ﺑﺮرﺳﯽ وﺿﻌﯿﺖ ﻣﺮاﻗﺒﺖ ﻫﺎي دﻧﺪاﻧﭙﺰﺷﮑﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ﺷﻮاﻫﺪ EBD در ﻣﺮﮐﺰ دﻧﺪاﻧﭙﺰﺷﮑﯽ ﺷﻬﯿﺪ ﺷﮑﺮي در ﺳﺎل 1398

Evaluation of Evidence Based Dental (EBD) Care at Shahid Shokri Dental Center in 2019

دندانپزشكي مبتني بر شواهد (EBD) رويكرد جديدي براي حفظ سلامت و بهداشت دهان مي‌باشد كه نيازمند تلفيق مناسب شواهد علمي، تشخيص‌ها، مهارت هاي كلينيكي دندانپزشك و همچنين نيازها و اولويت‌هاي درماني بيمار است. پژوهش حاضر با هدف بررسي وضعيت مراقبت‌هاي دندانپزشكي مبتني بر شواهد (EBD) در مركز دندانپزشكي شهيد شكري انجام شده است. روش‌ها: پژوهش حاضر از نوع كاربردي و يك مطالعه توصيفي تحليلي كه به روش مقطعي در سال 1398 انجام شد. جامعه آماري شامل كليه دندانپزشكان شاغل در مركز دندانپزشكي شهيد شكري بودند و به روش نمونه­‌گيري ساده انجام شد. گردآوري داده­‌ها از طريق مطالعه كتابخانه‌­اي و مشاهده ميداني با ابزار پرسشنامه و چك ليست محقق ساخته در زمينه EBD انجام شد. تجزيه و تحليل داده­‌ها با استفاده از نرم افزار SPSS، روش­‌هاي تحليل آماري و آزمون همبستگي پيرسون صورت گرفت. ﻣﯿﺎﻧﮕﯿﻦ اﻣﺘﯿﺎز آﮔﺎﻫﯽ دﻧﺪاﻧﭙﺰﺷﮑﺎن در زﻣﯿﻨﻪ EBD ﻣﻌﺎدل 0/685 ± 34/27، اﻣﺘﯿﺎز ﻧﮕﺮش 0/641 ± 32/73 و اﻣﺘﯿﺎز دﺳﺘﺮﺳﯽ ﻣﻨﺎﺑﻊ ﺷﻮاﻫﺪ ﺑﺎﻟﯿﻨﯽ 0/638 ± 33/57 ﺑﺪﺳﺖ آﻣﺪ. ﺑﯿﻦ ﺳﻄﺢ آﮔﺎﻫﯽ دﻧﺪاﻧﭙﺰﺷﮑﺎن ﺑﺎ رﺷﺘﻪ ﺗﺤﺼﯿﻠﯽ و ﺳﺎﺑﻘﻪ راﺑﻄﻪ ﻣﻌﻨﺎدار ﺑﻮد. ﺑﯿﻦ ﺳﻄﺢ ﻧﮕﺮش ﺑﺎ ﺳﻦ و رﺷﺘﻪ ﺗﺤﺼﯿﻠﯽ راﺑﻄﻪ ﻣﻌﻨﺎدار ﺑﻮد. در ﺣﯿﻄﻪ دﺳﺘﺮﺳﯽ دﻧﺪاﻧﭙﺰﺷﮑﺎن ﺑﻪ ﻣﻨﺎﺑﻊ ﺷﻮاﻫﺪ ﺑﺎﻟﯿﻨﯽ ﺑﯿﻦ ﺳﻄﺢ دﺳﺘﺮﺳﯽ ﺑﺎ ﺳﻦ و رﺷﺘﻪ ﺗﺤﺼﯿﻠﯽ راﺑﻄﻪ ﻣﻌﻨﺎدار ﺑﻮد. ﻣﯿﺰان اﺳﺘﻔﺎده دﻧﺪاﻧﭙﺰﺷﮑﺎن از ﮔﺎﯾﺪﻻﯾﻦﻫﺎ در ﺑﺨﺶﻫﺎي ﻣﻨﺘﺨﺐ داراي ﻃﯿﻒ ﻣﺘﻮﺳﻂ ﺑﻪ ﺑﺎﻻ ﺑﻮد ﮐﻪ در ﺑﺨﺶ ﭘﺮوﺗﺰ وﺿﻌﯿﺖ ﻋﻤﻠﮑﺮد دﻧﺪاﻧﭙﺰﺷﮑﺎن ﺧﻮب ارزﯾﺎﺑﯽ ﺷﺪ. راﻫﻨﻤﺎﻫﺎي ﺑﺎﻟﯿﻨﯽ )ﮔﺎﯾﺪﻻﯾﻦﻫﺎ( ﺑﺨﺶ ﭘﺮﯾﻮ، اﻧﺪو، ارﺗﻮدﻧﺴﯽ و ﺗﺮﻣﯿﻢ ﺑﻪ روز رﺳﺎﻧﯽ ﺷﺪﻧﺪ نتيجه‌گيري: دركل وضعيت مراقبت‌هاي دندانپزشكي مبتني بر شواهد در مركز دندانپزشكي شهيد شكري و جزئيات اين مهارت بر اساس مولفه‌هاي آن متوسط ارزيابي شد. نگرش منفي در اين زمينه وجود نداشت اما نياز به تقويت، بسترسازي و ايجاد شرايط مناسب براي فعاليت دندانپزشكان اين مركز در زمينه EBD وجود دارد. برگزاري دوره‌هاي آموزشي جامع، گفتمان سازي، طراحي نظامات استقرار ، ايجاد مكانيسم ارزيابي مبتني بر EBD و به روز رساني گايدلاين‌ها در مركز دندانپزشكي شهيد شكري پيشنهاد مي‌گردد.

Evidence-Based Dentistry (EBD) is an approach to preserve the oral health through proper integration of scientific evidence and oral and medical conditions of the patient, clinical skills of the dentist, and the priorities of the patient. This research was conducted to study the Evaluation of Evidence-Based Dental Care (EBD) that was performed at Shahid Shokri Dental Center. Methods: This study was an applied research and a descriptive-analytical one which was done by the crosssectional method in 2019. The statistical populations were consisted of all dentists working in Shahid Shokri Dental Center and selected by simple sampling method. Data collection was done through library study and field observation by a researcher-made questionnaire and EBD tool. Data analysis was performed using Spss software, statistical analysis methods and Pearson correlation test. Results: The mean score of dentists' knowledge about EBD was 34.27 ± 0.685; attitude score was 32.73 ± 0.641 and clinical evidence resource access score was 33.57 ± 0.638. There was a significant relationship between the level of knowledge of dentists and their field of study and history. There was a significant relationship between attitude level with age and field of study. In the area of dentists 'access to clinical evidence sources, there was a significant relationship between access level with age and field of study. Dentists' use of guides in selected sections had a medium to high spectrum, which was evaluated as good by dentists in prosthetics. Clinical guides (guidelines) for the ward, endo, orthodontic and restoration ward were updated. Conclusion: The status of EBD care at Shahid Shokri Dental Center and the details of this skill were assessed based on its average components. There was no negative attitude, but there was a need to strengthen, hospitalize and create the right conditions for EBD dentists. It is recommended to conduct comprehensive training courses, discourse building, system design, and EBD-based assessment mechanisms and update the guidelines at Shahid Shokri Dental Center.