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评价初级保健医生口腔健康教育培训干预的效果:一项整群随机对照研究。

Evaluation of an educational intervention in oral health for primary care physicians: a cluster randomized controlled study.

机构信息

Research Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.

Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, P.O. Box 1439955991, Tehran, Iran.

出版信息

BMC Oral Health. 2018 Dec 14;18(1):218. doi: 10.1186/s12903-018-0676-2.

DOI:10.1186/s12903-018-0676-2
PMID:30547799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6293501/
Abstract

BACKGROUND

Family physicians are in frequent contact with patients, and their contribution to oral health promotion programs could be utilized more effectively. We implemented an oral health care (OHC) educational seminar for physicians and evaluated its impact on their knowledge retention in OHC.

METHODS

We conducted an educational trial for primary care physicians (n = 106) working in Public Health Centers in Tehran city. We launched a self-administered questionnaire about pediatric dentistry, general dental, and dentistry-related medical knowledge and backgrounds. Physicians in intervention group A (n = 38) received an educational intervention (Booklet, Continuous Medical Education (CME), and Pamphlet), and those in group B (n = 32) received only an OHC pamphlet. Group C (n = 36) served as the control. A post-intervention survey followed four months later to measure the difference in the physicians' knowledge; the Chi-square test, ANOVA and linear regression analysis served for statistical analysis.

RESULTS

The intervention significantly increased the physicians' oral health knowledge scores in all three domains and their total knowledge score (p <  0.001). Those physicians who had lower knowledge scores at the baseline showed a higher increase in their post-intervention knowledge. The models showed no associations between the background variables and the knowledge change.

CONCLUSION

The primary care physicians' OHC knowledge improved considerably after an educational seminar with a reminder. These findings suggest that OHC topics should be included in physicians' CME programs or in their curriculum to promote oral health, especially among non-privileged populations.

摘要

背景

家庭医生经常与患者接触,他们在促进口腔健康计划方面的贡献可以得到更有效的利用。我们为医生实施了口腔保健(OHC)教育研讨会,并评估了其对他们在 OHC 方面的知识保留的影响。

方法

我们对德黑兰市公共卫生中心的 106 名初级保健医生进行了教育试验。我们开展了一项关于儿科牙科、一般牙科和与牙科相关的医学知识和背景的自我管理问卷调查。干预组 A(n=38)的医生接受了教育干预(手册、持续医学教育(CME)和小册子),干预组 B(n=32)的医生仅接受了 OHC 小册子。对照组 C(n=36)。四个月后进行了一次干预后调查,以衡量医生知识的差异;卡方检验、方差分析和线性回归分析用于统计分析。

结果

干预显著提高了所有三个领域的医生口腔健康知识得分和他们的总知识得分(p<0.001)。那些基线知识得分较低的医生在干预后知识得分的增加更高。模型显示背景变量与知识变化之间没有关联。

结论

在教育研讨会和提醒后,初级保健医生的 OHC 知识有了显著提高。这些发现表明,OHC 主题应纳入医生的 CME 计划或课程中,以促进口腔健康,特别是在弱势群体中。

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