Cinar Ayse Basak, Oktay Inci, Schou Lone
Oral Public Health Department, University of Copenhagen, Denmark.
Oral Health Prev Dent. 2012;10(4):379-87.
To assess the role of toothbrushing self-efficacy (TBSE) in toothbrushing (TB) behaviour and diabetes management, measured in terms of HbA1c knowledge, quality of life, BMI, self-reported health and physical activity among Turkish type-II-diabetes (DM2) patients.
A pilot study using self-administered health questionnaires was conducted among a random sample of 60 patients (aged 40 to 70 years) in Istanbul, Turkey. The assessed variables were: TBSE, TB, glycated haemoglobin (HbA1c) knowledge, quality of life, BMI, self-reported health and physical activity. Descriptive statistics, frequency distributions, Pearson's correlation, the chi-square test and MANOVA were applied.
Almost half of the patients reported low TBSE (mean >= 53%). and TB once a day (54%). Most (77%) did not know their HA1C level and they were overweight (42%) and obese (32%). Almost half of the patients reported good quality of life (> mean, 55%), being physically active (51%) and in good health (mean < 46%). The patients reporting high levels of TBSE were more likely to know their HbA1c (OR= 10.5: 95%CI= 1.01-103.24) and to report better health (OR= 10.0: 95%CI = 1.80-55.63) and were less likely to be obese (OR= 0.16: 95%CI= 0.02-1.00) (P < 0.05). There was a strong correlation between TBSE and TB (rs = 0.61, P < 0.01).
The present study underlines the need for TBSE-integrated common health promotion for oral health and DM2, considering the relation of TBSE, HbA1c, BMI and toothbrushing.
评估刷牙自我效能感（TBSE）在刷牙（TB）行为及糖尿病管理中的作用，通过糖化血红蛋白（HbA1c）知识、生活质量、体重指数（BMI）、自我报告的健康状况及身体活动情况对土耳其2型糖尿病（DM2）患者进行衡量。
在土耳其伊斯坦布尔对60名年龄在40至70岁之间的患者进行随机抽样，开展一项使用自行填写的健康问卷的试点研究。评估的变量包括：TBSE、TB、糖化血红蛋白（HbA1c）知识、生活质量、BMI、自我报告的健康状况及身体活动情况。应用描述性统计、频率分布、Pearson相关性分析、卡方检验及多变量方差分析。
近一半患者报告刷牙自我效能感较低（均值≥53%），且每天刷牙一次（54%）。大多数患者（77%）不知道自己的糖化血红蛋白水平，他们超重（42%）且肥胖（32%）。近一半患者报告生活质量良好（>均值，55%），身体活跃（51%）且健康状况良好（均值<46%）。报告刷牙自我效能感较高的患者更有可能了解自己的糖化血红蛋白水平（比值比=10.5；95%置信区间=1.01 - 103.24），且报告健康状况更好（比值比=10.0；95%置信区间=1.80 - 55.63），肥胖的可能性较小（比值比=0.16；95%置信区间=0.02 - 1.00）（P<0.05）。刷牙自我效能感与刷牙之间存在强相关性（rs = 0.61，P<0.01）。
考虑到刷牙自我效能感、糖化血红蛋白、体重指数及刷牙之间的关系，本研究强调了将刷牙自我效能感纳入口腔健康和2型糖尿病常见健康促进措施的必要性。
