牙科医生对合作治疗颞下颌关节紊乱症的认识、管理实践和态度:一项混合方法研究

IF 3.2 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Muhammad Taqi, Syed Jaffar Abbas Zaidi, Saad uddin Siddiqui, Babar Zia, Maria Khadija Siddiqui
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引用次数: 0

摘要

颞下颌关节紊乱症(TMDs)是影响颞下颌关节(TMJ)不同部位的多种疾病,可导致口面部疼痛和功能障碍。本研究旨在调查牙科医生对颞下颌关节紊乱症(TMDs)的认识和管理,特别是他们对物理疗法在 TMD 治疗中所起作用的认识。研究采用了混合方法,以全面了解牙科医生在治疗 TMD 方面的现有知识、管理实践以及对合作的态度。通过详细的问卷调查,从卡拉奇的 335 名牙医中收集了数据,以评估他们对物理治疗在 TMD 治疗中的作用的了解程度。根据牙医对调查问卷的答复,我们选择了 20 名牙医进行面对面的深入访谈,以探讨他们在治疗 TMD 方面的经验和面临的挑战。研究的定量和定性累积结果表明,转诊实践的个性化方法和跨学科合作方面的巨大差距是该研究的显著特点。大多数拥有学士学位的医生在治疗 TMD 时主要采用药物治疗(65.2%)和病因治疗(65.3%)。对临床疗效和从业人员在管理 TMD 方面面临的挑战进行的专题分析表明,牙科专业人员面临着重大问题。该研究成功验证了一份调查问卷,以了解牙科医生对 TMD 治疗中物理疗法的认识。研究发现,牙科医生和物理治疗师之间在知识方面存在巨大差距,并且缺乏合作。研究中强调的有限转诊实践,以及牙医访谈中的见解,都强调了在牙科实践中改进跨学科方法管理 TMD 的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dental practitioners’ knowledge, management practices, and attitudes toward collaboration in the treatment of temporomandibular joint disorders: a mixed-methods study
Temporomandibular joint disorders (TMDs) are a variety of conditions that affect different parts of the temporomandibular joints (TMJ) and can cause orofacial pain and functional impairment. This study aims to investigate dental practitioners’ knowledge and management of Temporomandibular Joint Disorders (TMDs), particularly their knowledge of the role physical therapy plays in TMD treatment. A mixed-methods approach was adopted to provide a comprehensive view of current knowledge, management practices, and attitudes toward collaboration among dental practitioners in treating TMD. Data were collected from a convenience sample of 335 dentists in Karachi using a detailed questionnaire to assess their knowledge of the role of physical therapy in the treatment of TMD. Twenty dentists were chosen for face-to-face, in-depth interviews to explore their experiences and challenges in managing TMDs based on their responses to the administered questionnaire. The cumulative quantitative and qualitative findings of the study revealed a landscape marked by individualized approaches to referral practices and significant gaps in interdisciplinary collaboration. Most practitioners holding a bachelor’s degree predominantly used medication (65.2%) and cause-specific treatment (65.3%) for TMD treatment. Thematic analysis of clinical efficacy and practitioner challenges in managing TMD revealed significant issues faced by dental professionals. The study successfully validated a questionnaire to understand dental practitioners’ knowledge regarding physical therapy in TMD treatment. The study identified significant gaps in knowledge and a lack of collaboration between dentists and physiotherapists. The limited referral practices highlighted in the study, along with insights from dentist interviews, emphasize the need for improved interdisciplinary approaches to managing TMDs within dental practice.
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来源期刊
BMC Family Practice
BMC Family Practice 医学-医学:内科
CiteScore
3.20
自引率
0.00%
发文量
0
审稿时长
4-8 weeks
期刊介绍: BMC Family Practice is an open access, peer-reviewed journal that considers articles on all aspects of primary health care research. The journal has a special focus on clinical decision making and management, continuing professional education, service utilization, needs and demand, and the organization and delivery of primary care and care in the community.
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