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一般牙科医生对打鼾和睡眠呼吸障碍的认识和看法。

General dental practitioners' knowledge and opinions of snoring and sleep-related breathing disorders.

机构信息

UCL Eastman Dental Institute, London, UK.

出版信息

Br Dent J. 2021 Nov;231(9):569-574. doi: 10.1038/s41415-021-3573-z. Epub 2021 Nov 12.

Abstract

Aims There is increasing recognition that sleep disturbances can affect lifestyle, economy and health. General dental practitioners (GDPs) can play a vital role in helping to identify at-risk patients through screening as well as aid in the management of these conditions. The aim of this study was to assess the knowledge of UK-based GDPs in relation to sleep-related breathing disorders (SRBDs).Material and methods A questionnaire was developed to assess GDPs' knowledge of SRBDs and their current practice in relation to the management of SRBDs, and identify the factors associated with improved knowledge and management. A volunteer sample was recruited from social media platforms and conference attendees.Results In total, 152 GDPs completed the questionnaire; 101 (66% [95% CI 59%,74%]) agreed that GDPs should ask their patients about sleep disorders, while only 82 (54% [95% CI 46%,62%]) confirmed that they actually asked their patients about the problem. On a 22-point knowledge scale, the mean score was 12.93 (95%CI 12.23, 13.63). Postgraduate education (F = 5.47; p = 0.001), increasing age (r = 0.23; p = 0.005) and GDP workplace (F = 4.98; p = 0.008) contributed to a higher knowledge score. GDPs were strongly in favour of having more information (N = 141; 93% [95% CI 87%,97%]).Conclusion Although GDPs' knowledge of SRBDs was better than anticipated, they clearly felt a need for further information and training. There is a compelling case to include this subject in the undergraduate dental curriculum.

摘要

目的

越来越多的人认识到睡眠障碍会影响生活方式、经济和健康。全科牙医(GDP)可以通过筛查来帮助识别高危患者,并在管理这些疾病方面发挥重要作用。本研究旨在评估英国 GDP 对睡眠相关呼吸障碍(SRBD)的了解程度。

材料和方法

设计了一份问卷,以评估 GDP 对 SRBD 的了解程度及其在管理 SRBD 方面的现行做法,并确定与提高知识和管理水平相关的因素。从社交媒体平台和会议参会者中招募了志愿者样本。

结果

共有 152 名 GDP 完成了问卷;101 名(66%[95%CI 59%,74%])同意 GDP 应该询问患者的睡眠障碍问题,而只有 82 名(54%[95%CI 46%,62%])确认他们实际上询问了患者这个问题。在 22 分的知识量表上,平均得分为 12.93(95%CI 12.23,13.63)。研究生教育(F = 5.47;p = 0.001)、年龄增长(r = 0.23;p = 0.005)和 GDP 工作场所(F = 4.98;p = 0.008)有助于提高知识得分。GDP 强烈支持获得更多信息(N = 141;93%[95%CI 87%,97%])。

结论

尽管 GDP 对 SRBD 的了解好于预期,但他们显然需要更多的信息和培训。在本科牙科课程中纳入这一主题具有很强的说服力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/528d/8589666/93de91b96f00/41415_2021_3573_Fig2_HTML.jpg

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