Taichman L Susan, Gomez Grace, Inglehart Marita Rohr
J Dent Hyg. 2015 Jun;89 Suppl 2(Suppl 2):22-37.
Approximately 200,000 women are diagnosed with breast cancer in the U.S. every year. These patients commonly suffer from oral complications of their cancer therapy. The purpose of this study was to assess dental hygienists' knowledge and professional practice related to providing care for breast cancer patients.
A pre-tested 43-item survey was mailed to a random sample of 10% of all licensed dental hygienists in the state of Michigan (n=962). The survey assessed the respondents' knowledge of potential oral complications of breast cancer treatments as well as their professional practices when treating patients with breast cancer. After 2 mailings, the response rate was 37% (n=331). Descriptive and inferential analyses were conducted using SAS.
Many dental hygienists were unaware of the recommended clinical guidelines for treating breast cancer patients and lacked specific knowledge concerning the commonly prescribed anti-estrogen medications for pre-and postmenopausal breast cancer patients. Over 70% of the respondents indicated they were unfamiliar with the AI class of medications. Only 13% of dental hygienists correctly identified the mechanism of action of anti-estrogen therapy. Dental hygienists reported increased gingival inflammation, gingival bleeding, periodontal pocketing, xerostomia and burning tissues in patients receiving anti-estrogen therapies. Less than 10% believed that their knowledge of breast cancer treatments and the potential oral side effects is up to date.
Results indicate a need for more education about the oral effects of breast cancer therapies and about providing the best possible care for patients undergoing breast cancer treatment.
在美国，每年约有20万名女性被诊断出患有乳腺癌。这些患者通常会遭受癌症治疗带来的口腔并发症。本研究的目的是评估牙科保健员在为乳腺癌患者提供护理方面的知识和专业实践。
一份经过预测试的包含43个项目的调查问卷被邮寄给密歇根州所有持牌牙科保健员中10%的随机样本（n = 962）。该调查评估了受访者对乳腺癌治疗潜在口腔并发症的了解程度，以及他们在治疗乳腺癌患者时的专业实践。经过两次邮寄，回复率为37%（n = 331）。使用SAS进行描述性和推断性分析。
许多牙科保健员不了解治疗乳腺癌患者的推荐临床指南，并且缺乏关于绝经前和绝经后乳腺癌患者常用抗雌激素药物的具体知识。超过70%的受访者表示他们不熟悉芳香化酶抑制剂类药物。只有13%的牙科保健员正确识别了抗雌激素疗法的作用机制。牙科保健员报告称，接受抗雌激素治疗的患者牙龈炎症、牙龈出血、牙周袋、口干和组织烧灼感有所增加。不到10%的人认为他们对乳腺癌治疗及其潜在口腔副作用的了解是最新的。
结果表明需要对乳腺癌治疗的口腔影响以及为接受乳腺癌治疗的患者提供最佳护理进行更多教育。
