Influence of educational level on dental anxiety and understanding special medical vocabulary in women

A.D. Barkovska
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Abstract

The aim of the study was to determine how well Ukrainian women perceive and understand information provided at the dentist’s depending on educational level, to assess the role of vocabulary on dental-patient communication. Data for analysis were collected by questionnaire from 358 women aged 18–75 years from Poltava and Zaporizhzhia regions. The questionnaire consisted of 19 questions, 5 of which were taken from the Modified Scale of Dental Anxiety, the others were determined by the authors. The obtained results were statistically processed. The respondents’ characteristics in this study are as follows: with higher education (65.6%), with special secondary (25%) and upper secondary education (9.4%). It was found that 6% of the respondents’ have dentophobia; 12% – high anxiety, and 21% – moderate anxiety; 62% – low anxiety. The impact of medical vocabulary on communication is assessed by respondents as "negative" by 30% and "positive" by 28% of respondents. Unfamiliar words cause "more trust" in 60%, 40%, 36% of the participants, "more anxiety" in 38%, 53%, and 56% of women with upper secondary, special secondary, higher education respectively. The level of availability of the words "endodontic treatment" naturally increases with increasing level of education: the option `do not understand` in groups upper secondary, special secondary, higher education has chosen 88%, 76%, 61% of respondents, respectively. To conclude, high dental anxiety level and dentophobia are more prevalent among respondents with special secondary and higher education. Dentists should minimize the presence of medical terms during their conversations with patients, especially low educational patients. These steps should positively affect dentist-patient communication and psychological aspects of dental treatment in total. Keywords: dental care, medication adherence, psychometrics, surveys and questionnaires.
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文化程度对女性牙科焦虑及专业医学词汇理解的影响
该研究的目的是确定乌克兰妇女在不同教育水平下对牙医提供的信息的感知和理解程度,以评估词汇在牙医与患者沟通中的作用。分析数据通过问卷调查的方式收集了来自波尔塔瓦和中国两个地区的358名年龄在18-75岁的女性。问卷共19个问题,其中5个问题取自《牙科焦虑修正量表》,其余由作者自编。所得结果进行统计学处理。本研究受访者的特征为:受过高等教育(65.6%),受过特殊中等教育(25%),受过高中教育(9.4%)。调查发现,6%的受访者有牙齿恐惧症;12%为高度焦虑,21%为中度焦虑;62%——低焦虑。30%的受访者认为医学词汇对沟通的影响是“消极的”,28%的受访者认为是“积极的”。在高中学历、特殊学历和高等学历的女性中,不熟悉的词汇分别有60%、40%、36%的人表示“更信任”,38%、53%和56%的人表示“更焦虑”。随着受教育程度的提高,“根管治疗”一词的可用性自然会增加:在高中、特殊中学、高等教育群体中,选择“不理解”的比例分别为88%、76%和61%。综上所述,高牙科焦虑水平和牙科恐惧症在受过特殊中等和高等教育的受访者中更为普遍。牙医在与病人交谈时应该尽量减少医学术语的出现,尤其是低教育程度的病人。这些步骤应该对牙医与病人的沟通和牙科治疗的心理方面产生积极的影响。关键词:牙科保健,药物依从性,心理测量学,调查问卷。
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