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A survey of dentists' knowledge and attitudes with respect to the treatment of scleroderma patients

机译:牙科医生对硬皮病患者的知识和态度调查

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Objective: Scleroderma or systemic sclerosis causes dry mouth, a major risk factor for tooth decay, and shrinks the mouth opening, complicating care. A 2011 survey determined that 28% of systemic sclerosis patients have difficulty finding dentists prepared to treat them, and 63% do not recommend their current dentist to other systemic sclerosis patients. We use a survey to gauge dentists' knowledge and attitudes regarding the care of scleroderma patients. Methods: We conducted an Internet-based survey of all 4465 members of the Massachusetts Dental Society to determine their knowledge and attitudes of treating systemic sclerosis patients. Data were analyzed using SPSS and Qualtrics research suite. Results: Surveys were accessed by 351 dentists and completed by 269. Responses were primarily from Eastern Massachusetts (80%), but represented the Boston area less than expected. Most dentists believed they have an ethical responsibility to treat patients who have scleroderma (93%). More than half of dentists believed that in not knowing about systemic sclerosis they might harm a patient (51%). If contacted by a patient who has scleroderma, 50% of dentists would gather information on the disease or the patient's condition. Dentists who felt prepared (71%) were more likely to correctly answer questions related to diagnosis and classification of scleroderma than those who felt unprepared (P = 0.004, Mann-Whitney U test). Conclusion: Results indicate the potential value of creating a health communication effort targeting oral health providers to improve scleroderma patient satisfaction and access to care.
机译:目的:硬皮病或全身性硬化症会导致口干,这是蛀牙的主要危险因素,并且会张大嘴巴,使护理复杂化。 2011年的一项调查确定,有28%的系统性硬化症患者难以找到准备对其进行治疗的牙医,而63%的患者不向其他系统性硬化症患者推荐其目前的牙医。我们使用一项调查来评估牙医对硬皮病患者的护理知识和态度。方法:我们对马萨诸塞州牙科协会的所有4465名成员进行了基于Internet的调查,以确定他们对治疗系统性硬化症患者的知识和态度。使用SPSS和Qualtrics研究套件分析数据。结果:351位牙医进行了调查,到269位完成了调查。回答主要来自马萨诸塞州东部地区(80%),但波士顿地区的人数少于预期。大多数牙医认为,他们有道德责任治疗患有硬皮病的患者(93%)。超过一半的牙医认为,不了解全身性硬化症可能会对患者造成伤害(51%)。如果患有硬皮病的患者与之接触,则50%的牙医会收集有关疾病或患者状况的信息。与那些没有准备的人相比,有准备的牙医(71%)更有可能正确回答与硬皮病的诊断和分类有关的问题(P = 0.004,Mann-Whitney U检验)。结论:结果表明,开展针对口腔健康服务提供者的健康交流活动以提高硬皮病患者满意度和就医机会的潜在价值。

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