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跨专业教育在糖尿病和口腔健康管理中的效果:系统评价。

The effectiveness of interprofessional education for the management of diabetes and oral health: A systematic review.

机构信息

Department of General Practice, The University of Melbourne, Parkville, Australia.

Centre for Population Health Research, Faculty of Health, Deakin University, Burwood, Australia.

出版信息

J Interprof Care. 2021 May-Jun;35(3):454-463. doi: 10.1080/13561820.2020.1758046. Epub 2020 May 19.

Abstract

Diabetes and oral disease are becoming increasingly prevalent in Australia and share a bidirectional relationship. Despite this relationship, collaboration between the medical and dental professions is limited. This study assessed the available evidence of interprofessional educational programs on diabetes and oral health management and their effects on knowledge and confidence of health professionals involved. This review included randomized and non-randomized-controlled trials and before-and-after comparison studies in English with no limits on the year of publication. Electronic databases Medline, EMBASE, Emcare, and CINAHL were systematically searched and studies were critically appraised. Nineteen articles were identified from 411 for full-text screening. Four studies of a quasi-experimental design with a pre- and posttest evaluation were included in the review. Of these, three studies reported positive changes in the participants' knowledge of the roles of other healthcare professionals with improved attitudes toward interprofessional collaboration and communication, and one reported increased confidence of medical and dental professionals when working in an interprofessional team. Interprofessional education should improve health professionals' attitudes and knowledge of the roles of other health professionals in managing diabetes and oral health and their confidence in working together. However, given the limited availability of interprofessional education on diabetes and oral health management, continuous research in this area would improve the evidence base.

摘要

糖尿病和口腔疾病在澳大利亚越来越普遍,两者之间存在双向关系。尽管存在这种关系,但医学和牙科专业之间的合作仍然有限。本研究评估了关于糖尿病和口腔健康管理的跨专业教育计划的现有证据及其对相关卫生专业人员知识和信心的影响。本综述包括随机和非随机对照试验以及在英语中没有出版年限限制的前后比较研究。系统地检索了 Medline、EMBASE、Emcare 和 CINAHL 电子数据库,并对研究进行了批判性评估。从 411 篇全文筛选出 19 篇文章。综述纳入了四项具有前后测试评估的准实验设计研究。其中,三项研究报告了参与者对其他医疗保健专业人员角色的知识有所提高,对跨专业合作和沟通的态度有所改善,一项研究报告了医疗和牙科专业人员在跨专业团队中工作时的信心有所增强。跨专业教育应该改善卫生专业人员对管理糖尿病和口腔健康的其他卫生专业人员的角色的态度和知识,以及他们共同工作的信心。然而,鉴于糖尿病和口腔健康管理方面的跨专业教育机会有限,在该领域持续开展研究将提高证据基础。

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