家庭访视对糖尿病患者口腔健康知识与行为的影响

Effects of family visits on oral health care and action of periodontal patients with diabetes

目的探讨家庭访视对糖尿病合并牙周病变患者口腔健康行为的影响。方法 60例牙周病变的糖尿病患者按抛硬币分组法分为研究组32例和对照组28例,研究组实施为期6个月的家庭访视干预,定期上门跟踪服务,指导口腔保健,对照组患者不给予任何形式的口腔保健行为指导。采用糖尿病患者口腔保健知识与行为调查和血糖水平(空腹和餐后2 h测定)进行效果评定。结果干预前,两组患者口腔保健知识与行为状况和血糖水平无明显差异(P>0.05),干预后,研究组患者口腔保健知识与行为状况和血糖水平测评明显好于对照组(P<0.05)。结论家庭访视能够提高糖尿病患者口腔保健知识与行为技能水平,对减少糖尿病患者牙周病变的发生,稳定血糖水平有积极的作用。

Objective To explore the effects of family visits on oral health care and action of periodontal patients with diabetes.Methods Eighty patients were divided into 2 groups by tossing a coin,with 32 patients in study group and the other 28 in control group.The patients in study group were given 6-month regular family visits and oral health education,whereas those in control one were not offered any health measures.The effects were evaluated based on the investigation of oral health knowledge,action and blood glucose levels（empty stomach and 2h after meal）.Results There were no significant differences between the results of the two groups（P0.05） before treatment.However,the results of the study group were significantly different in health education on periodontal disease for patients and blood glucose level（P0.05） from those of the control one.Conclusions Family visits can strengthen health education,decrease the occurrence rate of periodontal disease and have active effects on maintaining blood glucose levels of the patients.