Ayaka Isobe, RDH, MOHSc, is Assistant Professor, Department of Support for Senior Citizens, Kyushu Dental University, Fukuoka, Japan; Maya Izumi, RDH, MSN, PhD, is Lecturer, School of Oral Health Sciences, Kyushu Dental University, Fukuoka, Japan; and Sumio Akifusa, DDS, PhD, is Professor, School of Oral Health Sciences, Kyushu Dental University, Fukuoka, Japan.
J Dent Educ. 2018 Dec;82(12):1343-1350. doi: 10.21815/JDE.018.142.
The aim of this study was to investigate whether two aspects of resilience-acquired and innate resilience-were related to self-rated health status in registered dental hygienists and students. In May through July 2017, 405 students at three dental hygiene programs and 85 registered dental hygienists, all in Fukuoka prefecture in Japan, were invited to participate in a survey including three scales: the Bidimensional Resilience Scale (BRS) to assess innate and acquired resilience, the Stress Response Scale-18 (SRS-18) to assess daily stress responses, and the Sense of Coherence 13-item scale (SOC-13) to assess the sense of coherence. Information about self-rated health status and number of years of clinical experience was also collected. Respondents were 398 students (98.2% response rate) and all 85 dental hygienists (100% response rate). The cohort with a self-rated "healthy" status scored higher on total scale and each domain of the BRS, SRS-18, and SOC-13 scales than the cohort with other self-rated health statuses. These three scales and self-rated health status were significantly correlated with each other. When innate resilience increased by one point, average self-rated health was 1.14-fold higher. In contrast, when the depression/anxiety domain score of SRS-18 increased by one point, self-rated health was 0.84-fold lower. The number of years of clinical experience was also negatively correlated with self-rated health. For these participants, innate resilience was a significant predictor of better self-rated health. To maintain the health of dental hygienists and students, it is important to understand their innate resilience as well as stress responses related to depression/anxiety factors and length of clinical experience.
本研究旨在探讨注册口腔保健师和学生的复原力（获得性和固有复原力）的两个方面与自我报告的健康状况之间的关系。2017 年 5 月至 7 月，邀请日本福冈县的三个口腔卫生计划的 405 名学生和 85 名注册口腔保健师参加了一项调查，该调查包括三个量表：评估固有和获得性复原力的二维复原力量表（BRS）、评估日常应激反应的应激反应量表-18（SRS-18）和评估心理一致感的 13 项量表（SOC-13）。还收集了自我报告的健康状况和临床经验年限的信息。受访者为 398 名学生（响应率为 98.2%）和 85 名口腔保健师（响应率为 100%）。自评“健康”状况的队列在 BRS、SRS-18 和 SOC-13 量表的总分和各维度上的得分均高于其他自评健康状况的队列。这三个量表和自我报告的健康状况与彼此显著相关。当固有复原力增加一分时，平均自我报告的健康状况提高 1.14 倍。相比之下，当 SRS-18 的抑郁/焦虑域评分增加一分时，自我报告的健康状况降低 0.84 倍。临床经验年限也与自我报告的健康状况呈负相关。对于这些参与者，固有复原力是自我报告的健康状况更好的重要预测指标。为了保持口腔保健师和学生的健康，了解他们的固有复原力以及与抑郁/焦虑因素和临床经验年限相关的应激反应非常重要。
