Campanaro Maria, Huebner Colleen E, Davis Beth Ellen
Graduate, Health Services and Maternal and Child Health, University of Washington, Seattle, WA, USA.
Spec Care Dentist. 2014 Jul-Aug;34(4):185-92. doi: 10.1111/scd.12057. Epub 2013 Nov 19.
The oral hygiene routines of preschool-age children with special health care needs (CSHCN) were examined to identify caregiver behaviors and beliefs associated with twice daily tooth brushing.
Ninety caregivers of CSHCN, ages 23 to 62 months, were interviewed to determine supports or barriers to tooth brushing.
Ninety-eight percent of caregivers had begun brushing their child's teeth and half reported brushing twice daily. Caregivers' brushing skills and the availability of child-friendly supplies were associated with twice daily versus less frequent brushing (p = .02).
This study adds insight into the challenges of establishing daily oral health care for children who must rely on others for their care. The facilitators and barriers to tooth brushing by caregivers of CSHCN are similar to those noted previously among parents of typically developing children. Efforts to improve all caregivers' oral hygiene skills are needed. For caregivers of CSHCN, oral health teaching opportunities may exist among professionals who provide ongoing medical care, special services and therapies.
对有特殊医疗保健需求的学龄前儿童（CSHCN）的口腔卫生习惯进行调查，以确定与每日两次刷牙相关的照顾者行为和观念。
对90名年龄在23至62个月的CSHCN照顾者进行访谈，以确定刷牙的支持因素或障碍。
98%的照顾者已开始为孩子刷牙，其中一半报告每日刷牙两次。照顾者的刷牙技巧以及适合儿童的用品的可得性与每日两次刷牙或较少频率刷牙相关（p = 0.02）。
本研究为那些必须依赖他人照顾的儿童建立日常口腔保健的挑战提供了见解。CSHCN照顾者刷牙的促进因素和障碍与之前在发育正常儿童的父母中所指出的相似。需要努力提高所有照顾者的口腔卫生技能。对于CSHCN的照顾者而言，在提供持续医疗护理、特殊服务和治疗的专业人员中可能存在口腔健康教育机会。
