Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK.
Fam Pract. 2013 Feb;30(1):113-8. doi: 10.1093/fampra/cms034. Epub 2012 May 2.
People with type 2 diabetes have an increased risk of oral health problems; however, oral health is currently not included in structured diabetes reviews and education in the UK.
This study explores the patient's experience related to oral health and diabetes, especially in relation to: • Awareness of the link between oral health and diabetes and oral self-care needs. • Interaction with health professionals in dental and general practice. • Preferences for receiving oral health information and education. Methods This nested qualitative study involved semi-structured telephone interviews with a purposive sample of 20 participants from a questionnaire study on oral health awareness in patients with diabetes. Interview transcripts were analysed using a thematic framework approach.
Participants were mostly unaware of the link between oral health and diabetes. Those that had been made aware by a health professional were not given concrete self-care advice. Interactions with dental professionals were often limited to informing the dental practice of their diagnosis and current medication. Most participants were in favour of dentists screening for diabetes, but as their general practice was the hub for diabetes care, they felt GPs or nurses should provide oral health information and discuss oral health with patients.
Written information regarding diabetes and its possible effects on oral health needs to be more readily available to people with diabetes, especially at diagnosis. There may be a place for introducing a structured oral health question in routine diabetes reviews.
2 型糖尿病患者口腔健康问题的风险增加；然而，在英国，口腔健康目前并未纳入结构化的糖尿病检查和教育中。
本研究探讨了患者与口腔健康和糖尿病相关的体验，特别是在以下方面：
对口腔健康与糖尿病之间的联系以及口腔自我保健需求的认识。
在牙科和全科医疗中与卫生专业人员的互动。
对接受口腔健康信息和教育的偏好。
这项嵌套式定性研究采用了半结构式电话访谈的方式，对糖尿病患者口腔健康意识问卷调查研究中的 20 名参与者进行了访谈。使用主题框架方法对访谈记录进行了分析。
参与者大多不知道口腔健康与糖尿病之间的联系。那些被卫生专业人员告知存在联系的人并没有得到具体的自我保健建议。与牙科专业人员的互动往往仅限于向牙科诊所告知他们的诊断和当前用药情况。大多数参与者赞成牙医筛查糖尿病，但由于他们的全科医生是糖尿病护理的中心，他们认为全科医生或护士应该提供口腔健康信息，并与患者讨论口腔健康问题。
需要向糖尿病患者提供更多关于糖尿病及其可能对口腔健康影响的书面信息，尤其是在诊断时。在常规糖尿病检查中引入结构化的口腔健康问题可能是有必要的。
