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牙医在为老年患者提供护理方面的知识、态度和实践。

Knowledge, attitude and practice of dentists toward providing care to the geriatric patients.

作者信息

Tahani Bahareh, Manesh Skekoufeh Sedaghat

机构信息

Dental Reaserch Center, Dental Research Institute, Oral Public Health Department, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

Dental Students Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

BMC Geriatr. 2021 Jun 30;21(1):399. doi: 10.1186/s12877-021-02343-2.

Abstract

BACKGROUND

Tooth loss, systemic diseases and medications add to the complexity of the oral conditions in geriatric popuation, making this age group a special group in need of specific preventive and curative oral health care. Therefore, the dental teams need to be equipped with specific knowledge and skills to provide the appropriate dental care. This study was iaimed to assess the knowledge, attitude, practice and willingness of general dentists to provide dental care to geriatric patients.

METHODS

This cross-sectional study was conducted on 231 dentists using a questionnaire including demographic characteristics, knowledge, attitude and practice sections. The availability of the facilities for providing services to the older people in the office was also evaluated. Data were fed into SPSS-22 and analysed using descriptive statistics, t-test, Chi-squared, ANOVA and correlation coefficient tests (α = 0.05).

RESULTS

62.8% of the participants were women and their mean age was 34. 4±8. 1 years. The knowledge mean score was 13.3± 2.9 (out of 30). 86. 5% of the participants had moderate knowledge, and 2.6% displayed good knowledge. The mean score related to the attitudes toward geriatric was 55.8 ± 6. 1 (out of 85), which was not significantly different based on gender. The mean score of practice was 21. 4± 4.3. There was a significantly positive correlation between knowledge and attitude. Dentists with a higher knowledge score had moderately a more positive attitude towards the older people (R = 0.33, p_ value < 0.001). However, over 60% preferred to provide care to the young patients. Significant correlation was observed between their practice and attitude (R = 0. 2, P-value = 0.006). Nearly 30% of the dentists found their knowledge and experience insufficient in treating the older people with complex medical problems. 40% believed that the current dental education in dental schools did not provide adequate training in geriatric dental care.

CONCLUSION

Although the dentists in this study had average knowledge and capacity, they mostly displayed a positive attitude towards the old. A high percentage of them were unsatisfied with the sufficiency of geriatric dental education in dental schools.

摘要

背景

牙齿缺失、全身性疾病和药物治疗增加了老年人口口腔状况的复杂性,使该年龄组成为需要特殊预防性和治疗性口腔保健的特殊群体。因此,牙科团队需要具备特定的知识和技能,以提供适当的牙科护理。本研究旨在评估普通牙医为老年患者提供牙科护理的知识、态度、实践和意愿。

方法

本横断面研究对231名牙医进行,使用包括人口统计学特征、知识、态度和实践部分的问卷。还评估了办公室为老年人提供服务的设施可用性。数据录入SPSS-22,并使用描述性统计、t检验、卡方检验、方差分析和相关系数检验进行分析(α = 0.05)。

结果

62.8%的参与者为女性,平均年龄为34.4±8.1岁。知识平均得分为13.3±2.9(满分30分)。86.5%的参与者知识水平中等,2.6%表现出良好的知识水平。与老年患者态度相关的平均得分为55.8±6.1(满分85分),基于性别无显著差异。实践平均得分为21.4±4.3。知识与态度之间存在显著正相关。知识得分较高的牙医对老年人的态度适度更积极(R = 0.33,p值<0.001)。然而,超过60%的人更喜欢为年轻患者提供护理。观察到他们的实践与态度之间存在显著相关性(R = 0.2,P值 = 0.006)。近30%的牙医发现他们在治疗患有复杂医疗问题的老年人方面知识和经验不足。40%的人认为目前牙科学校的牙科教育在老年牙科护理方面没有提供足够的培训。

结论

尽管本研究中的牙医具有平均知识水平和能力,但他们大多对老年人表现出积极态度。他们中很大一部分人对牙科学校老年牙科教育的充分性不满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe6b/8243576/502f352e1dd5/12877_2021_2343_Fig1_HTML.jpg

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