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呼吁在牙科课程中更多地纳入老年牙科:叙述性评论。

A call to greater inclusion of gerodontology in the dental curriculum: A narrative review.

机构信息

James Cook University, Townsville, Queensland, Australia.

出版信息

Aust Dent J. 2019 Mar;64(1):82-89. doi: 10.1111/adj.12663. Epub 2018 Dec 2.

Abstract

AIM

This literature review explores the need for greater prominence of gerodontology in the undergraduate dental curriculum, focusing on the significance of gerodontology for dental students on clinical placements.

BACKGROUND

As Australia's population ages the number of dentate older people is increasing. An assessment of the dental profession's preparedness, including that of future providers, is needed to ensure that this public health issue is addressed.

METHODS

A database search was performed in MEDLINE (Ovid), CINAHL and JCU OneSearch. Of the 41 articles identified, 31 were selected for review using a narrative approach.

DISCUSSION

Of the 31 articles reviewed, 12 were Australian, 9 North American and 5 European. Five overarching themes were identified, including preparedness for residential aged care facilities; barriers to oral health services provision; attitudes to aged care; gerodontology as part of a dental school curriculum and service-based learning.

CONCLUSION

There are differences in the gerodontology curricula of dental schools, with a wide variation of clinical exposure to older patients. There is evidence that exposure to gerodontology curriculum prior to treating older people may help dental students feel more prepared for managing patients in aged care. The current marginal status of gerodontology in dental school curricula is in need of review.

摘要

目的

本文综述探讨了在本科牙科课程中更加突出老年牙科的必要性,重点关注老年牙科对临床实习牙科学生的重要性。

背景

随着澳大利亚人口老龄化,有牙齿的老年人数量不断增加。需要评估牙科行业的准备情况,包括未来的提供者,以确保解决这一公共卫生问题。

方法

在 MEDLINE(Ovid)、CINAHL 和 JCU OneSearch 中进行了数据库检索。在确定的 41 篇文章中,使用叙述性方法选择了 31 篇进行审查。

讨论

在审查的 31 篇文章中,有 12 篇来自澳大利亚,9 篇来自北美,5 篇来自欧洲。确定了五个总体主题,包括为养老院做好准备;提供口腔卫生服务的障碍;对老年护理的态度;老年牙科作为牙科学校课程的一部分和基于服务的学习。

结论

牙科学校的老年牙科课程存在差异,对老年患者的临床接触差异很大。有证据表明,在治疗老年人之前接触老年牙科课程可能会帮助牙科学生更有信心地管理老年护理中的患者。老年牙科在牙科学校课程中的当前边缘地位需要审查。

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