摘要
目的探讨上海市远郊泥城镇社区2型糖尿病患者口腔保健自我效能现状,分析其影响因素。方法于2020年8—10月,对上海市浦东新区泥城镇408例2型糖尿病患者采用一般资料问卷和糖尿病口腔保健知识问卷进行调查,并对数据进行分析。结果 408例2型糖尿病患者知信行总平均分为13.02±4.45,低于及格分,其中知识维度得分为6.24±3.18、信念维度得分为3.41±1.52和行为维度得分为3.37±1.15。188例不知道糖尿病患者更容易发生口腔感染,占46.08%;178例不知道糖尿病可以使人的牙齿和牙龈变坏,占43.63%。每天使用牙线的患者仅90例,占22.06%;每天做到两次刷牙的患者仅119例,占29.17%;每天刷牙时间保持在>3 min的患者仅95人,占23.28%;刷牙方向正确的患者仅57例,占13.97%。有313例患者认为人老了牙不好是自然现象,占76.72%;有96例甚至在看牙医时不会主动告诉医生患有糖尿病,占23.53%。单因素分析结果显示,社区2型糖尿病患者口腔保健知信行得分情况与年龄、文化程度、职业、经济收入、是否得到糖尿病相关教育及是否有过口腔保健相关教育均有关(均P<0.05),与性别、婚姻状况、居住状况、医疗付费方式、病程、是否有其他慢性病、是否抽烟及是否饮酒均无关(均P>0.05)。结论上海市远郊社区2型糖尿病患者口腔保健知识缺乏,正确行为执行率较为低下,应对糖尿病的态度不够积极。因此,应发挥社区糖尿病管理护士等专业人员的作用,对患者开展口腔相关知识的健康教育,保障患者口腔健康,提升其生活质量。
Objective To explore the status quo of oral health care self-efficacy of patients with type 2 diabetes in Shanghai suburban communities,analyze its influencing factors. Methods From August October 2020,a general information questionnaire and diabetes oral health knowledge questionnaire were used to investigate 408 type 2 diabetes patients in Nicheng Town of Pudong New District in Shanghai. And the data were analyzed. Results The total score of knowledge,attitude and practice(KAP)in 408 patients with type 2 diabetes was 13.02±4.45,which was lower than the passing score. Among them,the score of knowledge dimension,attitude dimension and practice dimension was 6.24±3.18,3.41±1.52 and 3.37±1.15,respectively. 188 patients did not know diabetic patients are more likely to develop oral infections,accounting for 46.08%. 178 patients did not know diabetes can make people’s teeth and gums deterioration,accounting for 43.63%. Only 90 patients used floss every day,accounting for 22.06%.Only 119 patients brushed their teeth twice a day,accounting for 29.17%. Only 95 patients kept brushing their teeth for more than3 minutes every day,accounting for 23.28%. Only 57 patients brushed their teeth in the correct direction,accounting for13.97%.313 patients believed that it is a natural phenomenon that elderly people have bad teeth,accounting for 76.72%. 96 patients did not tell the doctor to have diabetes when they visit the dentist,accounting for 23.53%. Univariate analysis showed that the KAP score of oral health care of patients with type 2 diabetes in community was related to age,education level,occupation,income,whether they received diabetes related education and whether they had oral health care related education(P<0.05),but not to gender,marital status,living status,medical payment mode,course of disease,whether they had other chronic diseases,whether they smoked or drank(P>0.05). Conclusion Patients with type 2 diabetes in suburban communities of Shanghai are lacking of oral health care knowledge,the implementation rate of correct behaviors relatively low,and their attitude towards diabetes is not positive enough. Therefore,it is necessary to play the role of community diabetes management nurses and other specialists,and carry out health education on oral knowledge,to protect the oral health of the community diabetes and improve their quality of life.
作者
胡祉胤
范恩芳
HU Zhi-yin;FAN En-fang(Shanghai Pudong New Area Eye Disease and Dental Disease Prevention and Treatment Institute,Shanghai,201300,China;Nicheng Community Health Service Center of Pudong New Area,Shanghai,201306,China)
出处
《职业与健康》
CAS
2021年第23期3265-3269,共5页
Occupation and Health
基金
上海市浦东新区卫生健康委员会社区学科带头人培养计划(PWRsd2019-03)。
关键词
远郊社区
2型糖尿病
口腔保健
知信行
Suburban communities
Type 2 diabetes
Oral health
Knowledge
attitude and practice
