Skeie Marit S, Evjensvold Trine, Hoff Thu Hue, Bårdsen Asgeir
Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
Dent Traumatol. 2015 Jun;31(3):228-32. doi: 10.1111/edt.12146. Epub 2014 Oct 14.
To identify existing guidelines for managing traumatic dental injuries (TDIs) in the schools of Bergen, to ascertain the frequency of occurrence of such injuries, and to estimate the need for further information among teachers and school administrators.
The study, undertaken among teachers and school administrators of elementary and lower secondary schools in Bergen municipality, was questionnaire-based and included a cross section of staff. The structured short questionnaire included items registering TDIs during 2009, existence of routines or guidelines for managing TDIs, previous relevant training, and request for TDI education or information. The statistical methods included frequency tables and logistic regression analysis.
The response rate was 73%. The incidence proportion of TDIs was measured to 0.74% of children at risk, varying according to children's classes (peak at third class: 1.68% of children in the population). No schools had adequate written guidelines for handling TDIs. Previous education on the subject was scarce. In 20 schools, there was no perceived need for TDI-related education or information. The schools' routines for TDI reporting, who was in charge of the reporting, acquired TDI education and expressed need for TDI information or education, did not influence the number of reported TDI cases.
This study has produced reliable information that schools in the municipality of Bergen could improve ways of reporting and managing TDIs. As teachers with skills in handling TDIs could help to improve the prognosis for injured teeth, some types of educational intervention in schools should be launched.
确定卑尔根各学校管理创伤性牙损伤(TDIs)的现有指南,查明此类损伤的发生频率,并估计教师和学校管理人员对进一步信息的需求。
该研究在卑尔根市小学和初中的教师及学校管理人员中开展,采用问卷调查,涵盖了不同岗位的工作人员。结构化简短问卷包括登记2009年期间TDIs情况的项目、管理TDIs的常规做法或指南的存在情况、以前的相关培训以及对TDI教育或信息的需求。统计方法包括频率表和逻辑回归分析。
回复率为73%。TDIs的发病率为有风险儿童的0.74%,因儿童所在班级而异(三年级最高:占该群体儿童的1.68%)。没有学校有足够的书面指南来处理TDIs。以前关于该主题的教育很少。在20所学校中,认为不需要TDI相关教育或信息。学校的TDI报告常规做法、负责报告的人员、接受TDI教育以及表示需要TDI信息或教育的情况,均未影响报告的TDI病例数量。
本研究得出了可靠信息,即卑尔根市的学校可以改进TDIs的报告和管理方式。由于具备处理TDIs技能的教师有助于改善受伤牙齿的预后,应在学校开展某些类型的教育干预。