International Research Collaborative - Oral Health and Equity, School of Human Sciences, The University of Western Australia, Crawley, Western Australia, Australia.
Int J Dent Hyg. 2021 May;19(2):184-192. doi: 10.1111/idh.12479. Epub 2020 Dec 3.
Diabetes and dental care providers may greatly contribute in the early detection of oral diseases and diabetes, respectively, and in the prevention of complications of diabetes. However, there is limited collaboration and referrals between these two groups of health professionals.
To investigate whether diabetic providers are addressing the importance of oral care in the management of diabetes and whether dental care providers are advising their patients with diabetes about the importance of glycaemic control.
Descriptive statistics was used to report data collected from 720 patients with diabetes using a closed-end questionnaire. Logistic regression analysis revealed the factors significantly impacting whether participants received advice from healthcare providers.
The majority of participants did not receive advice from either diabetes (84%) or dental (75%) care providers regarding the reciprocal nature of diabetes and periodontitis. The factors significantly affecting receiving advice from diabetes care providers were place of residence (p = 0.003), self-reported type of diabetes (p = 0.000) receiving advice from dental care providers (p = 0.000); from dental care providers - education (p = 0.020), place of residence (p = 0.004), the number of years since diagnosis of diabetes (p = 0.002), frequency of dental visits (p = 0.000) and receiving advice from diabetes care providers (p = 0.000).
Diabetes and dental care providers in Mauritius are not addressing oral health care as an essential component of diabetes care. Patients with diabetes are neither being advised about the importance of regular dental visits by their treating doctor, nor about the importance of glycaemic control in the prevention of oral complications by their dentist.
糖尿病患者和牙科护理人员可分别在口腔疾病和糖尿病的早期发现以及糖尿病并发症的预防方面做出巨大贡献。然而,这两组卫生专业人员之间的合作和转介有限。
调查糖尿病提供者是否在糖尿病管理中强调口腔护理的重要性,以及牙科护理提供者是否建议其糖尿病患者注意血糖控制的重要性。
使用封闭式问卷,对 720 名糖尿病患者进行了描述性统计,以报告收集的数据。逻辑回归分析揭示了参与者是否从医疗保健提供者那里获得建议的显著影响因素。
大多数参与者既未从糖尿病(84%)护理提供者处,也未从牙科(75%)护理提供者处获得有关糖尿病和牙周炎相互关系的建议。从糖尿病护理提供者处获得建议的显著影响因素是居住地(p=0.003)、自我报告的糖尿病类型(p=0.000)、从牙科护理提供者处获得建议(p=0.000);从牙科护理提供者处获得建议的显著影响因素是教育(p=0.020)、居住地(p=0.004)、糖尿病诊断后年数(p=0.002)、牙科就诊频率(p=0.000)和从糖尿病护理提供者处获得建议(p=0.000)。
毛里求斯的糖尿病和牙科护理提供者并未将口腔保健作为糖尿病护理的重要组成部分。糖尿病患者既没有接受主治医生关于定期看牙医的重要性的建议,也没有接受牙医关于血糖控制在预防口腔并发症方面的重要性的建议。