Ağız, Diş ve Çene Cerrahisi Uzmanlarının Çocuk Hastalarda Uygulanan Davranış Yönlendirme Tekniklerine İlişkin Bilgi, Tutum ve Uygulamaları
Abstract
Amaç:Bu çalışmanın amacı, kamu ve özel kliniklerde çocuk hastalara tedavi hizmeti veren ağız, diş ve çene cerrahlarının korku ve kaygıyı azaltan davranış yönlendirme tekniklerine ilişkin bilgi, tutum ve uygulamalarını değerlendirmektir.
Gereç ve Yöntem:Bu kesitsel çalışmada, katılımcılar Türkiye'deki özel ve kamu kliniklerinde çocuk hastaları tedavi hizmeti veren ağız ve çene cerrahlarıdır. Anketler bir web sitesi üzerinden elektronik form aracılığıyla uygulandı. Çalışmada elde edilen bulgular IBM SPSS Statistics 22 (IBM SPSS, Türkiye) programı kullanılarak değerlendirildi. Anlamlılık p<0,05 düzeyinde değerlendirildi.
Bulgular:Katılımcıların %60’ı uzmanlık öğrencisi, %9’u doktora öğrencisi, %16’sı ağız diş ve çene cerrahı, %15’i üniversitede ağız diş ve çene cerrahisi bölümünde öğretim üyesiydi. Hekimlerin %45’i her zaman çocuk hastada çalışma sorumluluğunu alabildiğini söylerken, %33’ü sık sık, %22’si bu sorumluluğu bazen aldığını belirtti. Katılımcıların %55’i çocuklarda davranış yönlendirme teknikleri hakkında eğitim aldığını belirtti. Katılımcıların kullandıkları davranış yönlendirme teknikleri sorulduğunda, %93’ünün anlat-göster-uygula, %69’unun ses kontrolü, %27’sinin sözsüz iletişim, %73’ünün pozitif destekleme, %61’inin ilgiyi dağıtma, %59’unun ebeveyn varlığı-yokluğu, %15’inin ağzın elle örtülmesi, %36’sının çocuğun sabitlenmesi, %36’sının sedasyon, %46’sının genel anestezi ve %2’sinin hipnoz yöntemini kullandığı tespit edildi.
Sonuç: Bu çalışmanın sonuçları, çene cerrahlarının davranış yönlendirme teknikleri konusundaki farkındalığının yüksek olduğunu ve bu farkındalığın yaş, cinsiyet, çalışma yeri, çalışma deneyimi ve eğitime göre bireysel farklılık oluşturduğunu göstermektedir.
References
- Cademartori MG, Martins P, Romano AR, Goettems ML. Behavioral changes during dental appointments in children having tooth extractions. J Indian Soc Pedod Prev Dent 2017;35:223-228.
- Baier K, Milgrom P, Russell S, Mancl L, Yoshida T. Children’s fear and behavior in private pediatric dentistry practices. Pediatr Dent 2004;26:316-321.
- Howitt JW, Stricker G. Sequential changes in response to dental procedures. J Dent Res 1970;49(5):1074-1077.
- Wali A, Siddiqui TM, Khan R, Batool K. Knowledge, Attitude, and Practices of Dental Surgeons in managing Child Patients. Int J Clin Pediatr Dent 2016;9:372-378.
- Kawia HM, Mbawalla HS, Kahabuka FK. Application of Behavior Management Techniques for Paediatric Dental Patients by Tanzanian Dental Practitioners. Open Dent J 2015;9:455-461.
- Boka V, Arapostathis K, Vretos N, Kotsanos N. Parental acceptance of Behavior-management techniques used in pediatric dentistry and its relation to parental dental anxiety and experience. Eur Arch Paediatr Dent 2014;15:333-339.
- Ajlouni O, Al-Moherat F, Habahbeh R, Nsour H, Tbeshat J. Behavior management techniques among Jordanian pediatric dentists. J Royal Med Services 2010;17:62-66.
- Carr KR, Wilson S, Nimer S, Thornton JB Jr. Behavior management techniques among pediatric dentists practicing in the southeastern United States. Pediatr Dent 1999;21:347-353.
- McKnight-Hanes C, Myers DR, Dushku JC, Davis HC. The use of behavior management techniques by dentists across practitioner type, age, and geographic region. Pediatr Dent 1993:15:267-271.
- Sharath A, Rekka P, Muthu MS, Rathna Prabhu V, Sivakumar N. Children’s behavior pattern and behavior management techniques used in a structured postgraduate dental program. J Indian Soc Pedod Prev Dent 2009;27: 22-26.
- Grewal N. Implementation of behavior management techniques: how well accepted they are today. J Indian Soc Pedod Prev Dent 2003;21:70-74.
- Peretz B, Glaicher H, Ram D. Child-management techniques. Are there differences in the way female and male pediatric dentists in Israel practice? Braz Dent J 2003;14:82-86.
- Lawrence SM, Dennis MS, McTigue, Wilson S, Waggoner WF, Fields HW Jr. Parental attitudes toward behavior management techniques used in pediatric dentistry. Pediatr Dent 1991;13:151-155.
- Daghamin S, Balharith M, Alhazmi S, AlObaidi F, Kakti A. Behavior Management Techniques in Pediatric Dentistry: How Well are they Accepted? Acad J Ped Neonatol 2017;5:555722.
- Wright FA, Giebartowski JE, McMurray NE. A national survey of dentists’ management of children with anxiety or behavior problems. Aust Dent J 1991;36:378-383.
- Adair S, Schafer T. Age and gender differences in the use of behavior management techniques by pediatric dentists. Pediatrics 2007;29:403-408.
Knowledge, Attitude, and Practices of Oral and Maxillofacial Surgeons Regarding Behavior Guidance Techniques for Managing Child Patients
Abstract
Objectives:The aim of this study was to evaluate the knowledge, attitude, and practices of oral and maxillofacial surgeons regarding behavior guidance techniques that reduced fear and anxiety for children.
Materials and Methods:In this cross-sectional study, the participants were oral and maxillofacial surgeons who treat pediatric dental patients in the private and public clinics in Turkey. The questionnaires were applied through an electronic form via a website. The results were evaluated using IBM SPSS Statistics 22 for statistical analysis. A p-value of <0.05 was accepted as statistically significant.
Results:60% of the participants were specialist trainees, 9% were doctoral students, 16% were oral and maxillofacial surgeons and 15% were lecturers in the department of oral and maxillofacial surgery of various universities. 45% of the oral and maxillofacial surgeons said they could always take responsibility of working on a pediatric patient, while 33% of them stated that they frequently treated child patients, and 22% of them sometimes took this responsibility. 55% of the participants said they had been trained in behavior guidance techniques for children. The result showed that 93% of the surgeons used tell-show-do, 69% used voice control, 27% used nonverbal communication, 73% used positive reinforcement, 61% utilized distraction techniques, 59% used presence-absence of parents, 15% used hand-over-mouth, 36% used sedation, 36% used restrain/protective stabilization, 46% used general anesthesia, and 2% had used hypnosis method.
Conclusions:This study showed that the oral and maxillofacial surgeons working in public and private clinics have a high awareness of behavior guidance techniques while the level of this awareness varies among surgeons according to age, gender, workplace, work experience, and training.
References
- Cademartori MG, Martins P, Romano AR, Goettems ML. Behavioral changes during dental appointments in children having tooth extractions. J Indian Soc Pedod Prev Dent 2017;35:223-228.
- Baier K, Milgrom P, Russell S, Mancl L, Yoshida T. Children’s fear and behavior in private pediatric dentistry practices. Pediatr Dent 2004;26:316-321.
- Howitt JW, Stricker G. Sequential changes in response to dental procedures. J Dent Res 1970;49(5):1074-1077.
- Wali A, Siddiqui TM, Khan R, Batool K. Knowledge, Attitude, and Practices of Dental Surgeons in managing Child Patients. Int J Clin Pediatr Dent 2016;9:372-378.
- Kawia HM, Mbawalla HS, Kahabuka FK. Application of Behavior Management Techniques for Paediatric Dental Patients by Tanzanian Dental Practitioners. Open Dent J 2015;9:455-461.
- Boka V, Arapostathis K, Vretos N, Kotsanos N. Parental acceptance of Behavior-management techniques used in pediatric dentistry and its relation to parental dental anxiety and experience. Eur Arch Paediatr Dent 2014;15:333-339.
- Ajlouni O, Al-Moherat F, Habahbeh R, Nsour H, Tbeshat J. Behavior management techniques among Jordanian pediatric dentists. J Royal Med Services 2010;17:62-66.
- Carr KR, Wilson S, Nimer S, Thornton JB Jr. Behavior management techniques among pediatric dentists practicing in the southeastern United States. Pediatr Dent 1999;21:347-353.
- McKnight-Hanes C, Myers DR, Dushku JC, Davis HC. The use of behavior management techniques by dentists across practitioner type, age, and geographic region. Pediatr Dent 1993:15:267-271.
- Sharath A, Rekka P, Muthu MS, Rathna Prabhu V, Sivakumar N. Children’s behavior pattern and behavior management techniques used in a structured postgraduate dental program. J Indian Soc Pedod Prev Dent 2009;27: 22-26.
- Grewal N. Implementation of behavior management techniques: how well accepted they are today. J Indian Soc Pedod Prev Dent 2003;21:70-74.
- Peretz B, Glaicher H, Ram D. Child-management techniques. Are there differences in the way female and male pediatric dentists in Israel practice? Braz Dent J 2003;14:82-86.
- Lawrence SM, Dennis MS, McTigue, Wilson S, Waggoner WF, Fields HW Jr. Parental attitudes toward behavior management techniques used in pediatric dentistry. Pediatr Dent 1991;13:151-155.
- Daghamin S, Balharith M, Alhazmi S, AlObaidi F, Kakti A. Behavior Management Techniques in Pediatric Dentistry: How Well are they Accepted? Acad J Ped Neonatol 2017;5:555722.
- Wright FA, Giebartowski JE, McMurray NE. A national survey of dentists’ management of children with anxiety or behavior problems. Aust Dent J 1991;36:378-383.
- Adair S, Schafer T. Age and gender differences in the use of behavior management techniques by pediatric dentists. Pediatrics 2007;29:403-408.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | December 30, 2018 |
| Submission Date | October 3, 2018 |
| Published in Issue | Year 2018Volume: 21 Issue: 4 |
Cited By
Behaviour and Anxiety Management of Paediatric Dental Patients through Virtual Reality: A Randomised Clinical Trial
Journal of Clinical Medicine
Cristina Gómez-Polo
https://doi.org/10.3390/jcm10143019
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