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牙科学生与口腔健康相关的生活质量及颞下颌关节紊乱——自评与临床评估

Dental Students' Oral Health-Related Quality of Life and Temporomandibular Dysfunction-Self-Rating versus Clinical Assessment.

作者信息

Schnabl Dagmar, Sandbichler Philipp, Neumaier Maximilian, Girstmair Johannes, Barbieri Fabian, Kapferer-Seebacher Ines, Steiner René, Laimer Johannes, Grunert Ingrid

机构信息

Department of Operative and Prosthetic Dentistry, Medical University Innsbruck, 6020 Innsbruck, Austria.

Department of Internal Medicine III, Cardiology and Angiology, Medical University of Innsbruck, 6020 Innsbruck, Austria.

出版信息

Healthcare (Basel). 2021 Oct 11;9(10):1348. doi: 10.3390/healthcare9101348.

Abstract

The aim of this study was to compare dental students' self-perception of oral health with the results of a clinical examination of the masticatory system. Seventy-four dental students (38 (51.4%) females and 36 (48.6%) males) completed the Oral Health Impact Profile questionnaire (OHIP-G-14) and underwent a clinical examination according to the Graz Dysfunction Index (GDI). Data were analyzed with descriptive and comparative statistics. Median OHIP-G-14 scores were 3 (IQR 0-6) in the total collective, 4 (1-11) in females, and 2 (0-4) in males ( = 0.072). A score of 0 was found in 29.7% of the sample. The results of the GDI were 50% "normal function", 43.2% "adaptation", 5.4% "compensation", and 1.4% "dysfunction". The comparison of OHIP-G-14 scores and DGI groups showed a significant difference ( = 0.031). Based on the questionnaire, less than one third of the sample indicated maximum oral health-related quality of life. In contrast, the GDI revealed "normal function" or "adaptation" in 93.2%. Dental students underappreciated their oral health condition. Health assessments should not be solely questionnaire-based, especially in health professionals (-to-be). To establish a valid diagnosis of the state of health, self-assessment must be complemented by an objective clinical examination, e.g., GDI.

摘要

本研究的目的是比较牙科学生对口腔健康的自我认知与咀嚼系统临床检查结果。74名牙科学生(38名(51.4%)女性和36名(48.6%)男性)完成了口腔健康影响程度量表问卷(OHIP-G-14),并根据格拉茨功能障碍指数(GDI)接受了临床检查。采用描述性和比较性统计方法对数据进行分析。总体人群中OHIP-G-14得分中位数为3(四分位间距0 - 6),女性为4(1 - 11),男性为2(0 - 4)(P = 0.072)。29.7%的样本得分为0。GDI结果显示,50%为“正常功能”,43.2%为“适应”,5.4%为“代偿”,1.4%为“功能障碍”。OHIP-G-14得分与DGI组的比较显示存在显著差异(P = 0.031)。根据问卷,不到三分之一的样本表示口腔健康相关生活质量达到最高水平。相比之下,GDI显示93.2%为“正常功能”或“适应”。牙科学生低估了他们的口腔健康状况。健康评估不应仅基于问卷,尤其是对于(未来的)卫生专业人员。为了对健康状况做出有效的诊断,自我评估必须辅以客观的临床检查,例如GDI。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9782/8544386/c57613fd2c96/healthcare-09-01348-g001.jpg

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