Diş Hekimlerinin Tıbbi Acil Durumlara Müdahale Yetileri ve Özgüven Düzeylerinin Değerlendirilmesi: Kesitsel Bir Araştırma

Öz

Amaç Dental klinik ortamında ortaya çıkabilen tıbbi acil durumlar, nadir görülmelerine rağmen yaşamı tehdit edici sonuçlar doğurabilmektedir. Bu çalışmanın amacı, Türkiye’de aktif olarak çalışan diş hekimlerinin dental uygulamalar sırasında karşılaşılabilecek tıbbi acil durumlara müdahale yetileri ile bu konudaki özgüven düzeylerinin değerlendirilmesi ve mesleki-demografik değişkenlerle ilişkisinin incelenmesidir. Gereç ve Yöntemler Kesitsel tipte planlanan bu çalışmada, Google Forms aracılığıyla hazırlanan çevrimiçi anket diş hekimlerine uygulanmıştır. Çalışmaya 123 diş hekimi katılmıştır. Anket; demografik bilgiler, mesleki özellikler ve tıbbi acil durum müdahale özgüvenini değerlendiren 5’li Likert ölçekli sorulardan oluşmuştur. İstatistiksel SPSS Version 27 (IBM Corp., Armonk, NY, USA) kullanılarak gerçekleştirilmiştir. Gruplar arası karşılaştırmalarda Independent Samples t-test, One-Way ANOVA ve Pearson korelasyon analizi uygulanmıştır. p <0.05 anlamlı kabul edilmiştir. Bulgular Katılımcıların kardiyopulmoner resüsitasyon (CPR) uygulayabilme özgüven ortalaması 2.72 ± 1.17 olarak bulunmuştur. Damaryolu açabilme yeterliliği en düşük özgüven alanı olarak saptanmıştır (2.35 ± 1.26). CPR müdahale özgüveni ile bireyin kendisini “temel anlamda yetkin doktor” olarak hissetmesi arasında anlamlı pozitif korelasyon bulunmuştur (r = 0.339, P < 0.001). Erkek katılımcıların CPR müdahale özgüveni kadınlara göre anlamlı derecede yüksek bulunmuştur (p = 0.001). Sonuçlar Diş hekimlerinin büyük bölümünün yaşamı tehdit eden tıbbi acil durumlara müdahale konusunda yeterli özgüvene sahip olmadığı görülmüştür. Bulgular, dental eğitim müfredatında uygulamalı acil tıp eğitiminin güçlendirilmesi gerektiğini göstermektedir.

Anahtar Kelimeler

• acil tıp
• CPR
• diş hekimliği

Evaluation of Dentists’ Ability to Respond to Medical Emergencies and Their Self-Confidence Levels: A Cross-Sectional Study

Abstract

Aim Medical emergencies that may arise in a dental clinic setting, although rare, can have life-threatening consequences. The aim of this study is to evaluate the ability of actively practicing dentists in Türkiye to respond to medical emergencies encountered during dental procedures, their self-confidence levels in this regard, and the relationship between these variables and occupational and demographic factors. Material and Methods In this cross-sectional study, an online questionnaire prepared via Google Forms was administered to dentists. 123 dentists participated in the study. The questionnaire included demographic information, occupational characteristics, and 5-point Likert-scale questions evaluating self-confidence in responding to medical emergencies. Statistical analysis was performed using SPSS Version 27 (IBM Corp., Armonk, NY, USA). Independent Samples t-test, One-Way ANOVA, and Pearson correlation analysis were applied for intergroup comparisons. P < 0.05 was considered significant. Results The mean self-confidence of the participants in being able to perform cardiopulmonary resuscitation (CPR) was found to be 2.72 ± 1.17. The ability to establish vascular access was identified as the area of lowest self-confidence (2.35 ± 1.26). A significant positive correlation was found between self-confidence in CPR intervention and the individual's feeling of being a "basically competent doctor" (r = 0.339, P < 0.001). Male participants had significantly higher self-confidence in the CPR intervention compared to female participants (p = 0.001). Conclusion It was observed that most dentists lack sufficient confidence in responding to life-threatening medical emergencies. The findings indicate that practical emergency medicine training should be strengthened in the dental education curriculum.

Keywords

• emergency medical
• CPR
• dentistry

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