Johansson Charlotte, Beckman Linda, Rystedt Ingrid, Kramer Ann-Catrin André, Lindmark Ulrika
Department of Health Science, Karlstad University, Karlstad, SE, 651 88, Sweden.
Department of Health Service Research, Management and Policy, University of Florida, Florida, FL, 32603, USA.
BMC Psychol. 2025 Apr 28;13(1):446. doi: 10.1186/s40359-025-02780-3.
Due to organizational structures, there is a gap between psychiatric and dental care services that limits collaboration and knowledge sharing, and this can have a negative impact on patients' oral health or general health and vice versa. To facilitate the integration between dentistry and psychiatry, more insight and knowledge is needed on psychiatric staffs' work with patients' oral health. Therefore, the aim of this study was to explore the experiences of psychiatric staff regarding patients' oral health and meeting their oral health needs.
Using a semi-structured guide, staff (n = 13) in Swedish psychiatric and forensic settings and in municipal housing support services were interviewed about their experiences with patient oral health. The interviews took place between April 2022 and June 2023. The data were analysed with inductive qualitative content analysis.
This study identified challenges such as organizational issues, complex administrations, and a lack of tools for integrating oral health into psychiatric care. The patients perceived to face daily health-related challenges, and the informants identified opportunities to include oral health into tools for health promotion and the facilitation of healthy lifestyle changes.
Psychiatric staff possess central knowledge and insight into the life situations of patients with severe mental illness, and psychiatric staff consider dental staff to be key partners. Collaboration between psychiatric and dental staff is essential for developing strategies to integrate oral health perspectives into current screening and psychopedagogical models and practices.
由于组织结构的原因，精神科和牙科护理服务之间存在差距，这限制了合作与知识共享，进而可能对患者的口腔健康或整体健康产生负面影响，反之亦然。为促进牙科与精神科的整合，需要对精神科工作人员在患者口腔健康方面的工作有更多的见解和了解。因此，本研究的目的是探讨精神科工作人员在患者口腔健康及满足其口腔健康需求方面的经验。
采用半结构化指南，对瑞典精神科和法医机构以及市政住房支持服务机构的13名工作人员进行访谈，了解他们在患者口腔健康方面的经验。访谈于2022年4月至2023年6月期间进行。采用归纳定性内容分析法对数据进行分析。
本研究发现了一些挑战，如组织问题、复杂的管理以及缺乏将口腔健康纳入精神科护理的工具。患者被认为面临日常健康相关挑战，受访者发现有机会将口腔健康纳入健康促进工具，并促进健康生活方式的改变。
精神科工作人员对重度精神疾病患者的生活状况拥有核心知识和见解，并且精神科工作人员认为牙科工作人员是关键合作伙伴。精神科和牙科工作人员之间的合作对于制定将口腔健康观点纳入当前筛查及心理教育模式和实践的策略至关重要。
