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探究在为预防儿童龋齿提供建议时影响全科牙医的因素。

Exploring factors that influence general dental practitioners when providing advice to help prevent caries in children.

作者信息

Threlfall A G, Hunt C M, Milsom K M, Tickle M, Blinkhorn A S

机构信息

Oral Health Unit, National Primary Care R&D Centre, School of Dentistry, University of Manchester, Higher Cambridge Street, Manchester, UK.

出版信息

Br Dent J. 2007 Feb 24;202(4):E10; discussion 216-7. doi: 10.1038/bdj.2007.143. Epub 2007 Feb 16.

Abstract

OBJECTIVE

To increase understanding about how and to whom general dental practitioners provide preventive advice to reduce caries in young children.

DESIGN

Qualitative study using semi-structured interviews.

SETTING

The North West of England. Interviews took place between March and September 2003.

SUBJECTS AND METHODS

Ninety-three general dental practitioners practising within the general dental service were interviewed about the care they provide to young children. The interviews were recorded, transcribed and analysed using a constant comparative method.

RESULTS

Children with caries were more likely to be questioned about diet and oral hygiene and if dentists believed parents to be motivated they were more inclined to spend time providing advice. Most dentists seemed to believe that education was the key to preventing caries and gave preventive advice in the form of a short educative talk. There was little use of visual aids or material for parents to take home.

CONCLUSION

Preventive advice is given in an ad hoc way with no formal targeting. Most dentists deliver preventive advice as a short educative talk with no props or additional materials. Use of visual aids, providing materials for parents to take home and greater emphasis on partnership might help improve the impact of advice.

摘要

目的

增进对普通牙科医生如何以及向谁提供预防建议以减少幼儿龋齿情况的了解。

设计

采用半结构化访谈的定性研究。

地点

英格兰西北部。访谈于2003年3月至9月进行。

对象与方法

对93名在普通牙科服务机构执业的普通牙科医生就他们为幼儿提供的护理进行了访谈。访谈进行了录音、转录,并采用持续比较法进行分析。

结果

患龋齿的儿童更有可能被询问饮食和口腔卫生情况,并且如果牙医认为家长有积极性,他们更倾向于花时间提供建议。大多数牙医似乎认为教育是预防龋齿的关键,并以简短的教育讲座形式提供预防建议。很少使用视觉辅助工具或提供给家长带回家的资料。

结论

预防建议是临时给出的,没有正式的针对性。大多数牙医以简短的教育讲座形式提供预防建议,没有道具或额外资料。使用视觉辅助工具、为家长提供带回家的资料以及更加强调合作关系可能有助于提高建议的效果。

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