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评估牙医、医生和非医务人员的专业洁牙知识、行为和医疗依从性:中国重庆的一项横断面研究。

Assessment of the professional dental cleaning knowledge, behavior and medical compliance among dentists, medical doctors and non-medical staffs: a cross sectional study in Chongqing, China.

机构信息

College of Stomatology, Chongqing Medical University, Chongqing, People's Republic of China.

Chongqing Key Laboratory for Oral Diseases and Biomedical Sciences, College of Stomatology, Chongqing Medical University, Chongqing, People's Republic of China.

出版信息

BMC Oral Health. 2022 May 19;22(1):188. doi: 10.1186/s12903-022-02226-x.

Abstract

BACKGROUND

The professional dental cleaning (PDC) is an effective supplement that can make up for the lack of self-oral health care. Everyone should develop the habit of regular PDC. This study aimed to investigate the knowledge, behaviors and medical compliance of dentists, medical doctors and non-medical staffs about the PDC, identify the gaps, and provide information to help individuals develop healthy oral hygiene habit.

MATERIALS AND METHODS

A web-based survey with 21 questions designed based on the characteristics, the PDC knowledge, behaviors, and medical compliance of respondents. A cross-sectional study was conducted in the main districts of Chongqing, China, in the period of September-November 2020. A total of 456 respondents including 153 dentists, 137 medical doctors and 166 non-medical staffs in 3 communities and 4 hospitals were sampled online with multistage sampling and surveyed. The data was analyzed by chi-square test using IBM SPSS Statistics v. 21.0.

RESULTS

The cognitive level and behavior of dentists on the PDC was significantly better than that of medical doctors and non-medical staffs (p = 0.000-0.044). The rates of not knowing "dental plaque" were 32.85% and 61.45%, of the medical doctors and non-medical staffs. Meanwhile, most of them had misunderstanding about effects of the PDC. They thought it would whiten teeth (72.99%, 80.72%), damage gums (16.79%, 19.88%) and teeth (15.33%, 21.69%), and create bigger gaps between teeth (24.82%, 33.13%). In terms of gum health and the PDC behavior, significant differences were observed, 23.53% of dentists experienced irritated gum bleeding in the last 12 months, 42.28% did not have their teeth cleaned professionally in the last 12 months, even 7.84% never had it before. Compared with it, in the same situation, the ratios of medical doctors and non-medical staffs were about 60% experiencing irritated gum bleeding, 69.34% and 77.71% not experiencing the PDC in the last 12 months, up to 33.58% and 45.18% never experienced it before. 41 respondents (8.99%) disagreed with the reasonable and necessary medical behaviors before the PDC.

CONCLUSION

People's understanding about the PDC was insufficient, and many people, included some dentists, had not developed the habit of regular dental cleaning. Our study provided a new understanding of the PDC among dentists, medical doctors, and non-medical staffs, which may help to improve their awareness and behavior of oral hygiene health, and establish the multidisciplinary collaborations between dentists and medical doctors.

摘要

背景

专业洁牙(PDC)是一种有效的补充,可以弥补自我口腔保健的不足。每个人都应养成定期进行 PDC 的习惯。本研究旨在调查牙医、医生和非医务人员对 PDC 的知识、行为和医疗依从性,找出差距,并提供信息帮助个人养成健康的口腔卫生习惯。

材料和方法

本研究采用基于受访者特征、PDC 知识、行为和医疗依从性的 21 个问题的在线调查。2020 年 9 月至 11 月期间,在中国重庆市的主要城区,采用多阶段抽样对 3 个社区和 4 家医院的 456 名受访者(包括 153 名牙医、137 名医生和 166 名非医务人员)进行了横断面研究。使用 IBM SPSS Statistics v.21.0 进行卡方检验分析数据。

结果

牙医对 PDC 的认知水平和行为明显优于医生和非医务人员(p=0.000-0.044)。医生和非医务人员中,分别有 32.85%和 61.45%不知道“牙菌斑”。同时,他们大多对 PDC 的效果存在误解。他们认为 PDC 会美白牙齿(72.99%,80.72%)、损伤牙龈(16.79%,19.88%)和牙齿(15.33%,21.69%),以及使牙齿之间的缝隙变大(24.82%,33.13%)。在牙龈健康和 PDC 行为方面,差异有统计学意义,23.53%的牙医在过去 12 个月中出现牙龈出血,42.28%的牙医在过去 12 个月中未接受专业洁牙,甚至 7.84%的牙医从未接受过专业洁牙。相比之下,在相同情况下,医生和非医务人员的比例分别为约 60%的人出现牙龈出血,69.34%和 77.71%的人在过去 12 个月中未接受 PDC,高达 33.58%和 45.18%的人从未接受过 PDC。41 名受访者(8.99%)不同意 PDC 前的合理且必要的医疗行为。

结论

人们对 PDC 的认识不足,包括一些牙医在内的许多人尚未养成定期洁牙的习惯。本研究提供了牙医、医生和非医务人员对 PDC 的新认识,这可能有助于提高他们对口腔卫生健康的认识和行为,并在牙医和医生之间建立多学科合作。

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