坦桑尼亚政府医院牙科患者所感知到的恢复性护理障碍。

Barriers to restorative care as perceived by dental patients attending government hospitals in Tanzania.

作者信息

Kikwilu E N, Frencken J E, Mulder J, Masalu J R

机构信息

Department of Preventive and Community Dentistry, School of Dentistry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

出版信息

Community Dent Oral Epidemiol. 2009 Feb;37(1):35-44. doi: 10.1111/j.1600-0528.2008.00446.x.

DOI:10.1111/j.1600-0528.2008.00446.x

PMID:19191819

Abstract

OBJECTIVES

Perceptions of dental patients in Tanzania regarding barriers to restorative care were examined.

METHODS

A total of 1138 dental patients aged 15 years and above, attending 12 selected government dental clinics in January 2005, completed a pre-tested questionnaire. anova and logistic regression were used to identify the effects of independent variables upon the barrier factors.

RESULTS

Ten barriers to restorative care in Tanzania were identified. The five main barriers included: No advice received from dentist (mean = 3.82); Lack of knowledge on restorative care (mean = 3.58); Lack of habits for going for dental check-ups (mean = 3.31); Bother that one may get in seeking restorative care (mean = 3.28) and Past experience with dental treatment (mean = 3.25). Less respondents in the middle economic zone perceived issues related to beliefs and misinformation, lack of knowledge on restorative care and past experience with dental treatment to be barriers than respondents in low and high economic zones (P < 0.01). However, more of them perceived issues related to high fee for restoration, bother that one may get in seeking restorative care and few clinics rendering restorative care (P < 0.0001) to be barriers than respondents in the high economic zone did. Women, more than men, perceived few clinics rendering restorative care and no advice received from dentist as barriers to restorative care (P < 0.01). Respondents who had received a restoration and/or had relatives who had received a restoration perceived bother that one may get in seeking restorative care and no advice received from dentist more as barriers to restorative care than did those who lacked that experience and whose relatives had not received a restoration (P < 0.05).

CONCLUSIONS

No advice received from dentist and lack of knowledge on restorative care, were the two major barriers to restorative care, as perceived by dental patients in Tanzania. Implementation of the Atraumatic Restorative Treatment approach may overcome many of the barriers identified.

摘要

目的

调查坦桑尼亚牙科患者对修复治疗障碍的看法。

方法

2005年1月，共有1138名15岁及以上的牙科患者在12家选定的政府牙科诊所就诊，他们完成了一份经过预测试的问卷。采用方差分析和逻辑回归来确定自变量对障碍因素的影响。

结果

确定了坦桑尼亚修复治疗的十个障碍。五个主要障碍包括：未从牙医处获得建议（均值 = 3.82）；缺乏修复治疗知识（均值 = 3.58）；缺乏定期进行牙科检查的习惯（均值 = 3.31）；担心寻求修复治疗时会遇到麻烦（均值 = 3.28）以及过去的牙科治疗经历（均值 = 3.25）。与低经济区和高经济区的受访者相比，中等经济区较少的受访者认为与信念和错误信息、缺乏修复治疗知识以及过去的牙科治疗经历相关的问题是障碍（P < 0.01）。然而，与高经济区的受访者相比，他们中更多的人认为与修复费用高、担心寻求修复治疗时会遇到麻烦以及提供修复治疗的诊所较少相关的问题是障碍（P < 0.0001）。女性比男性更认为提供修复治疗的诊所较少以及未从牙医处获得建议是修复治疗的障碍（P < 0.01）。接受过修复治疗和/或其亲属接受过修复治疗的受访者比那些没有这种经历且其亲属未接受过修复治疗的受访者更认为担心寻求修复治疗时会遇到麻烦以及未从牙医处获得建议是修复治疗的障碍（P < 0.05）。