农村儿童口腔卫生指导工作模式的研究

RESEARCH ON WORKING MODE OF ORAL HYGIENE GUIDANCE FOR CHILDREN IN RURAL AREAS

目的探讨农村儿童口腔卫生指导工作模式的指导效果。方法随机抽取某农村小学6年级12岁儿童3个班,共180人,分为儿童口腔卫生指导工作模式指导组(简称模式指导组)60人,医生指导组60人,对照组60人,通过指导前后牙齿菌斑指数测定和问卷知识知晓情况的调查,探讨该模式的指导效果。结果模式指导组、医生指导组指导前后牙齿菌斑指数比较差异均有显著性(t=9.79、12.43,P<0.001);模式指导组、医生指导组指导后牙齿菌斑指数与对照组比较差异有显著性(F=31.16,q=9.86、9.46,P<0.01)。模式指导组、医生指导组指导前后问卷知识知晓情况比较差异均有显著性(t=33.17、36.39,P<0.001),对照组调查前后问卷知识知晓情况比较差异亦有显著性(t=2.38,P<0.05);模式指导组、医生指导组指导后问卷知识知晓情况与对照组比较差异有显著性(F=413.92,q=35.13、35.35,P<0.01)。结论儿童口腔卫生指导工作模式是一种有效、经济的口腔健康教育工作模式,适宜在农村地区广泛、持久开展,能够很大程度改善我国农村儿童口腔卫生状况。

Objective To assess the effect of working mode on oral hygiene guidance for children in rural areas. Methods This study was consisted of 180 12-year-old children of grade 6,three classes,from a rural primary school,who wereequally randomized to three groups as： working-mode guidance（WMG） group,doctor guidance（DG） group and control group.The result was appraised via detection of dental plaque index（DPI） before and after the guidance and a questionnaire on the knowledge awareness. Results The DPI between before and after the guidance,both by doctor and working mode,was significantly different（t=9.79,12.43;P0.001）.Compared with the control,the DPI in the guidance groups differed greatly（F=31.16;q=9.86,9.46;P0.01）.The awareness of oral health before and after the guidance education of guidance groups was statistically different（t=33.17,36.39;P0.001）,for the control,the result was also significant（t=2.38,P0.05） and that differences among the three groups were significant（F=413.92;q=35.13,35.35;P0.01）. Conclusion The working mode on oral hygiene guidance is an effective and economic method for oral health education,which is suitable to be extensively and lastingly carried out in rural areas to greatly improve the mouth hygiene of children who live in countryside.