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在加拿大牙科和口腔卫生项目中管理患者心理健康披露问题。

Managing patient mental health disclosures in Canadian dental and dental hygiene programs.

作者信息

Mazoka Maranda M, Kanji Zul

机构信息

Alumna, Bachelor of Dental Science (dental hygiene) program, University of British Columbia, Vancouver, BC, Canada.

Associate Professor of Teaching, Director of Admissions & Student Affairs, Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.

出版信息

Can J Dent Hyg. 2025 Jun 1;59(2):116-124. eCollection 2025 Jun.

Abstract

OBJECTIVE

This narrative literature review aims to explore the current landscape regarding the management of patient mental health disclosures and gaps in resources and protocols within Canadian dental and dental hygiene programs.

METHODS

CINAHL and Education Source databases, and the were used to search for literature published between 2001 and 2023.

RESULTS

A total of 54 sources were included, primarily comprising original research articles, systematic and other literature reviews.

DISCUSSION

The prevalence of mental health disclosures is rising, with 1 in 5 Canadians living with a mental health condition. Current dental and dental hygiene programs lack explicit protocols for managing patient mental health disclosures, and the literature reveals a scarcity of research on students' preparedness. This review underscores the importance of adopting humanistic language to reduce stigma and emphasizes educational institutions' roles in evaluating and facilitating mental health services to support the mental health lived experiences of dental and dental hygiene patients.

CONCLUSION

The review identifies 3 key research gaps: the absence of qualitative research on the student experience of managing patient disclosures, unclear integration of mental health education, and a scarcity of comprehensive evaluations of mental health services. Recommendations include incorporating mental health training in entry-to-practice curricula, aligning with established community support frameworks, and creating dedicated resources for the effective management of mental health disclosures for patients in educational settings.

摘要

目的

本叙述性文献综述旨在探讨加拿大牙科和口腔卫生项目中患者心理健康披露管理的现状,以及资源和方案方面的差距。

方法

使用CINAHL和教育资源数据库检索2001年至2023年发表的文献。

结果

共纳入54篇文献,主要包括原创研究文章、系统综述和其他文献综述。

讨论

心理健康披露的发生率正在上升,五分之一的加拿大人患有心理健康问题。当前的牙科和口腔卫生项目缺乏管理患者心理健康披露的明确方案,文献显示关于学生准备情况的研究较少。本综述强调采用人文语言以减少污名化的重要性,并强调教育机构在评估和促进心理健康服务以支持牙科和口腔卫生患者心理健康生活经历方面的作用。

结论

该综述确定了3个关键研究差距:缺乏关于学生管理患者披露经历的定性研究、心理健康教育整合不明确以及心理健康服务综合评估匮乏。建议包括在执业前课程中纳入心理健康培训、与既定的社区支持框架保持一致,以及为教育环境中有效管理患者心理健康披露创建专门资源。

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