Lyu Jiao, Zhang Xuemei, Nie Xiaohan, Wei Lin, He Huiying
Department of Stomatology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.
Ann Palliat Med. 2021 Apr;10(4):4242-4251. doi: 10.21037/apm-20-1520. Epub 2021 Apr 16.
The aim of this study was to investigate the knowledge, attitudes, and behaviors of Beijing-based obstetricians, gynecologists, and dentists regarding oral health care during pregnancy and to analyze their influencing factors.
Questionnaires drawn from an existing research instrument and modified according to the current situation in China were distributed to obstetricians, gynecologists, and dentists in Beijing by mail or on-site. The questionnaire asked about the participants' knowledge, attitudes, and behaviors regarding oral health care. A χ2 test was used to compare distributional differences of the participants' epidemiological characteristics, and Fisher's exact test was used to calculate the consent rate of consultations for oral health and pregnancy and the safety awareness rate of oral treatment and drug use during pregnancy. Logistic regression analysis was used to study the factors affecting the participants' knowledge of maternal oral health care.
A total of 259 dentists and 146 obstetricians/gynecologists were included in the study. The results showed that 98.61% of obstetricians and gynecologists and 99.22% of dentists recognized the importance of oral health care during pregnancy. However, 79.17% of obstetricians and gynecologists thought they lacked knowledge of oral health care during pregnancy. All obstetricians, gynecologists, and dentists believed that the cost of treatment was one of the main barriers to offering oral health care during pregnancy. Dentists believed that medical disputes were their primary concern. Only a small number of doctors provided oral health care during pregnancy. The results of the logistic regression analysis showed that the professional title of doctor was negatively correlated with knowledge of maternal oral health care.
The findings suggest that there is still a lack of knowledge regarding oral health care during pregnancy, which impacts the attitudes and behaviors of obstetricians, gynecologists, and dentists. Industry authorities should issue unified guidelines to strengthen the continued education of medical staff.
本研究旨在调查北京地区产科医生、妇科医生和牙医在孕期口腔保健方面的知识、态度和行为，并分析其影响因素。
采用现有的研究工具并根据中国国情进行修改后的问卷，通过邮寄或现场发放的方式分发给北京的产科医生、妇科医生和牙医。问卷询问了参与者在孕期口腔保健方面的知识、态度和行为。采用χ²检验比较参与者流行病学特征的分布差异，采用Fisher精确检验计算孕期口腔健康咨询的同意率以及孕期口腔治疗和用药的安全知晓率。采用逻辑回归分析研究影响参与者孕期口腔保健知识的因素。
本研究共纳入259名牙医和146名产科医生/妇科医生。结果显示，98.61%的产科医生和妇科医生以及99.22%的牙医认识到孕期口腔保健的重要性。然而，79.17%的产科医生和妇科医生认为他们缺乏孕期口腔保健知识。所有产科医生、妇科医生和牙医都认为治疗费用是孕期提供口腔保健的主要障碍之一。牙医认为医疗纠纷是他们最主要的担忧。只有少数医生在孕期提供口腔保健服务。逻辑回归分析结果显示，医生的职称与孕期口腔保健知识呈负相关。
研究结果表明，孕期口腔保健知识仍然缺乏，这影响了产科医生、妇科医生和牙医的态度和行为。行业主管部门应发布统一指南，加强医务人员的继续教育。
