Epidemiological Aspects and Psychological Reactions to COVID-19 of Dental Practitioners in the Northern Italy Districts of Modena and Reggio Emilia
Epidemiological Aspects and Psychological Reactions to COVID-19 of Dental Practitioners in the Northern Italy Districts of Modena and Reggio Emilia
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DOI：
10.3390/ijerph17103459
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发表时间：
2020-05-01
影响因子：
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通讯作者：
Checchi, Vittorio
中科院分区：
文献类型：
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作者：
Consolo, Ugo;Bellini, Pierantonio;Checchi, Vittorio
严重急性呼吸道综合征-冠状病毒-2（Sars-CoV-2）和COronaVIrus疾病19（COVID-19）的爆发和扩散导致卫生系统处于紧急状态，包括牙科环境。意大利录得的COVID-19病例数为全球第三高，欧洲第二高。一份由40个问题组成的匿名在线调查已发送给在摩德纳和雷焦艾米利亚地区执业的牙医，这是意大利受COVID-19影响最严重的地区之一。该调查旨在强调COVID-19的出现对日常临床实践的实际和情感影响。具体而言，它评估了牙医在2020年3月10日意大利国家行政命令（DM-10 M20）引入的SARS-CoV-2大流行限制措施后的行为反应，情绪和担忧，以及牙医对自己和患者感染可能性的看法。此外，通过广泛性焦虑症-7测试（GAD-7）评估了COVID-19的心理影响，该测试测量了焦虑症状的存在和严重程度。该调查使用当地牙科协会（ANDI-Associazione Nazionale Dentisti Italiani、CAO-Commissione Albo Odontoiatri）名单，通过电子邮件发送给摩德纳和雷焦艾米利亚地区的所有牙医（874名从业者），其中356人完成了调查（40%）。所有牙科医生关闭或减少他们的活动，以紧急程序，38.2%之前和61.8%之后的DM-10 M20。所有人都报告说，他们经常使用最常见的个人防护设备，但也承认，在COVID-19大流行期间，必须修改个人防护设备的使用。很高比例的患者在DM-10 M20之后取消了之前的预约。近85%的牙医报告担心在临床活动中感染。GAD-7（广泛性焦虑障碍-7）评估结果显示，9%的受访者报告了严重的焦虑。总而言之，COVID-19紧急情况对摩德纳和雷焦艾米利亚地区的牙医执业活动产生了高度负面影响。所有答复者都报告说，业务关闭或活动大幅减少。这种负面影响的感觉伴随着担忧（70.2%），焦虑（46.4%）和恐惧（42.4%）。他们中的大多数（89.6%）表示担心他们的职业前途，并希望采取经济措施来帮助牙科医生。
The outbreak and diffusion of the Severe Acute Respiratory Syndrome-Coronavirus-2 (Sars-CoV-2) and COronaVIrus Disease 19 (COVID-19) have caused an emergency status in the health system, including in the dentistry environment. Italy registered the third highest number of COVID-19 cases in the world and the second highest in Europe. An anonymous online survey composed of 40 questions has been sent to dentists practicing in the area of Modena and Reggio Emilia, one of the areas in Italy most affected by COVID-19. The survey was aimed at highlighting the practical and emotional consequences of COVID-19 emergence on daily clinical practice. Specifically, it assessed dentists' behavioral responses, emotions and concerns following the Sars-CoV-2 pandemic restrictive measures introduced by the Italian national administrative order of 10 March 2020 (DM-10M20), as well as the dentists' perception of infection likelihood for themselves and patients. Furthermore, the psychological impact of COVID-19 was assessed by means of the Generalized Anxiety Disorder-7 test (GAD-7), that measures the presence and severity of anxiety symptoms. Using local dental associations (ANDI-Associazione Nazionale Dentisti Italiani, CAO-Commissione Albo Odontoiatri) lists, the survey was sent by email to all dentists in the district of Modena and Reggio Emilia (874 practitioners) and was completed by 356 of them (40%). All dental practitioners closed or reduced their activity to urgent procedures, 38.2% prior to and 61.8% after the DM-10M20. All reported a routinely use of the most common protective personal equipment (PPE), but also admitted that the use of PPE had to be modified during COVID-19 pandemic. A high percentage of patients canceled their previous appointments after the DM-10M20. Almost 85% of the dentists reported being worried of contracting the infection during clinical activity. The results of the GAD-7 (General Anxiety Disorder-7) evaluation showed that 9% of respondents reported a severe anxiety. To conclude, the COVID-19 emergency is having a highly negative impact on the activity of dentists practicing in the area of Modena and Reggio Emilia. All respondents reported practice closure or strong activity reduction. The perception of this negative impact was accompanied by feelings of concern (70.2%), anxiety (46.4%) and fear (42.4%). The majority of them (89.6%) reported concerns about their professional future and the hope for economic measures to help dental practitioners.