FARKLI DENTAL ANKSİYETE DÜZEYLERİNE SAHİP HASTALARIN DİŞ HEKİMİ ÜNİFORMA TERCİHLERİNİN DEĞERLENDİRİLMESİ–KESİTSEL BİR ÇALIŞMA
Year 2023,
, 1232 - 1243, 17.03.2023
Cihan Küden
,
Helin Yazan
,
Ahmet Yüksek
,
İpek Öğüçbilek
,
Ökkaş Korkmaz
,
Hasan Avcılı
Abstract
Bu çalışma diş muayenesi veya tedavisi için başvuran çeşitli dental anksiyetesi olan yetişkin hastaların farklı üniforma giyen diş hekimlerine yönelik tercihleri karşılaştırılmıştır. Onamları alınmış olan hastalara 8 adet sosyodemografik bilgi, 5 adet modifiye dental anksiteyete ölçeği (MDAS) ve 2 adet hekim üniformasının değerlendirilmesi ile ilgili sorularıdan oluşan veri toplama formu uygulandı. Hastalar düşük-orta anksiyete düzeyi (DOA) ve yüksek-aşırı yüksek anksiyete düzeyi (YYA) olmak üzere 2 gruba ayrıldı. Demografik özellikler için tanımlayıcı istatistiksel analizler yapıldı ve Pearson Ki-kare testi kullanıldı (p = 0.05). Tüm katılımcıların ortalama MDAS değeri 12.92’dir. DOA gösteren hastalar 299 kişi olup tüm katılımcıların %59.8’ini oluştururken YYA gösteren hastalar 201 kişi olup katılımcıların %40.2’sini oluşturdu. Hastaların üniforma seçimi farklı anksiyete düzeylerinden etkilenmiştir (p= 0.048). DOA için üniforma seçiminde en yüksek %31.1 ile siyah, YYA için %26.9 ile renkli üniforma olmuştur. YYA’ya sahip hastalar için hekim üniforması rengi önemli bir faktör olarak bulunmuştur. Farklı anksiyete düzeyine sahip hastaların tercih ettikleri üniformanın temel nedeninin diş hekiminin görünüşünün güven verme duygusu yaratmasıyla ilgili olduğu sonucuna varıldı.
Supporting Institution
Çukurova Üniversitesi Diş Hekimliği Fakültesi Dekanlığı
Thanks
Bu çalışma Çukurova Üniversitesi Diş Hekimliği Fakültesi Dekanlığı’nın desteği ile gerçekleştirilmiştir ve değerli hocamız Funda Kadıoğlu’nun önderliğinde 13 Mayıs 2022 tarihinde düzenlenen Dişe Diş Araştrıma Günü etkinliğinde sunularak jüri özel ödülünü kazanmıştır. Bu araştırmada katkıları olan Damla Su Menteş, Pınar Kavuzlu ve Damla Sinem Göçmen’e teşekkür ederiz. Üniformalar için mankenlik görevini üstlenen Nihan Nazsız ve Berkcan Yıldız’a katkıları için teşekkür ederiz.
References
- Armfield, J. M. (2013). What goes around comes around: revisiting the hypothesized vicious cycle of dental fear and avoidance. Commun Dent and Oral Epidemiol, 41(3), 279-287. https://doi.org/10.1111/cdoe.12005
- Bubna, K., Hegde, S. ve Rao, D. (2017). Role of colors in pediatric dental practices. J Ciln Pediat Dent, 41(3), 193-198. https://doi.org/10.17796/1053-4628-41.3.193
- Coolidge, T., Arapostathis, K. N., Emmanouil, D., Dabarakis, N., Patrikiou, A., Economides, N. ve Kotsanos, N. (2008). Psychometric properties of greek versions of the modified corah dental anxiety scale (MDAS) and the dental fear survey (DFS). BMC Oral Health, 8(1), 1-6. https://doi.org/10.1186/1472-6831-8-29
- Corah, N. L., Gale, E. N. ve Illig, S. J. (1978). Assessment of a dental anxiety scale. J Am Dent Assoc, 97(5), 816-819. doi:10.14219/jada.archive.1978.0394
- Dailey, Y. M., Humphris, G. ve Lennon, M. (2002). Reducing patients' state anxiety in general dental practice: a randomized controlled trial. J Dent Res, 81(5), 319-322. doi:https://doi.org/10.1177/154405910208100506
- Gjerdingen, D. K. ve Simpson, D. E. (1989). Physicians' attitudes about their professional appearance. Fam Pract Res J, 9(1), 57-64.
- Guentsch, A., Stier, C., Raschke, G. F., Peisker, A., Fahmy, M. D., Kuepper, H. ve Schueler, I. (2017). Oral health and dental anxiety in a German practice-based sample. Clin Oral Investig, 21(5), 1675-1680. doi:https://doi.org/10.1007/s00784-016-1951-8
- Humphris, G., Crawford, J. R., Hill, K., Gilbert, A. ve Freeman, R. (2013). UK population norms for the modified dental anxiety scale with percentile calculator: adult dental health survey 2009 results. BMC Oral Health, 13(1), 1-11. doi:https://doi.org/10.1186/1472-6831-13-29
- Humphris, G. M. ve Hull, P. (2007). Do dental anxiety questionnaires raise anxiety in dentally anxious adult patients? A two-wave panel study. Prim Dent Care, 1, 7-11. doi:https://doi.org/10.1308/135576107779398165
- Humphris, G. ve King, K. (2011). The prevalence of dental anxiety across previous distressing experiences. J Anxiety Disord, 25(2), 232-236. doi:https://doi.org/10.1016/j.janxdis.2010.09.007
- Humphris, G. M., Morrison, T. ve Lindsay, S. (1995). The modified dental anxiety scale: validation and united kingdom norms. Commun Dent Health, 12(3), 143-150.
- Ilgüy, D., Ilgüy, M., Dinçer, S. ve Bayirli, G. (2005) Reliability and validity of the modified dental anxiety scale in Turkish patients. J Int Med Res, 33(2), 252-259. https://doi.org/10.1177/14732300050330021
- Kamin, V. (2006). Fear, stress, and the well dental office. Northwest Dentistry, 85(2), 10-11, 13, 15.
- Kanaffa-Kilijanska, U., Kaczmarek, U., Kilijanska, B. ve Frydecka, D. (2014). Oral health condition and hygiene habits among adult patients with respect to their level of dental anxiety. Oral Health Prev Dent, 12(3), 233-239. https://doi.org/10.3290/j.ohpd.a31668
- La Rosa, M., Spencer, N., Abdelwahab, M., Zambrano, G., Saoud, F., Jelliffe, K., …Costantine, M. (2019). The effect of wearing white coats on patients' appreciation of physician communication during postpartum rounds: A Randomized Controlled Trial. Am J Perinat, 36(01), 062-066. https://doi.org/10.1055/s-0038-1660470
- Lin, C. S., Wu, S. Y. ve Yi, C. A. (2017). Association between anxiety and pain in dental treatment: a systematic review and meta-analysis. J Dent Res, 96(2), 153-162. https://doi.org/10.1177/0022034516678168
- Malvania, E. A. ve Ajithkrishnan, C. (2011). Prevalence and socio-demographic correlates of dental anxiety among a group of adult patients attending a dental institution in Vadodara city, Gujarat, India. Indian J. Dent Res, 22(1), 179. https://doi.org/10.4103/0970-9290.79989
- Nicolas, E., Collado, V., Faulks, D., Bullier, B. ve Hennequin, M. (2007). A national cross-sectional survey of dental anxiety in the French adult population. BMC Oral Health, 7(1), 1-7. https://doi.org/10.1186/1472-6831-7-12
- Oosterink, F. M., De Jongh, A. ve Hoogstraten, J. (2009). Prevalence of dental fear and phobia relative to other fear and phobia subtypes. Eur J Oral Sci, 117(2), 135-143. https://doi.org/10.1111/j.1600-0722.2008.00602.x
- Pakseresht, M., Hemmatipour, A., Gilavand, A., Zarea, K., Poursangbor, T. ve Sakei-malehi, A. (2019). The effect of nurses' uniform color on situational anxiety in the school age inpatients children. J Res Med Dent Sci, 7(1), 114-120.
- Rafatjou, R., Ahmadi, B., Farhadian, M. ve Moghadam, N. E. (2021). Evaluation effect of color in dental office and dentist's uniform while using two different distraction techniques on injection anxiety of 6–9 years' old children referring to Hamedan Dental School: Randomized clinical trial. Dent Res J, 18, 71. https://doi.org/10.4103/1735-3327.326644
- Rehman, S. U., Nietert, P. J., Cope, D. W. ve Kilpatrick, A. O. (2005). What to wear today? Effect of doctor’s attire on the trust and confidence of patients. The American journal of medicine, 118(11), 1279-1286. https://doi.org/10.1016/j.amjmed.2005.04.026
- Sanikop, S., Agrawal, P. ve Patil, S. (2011). Relationship between dental anxiety and pain perception during scaling. J Oral Sci, 53(3), 341-348. https://doi.org/10.2334/josnusd.53.341
- Tunc, E. P., Firat, D., Onur, O. D. ve Sar, V. (2005). Reliability and validity of the Modified Dental Anxiety Scale (MDAS) in a Turkish population. Commun Dent Oral Epidemiol, 33(5), 357-362. https://doi.org/10.1111/j.1600-0528.2005.00229.x
- Umamaheshwari, N., Asokan, S. ve Kumaran, T. S. (2013). Child friendly colors in a pediatric dental practice. J Indian Soc Pedodontics Prev Dent, 31(4), 225. https://doi.org/10.4103/0970-4388.121817
- Wei, D., Xu, A. ve Wu, X. (2020). The mediating effect of trust on the relationship between doctor–patient communication and patients' risk perception during treatment. PsyCh J, 9(3), 383-391. https://doi.org/10.1002/pchj.327
- White, A. M., Giblin, L. ve Boyd, L. D. (2017). The prevalence of dental anxiety in dental practice settings. Am Dent Hygienists Ass, 91(1), 30-34.
- Zebardast, J., Eisazadeh, N., Vaskooi, K. ve Mirbazegh, F. (2019). The level of knowledge, attitude and practice of the physicians and nurses about suitable healthcare personnel (HCP) attire in hospitals of tehran university of medical sciences. J Fam Reprod Health, 13(1), 42.
- Zeren, A. E., Öktem, Z. B., Can, İ., Bezgin, T. ve Özalp, N. (2016). What to wear when practicing on pediatric dental patients. J Pediatr Dent, 4(2), 37-41. https://doi.org/10.4103/2321-6646.185258
Dentist Uniform Preferences of Patients with Different Dental Anxiety Levels–A Cross-Sectional Study
Year 2023,
, 1232 - 1243, 17.03.2023
Cihan Küden
,
Helin Yazan
,
Ahmet Yüksek
,
İpek Öğüçbilek
,
Ökkaş Korkmaz
,
Hasan Avcılı
Abstract
This study compared the preference of adult patients with various dental anxiety applying for dental examination or treatment regarding dentists wearing different uniforms. A data collection form consisting of 8 sociodemographic information, 5 modified dental anxiety scales (MDAS) and 2 questions about the evaluation of dentist uniforms was applied to the patients whose informed consent was obtained. Patients were divided into 2 groups as low-intermediate level (DOA) and high-extremely high level (YYA). Descriptive statistical analyzes were performed for demographic characteristics and the Pearson Chi-square test was used (p = 0.05). The mean MDAS value of all participants was 12.92. Patients with DOA consisted of 299 people (59.8%), while patients with YYA consisted of 201 people (40.2%) of the participants. The uniform preference of patients was affected by different anxiety levels (p= 0.048). The highest selection of uniforms for DOA was black with 31.1%, and colored uniforms for YYA with 26.9%. The dentist uniform color was found to be an important factor for patients with high levels of anxiety. It was concluded that the main reason for the uniform preferred by patients with different anxiety levels was related to the appearance of the dentist creating a sense of reassurance.
References
- Armfield, J. M. (2013). What goes around comes around: revisiting the hypothesized vicious cycle of dental fear and avoidance. Commun Dent and Oral Epidemiol, 41(3), 279-287. https://doi.org/10.1111/cdoe.12005
- Bubna, K., Hegde, S. ve Rao, D. (2017). Role of colors in pediatric dental practices. J Ciln Pediat Dent, 41(3), 193-198. https://doi.org/10.17796/1053-4628-41.3.193
- Coolidge, T., Arapostathis, K. N., Emmanouil, D., Dabarakis, N., Patrikiou, A., Economides, N. ve Kotsanos, N. (2008). Psychometric properties of greek versions of the modified corah dental anxiety scale (MDAS) and the dental fear survey (DFS). BMC Oral Health, 8(1), 1-6. https://doi.org/10.1186/1472-6831-8-29
- Corah, N. L., Gale, E. N. ve Illig, S. J. (1978). Assessment of a dental anxiety scale. J Am Dent Assoc, 97(5), 816-819. doi:10.14219/jada.archive.1978.0394
- Dailey, Y. M., Humphris, G. ve Lennon, M. (2002). Reducing patients' state anxiety in general dental practice: a randomized controlled trial. J Dent Res, 81(5), 319-322. doi:https://doi.org/10.1177/154405910208100506
- Gjerdingen, D. K. ve Simpson, D. E. (1989). Physicians' attitudes about their professional appearance. Fam Pract Res J, 9(1), 57-64.
- Guentsch, A., Stier, C., Raschke, G. F., Peisker, A., Fahmy, M. D., Kuepper, H. ve Schueler, I. (2017). Oral health and dental anxiety in a German practice-based sample. Clin Oral Investig, 21(5), 1675-1680. doi:https://doi.org/10.1007/s00784-016-1951-8
- Humphris, G., Crawford, J. R., Hill, K., Gilbert, A. ve Freeman, R. (2013). UK population norms for the modified dental anxiety scale with percentile calculator: adult dental health survey 2009 results. BMC Oral Health, 13(1), 1-11. doi:https://doi.org/10.1186/1472-6831-13-29
- Humphris, G. M. ve Hull, P. (2007). Do dental anxiety questionnaires raise anxiety in dentally anxious adult patients? A two-wave panel study. Prim Dent Care, 1, 7-11. doi:https://doi.org/10.1308/135576107779398165
- Humphris, G. ve King, K. (2011). The prevalence of dental anxiety across previous distressing experiences. J Anxiety Disord, 25(2), 232-236. doi:https://doi.org/10.1016/j.janxdis.2010.09.007
- Humphris, G. M., Morrison, T. ve Lindsay, S. (1995). The modified dental anxiety scale: validation and united kingdom norms. Commun Dent Health, 12(3), 143-150.
- Ilgüy, D., Ilgüy, M., Dinçer, S. ve Bayirli, G. (2005) Reliability and validity of the modified dental anxiety scale in Turkish patients. J Int Med Res, 33(2), 252-259. https://doi.org/10.1177/14732300050330021
- Kamin, V. (2006). Fear, stress, and the well dental office. Northwest Dentistry, 85(2), 10-11, 13, 15.
- Kanaffa-Kilijanska, U., Kaczmarek, U., Kilijanska, B. ve Frydecka, D. (2014). Oral health condition and hygiene habits among adult patients with respect to their level of dental anxiety. Oral Health Prev Dent, 12(3), 233-239. https://doi.org/10.3290/j.ohpd.a31668
- La Rosa, M., Spencer, N., Abdelwahab, M., Zambrano, G., Saoud, F., Jelliffe, K., …Costantine, M. (2019). The effect of wearing white coats on patients' appreciation of physician communication during postpartum rounds: A Randomized Controlled Trial. Am J Perinat, 36(01), 062-066. https://doi.org/10.1055/s-0038-1660470
- Lin, C. S., Wu, S. Y. ve Yi, C. A. (2017). Association between anxiety and pain in dental treatment: a systematic review and meta-analysis. J Dent Res, 96(2), 153-162. https://doi.org/10.1177/0022034516678168
- Malvania, E. A. ve Ajithkrishnan, C. (2011). Prevalence and socio-demographic correlates of dental anxiety among a group of adult patients attending a dental institution in Vadodara city, Gujarat, India. Indian J. Dent Res, 22(1), 179. https://doi.org/10.4103/0970-9290.79989
- Nicolas, E., Collado, V., Faulks, D., Bullier, B. ve Hennequin, M. (2007). A national cross-sectional survey of dental anxiety in the French adult population. BMC Oral Health, 7(1), 1-7. https://doi.org/10.1186/1472-6831-7-12
- Oosterink, F. M., De Jongh, A. ve Hoogstraten, J. (2009). Prevalence of dental fear and phobia relative to other fear and phobia subtypes. Eur J Oral Sci, 117(2), 135-143. https://doi.org/10.1111/j.1600-0722.2008.00602.x
- Pakseresht, M., Hemmatipour, A., Gilavand, A., Zarea, K., Poursangbor, T. ve Sakei-malehi, A. (2019). The effect of nurses' uniform color on situational anxiety in the school age inpatients children. J Res Med Dent Sci, 7(1), 114-120.
- Rafatjou, R., Ahmadi, B., Farhadian, M. ve Moghadam, N. E. (2021). Evaluation effect of color in dental office and dentist's uniform while using two different distraction techniques on injection anxiety of 6–9 years' old children referring to Hamedan Dental School: Randomized clinical trial. Dent Res J, 18, 71. https://doi.org/10.4103/1735-3327.326644
- Rehman, S. U., Nietert, P. J., Cope, D. W. ve Kilpatrick, A. O. (2005). What to wear today? Effect of doctor’s attire on the trust and confidence of patients. The American journal of medicine, 118(11), 1279-1286. https://doi.org/10.1016/j.amjmed.2005.04.026
- Sanikop, S., Agrawal, P. ve Patil, S. (2011). Relationship between dental anxiety and pain perception during scaling. J Oral Sci, 53(3), 341-348. https://doi.org/10.2334/josnusd.53.341
- Tunc, E. P., Firat, D., Onur, O. D. ve Sar, V. (2005). Reliability and validity of the Modified Dental Anxiety Scale (MDAS) in a Turkish population. Commun Dent Oral Epidemiol, 33(5), 357-362. https://doi.org/10.1111/j.1600-0528.2005.00229.x
- Umamaheshwari, N., Asokan, S. ve Kumaran, T. S. (2013). Child friendly colors in a pediatric dental practice. J Indian Soc Pedodontics Prev Dent, 31(4), 225. https://doi.org/10.4103/0970-4388.121817
- Wei, D., Xu, A. ve Wu, X. (2020). The mediating effect of trust on the relationship between doctor–patient communication and patients' risk perception during treatment. PsyCh J, 9(3), 383-391. https://doi.org/10.1002/pchj.327
- White, A. M., Giblin, L. ve Boyd, L. D. (2017). The prevalence of dental anxiety in dental practice settings. Am Dent Hygienists Ass, 91(1), 30-34.
- Zebardast, J., Eisazadeh, N., Vaskooi, K. ve Mirbazegh, F. (2019). The level of knowledge, attitude and practice of the physicians and nurses about suitable healthcare personnel (HCP) attire in hospitals of tehran university of medical sciences. J Fam Reprod Health, 13(1), 42.
- Zeren, A. E., Öktem, Z. B., Can, İ., Bezgin, T. ve Özalp, N. (2016). What to wear when practicing on pediatric dental patients. J Pediatr Dent, 4(2), 37-41. https://doi.org/10.4103/2321-6646.185258