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人道主义任务和灾难中的女性口腔与牙齿健康状况:约旦的经验

Women's oral and dental health aspects in humanitarian missions and disasters: Jordanian experience.

作者信息

Smadi Leena, Sumadi Aiman Al

机构信息

Associate Professor, Department of Conservative Dentistry, Faculty of Dentistry, Jordan University, Amman, Jordan; Consultant Endodontist, Jordan University Hospital, Amman, Jordan.

Senior Consultant OBGYN, Royal Medical Services, Amman, Jordan.

出版信息

Am J Disaster Med. 2016 Winter;11(1):43-8. doi: 10.5055/ajdm.2016.0223.

Abstract

OBJECTIVE

The study aimed to review oral and dental health aspects in female patients presented to Jordanian Royal Medical Services (RMS) international humanitarian missions over a 3-year period.

DESIGN AND METHOD

Analysis of humanitarian missions of RMS data and records over a 3-year period (2011-2013) in regard to women's oral and dental health issues was done. The data were analyzed in regard to the number of women seen, the presenting conditions, and the prevalence of oral and dental diseases and procedures in these cases.

RESULTS

During the 3-year period, 72 missions were deployed in four locations (Gaza, Ram Allah-West Bank, Jeneen-West Bank, and Iraq). The total number of females seen in this period was 86,436 women, accounting for 56 percent of adult patients seen by RMS humanitarian missions. Dental Clinics were deployed to only two missions (Iraq and Gaza), during which they received 13,629 visits; of these, 41 percent were females (5,588 patients), 29 percent were males, and 30 percent were in the pediatric age group. Trauma accounts for only 7 percent of the cases, while nonacute dental problems (caries and gingivitis) were responsible for the majority of cases (31.6 and 28.7 percent, respectively).

CONCLUSION

RMS dental services during humanitarian mission deployment are a vital part of comprehensive healthcare. Women usually seek more dental care than men, with the majority of treatments for nonacute conditions. RMS experiences demonstrate the tremendous need for a well-defined preparedness plan for deployment of humanitarian missions that considers the contributions of all types of health professionals, the appropriate mobile technology to respond to emergent health risks, and a competent workforce ready and able to respond. Such preparation will require our dental education programs to develop disaster preparedness competencies to achieve the desired level of understanding.

摘要

目的

本研究旨在回顾约旦皇家医疗服务机构(RMS)在为期3年的国际人道主义任务中,女性患者的口腔和牙齿健康状况。

设计与方法

对RMS在3年期间(2011 - 2013年)有关女性口腔和牙齿健康问题的人道主义任务数据及记录进行分析。分析的数据包括就诊女性人数、所呈现的病症,以及这些病例中口腔和牙齿疾病及治疗的患病率。

结果

在这3年期间,在四个地点(加沙、拉马拉 - 约旦河西岸、杰宁 - 约旦河西岸和伊拉克)部署了72次任务。在此期间就诊的女性总数为86436人,占RMS人道主义任务所见成年患者的56%。牙科诊所仅部署到两次任务(伊拉克和加沙)中,在此期间共接待了13629人次就诊;其中,41%为女性(5588名患者),29%为男性,30%为儿童年龄组。创伤病例仅占7%,而非急性牙齿问题(龋齿和牙龈炎)占大多数病例(分别为31.6%和28.7%)。

结论

在人道主义任务部署期间,RMS的牙科服务是综合医疗保健的重要组成部分。女性通常比男性寻求更多的牙科护理,大多数治疗针对非急性病症。RMS的经验表明,迫切需要制定一个明确的人道主义任务部署准备计划,该计划要考虑到各类卫生专业人员的贡献、应对突发健康风险的适当移动技术,以及一支随时准备且有能力做出反应的合格工作人员队伍。这样的准备工作将要求我们的牙科教育项目培养灾难准备能力,以达到期望的理解水平。

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