Sede Matthew A, Ehizele Adebola O
Department of Periodontics, University of Benin, Benin City, Nigeria.
Ann Afr Med. 2015 Oct-Dec;14(4):193-9. doi: 10.4103/1596-3519.158525.
The objective was to determine the knowledge of medical and dental caregivers regarding the link between oral diseases and diabetes mellitus (DM); and their role in the management of the oral complications of DM.
This comparative study was carried out among a group (n = 100) of resident doctors undergoing postgraduate training in medicine and dentistry at a Nigerian Teaching Hospital. A 28-item self-administered questionnaire was used for data collection and it elicited information on respondents' demographics, practice behaviors, knowledge about link between oral diseases, and DM, as well as their knowledge about oral complications of DM.
Majority of the dental senior residents (83.3%) had adequate knowledge of the oral manifestation of DM and the link between oral disease and DM while only 43.8% of the medical junior residents had adequate knowledge (P = 0.060). Majority (63.0%) who strongly agreed that physicians need to collaborate with dental professionals to reduce DM patients' risk of developing oral diseases belonged to the dental group (P = 0.040) and only 35.3% of medical group strongly agreed that physicians should be taught how to screen for oral disease in DM patients (P = 0.009). A vast majority (89.6%) of the medical group however felt that they needed additional information about the link between oral disease and DM (P = 0.036).
The findings indicate that there is still a major gap in knowledge of the link between oral diseases and DM; as well as a poor appreciation of the need for a collaborative management of DM patients by medical and dental practitioners.
本研究旨在确定医护人员对口腔疾病与糖尿病(DM)之间关联的了解程度;以及他们在糖尿病口腔并发症管理中的作用。
本比较研究在尼日利亚一家教学医院中,对100名正在接受医学和牙科研究生培训的住院医生进行。采用一份包含28个条目的自填式问卷进行数据收集,问卷内容涉及受访者的人口统计学信息、执业行为、对口腔疾病与糖尿病之间关联的了解,以及对糖尿病口腔并发症的了解。
大多数牙科高年级住院医生(83.3%)对糖尿病的口腔表现以及口腔疾病与糖尿病之间的关联有充分了解,而只有43.8%的医学低年级住院医生有充分了解(P = 0.060)。大多数强烈认为医生需要与牙科专业人员合作以降低糖尿病患者发生口腔疾病风险的人(63.0%)来自牙科组(P = 0.040),只有35.3%的医学组强烈同意应该教导医生如何筛查糖尿病患者的口腔疾病(P = 0.009)。然而,绝大多数医学组人员(89.6%)认为他们需要更多关于口腔疾病与糖尿病之间关联的信息(P = 0.036)。
研究结果表明,在口腔疾病与糖尿病之间关联的知识方面仍存在重大差距;并且医护人员对糖尿病患者进行协作管理的必要性认识不足。