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评估牙科专业毕业生对用于治疗老年人的银胺氟化物(SDF)的知识和认知。

Assessment of knowledge and perception about silver diamine fluoride (SDF) for treating older adults among graduating dental students.

机构信息

University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa, USA.

Biostatistics, University of Iowa College of Public Health, Iowa City, Iowa, USA.

出版信息

J Dent Educ. 2020 Nov;84(11):1210-1218. doi: 10.1002/jdd.12261. Epub 2020 Jun 27.

DOI:10.1002/jdd.12261
PMID:32592225
Abstract

PURPOSE/OBJECTIVES: Silver diamine fluoride (SDF) is a promising therapy for arresting and preventing caries in difficult to treat, high-risk populations, including institutionalized older adults. This study investigates the knowledge and perceptions about SDF of graduating dental students in multiple U.S. dental schools, as well as their willingness to use SDF in their practices.

METHODS

A survey was designed consisting of 21 total questions: 6 questions regarding students' demographic information and their SDF content exposure contextualization, 8 questions tailored to investigate 2 domains regarding students' knowledge about SDF (properties and indication), and 7 questions aiming to investigate 3 domains regarding students' perceptions about SDF (SDF usefulness, appropriateness of using SDF, and willingness to use SDF when in private practice). The survey was then distributed to graduating dental students at 7 U.S. dental schools.

RESULTS

A total of 386 surveys (response rate of 55%) was collected from 7 schools in the Spring of 2019. The median score resulting from the SDF content exposure questions was 3 (SD = 1.43) from a range of 0-5. The median score from knowledge about SDF properties was 4 (SD = 1.18) from a range of 0 to 6. In the multivariate analysis, a linear model found that the covariates "SDF Usefulness", "SDF Appropriateness" and "SDF Patient Willingness to Use" were significantly associated with higher student willingness to use SDF (R = 0.395).

CONCLUSION

The results indicated that the graduating students have a positive perception of SDF regarding its usefulness and appropriateness. Graduating students appear inclined to utilize SDF upon entering private practice.

摘要

目的/目标:银胺氟化物(SDF)是一种有前途的治疗方法,可用于治疗难以治疗的高危人群,包括机构化的老年人的龋齿。本研究调查了美国多所牙科学校即将毕业的牙科学生对 SDF 的知识和看法,以及他们在实践中使用 SDF 的意愿。

方法

设计了一项包含 21 个问题的调查:6 个问题涉及学生的人口统计学信息和 SDF 内容暴露背景,8 个问题专门针对学生对 SDF 的知识(特性和适应证)的 2 个领域进行调查,7 个问题旨在调查学生对 SDF 的看法(SDF 的有用性、使用 SDF 的适当性以及在私人执业中使用 SDF 的意愿)。然后将调查分发给 7 所美国牙科学校的即将毕业的牙科学生。

结果

2019 年春季,从 7 所学校共收集了 386 份调查(回应率为 55%)。SDF 内容暴露问题的中位数得分为 3(SD=1.43),范围为 0-5。SDF 特性知识的中位数得分为 4(SD=1.18),范围为 0-6。多元分析中,线性模型发现“SDF 有用性”、“SDF 适当性”和“SDF 患者使用意愿”这三个协变量与学生使用 SDF 的意愿呈显著正相关(R=0.395)。

结论

结果表明,即将毕业的学生对 SDF 的有用性和适当性有积极的看法。即将毕业的学生在进入私人执业时似乎倾向于使用 SDF。

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