COVID-19大流行封锁对尼日利亚临床牙科实践的影响

I. Menakaya, A. Abah, Gloria Okeoghenemaro Agboghoroma, N. Menakaya
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摘要

背景:2019冠状病毒病大流行对全球口腔卫生保健服务产生了深远影响。目的:本研究的主要目的是确定COVID -19大流行封锁对尼日利亚临床牙科实践的影响,并讨论如何减轻不利影响。方法:横断面自我管理预测试问卷为基础的调查同意牙科医生从不同的国家和地缘政治区域在尼日利亚的研究采用。研究参与者采用非随机方便抽样方式招募。数据分析使用社会科学统计软件包(SPSS)第20版。结果:142名受访者中有105人完成并交回调查问卷,回复率为74%。在公共部门执业的受访者中,只有约47%的人的诊所被关闭,而在大流行封锁期间,私营部门执业的所有受访者(100%)的诊所都被关闭,差异具有统计学意义(p=0.000)。私营部门执业的大多数受访者(65.4%)经历了收入损失,而公共部门执业的受访者中这一比例为24.1%,这一差异也具有统计学意义(p=0.000)。结论:2019冠状病毒病大流行与尼日利亚政府实施的封锁期有关,这些封锁期伴随着牙科诊所的缩减或完全关闭。在疫情封锁的不利影响中,私营部门的做法首当其冲,造成了业务关闭和随之而来的经济损失。通过将远程牙科纳入常规牙科实践,可以减轻COVID-19大流行封锁对临床牙科实践的不利影响。
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Impact of COVID-19 Pandemic Lockdown on Clinical Dental Practice in Nigeria
Background: The COVID-19 pandemic has had profound effects on oral healthcare services globally.  Objective: The main objective of this study was to determine the impact of COVID -19 pandemic lockdown on clinical dental practice in Nigeria and discuss how adverse impact could be mitigated.  Methods: A cross-sectional self-administered pre-tested questionnaire-based survey of consenting dental practitioners from different States and geopolitical zones in Nigeria was employed for the study. Study participants were recruited by non-random convenience sampling. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20.  Results: A total of 105 out of 142 respondents completed and returned the survey questionnaire giving a response rate of 74%. While only about 47% of respondents in public sector practice had their clinics shut down, all the respondents in private sector practice (100%) had their clinics closed down during the pandemic lockdown and the difference was statistically significant (p=0.000). Majority of respondents in private sector practice (65.4%) experienced income loss compared to 24.1% of respondents in public sector practice and this difference was also statistically significant (p=0.000).  Conclusion: The COVID-19 pandemic was associated with government instituted lockdown periods with attendant scaling down or outright closure of dental clinical practices in Nigeria. The private sector practice bore the brunt of the adverse impacts of the pandemic lockdown in terms practice shutdowns and attendant economic losses. The adverse impact of COVID-19 pandemic lockdown on clinical dental practice could be mitigated by the incorporation of teledentistry into routine dental practice.
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