Researcher, Faculty of Dentistry, Universiti Teknologi MARA (UiTM), Sungai Buloh, Selangor, Malaysia.
Dental public health specialist, Centre of Population Oral Health and Clinical Prevention, Faculty of Dentistry, Universiti Teknologi MARA (UiTM), Sungai Buloh, Selangor, Malaysia.
Can J Dent Hyg. 2024 Oct 1;58(3):161-173. eCollection 2024 Oct.
Community-based rehabilitation (CBR) centres in Malaysia were established to enhance the quality of life of persons with disabilities (PWDs), including their health care. It is unknown to what extent PWDs have been taught about oral health care at CBR centres.
This qualitative study investigated the perceptions of CBR managers regarding the level of training in oral health care received by CBR workers, the current oral health care program for PWDs, and the barriers and enablers in providing oral health education, care, and services for PWDs in CBR centres.
A semi-structured interview questionnaire and face-to-face in-depth interviews were conducted with CBR managers (n = 9) from 9 districts in Kuala Lumpur and Selangor, Malaysia, to seek their views on the focus topics. Audiorecorded interviews were transcribed verbatim, and transcripts were analysed in MAXQDA software. Qualitative data were analysed via thematic analysis.
Interview content analysis revealed 4 themes, 11 subthemes, and 13 codes. The 4 identified themes were oral health care education and training for CBR workers, oral health care programs and protocol for CBR trainees (PWDs), barriers and enablers to care.
In all CBR centres, CBR workers and PWDs receive an oral health presentation, training in oral health care, and are provided with treatment by a dentist assigned by the Ministry of Health. No specific programs, training or special courses were provided by the Department of Social Welfare. Several personal, professional, and social factors were identified as affecting the provision of oral health care to the PWDs.
马来西亚的社区康复中心旨在提高残疾人士（PWDs）的生活质量，包括他们的医疗保健。目前尚不清楚 CBR 中心在多大程度上向 PWD 传授了口腔保健知识。
本定性研究调查了 CBR 管理人员对 CBR 工作人员接受的口腔保健培训水平、当前 PWD 口腔保健计划以及在 CBR 中心为 PWD 提供口腔健康教育、保健和服务的障碍和促进因素的看法。
对来自马来西亚吉隆坡和雪兰莪 9 个地区的 9 名 CBR 管理人员（n=9）进行了半结构式访谈问卷和面对面深入访谈，以征求他们对重点话题的看法。录音采访被逐字转录，并用 MAXQDA 软件分析转录本。定性数据通过主题分析进行分析。
访谈内容分析揭示了 4 个主题、11 个子主题和 13 个代码。确定的 4 个主题是 CBR 工作人员的口腔保健教育和培训、CBR 学员（PWDs）的口腔保健计划和方案、护理的障碍和促进因素。
在所有 CBR 中心，CBR 工作人员和 PWD 都接受了口腔健康讲座、口腔保健培训，并由卫生部指定的牙医提供治疗。社会福利部没有提供特定的方案、培训或特殊课程。确定了几个个人、专业和社会因素，这些因素影响了为 PWD 提供口腔保健服务。
