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印度尼西亚牙医对为老年人提供口腔保健的看法。

Indonesian dentists' views on providing oral health care for older adults.

作者信息

Werdiningsih Monika, Ramadhani Atik, Samnieng Patcharaphol, John Jacob, Adiatman Melissa

机构信息

Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia.

Department of Preventive Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand.

出版信息

Gerodontology. 2025 Jun;42(2):246-255. doi: 10.1111/ger.12790. Epub 2024 Sep 9.

Abstract

BACKGROUND

With demographic changes in aging populations, dentists require special care protocols to treat older adults with diverse and complex oral health needs and problems. Knowledge, positive attitudes, and sufficient practice experience are essential components for promptly treating older adults. However, many dentists encounter multiple barriers influencing their willingness to provide care for older adults. This study assessed Indonesian dentists' knowledge, attitudes, and practices (KAP) in providing oral health care (OHC) for older adults, including their willingness and barriers.

METHODS

A cross-sectional survey was conducted with 392 dentists employing an online questionnaire between April and June 2022. The respondents' KAP was categorised utilising a modified Blooms' cut-off point of ≥60%. Data were analysed using descriptive statistics, the x test, and logistic regression.

RESULTS

Most dentists demonstrated adequate knowledge (62.2%), a positive attitude (95.4%), sufficient practice experience (91.6%), and a high willingness (98%) to provide OHC services for older adults. However, 91.4% encountered barriers primarily related to interpersonal communication, disease complexity and polypharmacy, and patient functional status. Significant associations were found between dentists' attitudes toward practices and willingness to attend geriatric dentistry training with knowledge.

CONCLUSION

Implementation of continuing professional development (CPD) in geriatric dentistry, the inclusion of geriatric dentistry into the undergraduate curriculum, and enhancing clinic accessibility for older adults may improve dentists' preparedness and benefit the future provision of OHC for older adults in Indonesia.

摘要

背景

随着人口老龄化的人口结构变化,牙医需要特殊的护理方案来治疗有多样化和复杂口腔健康需求及问题的老年人。知识、积极的态度和足够的实践经验是及时治疗老年人的重要组成部分。然而,许多牙医遇到多种障碍,影响他们为老年人提供护理的意愿。本研究评估了印度尼西亚牙医在为老年人提供口腔保健(OHC)方面的知识、态度和实践(KAP),包括他们的意愿和障碍。

方法

2022年4月至6月期间,对392名牙医进行了一项横断面调查,采用在线问卷。受访者的KAP根据修改后的布鲁姆临界点≥60%进行分类。数据采用描述性统计、x检验和逻辑回归分析。

结果

大多数牙医表现出足够的知识(62.2%)、积极的态度(95.4%)、足够的实践经验(91.6%)以及为老年人提供OHC服务的高意愿(98%)。然而,91.4%的人遇到的障碍主要与人际沟通、疾病复杂性和多重用药以及患者功能状态有关。发现牙医对实践的态度和参加老年牙科培训的意愿与知识之间存在显著关联。

结论

在老年牙科中实施持续专业发展(CPD),将老年牙科纳入本科课程,并提高老年人就诊的便利性,可能会提高牙医的准备程度,并有利于印度尼西亚未来为老年人提供OHC。

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