Sharif S, Saddki N, Yusoff A
Universiti Sains Malaysia, School of Dental Sciences, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.
Med J Malaysia. 2016 Oct;71(5):250-255.
Dental attendance among pregnant women has been low although they frequently experience oral health problems. Nurses who provide antenatal health care are well positioned to advise and refer their pregnant patients to dentists. this study aimed to assess the practices of medical nurses regarding advice for dental visits and referral of their pregnant patients to dentists.
A total of 202 medical nurses who provide antenatal health care at Ministry of Health facilities in the district of Kota bharu, Kelantan, Malaysia were included in this cross-sectional study. A structured self-administered questionnaire was used to obtain information on variables of interest.
Most nurses frequently advised (90.6%) and referred (91.1%) their pregnant patients to dentists, although some (9.4%) advised their patients to defer dental visits until after parturition. Multivariable analysis indicated that individuals who worked as nurses for 10 years or fewer and had their own dental visits within the past year were more likely to advise their patients to see dentists with adjusted OR of 3.98 (95% cI=1.37-11.54) and 2.58 (95% cI=0.99-6.70) respectively. Nurses who visited dentists within the past year were also more likely to make dental referrals (OR=3.46, 95% cI=1.32-9.10).
Most nurses routinely advise and refer their pregnant patients for dental visits. the time since a nurse's last personal dental visit was associated with their advice and referral of patients to dentists, and duration employment as a nurse was associated with advising patients for dental visits.
尽管孕妇经常出现口腔健康问题，但她们看牙医的比例一直很低。提供产前保健的护士完全有能力为怀孕患者提供建议并将她们转诊给牙医。本研究旨在评估医护人员在为怀孕患者提供看牙建议和转诊方面的做法。
本横断面研究纳入了马来西亚吉兰丹州哥打巴鲁市卫生部设施中提供产前保健的202名医护人员。使用一份结构化的自填问卷来获取有关感兴趣变量的信息。
大多数护士经常（90.6%）建议并（91.1%）转诊她们的怀孕患者去看牙医，尽管有些人（9.4%）建议患者推迟看牙直到产后。多变量分析表明，工作10年及以下且在过去一年中自己看过牙医的个体更有可能建议患者去看牙医，调整后的比值比分别为3.98（95%置信区间=1.37 - 11.54）和2.58（95%置信区间=0.99 - 6.70）。过去一年中看过牙医的护士也更有可能进行牙科转诊（比值比=3.46，95%置信区间=1.32 - 9.10）。
大多数护士会常规性地建议并转诊她们的怀孕患者去看牙医。护士上次个人看牙的时间与她们对患者的建议和转诊有关，而担任护士的工作时长与建议患者看牙有关。
