评估牙医的错误治疗恐惧和防御性牙科态度:一个规模的发展
Selcen Eser Misir1, Uğur Uğrak2, Kübra Gülnur Topsakal3
1Department of Orthodontics, Gülhane Faculty Dental Medicine, University of Health Sciences, Ankara, Türkiye. selceneser@gmail.com.
BMC oral health
|May 15, 2025
概括
牙医表现出对失职的高度恐惧,导致防御性牙科实践的增加. 新的防御性牙科态度量表 (DDAS) 证实了土耳其牙医对失职恐惧和防御性行为之间的强烈联系.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 法律医学 法律医学
- 心理学 心理学 心理学
背景情况:
- 防御性牙科,一种受诉讼恐惧影响的实践,影响患者的护理和治疗决策.
- 了解医疗不当问题与牙医的职业行为之间的关系对于提高医疗保健质量至关重要.
研究的目的:
- 开发和验证防御性牙科态度量表 (DDAS).
- 评估土耳其牙医中防御性牙科态度和对牙医失职的恐惧之间的相关性.
主要方法:
- 一份包含13项DDAS和不当治疗恐惧量表的问卷分发给了土耳其的3513名牙医.
- 数据分析涉及内容有效性指数 (CVI),探索因素分析 (EFA),确认因素分析 (CFA),曼-惠特尼U,克鲁斯卡尔-瓦利斯测试以及结构方程建模 (SEM) 中的路径分析.
主要成果:
- 该DDAS被验证为可靠的二维,八项尺度.
- 牙医报告了防御性牙科态度 (中位数=29) 和对失职恐惧 (中位数=21) 的高分.
- 在担心失职和防御性牙科实践之间发现了显著的正相关性 (β=0.56,p<0.001).
结论:
- DDAS是测量防御牙科的有效和可靠的仪器.
- 增加对医疗错误的恐惧与牙医更倾向于从事防御性实践的倾向直接相关.
- 调查结果强调,需要制定策略来缓解医疗不当的担忧,并促进基于证据的牙科护理.
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