Evaluation of Orthodontists' Clinical Approaches and Fear Levels in The Covid-19 Pandemic

Yıl 2023, Cilt: 4 Sayı: 1, 34 - 46, 23.03.2023

Selcen Eser Mısır Kübra Gülnur Topsakal Gökhan Serhat Duran Serkan Görgülü

https://doi.org/10.58770/joinihp.1257777

Öz

The purpose of this study was to evaluate the clinical approaches of orthodontists in Turkey during the Covid-19 pandemic and to evaluate the difference in the levels of fear before and after vaccination. In this study, a questionnaire form was sent to a total of 886 orthodontists working in Turkey via their e-mail addresses, and the data were collected in two stages. In the first stage, the data collected to evaluate the Covid-19 fear levels of orthodontists according to their professional approaches during the pandemic period were analyzed (n=176). In the second stage of the study, the Covid-19 fear levels of orthodontists before and after vaccination were evaluated (n=154). Of the clinicians who participated in the survey, 56.3% work in university hospitals. This was followed by physicians working in private clinics 35.2% and physicians working in hospitals affiliated with the Ministry of Health 8.5%. Only 0.6% of the orthodontists participating in the study were diagnosed with Covid-19 before the study, while 65.3% continued to practice emergency dentistry during the pandemic. When the professional attitudes of orthodontists were evaluated; 98.3% (n=172) of orthodontists took additional precautions during the Covid-19 period by wearing protective visors, 92.6% (n=162) by using N95 or equivalent masks, 92.2% (n=161) by wearing protective gowns and 83.4% (n=146) by wearing bonnets. When the answers given by the orthodontists participating in the study to the procedures avoided during the Covid-19 process were evaluated; 89.4% (n=152) of the orthodontists stated water treatment with aerator, 67.1% (n=114) bracket removal procedure and 61.2% (n=104) air-water spray. It was determined that the pre-vaccine coronavirus fears of the physicians in the study (19.56±5.44) were statistically significantly higher than the post-vaccine coronavirus fears (18.58±5.02) (p<0.001). According to the results of our study, it was observed that orthodontists, who are members of dentistry during the Covid-19 period, took special precautions in their clinical settings and it was determined that the Covid-19 vaccine reduced the fear level of orthodontists.

Anahtar Kelimeler

Korku seviyesi, Ortodontist, Yaklaşım, Covid-19, Aşı

Covid-19 Pandemisinde Ortodontistlerin Klinik Yaklaşımlarının ve Korku Seviyelerinin Değerlendirilmesi

Öz

Bu çalışmanın amacı, Covid-19 pandemisi döneminde Türkiye’deki ortodontistlerin mesleki yaklaşımlarını saptamak ve aşı öncesi-sonrası korku seviyelerindeki farklılığı değerlendirmektir. Bu araştırmada Türkiye’de görev yapmakta olan toplam 886 ortodontiste hazırlanan anket formu e-posta adresleri üzerinden gönderilmiştir ve veriler iki aşamalı olarak toplanmıştır. İlk aşamada ortodontistlerin Covid-19 korku seviyelerini pandemi dönemindeki mesleki yaklaşımlarına göre değerlendirmeye yönelik olarak toplanan verilerin analizi yapılmıştır (n=176). Araştırmanın ikinci aşamasında ise ortodontistlerin aşı öncesi ve sonrası Covid-19 korku seviyeleri değerlendirilmiştir (n=154). Ankete katılan hekimlerin %56,3’ü üniversite hastanelerinde görev yapmaktadır. Bunu %35,2 ile özel klinikte çalışan hekimler ile %8,5 Sağlık Bakanlığı’na bağlı hastanelerde çalışan hekimler takip etmektedir. Çalışmaya katılan ortodontistlerden sadece %0.6’sına çalışma öncesi Covid-19 tanısı konmuştur, %65,3’ü ise pandemi süresinde acil diş hekimliği uygulamaları yapmaya devam etmiştir. Ortodontistlerin mesleki tutumları değerlendirildiğinde; ortodontistlerin %98,3’ü (n=172) koruyucu siperlik takarak, %92,6’sı (n=162) N95 veya muadili maske kullanarak, %92,2’si (n=161) koruyucu önlük giyerek ve %83,4’ü (n=146) bone takarak Covid-19 sürecinde ek tedbir almışlardır. Araştırmaya katılan ortodontistler tarafından Covid-19 sürecinde yapılmaktan kaçınılan işlemlere verdikleri cevaplar değerlendirildiğinde; ortodontistlerin %89,4’ü (n=152) aeratörle sulu işlem yapma, %67,1’i (n=114) braket söküm işlemi ve %61,2’si (n=104) hava- su spreyi kullanma olarak belirtmişlerdir. Araştırma kapsamındaki hekimlerin aşı öncesi koronavirüs korkularının ise (19,56±5,44), aşı sonrası koronavirüs korkularından (18,58±5,02) istatistiksel anlamlı olarak daha yüksek seviyede olduğu tespit edilmiştir (p<0,001). Çalışmamızın sonuçlarına göre, Covid-19 döneminde diş hekimliğinin mensuplarından olan ortodontistlerin klinik düzenlerinde özel önlemler aldığı görülmüş ve yapılan Covid-19 aşısının ortodontistlerin korku seviyesini azalttığı tespit edilmiştir.

Anahtar Kelimeler

Korku seviyesi, Ortodontist, Yaklaşım, Covid-19, Aşı

Kaynakça

• [1] Shereen MA, Khan S, Kazmi A, Bashir N, Siddique R. (2020). COVID-19 infection: Origin, transmission, and characteristics of human coronaviruses. J Adv Res, 16;24,91-98. doi: 10.1016/j.jare.2020.03.005.
• [2] Seyhan F, Şen H. (2022). Covid-19 Phobia: A Research on University Students. International Journal of Eurasia Social Sciences, 13(50), 1337-1352. http://dx.doi.org/10.35826/ijoess.3137.
• [3] Tabur A, Orhan F. (2022). Examination of the relationship between blood values and mortality of Covid-19 positive patients: A retrospective analysis. J Soc Anal Health, 2(3), 306–311. https://doi.org/10.5281/zenodo.6769899.
• [4] Sharan J, Chanu NI, Jena AK, Arunachalam S, Choudhary PK (2020). COVID-19-Orthodontic Care During and After the Pandemic: A Narrative Review. J Indian Orthod Soc. 54(4):352-365. DOI: 10.1177/0301574220964634.
• [5] Kürem İ. , Kılıç D. , Öztürk T. , Doğruel F. , Arslan S. (2022) Evaluatıon Of Transmıssıon Durıng Actıve Dental Procedures Durıng The Sars-Cov-2 Pandemıc. Sağlık Bilimleri Dergisi.; 31(2): 133-144) https://doi.org/10.34108/eujhs.1027803
• [6] Liu L, Wei Q, Alvarez X, Wang H, Du Y, Zhu H, Jiang H, Zhou J, Lam P, Zhang L, Lackner A, Qin C, Chen Z. (2011). Epithelial Cells Lining Salivary Gland Ducts Are Early Target Cells Of Severe Acute Respiratory Syndrome Coronavirus İnfection İn The Upper Respiratory Tracts Of Rhesus Macaques. J Virol. Apr;85(8):4025-30. doi: 10.1128/JVI.02292-10.
• [7] To KK, Tsang OT, Yip CC, Chan KH, Wu TC, Chan JM, Leung WS, Chik TS, Choi CY, Kandamby DH, Lung DC, Tam AR, Poon RW, Fung AY, Hung IF, Cheng VC, Chan JF, Yuen KY (2020) Consistent Detection of 2019 Novel Coronavirus in Saliva. Clin Infect Dis. Jul 28;71(15):841-843. doi: 10.1093/cid/ciaa149.
• [8] Bielicki JA, Duval X, Gobat N, Goossens H, Koopmans M, Tacconelli E, van der Werf S. (2020) Monitoring approaches for health-care workers during the COVID-19 pandemic. Lancet Infect Dis. 20(10):e261-e267. https://doi.org/10.1016/S1473-3099(20)30458-8.
• [9] Memiş Doğan, M., Düzel, B. (2020). Covid-19 özelinde korku-kaygı düzeyleri. Turkish Studies, 15(4), 739-752. https://dx.doi.org/10.7827/TurkishStudies.44678.
• [10] Yılmaz Hİ, Turğut B, Çıtlak G, Mert O, Paralı B, Engin M, Aktaş A, Alimoğlu O. (2021). Türkiye’de İnsanların COVID-19 Aşısına Bakışı. Dicle Tıp Dergisi, 48 (3), 583-594. DOI: 10.5798/dicletip.
• [11] Lurie N, Saville M, Hatchett R, Halton J (2020). Developing Covid-19 Vaccines at Pandemic Speed. N Engl J Med, 21;382(21):1969-1973. doi: 10.1056/NEJMp2005630.
• [12] Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH (2022). The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addict. 20(3):1537-1545. doi: 10.1007/s11469-020-00270-8.
• [13] Karagöz, Y. SPSS 23 ve AMOS 23 uygulamalı istatistiksel analizler: Nobel Akademik Yayıncılık. (2019).
• [14] Kline R. Principles and practices of structural equation modeling (3. Edition): The Guilford Press (2011).
• [15] Meydan CH, Şeşen, H. Yapısal eşitlik modellemesi AMOS uygulamaları: Detay Yayıncılık (2011).
• [16] Alpar R. Spor, sağlık ve eğitim bilimlerinden örneklerle uygulamalı istatistik ve geçerlik-güvenirlik: Detay Yayıncılık (2010).
• [17] Denis DJ. SPSS data analysis for univariate, bivariate, and multivariate statistics: John Wiley &amp; Sons (2018).
• [18] Meyers LS., Gamst GC, Guarino A. (2013). Performing data analysis using IBM SPSS: John Wiley &amp; Sons.
• [19] George D, Mallery P. IBM SPSS statistics 26 step by step: A simple guide and reference: Routledge (2019).
• [20] Pereira LJ, Pereira CV, Murata RM, Pardi V, Pereira-Dourado SM. (2020) Biological and social aspects of Coronavirus Disease 2019 (COVID-19) related to oral health. Braz Oral Res, 34. 10.1590/1807-3107bor-2020.vol34.0041
• [21] N Ammar, NM Aly, MO Folayan, Y Khader. (2020) Behavior change due to COVID-19 among dental academics—The theory of planned behavior: Stresses, worries, training, and pandemic severity.PLoS One, 15(9): e0239961. https://doi.org/10.1371/journal.pone.0239961.
• [22] Suri S, Vandersluis YR, Kochhar AS, Bhasin R, Abdallah MN (2020). Clinical orthodontic management during the COVID-19 pandemic. Angle Orthod, 1;90(4):473-484. doi: 10.2319/033120-236.1
• [23] 23.Wiersinga WJ, Rhodes A, Cheng AC, Peacock SJ, Prescott HC. (2020) Pathophysiology, transmission, diagnosis, and treatment of coronavirus disease 2019 (COVID-19): a Review. JAMA, 324:782–793. doi:10.1001/jama.2020.12839.
• [24] Meng L, Ma B, Cheng Y, Bian Z. (2020) Epidemiological investigation of OHCWs with COVID-19. J Dent Res, 99:1444–1452. https://doi.org/10.1177/0022034520962087.
• [25] Oberholtzer K, Sivitz L, Mack A, Lemon S, Mahmoud A, Knobler S, editors. Learning from SARS: Preparing for the Next Disease Outbreak: Workshop Summary. National Academies Press; Washington, DC, USA: 2004. DOI: 10.17226/10915
• [26] Saccomanno S, Quinzi V, Sarhan S, Laganà D, Marzo G. (2020) Perspectives of teleorthodontics in the COVID-19 emergency and as a future tool in daily practice. Eur J Paediatr Dent. DOI: 10.23804/ejpd.2020.21.02.12
• [27] Dalessandri D, Sangalli L, Tonni I. (2021) Attitude towards telemonitoring in orthodontists and orthodontic patients. Dent J. 9(5):47. DOI: 10.3390/dj9050047
• [28] Sangalli L, Savoldi F, Dalesandri D, Bonetti S, Gu M, Signorini A, Paganelli C. (2021). Effects of remote digital monitoring on oral hygiene of orthodontic patients: a prospective study. BMC Oral Health, 21(1):435. DOI: 10.1186/s12903-021-01793-9
• [29] Martínez-Lorca M, Martínez-Lorca A, Criado-Álvarez JJ, Armesilla MDC, Latorre JM. (2020) The fear of COVID-19 scale: Validation in spanish university students. Psychiatry Res. 293:113350. doi: 10.1016/j.psychres.2020.113350.
• [30] Doğan A, Dogan R, Menekli T, Berktaş HB. (2022) Effect of neuro-linguistic programming on COVID-19 fear in kidney transplant patients: A randomized controlled study. Complementary Therapies in Clinical Practice ,49,101638. https://doi.org/10.1016/j.ctcp.2022.101638
• [31] Ekiz T, Ilıman E, Dönmez E. (2020) Bireylerin Sağlik anksı̇yetesı̇ düzeylerı̇ı̇ le Covid-19 Salgini Kontrol Algisinin Karşilaştirilmasi. Uluslararası Sağlık Yönetimi Ve Strat Araştırma Dergisi. 6(1):139–54.