests were performed.Results:Patients sample was composed of 139 male and 91 female children with ages ranging from 1,5 to 18 years (mean age: 6.4 ±2.7 year). The distribution of the patients treated under general anesthesia had various systemic conditions; 58 children had mental disabilities, 150 were healthy (with dental phobia / anxiety) and 23 had systemic disorders. There was significant difference between parental satisfaction and difficulty of dental treatment under general anesthesia, prior information about dental treatment under general anesthesia, most of the parents were satisfied with their children’s treatment under GA: 68.3% were very satisfied,and 30.3 % moderately satisfied. In addition, positive significant correlation was found between the number of unsuccessful clinical treatment experience of children and waiting periods / satisfaction status of general anesthesia.Conclusion:The level of parental satisfaction about dental care under GA in children was high. As reported by parents, dental fear was the most important reason of GA use is dental treatment. In children, this fear should always be correctly diagnosed and prevented. Dental treatments under general anesthesia should be resorted to only when absolutely necessary.

Keywords:

General Anesthesia, Parental Notification, Pediatric Dentistry,

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