Fiske J, Gelbier S, Watson R M
Department of Community Dental Health, King's College School of Medicine and Dentistry, London, UK.
J Dent. 1990 Oct;18(5):236-42. doi: 10.1016/0300-5712(90)90020-f.
A sample of 765 elderly people living in London was interviewed and examined. Barriers to dental care stemmed from: elderly people's beliefs that dentures should last a life-time and dental visits are unnecessary for edentulous persons: mobility difficulties; fear; problems with access to NHS care and with access to satisfactory care. The attitudes of general dental practitioners, community dentists and final year dental students towards elderly people were favourable. Sixty per cent of surgeries were on the ground floor, and 46 per cent of premises were unsuitable for wheelchair access. Carers wanted improvement in domiciliary services. The provision of domiciliary care was significantly related to training. There was a paucity of experience in this field amongst dental students. Community dentists recognized a need for retraining before providing care for handicapped elderly people.
对居住在伦敦的765名老年人进行了访谈和检查。牙科护理的障碍源于：老年人认为假牙应终身使用，无牙者无需看牙医；行动不便；恐惧；获得国民保健服务护理和获得满意护理方面的问题。普通牙科医生、社区牙医和牙科专业最后一年的学生对老年人的态度是积极的。60%的诊疗室在一楼，46%的场所不适合轮椅通行。护理人员希望改善上门服务。上门护理的提供与培训有显著关系。牙科专业学生在这一领域缺乏经验。社区牙医认识到在为残疾老年人提供护理之前需要重新培训。
