Johnson L B, Boyd L D, Rainchuso L, Rothman A, Mayer B
Forsyth School of Dental Hygiene, MCPHS University, Boston, MA, USA.
Multi-Service Eating Disorder Association, Newton, MA, USA.
Int J Dent Hyg. 2017 Aug;15(3):164-171. doi: 10.1111/idh.12183. Epub 2015 Oct 9.
The aim of this study was to assess the oral health knowledge among professionals who specialize in treating eating disorders, and identify to what extent their education, and training addresses oral health care delivery, and recommendations for individuals with eating disorders.
Participants for this study were licensed behavioural and medical providers specializing in eating disorder treatment (n = 107), and recruited through professional eating disorder organizations. Participants completed an anonymous, online questionnaire (33 items) assessing level of oral health-related education, knowledge and treatment recommendations within the participant's respective eating disorder discipline.
The majority of respondents (85%) were formally trained in eating disorders, and of those trained, 64.4% were not satisfied with the level of oral health education during formal education, and 19.5% report no oral health education. Respondents consider their knowledge of risk of oral disease for their clients/patients as average or above (84%), and ranked tooth erosion as the greatest reason for oral care (63%) while dry mouth led in the rankings for least significant reason for oral care (33%). Referral for oral care was found to be more common after reports of complication (55%).
According to these findings, eating disorder professionals regard oral health care for their clients as significant, and may be unaware of associated oral risk factors, current oral care standards and long-term oral effects of disordered eating apart from enamel erosion.
本研究旨在评估专门治疗饮食失调症的专业人员的口腔健康知识,并确定他们的教育和培训在多大程度上涉及口腔保健服务,以及为饮食失调症患者提供的建议。
本研究的参与者是专门从事饮食失调症治疗的持牌行为和医学提供者(n = 107),通过专业饮食失调症组织招募。参与者完成了一份匿名的在线问卷(33项),评估参与者各自饮食失调症学科内与口腔健康相关的教育水平、知识和治疗建议。
大多数受访者(85%)接受过饮食失调症的正规培训,在这些受过培训的人中,64.4%对正规教育期间的口腔健康教育水平不满意,19.5%表示没有接受过口腔健康教育。受访者认为他们对客户/患者口腔疾病风险的了解处于平均水平或以上(84%),并将牙齿侵蚀列为口腔护理的最大原因(63%),而口干在口腔护理最不重要原因的排名中位居首位(33%)。在报告出现并发症后,寻求口腔护理的转诊更为常见(55%)。
根据这些发现,饮食失调症专业人员认为为他们的客户提供口腔保健很重要,并且可能没有意识到相关的口腔风险因素、当前的口腔护理标准以及除牙釉质侵蚀外饮食失调对口腔的长期影响。