School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Dental Department, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan.
Int J Environ Res Public Health. 2021 Aug 7;18(16):8371. doi: 10.3390/ijerph18168371.
Interventions engaging community health workers (CHW) for diabetes management aim to improve diabetes care and self-management behaviors among patients. We evaluated the effects of nonsurgical periodontal treatment (NSPT) with the CHW strategy on oral self-care behaviors, periodontal status and oral health-related quality of life (OHQoL) in patients with type 2 diabetes mellitus (T2DM). The participants were randomly assigned to experimental (EG; = 35) and control (CG; = 33) groups. All participants received NSPT, whereas the patients in the EG also received one-on-one 30 min lessons from a CHW over 4 weeks. The EG exhibited greater improvement in the probing pocket depth (β = -0.2, effect size [ES] = 0.61) and clinical attachment level (β = -0.2, ES = 0.59) at 1-month follow-up than the CG did. The ES increased over the 1-, 3- and 6-month follow-ups, indicating an increase in OHQoL (ES = 0.19, 0.60, and 0.62, respectively) in the EG. The patients in the EG were more likely to change their oral self-care behaviors than patients in the CG were. The NSPT with CHW strategy had a positive effect on 1-month periodontal treatment outcomes, long-term OHQoL and oral self-care behaviors in patients with T2DM.
社区卫生工作者（CHW）参与的糖尿病管理干预旨在改善患者的糖尿病护理和自我管理行为。我们评估了非手术牙周治疗（NSPT）联合 CHW 策略对 2 型糖尿病（T2DM）患者口腔自我护理行为、牙周状况和口腔健康相关生活质量（OHQoL）的影响。参与者被随机分配到实验组（EG；n=35）和对照组（CG；n=33）。所有参与者都接受了 NSPT，而 EG 中的患者还在 4 周内接受了 CHW 的一对一 30 分钟课程。与 CG 相比，EG 在 1 个月随访时的探诊袋深度（β=-0.2，效应大小[ES]=0.61）和临床附着水平（β=-0.2，ES=0.59）改善更大。ES 在 1、3 和 6 个月随访时增加，表明 EG 的 OHQoL 增加（ES=0.19、0.60 和 0.62）。与 CG 相比，EG 中的患者更有可能改变他们的口腔自我护理行为。NSPT 联合 CHW 策略对 T2DM 患者的 1 个月牙周治疗效果、长期 OHQoL 和口腔自我护理行为具有积极影响。
