Al-Jundi Suhad H, Al-Waeili Haydar, Khairalah Khaled
Department of Preventive Dentistry, Jordan University of Science and Technology, Irbid, Jordan.
Dent Traumatol. 2005 Aug;21(4):183-7. doi: 10.1111/j.1600-9657.2005.00307.x.
The purpose of this study was to assess, by means of a self administered structured questionnaire, the level of knowledge of school health teachers in northern Jordan with regards to the immediate emergency management of dental trauma. The questionnaire surveyed teacher's background, Knowledge of management of tooth fracture, avulsion, and loss of consciousness, it also investigated teacher's attitudes, and self assessed knowledge, as well as knowledge of availability of emergency services in Jordan. The sample consisted of all school health teachers in northern Jordan (220) who attended an oral health education course held by the Jordanian dental association. Only 190 were included in the survey. Sixty-three percent were females, 44% were in their twenties, and 43% in their forties. Their school health teaching experience ranged from 1 to 7 years. Only 20% were officially trained in school health. Less than half of the teachers received first aid training only once in their teaching career, not necessarily as part of school health training. Only 10 teachers were trained in dental first aid, and more than half had a previous experience with handling dental trauma in children. Overall the teachers' knowledge with regards to the emergency management of the trauma cases presented in the report was deficient. Chi-square test showed that, the difference in their responses to the knowledge part of the questionnaire was not statistically significant with regards to age, gender, years of teaching experience, first aid training, or number of seen trauma cases. Generally, the attitude was positive, most teachers wanting further education on the topic, however those who were trained in first aid, thought they were able to give proper action when needed in cases of trauma (P = 0.026). Most teachers were unsatisfied with their level of knowledge, and only 30% knew of the availability of after hour emergency services for dental trauma. The present report indicated the gross lack of knowledge among school health teachers with regards to dental trauma emergency management. Educational programs to improve the knowledge and awareness of this group of adults, who are usually the first line of advice in case of dental trauma in schools, are mandatory. These programs should be properly designed to insure that proper information is retained with a positive effect on attitude, and self assessed competence.
本研究的目的是通过一份自行管理的结构化问卷，评估约旦北部学校卫生教师在牙齿外伤即时应急处理方面的知识水平。该问卷调查了教师的背景、牙齿折断、牙齿脱臼和意识丧失的处理知识，还调查了教师的态度、自我评估的知识，以及对约旦应急服务可用性的了解。样本包括约旦北部所有参加约旦牙科协会举办的口腔健康教育课程的学校卫生教师（共220名）。只有190名教师被纳入调查。63%为女性，44%年龄在二十多岁，43%在四十多岁。他们的学校卫生教学经验从1年到7年不等。只有20%的教师接受过学校卫生方面的正式培训。不到一半的教师在其教学生涯中仅接受过一次急救培训，且不一定是作为学校卫生培训的一部分。只有10名教师接受过牙科急救培训，超过一半的教师此前有处理儿童牙齿外伤的经验。总体而言，教师们对报告中呈现的外伤病例应急处理知识存在欠缺。卡方检验表明，他们对问卷知识部分的回答在年龄、性别、教学经验年限、急救培训或见过的外伤病例数量方面没有统计学上的显著差异。总体而言，态度是积极的，大多数教师希望就该主题接受进一步教育，然而，那些接受过急救培训的教师认为他们在创伤情况下能够在需要时采取适当行动（P = 0.026）。大多数教师对自己的知识水平不满意，只有30%的教师知道有针对牙齿外伤的非工作时间应急服务。本报告表明，学校卫生教师在牙齿外伤应急处理方面普遍缺乏知识。必须开展教育项目，以提高这组成年人的知识和意识，他们通常是学校发生牙齿外伤时的第一建议人。这些项目应进行适当设计，以确保保留正确信息，并对态度和自我评估能力产生积极影响。
