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一项婴儿口腔健康项目对牙科学生知识与态度的影响。

The Impact of an Infant Oral Health Program on Dental Students' Knowledge and Attitudes.

作者信息

Nascimento Marcelle M, Mugayar Leda, Tomar Scott L, Garvan Cynthia W, Catalanotto Frank A, Behar-Horenstein Linda S

机构信息

Dr. Nascimento is Associate Professor, Department of Restorative Dental Sciences, Division of Operative Dentistry, College of Dentistry, University of Florida; Dr. Mugayar is Associate Professor, Department of Pediatric Dentistry, College of Dentistry, University of Florida; Dr. Tomar is Professor, Department of Community Dentistry and Behavioral Science, College of Dentistry, University of Florida; Dr. Garvan is Research Associate Professor, College of Nursing, University of Florida; Dr. Catalanotto is Professor, Department of Community Dentistry and Behavioral Science, College of Dentistry, University of Florida; and Dr. Behar-Horenstein is Distinguished Teaching Scholar and Professor, Colleges of Dentistry, Education, Veterinary Medicine, and Pharmacy, as well as being Director, CTSI Educational Development and Evaluation and Co-Director, HRSA Faculty Development in Dentistry, University of Florida.

出版信息

J Dent Educ. 2016 Nov;80(11):1328-1336.

Abstract

The high prevalence of early childhood caries and many general dentists' reluctance to treat young children and pregnant women demand new educational programs to foster delivery of oral health services. The aim of this study was to evaluate the impact of an Infant Oral Health Program (IOHP) at the University of Florida College of Dentistry on dental students' knowledge about and willingness to provide dental care for infants, children up to three years of age, and pregnant women. A total of 233 dental students in the first through fourth years and recent graduates completed a survey that assessed the educational outcomes of the IOHP; only the fourth-year students had received IOHP training. The results showed that females were more likely than males to provide counseling to caregivers about dental and physical development (p=0.024) and to offer restorative treatment to young children (p=0.021). Older students were more likely than younger students to provide restorative treatment (p=0.013). A greater percentage of IOHP-trained students (96%) reported knowing how to use the lap examination technique compared with untrained students (71%; p<0.001). IOHP-trained students were the most uncomfortable dealing with a crying child in the dental chair (p=0.0175). The graduates and fourth-year students were significantly more likely than the other cohorts to provide preventive (p=0.001) and restorative (p<0.001) care for pregnant women. The graduates were least likely to use some form of caries risk assessment (p<0.001). These findings highlight the need for earlier and greater exposure to the IOHP and the importance of promoting awareness about risk assessment and oral disease management.

摘要

幼儿龋齿的高患病率以及许多普通牙医不愿治疗幼儿和孕妇的情况,需要新的教育项目来促进口腔健康服务的提供。本研究的目的是评估佛罗里达大学牙科学院的婴儿口腔健康项目(IOHP)对牙科学生关于为婴儿、三岁以下儿童和孕妇提供牙科护理的知识及意愿的影响。共有233名大一至大四的牙科学生及应届毕业生完成了一项评估IOHP教育成果的调查;只有四年级学生接受了IOHP培训。结果显示,女性比男性更有可能就牙齿和身体发育问题向护理人员提供咨询(p = 0.024),并为幼儿提供修复治疗(p = 0.021)。年长的学生比年轻的学生更有可能提供修复治疗(p = 0.013)。与未接受培训的学生(71%;p < 0.001)相比,接受IOHP培训的学生中报告知道如何使用膝上检查技术的比例更高(96%)。接受IOHP培训的学生在牙科椅上处理哭闹儿童时最不自在(p = 0.0175)。毕业生和四年级学生比其他年级的学生更有可能为孕妇提供预防性(p = 0.001)和修复性(p < 0.001)护理。毕业生使用某种形式的龋齿风险评估的可能性最小(p < 0.001)。这些发现凸显了更早、更多地接触IOHP的必要性以及提高对风险评估和口腔疾病管理认识的重要性。

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