Yuen Hon K
Department of Occupational Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama.
Spec Care Dentist. 2018 Sep;38(5):313-318. doi: 10.1111/scd.12312. Epub 2018 Jul 6.
To investigate what dental hygienists' practice characteristics and oral health topics are associated with additional time dental hygienists spent on educating patients with diabetes.
A one-page survey was mailed to 2237 registered dental hygienists in South Carolina. Survey questions focused on perceptions of dental hygienists regarding their oral health preventive education for patients with diabetes. After two follow-up mails, we received 995 usable questionnaires.
Multivariable logistic regression modeling showed dental hygienist respondents who spent additional time educating patients with diabetes about oral health felt they had adequately covered the topics on effects of periodontal disease related to diabetes, effects of uncontrolled diabetes on periodontal disease, and nutrition and dietary counseling. In addition, a higher number of patients with diabetes treated per week, and a shorter recall interval for patients were also associated with more likelihood of respondents spending additional time educating patients with diabetes.
Results suggest that the additional time that dental hygienist respondents spent on educating patients with diabetes was related to oral health issues associated with diabetes, not just repetition of routine oral hygiene and plaque control instructions.
调查牙科保健员的执业特点以及口腔健康主题与他们花在糖尿病患者教育上的额外时间之间的关联。
向南卡罗来纳州的2237名注册牙科保健员邮寄了一份单页调查问卷。调查问题集中在牙科保健员对糖尿病患者口腔健康预防教育的看法上。经过两次跟进邮件后，我们收到了995份可用问卷。
多变量逻辑回归模型显示，那些花额外时间向糖尿病患者进行口腔健康教育的牙科保健员受访者认为，他们已经充分涵盖了与糖尿病相关的牙周疾病影响、未控制的糖尿病对牙周疾病的影响以及营养和饮食咨询等主题。此外，每周治疗的糖尿病患者数量较多以及患者的复诊间隔较短也与受访者花额外时间向糖尿病患者进行教育的可能性更高有关。
结果表明，牙科保健员受访者花在糖尿病患者教育上的额外时间与糖尿病相关的口腔健康问题有关，而不仅仅是常规口腔卫生和牙菌斑控制指导的重复。
