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为运动障碍成年患者提供口腔护理的障碍和动机。

Barriers and Motivations to Provide Dental Care to Adult Patients with Movement Disorders.

机构信息

Department of Diagnostic and Biomedical Sciences, School of Dentistry, The University of Texas Health Science Center at Houston (UTHealth), 7500 Cambridge Street, Suite 5456, Houston, TX 77054, USA.

Department of Pediatric Dentistry, School of Dentistry, The University of Texas Health Science Center at Houston (UTHealth), 7500 Cambridge Stree, Suite 5301, Houston, TX 77054, USA.

出版信息

Int J Environ Res Public Health. 2022 Apr 26;19(9):5256. doi: 10.3390/ijerph19095256.

Abstract

Patients with movement disorders, like Parkinson's and Huntington's diseases, tend to have poor oral health. Although contributing factors have been proposed, the willingness and ability of dentists to treat this patient population are still unknown. Our objective is to understand the current barriers and motivations of dentists to treat this patient population as a path to improved care and quality of life. A total of 176 dentists in Texas were surveyed through a structured questionnaire which contained both closed and open-ended questions. Nearly 30% of participants reported having no barriers to treating these patients and 26.7% reported that no such patients have visited their practice. Barriers reported included lack of education on the topic (17.6%) and longer appointments than average (14.8%). A main motivation to treat these patients was more training and education on the subject (38.6%). Poor oral health in patients with movement disorders may not be due to barriers encountered by dentists, but rather encountered by patients, such as access to and use of dental treatment. General dentists are willing to provide care for adult patients with movement disorders and continuing education for these providers is preferred over referral to a specialist.

摘要

患有运动障碍的患者,如帕金森病和亨廷顿病,往往口腔健康状况不佳。尽管已经提出了一些促成因素,但牙医治疗这一患者群体的意愿和能力仍不得而知。我们的目的是了解牙医在治疗这一患者群体方面的当前障碍和动机,以改善他们的护理和生活质量。德克萨斯州共有 176 名牙医通过一份包含封闭式和开放式问题的结构化问卷接受了调查。近 30%的参与者表示治疗这些患者没有障碍,26.7%的参与者表示他们的诊所没有此类患者就诊。报告的障碍包括缺乏关于该主题的教育(17.6%)和预约时间长于平均水平(14.8%)。治疗这些患者的主要动机是对该主题进行更多的培训和教育(38.6%)。运动障碍患者的口腔健康状况不佳可能不是由于牙医遇到的障碍,而是由于患者遇到的障碍,例如获得和使用牙科治疗的机会。普通牙医愿意为患有运动障碍的成年患者提供护理,并且更倾向于为这些提供者提供继续教育,而不是转介给专家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4074/9103283/c23b071a24fa/ijerph-19-05256-g001.jpg

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