Sentimentos de estudantes e profissionais frente ao atendimento odontopediátrico

• Autor(a) principal: Galdino, Fabíola Fontes
• Data de Publicação: 2022
• Outros Autores: [e-mail]
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/19072
• topic: Pedriatric dentistry; Anxiety; Fear; Dental students; Dental professional; Odontopediatria; Ansiedade; Medo; Alunos de Odontologia; Profissional de Odontologia; CIENCIAS DA SAUDE::ODONTOLOGIA

The objective of the present study is to evaluate the feeling of fear, anxiety and insecurity and the acceptability of behavior management techniques (BMT) of students and professionals facing pediatric dental care. For this purpose, this study was subdivided into two specific objectives: (1) to evaluate the acceptability of dental students and professionals concerning BMT applied to pediatric dentistry patients through a systematic review, and (2) to develop and validate a questionnaire to assess the feelings of fear, anxiety and insecurity of dental students in relation to pediatric dental care. Objective 1: a systematic literature review was performed with searches in PubMed, Scopus, Web of Science, BVS (Lilacs/BBO), Cochrane and Open Grey, until September 2021. Duplicates were removed using the Mendley software. Study selection, data extraction and methodological quality assessment were performed using the Joanna Briggs Institute tool and the certainty of evidence by GRADE. Objective 2: a questionnaire was developed using a focus group strategy formed by 10 undergraduate dentistry students and validated. Then, the questionnaire was structured and digitally applied via Google Forms to 90 dentistry students (25.01 years ±1.28), who had already experienced pediatric dentistry clinical practice. The test-retest was carried out with 15 students. A descriptive analysis, exploratory factor analysis (EFA), Intraclass Correlation Coefficient (ICC), Cronbach's Alpha (α) and Mann-Whitney test for discriminant validity (p < 0,05). As a result of study 1, the systematic review search retrieved 710 articles, 21 eligible articles. Among undergraduate students and general practitioners, the most accepted BMT were tell-show-do and positive reinforcement, among pediatric dentists it was tell-show-do and among professionals with Stricto sensu graduate degrees it was sedation with nitrous oxide and positive reinforcement. The least accepted technique was protective stabilization. Two studies had a low risk of bias and 19 had a high risk. A very low certainty of evidence was observed. As a result of study 2, the final version of the questionnaire was composed of 3 items using the visual analogue scale (VAS) with a total score from 0 to 10 that assessed anxiety, fear and insecurity. The higher instrument score, the greater the negative feeling towards pediatric dental treatment. The results of the AFE assumption tests were satisfactory (Bartlett's sphericity=0.744; KMO<0.001). The AFE extracted a single dimension with an eigenvalue of 2.4 and a total explained variance of 80%. The internal consistency of the questionnaire was adequate (α=0.877) and the reliability through the test-retest was satisfactory (ICC=0.691). Students who feel safe to perform invasive procedures in children have more positive feelings related to pediatric dental treatment (mean=3.5 ±2.73) than those who do not feel such safety (mean=5.0 ± 2.35; p=0.007); this result demonstrates the validity of the questionnaire. It is concluded through the systematic review that, the most accepted BMT were the basic ones based on communication. Regarding the proposed questionnaire, it is concluded that it is valid and reliable for evaluating the feelings of undergraduate dental students regarding the care of children's patients.