COVID-19 affected patients' utilization of dental care service
COVID-19 affected patients' utilization of dental care service
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DOI：
10.1111/odi.13568
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发表时间：
2020-08-04
期刊：
影响因子：
3.8
通讯作者：
Li, Huang
中科院分区：
文献类型：
--
作者：
Jiang, Yuanyuan;Tang, Tianyi;Li, Huang
2019年年底，中国武汉报告了以发烧和肺炎症状为特征的新型冠状病毒病2019（COVID-19）（Kazan，Katz和Gostin，2020）。鉴于COVID-19可能在牙科临床程序中通过飞沫和气溶胶传播，牙科医生感染COVID-19的风险很高（Ather，Patel，Ruparel，Diogenes和Hargreaves，2020）。根据中华口腔医学会（CSA）的指引，中国的牙科诊所于2020年1月至4月期间暂停常规牙科服务，仅提供紧急牙科护理（CSA，2020）。本研究的目的是调查COVID-19大流行期间COVID-19对患者牙科服务利用的影响，本研究于4月20日至4月27日医院重新对外开放后进行，并获得南京市口腔医院伦理委员会的批准。研究对象为南京市口腔医院1,032名有牙科预约记录的患者。我们使用一份24项问卷，调查病人的人口统计资料、心理状态、行为及对COVID-19的认知，以及他们对现时牙科服务的评价（附录S1）。根据从医院登记系统获得的数据计算样本量，把握度为95%，误差范围为3.07%。使用SPSS 16（IBM，USA）进行统计分析。采用Kruskal-Wallis H检验探讨不同压力程度的口腔保健就诊相关因素。p值<. 05被认为是重要的。
The novel coronavirus disease 2019 (COVID-19), characterized by symptoms of fever and pneumonia, was reported in Wuhan, China, at the end of 2019 (Phelan, Katz, & Gostin, 2020). Given the likely transmission of COVID-19 via droplets and aerosols during dental clinical procedures, dental practitioners are at a high risk of COVID-19 infections (Ather, Patel, Ruparel, Diogenes, & Hargreaves, 2020). According to the guidelines of the Chinese Stomatological Association (CSA), dental clinics in China suspended the routine dental services and only provided emergency dental care between January and April 2020 (CSA, 2020). The objective of the study was to investigate the influence of COVID-19 on patients’ utilization of dental services during the COVID-19 pandemic.This study was carried out from April 20 to April 27 after the hospital reopening to the public and was approved by the Ethics Committee of Nanjing Stomatological Hospital. A total of 1,032 patients with a dental appointment record in the Nanjing Stomatological Hospital were recruited in the study. A 24-item questionnaire was used to survey patients’ demographics, psychological state, behaviour and awareness of COVID-19, and their evaluations on the current dental services (Appendix S1). Sample size was calculated based on the data obtained from the hospital registration system, using a power of 95% and a 3.07% margin of error. Statistical analysis was performed using SPSS 16 (IBM, USA). Kruskal–Wallis H tests were performed to explore the associated factors of different degrees of stress during dental health care visit. p-Value<. 05 was considered significant.