外科医生自我感知的焦虑程度与手术类型有关吗？

IF 2.6 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral and Maxillofacial Surgery Pub Date : 2025-05-01 DOI:10.1016/j.joms.2025.01.016

Onur Odabaşı DMD , Mehmet Emrah Polat DMD

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引用次数: 0

摘要

背景：外科手术会给外科医生带来一定程度的焦虑。目前尚不清楚口腔颌面外科医生所进行的手术类型是否会影响焦虑的自我感知水平。目的：本研究的目的是测量不同口腔颌面外科手术方式与焦虑水平之间的关系，并确定手术方式与最高水平的表现焦虑有关。研究设计、环境、样本：在土耳其的口腔颌面外科医生中进行回顾性横断面调查，通过包括Instagram和WhatsApp在内的社交媒体平台以电子方式分发调查。预测变量：主要预测变量为手术方式。15种不同的手术，包括简单和复杂的拔牙，阻生下颌和上颌犬前磨牙拔牙，阻生下颌和上颌第三磨牙拔牙，种植牙手术，窦提升，移植（简单和复杂），囊肿手术，Le Fort I手术，矢状分裂支截骨，genioplasty和颞下颌关节（TMJ）手术。主要结果变量：主要结果变量是在各种手术过程中自我报告的焦虑水平，使用11分李克特量表进行评估，范围从0（无焦虑）到10（极度焦虑）。协变量：协变量包括人口统计（年龄和性别）、经验（年限）和机构类型（公立大学、私立大学、私立诊所、私立卫生机构和卫生部附属医院）。分析：用夏皮罗-威尔克斯检验检验正态性。使用Kruskal-Wallis测试比较两类以上分类变量的焦虑得分，使用Mann-Whitney U测试按性别比较焦虑得分。结果：共发放问卷154份，收到96份，占62.3%。受访者中，女性34人（35.4%），男性62人（64.6%）。结论和相关性：不同口腔颌面外科手术方式的焦虑水平存在差异。制定有针对性的焦虑管理策略非常重要，特别是对于高焦虑水平的手术，如TMJ手术和双侧矢状分支截骨术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Is A Surgeon’s Self-Perceived Level of Anxiety Associated With the Type of Surgical Procedure Being Performed?

Background

Surgical procedures result in some level of anxiety for the surgeon. It is unclear if the type of surgical procedure being performed by oral and maxillofacial surgeons influences the self-perceive level of anxiety.

Purpose

The purpose of this study was to measure the association between different oral and maxillofacial surgical procedures and anxiety levels, and to identify procedures associated with the highest level of performance anxiety.

Study design, setting, sample

A retrospective cross-sectional survey was conducted among oral and maxillofacial surgeons in Turkey, distributing surveys electronically via social media platforms, including Instagram and WhatsApp.

Predictor variable

The primary predictor variable was surgical procedure. The procedures were 15 different operations, including simple and complex tooth extraction, impacted mandibular and maxillary canine–premolar extraction, impacted mandibular and maxillary third molar extraction, dental implant surgery, sinus lifting, grafting (simple and complex), cyst operations, Le Fort I surgery, sagittal split ramus osteotomy, genioplasty, and temporomandibular joint (TMJ) surgery.

Main outcome variable

The main outcome variable was self-reported anxiety level during various surgical procedures, assessed using an 11-point Likert scale ranging from 0 (no anxiety) to 10 (extreme anxiety).

Covariates

Covariates included demographics (age and sex), experience (years) and institution type (public universities, private universities, private clinics, private health institutions, and Ministry of Health-affiliated hospitals.)

Analyses

Normality was tested with the Shapiro-Wilks test. Anxiety scores were compared among categorical variables with more than 2 categories using the Kruskal–Wallis test, and by sex using the Mann–Whitney U test. Statistical significance was indicated by P value < .05.

Results

A total of 154 surveys were distributed, and 96 responses (62.3%) were received and analyzed. Among the respondents, 34 (35.4%) were female and 62 (64.6%) were male. Anxiety levels differed significantly by surgical procedure (P < .001), with the highest mean in TMJ surgery (8.10 ± 2.23) and the lowest mean in simple tooth extraction (1.44 ± 1.86).

Conclusions and relevance

The anxiety levels associated with different oral and maxillofacial surgical procedures vary for surgeons. Developing targeted anxiety management strategies is important, especially for procedures with high anxiety levels, such as TMJ surgery and bilateral sagittal split ramus osteotomy.

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来源期刊

Journal of Oral and Maxillofacial Surgery 医学-牙科与口腔外科

CiteScore

4.00

自引率

5.30%

发文量

审稿时长

41 days

期刊介绍： This monthly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments and diagnostic equipment and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association.