Research Article
BibTex RIS Cite

Diş Hekimleri Tıbbi Acil Durumların Yönetiminde Ne Kadar Yeterlidir?

Year 2023, Volume: 9 Issue: 3, 79 - 88, 01.12.2023

Abstract

Amaç: Diş hekimlerinin günlük pratikte karşılaşabilecekleri hayatı tehdit eden tıbbi acil durumlar hakkında bilgi ve deneyimlerini değerlendirmek ve ilgili ekipmanları kullanma yeterliliğini sorgulamaktır.

Materyal ve Metot: Çalışma, mevcut kardiyopulmoner resüsitasyon (KPR) kılavuzlarına dayalı olarak diş hekimlerinin tıbbi uygulamalarını incelemeyi amaçlayan 15 soruluk çoktan seçmeli bir test ve tespit edilen yetersizliğin nedenlerini belirlemeyi amaçlayan 29 soruluk bir anketi içermektedir. Veriler yüz yüze görüşme veya e-posta yoluyla toplanmıştır.

Sonuçlar: Anket için toplam 475 diş hekimi ile iletişime geçildi ve 363'ü katılmayı kabul etti. Teorik sorular için katılımcıların ortalama puanı 47,1+-15,9'dur (medyan (IQR): 46,2). KPR eğitimi ile toplam puan arasındaki ilişki anlamlıydı (p: 0.00). İş deneyimi ile alınan puan arasında anlamlı bir ilişki yoktu (p: 0.14). Yanıt verenlerin %22,3'ü KPR'de yetkin hissettiğini, %78,8'i diş hekimlerinin KPR'yi bilmesi gerektiğine inandığını, %17,9'u otomatik harici defibrilatör (OED) kullanımı konusunda bilgili olduğunu, %23,4'ü göğüs ağrısını yönetmede yetkin hissettiğini, %37,7'sinin anaflaksi yönetmede yetkin hissettiğini bildirdi. %47,9'u acil durum ilaçlarının ve ekipmanlarının düzenli olarak kontrol edildiğini belirtti.

Sonuç: Türkiye'deki diş hekimleri tıbbi acil durumlar için yeterince hazırlıklı değildir. Mezuniyet öncesi ve sonrası eğitim yeterli olmayıp, bilgi ve becerilerin devamlılığını sağlamak için mezuniyet sonrası KPR ve tıbbi acil durumlar eğitimi tekrarlanmalıdır. Ayrıca OED cihazının bulunması, tüm ekipman ve ilaçların endikasyonlarında yetkin olması, personele eğitim verilmesi, acil durum planlamasının geliştirilmesi ve düzenli olarak izlenmesi gerekmektedir.

References

  • Panchal AR, Bartos JA, Cabañas JG, et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. Published online October 20, 2020. doi:10.1161/cir.0000000000000916
  • Soar J. European Resuscitation Council Guidelines 2021: Adult advanced life support. www.cprguidelines.eu. Published March 2021. Accessed April 2021. https://www.cprguidelines.eu/assets/guidelines/RESUS-8903-ALS.pdf
  • Garcia-perez MA, Nunez-anton V. Cellwise Residual Analysis in Two-Way Contingency Tables. Educational and Psychological Measurement. 2003;63(5); 825-839).
  • Smereka J, et al. “Preparedness and attitudes towards medical emergencies in the dental office among Polish dentists.” International Dental Journal 69.4 (2019): 321-328.
  • Canpolat, DG, et al. “Diş hekimlerinin kardiyopulmoner resüsitasyon bilgi düzeylerinin değerlendirilmesi.” Gaziantep Medical Journal 22.4 (2016): 197-201.
  • Kavari SH, Chohedri AH. Cardiopulmonary resuscitation: Knowledge and personal experience in Iranian dentists. Pak J Med Sci. 2007;23:296-7.
  • Al G, Manal A, and Mohammad K. “Preparedness of Dentists and Dental Clinics for Medical Emergencies in Jordan.” Materia Socio-medica 34.1 (2022): 60.
  • Ekici, Ö. Cardiopulmonary Resuscitation Knowledge and Experience Among Dentists in Turkey. Eurasian J Emerg Med. 2020;19(4): 226-31
  • Azad A, Talattof Z, Deilami Z, Zahed M, Karimi A. Knowledge and attitude of general dentists regarding common emergencies in dental offices: A cross-sectional study in Shiraz, Iran.Indian J Dent Res 2018;29:551-555
  • Khami MR, Yazdani R, Afzalimoghaddam M, Razeghi S, Moscowchi A. Medical emergency management among Iranian dentists. J Contemp Dent Pract 2014;15:693-8.
  • Kömerik N. Serbest Diş Hekimleri ve Tıbbi Acil Durumlar. Dental practitioners and medical emergencies. Turkiye Klinikleri J Dental Sci. 2003;9(2):86-92.
  • Irfan B, et al. Current state of knowledge of basic life support in health professionals of the largest city in Pakistan: a cross-sectional study. BMC health services research 19.1 (2019): 1-7.
  • Nogami K, Taniguchi S, Ichiyama T. Rapid deterioration of Basic Life Support skills in dentists with Basic Life Support healthcare provider. Anesth Prog 2016 63: 62–66. © 2019 FDI World Dental Federation.
  • Quality standards for cardiopulmonary resuscitation practice and training. Primary dental care – Quality standards; 2013. Available from: https://www.resus.org.uk/quality-standards/primary-dental-care-quality-standards-for-cpr/. Accessed 29 June 2018.
  • Kishimoto N, Mukai N, Honda Y, Hirata Y, Tanaka M, Momota Y. Simulation training for medical emergencies in the dental setting using an inexpensive software application. Eur J Dent Educ 2017;09:09.
  • Tanzawa T, Futaki K, Kurabayashi H, et al. Medical emergency education using a robot patient in a dental setting. Eur J Dent Educ 2013;17:e114–e119
  • Stafuzza TC, Carrara CF, Oliveria FV, Santos CF, Oliveria TM. Evaluation of the dentists’ knowledg eon medical urgency and emergency. Braz Oral Res 2014; 28: 1-5.
  • Al-Hassan M, and Sakher A. Preparedness of dental clinics for medical emergencies in Riyadh, Saudi Arabia. The Saudi dental journal 31.1 (2019): 115-121.
  • Al-Iryani GM, et al. Knowledge and preparedness of dental practitioners on management of medical emergencies in Jazan Province. Open access Macedonian journal of medical sciences 6.2 (2018): 402.
Year 2023, Volume: 9 Issue: 3, 79 - 88, 01.12.2023

Abstract

References

  • Panchal AR, Bartos JA, Cabañas JG, et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. Published online October 20, 2020. doi:10.1161/cir.0000000000000916
  • Soar J. European Resuscitation Council Guidelines 2021: Adult advanced life support. www.cprguidelines.eu. Published March 2021. Accessed April 2021. https://www.cprguidelines.eu/assets/guidelines/RESUS-8903-ALS.pdf
  • Garcia-perez MA, Nunez-anton V. Cellwise Residual Analysis in Two-Way Contingency Tables. Educational and Psychological Measurement. 2003;63(5); 825-839).
  • Smereka J, et al. “Preparedness and attitudes towards medical emergencies in the dental office among Polish dentists.” International Dental Journal 69.4 (2019): 321-328.
  • Canpolat, DG, et al. “Diş hekimlerinin kardiyopulmoner resüsitasyon bilgi düzeylerinin değerlendirilmesi.” Gaziantep Medical Journal 22.4 (2016): 197-201.
  • Kavari SH, Chohedri AH. Cardiopulmonary resuscitation: Knowledge and personal experience in Iranian dentists. Pak J Med Sci. 2007;23:296-7.
  • Al G, Manal A, and Mohammad K. “Preparedness of Dentists and Dental Clinics for Medical Emergencies in Jordan.” Materia Socio-medica 34.1 (2022): 60.
  • Ekici, Ö. Cardiopulmonary Resuscitation Knowledge and Experience Among Dentists in Turkey. Eurasian J Emerg Med. 2020;19(4): 226-31
  • Azad A, Talattof Z, Deilami Z, Zahed M, Karimi A. Knowledge and attitude of general dentists regarding common emergencies in dental offices: A cross-sectional study in Shiraz, Iran.Indian J Dent Res 2018;29:551-555
  • Khami MR, Yazdani R, Afzalimoghaddam M, Razeghi S, Moscowchi A. Medical emergency management among Iranian dentists. J Contemp Dent Pract 2014;15:693-8.
  • Kömerik N. Serbest Diş Hekimleri ve Tıbbi Acil Durumlar. Dental practitioners and medical emergencies. Turkiye Klinikleri J Dental Sci. 2003;9(2):86-92.
  • Irfan B, et al. Current state of knowledge of basic life support in health professionals of the largest city in Pakistan: a cross-sectional study. BMC health services research 19.1 (2019): 1-7.
  • Nogami K, Taniguchi S, Ichiyama T. Rapid deterioration of Basic Life Support skills in dentists with Basic Life Support healthcare provider. Anesth Prog 2016 63: 62–66. © 2019 FDI World Dental Federation.
  • Quality standards for cardiopulmonary resuscitation practice and training. Primary dental care – Quality standards; 2013. Available from: https://www.resus.org.uk/quality-standards/primary-dental-care-quality-standards-for-cpr/. Accessed 29 June 2018.
  • Kishimoto N, Mukai N, Honda Y, Hirata Y, Tanaka M, Momota Y. Simulation training for medical emergencies in the dental setting using an inexpensive software application. Eur J Dent Educ 2017;09:09.
  • Tanzawa T, Futaki K, Kurabayashi H, et al. Medical emergency education using a robot patient in a dental setting. Eur J Dent Educ 2013;17:e114–e119
  • Stafuzza TC, Carrara CF, Oliveria FV, Santos CF, Oliveria TM. Evaluation of the dentists’ knowledg eon medical urgency and emergency. Braz Oral Res 2014; 28: 1-5.
  • Al-Hassan M, and Sakher A. Preparedness of dental clinics for medical emergencies in Riyadh, Saudi Arabia. The Saudi dental journal 31.1 (2019): 115-121.
  • Al-Iryani GM, et al. Knowledge and preparedness of dental practitioners on management of medical emergencies in Jazan Province. Open access Macedonian journal of medical sciences 6.2 (2018): 402.
There are 19 citations in total.

Details

Primary Language Turkish
Subjects Preventative Health Care, Health Promotion, Medical Education
Journal Section Research Article
Authors

Adeviyye Karaca 0000-0002-5338-1826

Publication Date December 1, 2023
Submission Date August 17, 2023
Published in Issue Year 2023 Volume: 9 Issue: 3

Cite

Vancouver Karaca A. Diş Hekimleri Tıbbi Acil Durumların Yönetiminde Ne Kadar Yeterlidir?. Aydin Dental Journal. 2023;9(3):79-88.

All site content, except where otherwise noted, is licensed under a Creative Common Attribution Licence. (CC-BY-NC 4.0)