›› 2017, Vol. 37 ›› Issue (7): 638-641.

• 调查研究 • 上一篇    下一篇

本科实习医生对橡皮障技术应用情况的调查研究

李斯文,朱晓华,陈丽薇,付佳乐,王艳红,李施施,张皓,史秀娣,马红梅   

  1. 中国医科大学附属口腔医院
  • 收稿日期:2016-12-30 修回日期:2017-03-02 出版日期:2017-07-28 发布日期:2017-07-18
  • 通讯作者: 马红梅 E-mail:hmma@mail.cmu.edu.cn
  • 基金资助:
    国家自然科学基金青年基金;辽宁省自然科学基金

Rubber dam: Attitude and practice of five-year undergraduate interns in China

  • Received:2016-12-30 Revised:2017-03-02 Online:2017-07-28 Published:2017-07-18

摘要:

目的 调查五年制本科实习医生临床实习期间对橡皮障技术的应用情况,反馈临床教学中存在的问题,分析原因并提出解决对策。方法 对102名已结束本科五年级临床实习的口腔医学专业学生(男性29名,女性73名)进行问卷调查。统计实习医生对橡皮障技术的使用情况,包括使用率、使用及不使用橡皮障的原因、使用时遇到的问题,实习医生操作熟练情况,实习医生的观念问题,患者的接受度及如何提高患者的依从性因素等。采用SPSS 21.0软件对数据进行统计分析,用Excel表格(Microsoft Excel 2007)对数据进行双份录入并核对校验,对不同组的差异进行卡方检验,检验水准α=0.05。
结果 65.68%的实习医生在临床诊疗过程中经常使用橡皮障。不使用橡皮障的原因有放置困难、耗时长,缺乏理论基础、经验不足,临床习惯,患者拒绝使用等。使用橡皮障时存在的问题与困难是对高难度病例放置困难、橡皮障夹易滑脱、橡皮障易渗漏。64.18%的实习医生可在5min内完成橡皮障的安放,100%的实习医生认为橡皮障是口腔医生必须掌握的临床操作技能,并愿意在毕业后继续使用橡皮障。结论 橡皮障技术的普及仍存在较多问题。教学院校应注重对口腔医学本科生在橡皮障应用技术上的培训工作,促进我国橡皮障临床使用率和口腔医疗技术水平的整体提高。

关键词: 橡皮障, 本科实习生, 调查问卷, 实践

Abstract:

Objective  To investigate the attitude of five-year undergraduate interns towards rubber dam use and to feedback the problems that exist in the clinical teaching and analyze the causes and countermeasures.Methods A questionnaire-based survey was conducted to the 102 five-year dental school students (29 male and 73 female) and it consisted of relevant questions to ascertain the attitudes, opinions and practices concerning rubber dam use, including usage rates, reasons for usage and non usage, difficulties during usage, technical proficiency, conception problems, patient acceptance and compliance. Data were analyzed using SPSS 21.0 software. Excel form of Microsoft 2007 was used to make a double entry for checking. And chi-square test was applied to check the difference among different groups(α= 0.05). Results The results showed that the rubber dam using rate was 65.68%. The reasons for non usage of rubber dam were difficulty in placement, being time-consuming, lack of theoretical basis, insufficient experience, clinical habits and refusal of use. In this study, 64.18% of the students could finish setting rubber dam within 5 min. Whereas 100% of students indicated that they prefer to using rubber dam after graduation and setting technique should be mastered for all students.Conclusions The extensive use of rubber dam technique is still on the way. Dental schools should take responsibility of training students how to use rubber dam to promote the using rate. There is some reluctance about future integration of this tool in routine practice. Therefore, greater emphasis should be put on rubber dam in clinical treatment and improving the level of clinical treatment.

Key words: rubber dam, undergraduate intern, questionnaire, practice

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