Training for dental professionals improves confidence in managing patients with dental anxiety in Ireland

C. Mac Giolla Phadraig, Niall Neeson, Olivia Murdoch, B. Daly
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Abstract

##Statement of the problem Dental anxiety is common and its impact can be profound. Dental professionals may lack training and confidence to support patients with dental anxiety. In 2017, an educational intervention was provided to dental care professionals designed to improve participants’ management of adults and children with dental anxiety. The aim of this study was to measure the impact of the intervention on participants’ confidence in managing patients with varying levels of dental anxiety. ##Methods Dentists and dental care professionals were invited to participate in a bespoke training day on dental anxiety management. Self-administered questionnaires were completed immediately before and immediately after the educational intervention. Respondents scored their level of confidence in managing patients who are anxious about dental treatment before and after training using a visual analogue scale. Differences were tested using Student’s t-test. ##Results Fifty-seven participants responded (RR=73.1%). Participants were predominantly female (n=52, 91.8%) and reported seeing a median of 12, 10 and two patients with mild, moderate and severe dental anxiety, respectively, per week. Paired data were available for 40 participants regarding mildly and moderately anxious patients, and for 39 respondents for severely anxious patients. Mean confidence scores increased from pre to post training, increasing by 9.1%, 11.9% and 25.1% for management of patients with mild, moderate and severe dental anxiety, respectively (p<0.01). ##Conclusions Training was effective in improving confidence among dental professionals regarding the treatment of patients with mild, moderate and severe dental anxiety. Participants highlighted barriers to oral healthcare for patients with dental anxiety.
爱尔兰牙科专业人员培训提高了管理牙科焦虑患者的信心
##牙科焦虑症是一种常见的问题,其影响可能是深远的。牙科专业人员可能缺乏培训和信心来支持患有牙科焦虑症的患者。2017年,向牙科护理专业人员提供了一项教育干预,旨在改善参与者对患有牙科焦虑症的成人和儿童的管理。本研究的目的是测量干预对参与者管理不同程度牙科焦虑患者的信心的影响##方法邀请牙医和牙科护理专业人员参加一个定制的牙科焦虑管理培训日。在教育干预之前和之后立即完成自我管理问卷。受访者在训练前后使用视觉模拟量表对管理对牙科治疗感到焦虑的患者的信心水平进行评分。差异采用Student t检验进行检验##结果57名参与者有反应(RR=73.1%)。参与者主要是女性(n=52,91.8%),据报道,每周分别有12名、10名和2名轻度、中度和重度牙科焦虑患者。40名参与者可获得轻度和中度焦虑患者的配对数据,39名受访者可获得重度焦虑患者的成对数据。从训练前到训练后,平均信心得分分别提高了9.1%、11.9%和25.1%(p<0.01)。##结论训练能有效提高牙科专业人员对轻度、中度和重度牙科焦虑患者治疗的信心。参与者强调了牙科焦虑患者口腔保健的障碍。
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