Diş Hekimliği Klinik Öncesi Eğitiminin İlk İki Yılında Öğrenci Yaralanmalarının Araştırılması ve Yaralanma Sonrası Davranışlarının İncelenmesi

Year 2022, , 21 - 29, 27.04.2022

Mehmet Buldur , Habibe Öztürk

https://doi.org/10.15311/selcukdentj.832866

Abstract

Amaç: Diş hekimliği fakülteleri klinik öncesi eğitimlerinde yaralanan öğrencilerin tutum ve davranışları, kan yoluyla bulaşan hastalıklar ve enfeksiyon riskleri açısından oldukça önemlidir. Bu nedenle bu çalışma, diş hekimliği öğrencilerinin klinik öncesi uygulama derslerinde yaşadıkları yaralanmaları ayrıntılı olarak tespit etmeyi ve yaralanma sonrası davranışlarını belirlemeyi amaçlamaktadır.
Gereç ve Yöntemler: Çalışma, birinci ve ikinci eğitim yıllarını tamamlayan öğrencilere yapıldı. Hazırladığımız anketler gönüllü katılımcılara "Google Forms" üzerinden gönderilerek anonim olarak gerçekleştirildi. Anketlerde, uygulama derslerinde yaşanan yaralanma türleri, yaralanmaya neden olan malzemeler, yaralanma sayıları, yaralanma zamanları ve yaralanmaların hangi klinik öncesi eğitim dersinde meydana geldiği, yaralanma sonrası davranışlar ve nedenleri soruldu. Çalışmada verilerin tanımlayıcı istatistikleri olarak (n) ve (%) bilgileri verildi. Örneklem büyüklüğü varsayımı karşılandığında Pearson Ki-Kare karşılanmadığında Fisher's Exact testi uygulanmıştır. Analizler IBM SPSS 25 programında gerçekleştirildi.
Bulgular: Öğrencilerin %66'sı (n:87) klinik öncesi kurslarda en az bir kez yaralandığını belirtmiştir. En sık karşılaşılan yaralanma, birinci sınıf öğrencilerinde spatül kullanımına bağlı batma-kesme (% 72,9) ve doğrudan ateş kaynağından yaralanma (% 59.4), ikinci sınıf öğrencilerinde kroşe teli (% 96), sond (% 78) ve sıcak muma bağlı yanma yaralanmaları (% 64) olmuştur. İkinci sınıflarda yaralanmaların en fazla (% 87,5) protetik diş tedavisi uygulama derslerinde meydana geldiği tespit edilmiştir. Öğrencilerin sadece % 24'ünün, yaralanmalarının tamamını sorumlu öğretim üyesine bildirdiği tespit edilmiştir.
Sonuçlar: Yüksek yaralanma oranları öğrencilerin kesici-delici aletleri ve laboratuvar malzemelerini güvenle kullanamadığını ortaya koymuştur. Ayrıca yaralanma sonrası tutum ve davranışları, kan yoluyla bulaşan hastalıkların ve çapraz enfeksiyon bilgilerinin yetersiz olduğunu göstermiştir. Öğrencilerin klinik öncesi dersler başlamadan önce eğitilmeleri gerekmektedir.

Keywords

Diş Hekimliği Eğitimi, Kandan Geçen Patojenler, Meslek Yaralanmaları

Thanks

Çalışmamıza katılan Çanakkale Onsekiz Mart Üniversitesi Diş Hekimliği Fakültesi öğrencilerine teşekkür ederiz.

Investigation of Student Injuries and Post-Injury Behaviors in the First Two Years of Preclinical Dental Education

Abstract

Background: The attitudes and behaviors of students after their injuries in preclinical education in the faculties of dentistry are very important in terms of blood-borne diseases and infection risks. For this reason, this study aimed to determine the injuries experienced by dentistry students in preclinical courses in detail and to determine their post-injury behaviors.
Methods: The study was conducted on students who completed their first and second education years. The surveys we prepared were conducted anonymously by sending to the volunteer participants via "Google Forms". In the surveys, we questioned the types of injuries they experienced in the courses; the materials that caused the injury; the number of injuries; the time period of the course and in which preclinical training course the injuries occurred; and their behaviors after injury and their reasons. In the study, information (n) and (%) were given as descriptive statistics of the data. In the analysis of the relationship between two categorical variables, Pearson Chi-Square analysis was applied when the sample size assumption was met, and Fisher's Exact test was applied when the sample size assumption was not met. Analyzes were carried out in IBM SPSS 25 program.
Results: 66% of the students (n:87) stated that they were injured at least once in pre-clinical courses. The most common injuries were cutting-penetrating (72.9 %) due to the use of dental spatula and injury from direct fire source (59.4 %) in the first-year students. Dental wires (96 %) dental explorer (78 %) and burning injuries with hot dental wax (64 %) resulted in high rates of students who completed the second year. 87.5 % of the students who completed their second year stated that they were injured mostly in the preclinical education courses of Prosthodontics. It was found that only 24 % of the students reported all their injuries.
Conclusions: The high injury rates in our study revealed the inability of the students to use cutting-penetrating tools and laboratory materials safely. In addition, their attitudes and behaviors after injuries showed that blood-borne diseases and cross-infection knowledge were insufficient. In order to take precautions in these issues, students must be educated before preclinical courses.

Keywords

Bloodborne Pathogens, Dental Education, Occupational injury

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