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尼泊尔一家教学医院本科医学生对牙周炎及其与全身健康关系的认知:一项横断面研究。

Awareness of periodontitis and its relationship with systemic health among undergraduate medical students at a teaching hospital in Nepal: A cross-sectional study.

作者信息

Kattel Bibek, Kumar Abhishek, Giri Akash Kumar, Acharya Pujan, Agrawal Santosh Kumari

机构信息

Department of Periodontology & Oral Implantology, College of Dental Surgery, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Department of Public Health Dentistry, College of Dental Surgery, BP Koirala Institute of Health Sciences, Dharan, Nepal.

出版信息

PLoS One. 2025 Apr 16;20(4):e0321315. doi: 10.1371/journal.pone.0321315. eCollection 2025.

Abstract

BACKGROUND

Periodontitis is a multifactorial chronic inflammatory disease primarily caused by bacterial plaque, but may be affected by the host immune response, diabetes, inadequate nutrition, smoking and stress. The systemic implications of periodontitis, particularly its associations with cardiovascular diseases, diabetes mellitus, and respiratory infections, highlight the importance of medical students acquiring in-depth insight into this condition. This knowledge is essential for promoting both oral and general health in the public.

OBJECTIVE

To assess the awareness of periodontitis and its relationship with systemic health among undergraduate medical students at a teaching hospital in Nepal.

MATERIALS AND METHODS

A structured self-administered questionnaire was used to assess awareness of periodontitis and its relationship with systemic health. A cross-sectional study was conducted among 3rd-, 4th-, and final-year medical students and interns at the BP Koirala Institute of Health Sciences, Dharan, from January 2024 to March 2024. The data were analyzed via descriptive statistics in SPSS version 27.

RESULTS

A total of 218 participants were included in the study with a mean age of 24.03 ± 1.85 years. The majority (76.1%) of the students were male. Approximately 95.9% (209) of the participants had heard of term periodontitis. The majority of participants identified bad breath (83.5%), gum recession (78.4%), bleeding gums (85.3%), and loose teeth (71.1%) as symptoms of periodontitis, with more than 80% correctly recognizing gum recession in all groups except for 3rd-year students (52.8%). The majority of the students were aware of the risk factors associated with periodontitis.

CONCLUSION

There was a notable gap in the recognition of symptoms, risk factors, and systemic links related to periodontitis among 3rd year students compared with 4th year, final year students and interns. This highlights the need for improved education on the topic among 3rd and 4th year medical students.

摘要

背景

牙周炎是一种多因素慢性炎症性疾病,主要由牙菌斑引起,但可能受到宿主免疫反应、糖尿病、营养不足、吸烟和压力的影响。牙周炎的全身影响,特别是其与心血管疾病、糖尿病和呼吸道感染的关联,凸显了医学生深入了解这种疾病的重要性。这些知识对于促进公众的口腔健康和整体健康至关重要。

目的

评估尼泊尔一家教学医院的本科医学生对牙周炎及其与全身健康关系的认识。

材料与方法

采用结构化自填问卷评估对牙周炎及其与全身健康关系的认识。于2024年1月至2024年3月在达兰的BP Koirala健康科学研究所对三年级、四年级、五年级医学生和实习生进行了横断面研究。数据在SPSS 27版本中通过描述性统计进行分析。

结果

共有218名参与者纳入研究,平均年龄为24.03±1.85岁。大多数(76.1%)学生为男性。约95.9%(209名)参与者听说过牙周炎这个术语。大多数参与者将口臭(83.5%)、牙龈退缩(78.4%)、牙龈出血(85.3%)和牙齿松动(71.1%)视为牙周炎的症状,除三年级学生(52.8%)外,所有组中超过80%的人能正确识别牙龈退缩。大多数学生了解与牙周炎相关的危险因素。

结论

与四年级、五年级学生和实习生相比,三年级学生在牙周炎症状、危险因素和全身关联的认识上存在显著差距。这凸显了在三、四年级医学生中加强该主题教育的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a0/12002454/590103c6418d/pone.0321315.g001.jpg

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