Sushanth V H, Krishna M, Suresh Babu A M, Prashant G M, Chandu G N
Department of Community Dentistry, College of Dental Sciences, Davangere, Karnataka, India.
Department of Community Dentistry, Kalinga Institute of Dental Sciences, Bhubaneshwar, India.
J Int Soc Prev Community Dent. 2011 Jul;1(2):71-5. doi: 10.4103/2231-0762.97710.
Interactions between oral and systemic health are bi-directional and complex, involving many pathways. The orphans have been sympathized with, ignored, vitrified or even hidden away in the community. Hence, providing health care services for orphans remains a challenge. Oral health education has a positive impact in lowering plaque and gingivitis scores in health educational programs.
The objective of this study is to assess the effectiveness of peer group health promotion model among 11 to 16 year old orphans at Puduchery, South India.
A clinical trial of 6 months duration was carried out among 72 orphans with age ranging from 11 to 16 years residing in Cluny Padmini Sneha Illam, at Puduchery, India. The baseline data regarding oral health and oral hygiene practices were obtained using a pre-tested close-ended questionnaire. Oral health education was provided to 4 randomly picked children who in turn provided the same to their peer group orphans, supervised by the investigator. Tooth brushes and fluoridated tooth pastes were provided to all the participants throughout the study period. Oral hygiene of the participants was assessed using Modified Plaque Index by Loe H and Gingival Index by Loe H and Silness at baseline, 3(rd) and 6(th) month interval. Paired Student t test was used to analyze the categorical data.
Majority of the respondents felt consuming sugar was not harmful for dental health, while 15 respondents were not sure about the outcome. When asked if oral hygiene was important for general health, 45.8% were not aware of its association. Although all the participants brushed their teeth daily, none of them reported the use of dental floss. The findings of this study indicated a statisticallysignificant lower mean plaque score of 0.54 ± 0.20 at 6(th) month when compared to the baseline score of 1.76 ± 0.24. Similarly, statistically significant lower gingival index score of 0.65 ± 0.11 at 6(th) month was observed when compared to the baseline score of 1.76 ± 0.24.
The results of this study indicate that oral hygiene of orphans was improved using a peer group approach model of oral health promotion.
口腔健康与全身健康之间的相互作用是双向且复杂的，涉及多种途径。孤儿们在社会中一直受到同情、忽视、冷漠对待甚至被隐藏起来。因此，为孤儿提供医疗保健服务仍然是一项挑战。在健康教育项目中，口腔健康教育对降低菌斑和牙龈炎评分有积极影响。
本研究的目的是评估同伴群体健康促进模式对印度南部本地治里11至16岁孤儿的效果。
在印度本地治里克鲁尼·帕德米尼·斯内哈·伊拉姆居住的72名年龄在11至16岁的孤儿中进行了为期6个月的临床试验。使用预先测试的封闭式问卷获取有关口腔健康和口腔卫生习惯的基线数据。由研究者监督，对随机挑选的4名儿童进行口腔健康教育，然后他们再将同样的内容传授给同伴群体中的孤儿。在整个研究期间，为所有参与者提供牙刷和含氟牙膏。在基线、第3个月和第6个月时，使用Loe H的改良菌斑指数和Loe H与Silness的牙龈指数评估参与者的口腔卫生状况。使用配对学生t检验分析分类数据。
大多数受访者认为吃糖对牙齿健康无害，而15名受访者不确定其影响。当被问及口腔卫生对整体健康是否重要时，45.8%的人不知道它们之间的关联。尽管所有参与者每天都刷牙，但没有人报告使用牙线。本研究结果表明，与基线评分1.76±0.24相比，第6个月时平均菌斑评分显著降低至0.54±0.20。同样，与基线评分1.76±0.24相比，第6个月时牙龈指数评分显著降低至0.65±0.11。
本研究结果表明，采用同伴群体口腔健康促进模式可改善孤儿的口腔卫生状况。
