Diş Hekimlerinin COVID-19 Hakkındaki Bilgi ve Stres Düzeyinin İncelenmesi

Abstract

Amaç: 2019-nCoV esas olarak hasta bireylerin konuşma, öksürme, hapşırma yoluyla ortama saçtıkları damlacıkların solunması ile bulaşmaktadır. Bu çalışmada, COVID-19 pandemi sürecinde dental tedavi yapan diş hekimlerinin COVID-19 salgın hastalığı hakkındaki bilgi ve stres düzeylerinin incelenmesi amaçlanmıştır. Gereç ve yöntemler: Çalışmamızda COVID-19 salgın hastalığı hakkındaki bilgi ve stres düzeylerini içeren anket formunu online olarak hekimlere gönderildi. Anket formu; demokrafik bilgiler, COVID-19 geçirme durumu, aerosol gerektiren işlemlerde ruber-dam kullanımı, COVID-19 hastalığı hakkındaki bilgi düzeyi ve stres durumunu inceleyen farklı bölümlerden oluşuyordu. Hekimlerin cinsiyet, yaş, eğitim düzeyi ve çalıştıkları kurum ile COVID-19 hakkındaki bilgi ve stres düzeyleri arasındaki ilişki Pearson Ki-Kare testi ile değerlendirildi (p<0.05). Bulgular: Çalışmamızda diş hekimlerin %8.9 COVID-19 hastalığı geçirdiğini belirtti. Hekimlerin aerosol oluşturan dental işlemler sırasında rubber-dam kullanım oranının %17.4 olduğu görüldü. Hekimlerin COVID-19 hakkındaki bilgi düzeyleri cinsiyet, yaş, eğitim düzeyi ve çalıştığı kuruma göre istatiksel olarak anlamlı farklılık göstermedi (p<0.05). Diş hekimlerinin dental tedaviler esnasında COVID-19 hastalığına yakalanma konusunda %5.8 oranında hiç stres duymadığını belirtirken, %94.2’si ise farklı oranlarda stres duyduklarını belirttiler. Sonuç: Diş hekimlerinin COVID-19 hakkındaki bilgi düzeylerinin yüksek olduğu görüldü. Fakat hastalar ile yakın temas çalışılması nedeniyle dental tedaviler esnasında COVID-19 hastalığına yakalanma konusunda stresli oldukları görüldü.

Keywords

• COVID-19
• Dental Tedavi
• Bio-aerosol
• Stres

Examination of Dentists' Knowledge and Stress Level About COVID-19

Abstract

Background: 2019-nCoV is mainly transmitted by the inhalation of droplets emitted by sick individuals through speech, coughing and sneezing. In this study, it is aimed to examine the knowledge and stress levels of dentists who perform dental treatment during the COVID-19 pandemic process about the COVID-19 epidemic. Methods: In our study, a questionnaire containing information and stress levels on the COVID-19 epidemic was sent to physicians online. Survey form; democratic information, COVID-19 exposure, the use of ruber-dam in procedures that require aerosol, the level of knowledge about COVID-19 disease, and the stress situation. The relationship between physicians' gender, age, education level and the institution they work with and their knowledge and stress levels on COVID-19 were evaluated using the Pearson Chi-Square test (p <0.05). Results: In our study, 8.9% of dentists stated that they had COVID-19 disease. It was observed that the rate of use of rubber-dam was 17.4% during dental procedures that generate aerosol. Physicians' level of knowledge about COVID-19 did not differ significantly according to gender, age, education level and the institution they worked for (p <0.05). While dentists stated that they did not feel any stress in terms of getting COVID-19 disease at a rate of 5.8% during dental treatments, 94.2% stated that they felt stress at different rates. Conclusion: It has been observed that dentists have a high level of knowledge about COVID-19. However, it was observed that they were stressed about getting COVID-19 disease during dental treatment due to close contact with patients.

Keywords

• COVID-19
• Dental treatment
• Bio-aerosol
• Stress

References

1. KAYNAKLAR 1. Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and Coronavirus disease- 2019 (COVID-19): The Epidemic and the Challenges. Int J Antimicrob Agents 2020;55(3):105924.
2. 2. Gorbalenya AE, Baker SC, Baric RS, de Groot RJ, Drosten C, Gulyaeva AA, et al. Severe acute respiratory syndrome-related coronavirus: the species and its viruses-a statement of the coronavirus study group. Nat Microbiol 2020;5(4):536-44.
3. 3. Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci 2020;12(1):9.
4. 4. To KK, Tsang OT, Chik-Yan Yip C, Chan KH, Wu TC, Chan JMC, et al. Consistent detection of 2019 novel coronavirus in saliva. Clin Infect Dis 2020;71(15);841-3.
5. 5. Xu H, Zhong L, Deng J, Peng J, Dan H, Zeng X, et al. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. Int J Oral Sci 2020;12(1):8.
6. 6. Coulthard P. Dentistry and Coronavirus (COVID-19)-Moral Decision-Making. Br Dent J 2020;228(7):503-5.
7. 7. Alharbi A, Alharbi S, Alqaidi S. Guidelines for Dental Care Provision During the COVID- 19 Pandemic. Saudi Dent J 2020;32(4):181-6.
8. 8. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395(10223):497-506.

9. 9. Backer JA, Klinkenberg D, Wallinga J. Incubation period of 2019 novel coronavirus (2019-nCoV) infections among travellers from Wuhan, China, 20-28 January 2020. Euro Surveill 2020;25(5):2000062.
10. 10. Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus Disease 19 (COVID-19): Implications for Clinical Dental Care. J Endod 2020;46(5):584-95.
11. 11. Du Z, Xu X, Wu Y, Wang L, Cowling BJ, Meyers LA. Serial Interval of COVID-19 among Publicly Reported Confirmed Cases. Emerg Infect Dis 2020;26(6):1341-1443.
12. 12. Nulty A, Lefkaditis C, Zachrisson P, Tonder QV, Yar R. A clinical study measuring dental aerosols with and without a high-volume extraction device. Br Dent J 2020; 12:1-8.
13. 13. Ge ZY, Yang LM, Xia JJ, Fu XH, Zhang YZ. Possible aerosol transmission of COVID-19 and special precautions in dentistry. J Zhejiang Univ Sci B 2020;21(5):361-8.
14. 14. Karataş Z. Social impacts of COVID-19 pandemic change and empowerment. Turkish Journal of Social Work Research 2020 4(1): 3-15.
15. 15. Soysal F, İşler SÇ, Peker İ, Akca G, Özmeriç N, Ünsal B. The impact of COVID-19 pandemic on dentistry practices. Klimik Derg 2020;33(1): 5-14. 16. Samaranayake LP, Peiris M. Severe acute respiratory syndrome and dentistry: A retrospective view. J Am Dent Assoc 2004; 135(9): 1292-302.
16. 17. Estrich CG, Mikkelsen M, Morrissey R, Geisinger ML, Ioannidou E, Vujicic M, Araujo MWB. Estimating COVID-19 prevalence and infectioncontrol practices among US dentists. J Am Dent Assoc 2020;151(11):815-24.
17. 18. Ahmed MZ, Ahmed O, Aibao Z, Hanbin S, Siyu L, Ahmad A. Epidemic of COVID-19 in China and associated Psychological Problems. Asian J Psychiatr 2020; 51:102092.
18. 19. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, Zheng J. The psychological impact of the COVID-19 epidemic on college students in China Psychiatry Res 2020; 287:112934.
19. 20. Wang Y, Di Y, Ye J, Wei W. Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China. Psychol Health Med. 2020; 30:1-10. 21. Zhou SJ, Zhang LG, Wang LL, Guo ZC, Wang JQ, Chen JC, Liu M, Chen X, Chen JX. Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. Eur Child Adolesc Psychiatry 2020;29(6):749-58.
20. 22. Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Res 2020; 291:113190.
21. 23. World Health Organization – WHO. Considerations for the provision of essential oral health services in the context of COVID-19: Interim guidance 2020 Aug. Available from: https://www.who.int/publications/i/item/who-2019-nCoV-oral-health-2020.1