Universidad Privada San Juan Bautista, School of Stomatology, Av. Jose Antonio Lavalle Avenue s/n (Ex Hacienda Villa); Chorrillos, 15066, Lima, Peru.
Universidad Peruana de Ciencias Aplicadas, Academic Program of Dentistry, 15066, Lima, Peru.
BMC Med Educ. 2023 Feb 4;23(1):89. doi: 10.1186/s12909-023-04068-9.
Clinical management to maintain or restore oral health through the use of drugs during pregnancy is crucial, since at this stage physiological changes significantly influence the absorption, distribution and elimination of the drug, considering also that excessive administration of drugs during this period may have adverse effects on the mother and/or fetus. Therefore, the aim of the present study was to evaluate the factors associated with knowledge of pharmacological management of pregnant women in dental students of a Peruvian university located in the capital and province.
This analytical, cross-sectional, prospective and observational study assessed 312 Peruvian dental students from third to fifth year of study between February and April 2022. A validated questionnaire of 10 closed questions was used to measure knowledge about pharmacological management in pregnant women. A logit model was used to assess the influence of the variables: gender, age, year of study, marital status, place of origin and area of residence. A significance of p < 0.05 was considered.
The 25.96, 55.13 and 18.91% of the dental students showed poor, fair and good knowledge about pharmacological management in pregnant women; respectively. In addition, it was observed that students under 24 years of age and those from the capital were significantly (p < 0.05) 44% less likely to have poor knowledge of pharmacological management in pregnant women compared to those aged 24 years or older (OR = 0.56; CI: 0.34-0.92) and those from the province (OR = 0.56; CI: 0.32-0.98); respectively. Finally, those in their third and fourth year of study were significantly three times more likely to have poor knowledge (OR = 3.17; CI: 1.68-5.97 and OR = 3.88; CI: 2.07-7.31; respectively) compared to fifth year dental students.
The knowledge of dental students about pharmacological management in pregnant women was predominantly of fair level. In addition, it was observed that being under 24 years of age and being from the capital city were protective factors against poor knowledge, while being a third- and fourth-year student was a risk factor. Finally, gender, marital status and area of residence were not influential factors in the level of knowledge.
在怀孕期间通过药物进行临床管理以维持或恢复口腔健康至关重要，因为在此阶段，生理变化会极大地影响药物的吸收、分布和消除，此外，在此期间过度用药可能会对母亲和/或胎儿产生不良影响。因此，本研究旨在评估与秘鲁首都和省会一所大学的牙科学员中孕妇药物治疗管理知识相关的因素。
这是一项分析性、横断面、前瞻性和观察性研究，评估了 2022 年 2 月至 4 月期间，来自第三至第五年学习阶段的 312 名秘鲁牙科学员。使用经过验证的 10 个封闭问题的问卷来衡量关于孕妇药物治疗管理的知识。使用逻辑回归模型评估了以下变量的影响：性别、年龄、学习年限、婚姻状况、原籍地和居住地。p 值<0.05 被认为具有统计学意义。
25.96%、55.13%和 18.91%的牙科学员对孕妇药物治疗管理的知识表现为差、中等和良好；分别。此外，观察到年龄在 24 岁以下和来自首都的学生与 24 岁或以上的学生（OR=0.56；CI：0.34-0.92）和来自省会的学生（OR=0.56；CI：0.32-0.98）相比，他们对孕妇药物治疗管理的知识明显较差的可能性分别降低了 44%（OR=0.56；CI：0.34-0.92）。最后，第三年和第四年学习的学生与第五年牙科学员相比，对孕妇药物治疗管理知识明显较差的可能性分别增加了三倍（OR=3.17；CI：1.68-5.97 和 OR=3.88；CI：2.07-7.31）。
牙科学员对孕妇药物治疗管理的知识主要处于中等水平。此外，观察到年龄在 24 岁以下和来自首都的学生是知识较差的保护因素，而第三年和第四年的学生则是风险因素。最后，性别、婚姻状况和居住地并不是知识水平的影响因素。
