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探索最有效的口腔健康教育干预技术以改善视力障碍青少年的口腔卫生状况和口腔健康知识:一项系统评价和荟萃分析。

Unleashing the most effective oral health education intervention technique for improving the oral hygiene status and oral health knowledge in visually impaired young individuals: A systematic review and meta-analysis.

作者信息

Deshpande Apurva P, Ankola Anil V, Sankeshwari Roopali, Jalihal Sagar, Bhat Deepika V, Choudhury Abhra Roy, Kumar Ram Surath, Khot Atrey Pai

机构信息

Department of Public Health Dentistry, KLE VK Institute of Dental Sciences, KLE Academy of Higher Education and Research, Belagavi, Karnataka, India.

出版信息

J Educ Health Promot. 2023 Jan 31;12:9. doi: 10.4103/jehp.jehp_419_22. eCollection 2023.

DOI:10.4103/jehp.jehp_419_22
PMID:37034845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10079208/
Abstract

Appropriate oral health education (OHE) plays a vital role in prevention of oral diseases and would bridge the gap between dentists and visually impaired individuals. Hence, this systematic review was planned with an aim to evaluate effectiveness of various OHE techniques on the oral hygiene status and oral health knowledge of visually impaired young individuals. An electronic search extended to September 30, 2020 was conducted on PubMed, Wiley, ProQuest, ScienceDirect, Cochrane library, EBSCO, and Google Scholar. Two independent reviewers assessed the studies using a two-stage process; data were extracted according to PRISMA statement. Risk of bias assessment of selected studies was executed according to the study designs. Meta-analysis using the random-effects model was conducted for the outcomes for all oral health education techniques using STATASE 16.1 software. Hand and electronic search identified 3829 articles. After screening for titles and duplicates, 37 articles were retrieved, which were screened through abstract and full text. Of the 37 articles, 17 articles were included for qualitative synthesis, and out of that, 13 were for meta-analysis. Ten variations in oral health education (OHE) techniques were used in the included 17 studies to impart oral health education to visually impaired young individuals. Overall, all OHE techniques demonstrated a positive impact on oral hygiene status. The pooled overall cumulative mean difference of the oral hygiene status after imparting education in ATP, Audio, and Braille was 1.33 [1.06, 1.59], 1.76 [1.11, 2.42], and 1.96 [1.40, 2.55], respectively. An appropriate OHE technique boosts confidence in visually impaired young individuals, making the learning process an enjoyable experience. Use of either Braille or the ATP OHE technique was found to be a reliable and useful method to improve oral hygiene of visually impaired young individuals.

摘要

适当的口腔健康教育(OHE)在预防口腔疾病方面起着至关重要的作用,并且能够弥合牙医与视障人士之间的差距。因此,本系统评价旨在评估各种口腔健康教育技术对视障青年口腔卫生状况和口腔健康知识的有效性。我们在PubMed、Wiley、ProQuest、ScienceDirect、Cochrane图书馆、EBSCO和谷歌学术上进行了截至2020年9月30日的电子检索。两名独立评审员采用两阶段流程对研究进行评估;数据根据PRISMA声明进行提取。根据研究设计对所选研究进行偏倚风险评估。使用STATASE 16.1软件对所有口腔健康教育技术的结果进行随机效应模型的荟萃分析。手工检索和电子检索共识别出3829篇文章。在筛选标题和重复文章后,检索到37篇文章,通过摘要和全文进行筛选。在这37篇文章中,17篇文章纳入定性综合分析,其中13篇用于荟萃分析。纳入的17项研究中使用了10种不同的口腔健康教育(OHE)技术向视障青年传授口腔健康教育。总体而言,所有口腔健康教育技术都对口腔卫生状况产生了积极影响。在传授ATP、音频和盲文教育后,口腔卫生状况的合并总体累积平均差异分别为1.33 [1.06, 1.59]、1.76 [1.11, 2.42]和1.96 [1.40, 2.55]。适当的口腔健康教育技术增强了视障青年的信心,使学习过程成为一种愉快的体验。发现使用盲文或ATP口腔健康教育技术是改善视障青年口腔卫生的可靠且有用的方法。

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