青岛市市南区小学教师对学龄儿童外伤全脱出牙应急处理的认知水平调查

Knowledge about the emergency management of avulsed permanent incisor among primary school teachers in Shinan District of Qingdao

目的了解青岛市市南区小学教师对学龄儿童外伤全脱出牙应急处理的认知水平现状。方法2019年3—4月,利用青岛市第一次口腔流行病学调查的机会,采用分层随机抽样的方法,抽取青岛市市南区12所小学597名小学教师,对其进行问卷调查,应用卡方检验对结果进行统计分析。结果本调查共回收有效问卷540份,85.9%教师为女性,15.2%的教师接受过牙外伤相关教育,89.6%的教师没有见过外伤全脱出牙。15.2%的教师知道全脱出牙齿的正确紧急处理方式;对全脱出牙采用良好保存介质的教师,58.7%选择0.9%氯化钠溶液,8.3%选择牛奶,6.3%选择含在孩子口中;关于全脱出牙的就诊时间,认为应该即刻就诊的教师人数比例为56.5%。86.9%的教师问卷得分低于4。不同教龄教师间问卷得分差异有统计学意义(χ^2=9.445,P=0.002),是否接受过牙外伤教育的教师间问卷得分差异也有统计学意义(χ^2=13.148,P<0.001)。结论青岛市市南区小学教师对学龄儿童外伤全脱出牙应急处理认知水平不高,应加强小学教师牙外伤知识的宣教。

Objective To assess the knowledge and attitude of primary school teachers on the emergency management of avulsed permanent incisors.Methods From march to April,2019,a total of 597 teachers from 12 primary schools in Shinan District of Qingdao were selected by stratified sampling based on the first oral epidemiological survey in Qingdao.Statistical analysis was performed using SPSS 18.0 software package by chi-square test.Results A total of 540 teachers answered the questionnaires.Most of the teachers were female(85.9%).Only(15.2%)had received first aid training which included emergency management of dental trauma.89.6%of the teachers had never witnessed an avulsed tooth;Immediate replantation of the avulsed tooth was suggested by 15.2%of the respondents;The percentage of the choice of correct medium for avulsed tooth,58.7%of the teachers chose Physiological saline,8.3%chose milk,and 6.3%retained in the child's mouth.56.5%teachers thought that they should see the doctor immediately.The overall knowledge of the school teachers was poor(86.9%).There was a statistically significant difference in the questionnaire scores between teachers of different teaching ages(χ^2=9.445,P=0.002),and between those teachers who had received education on tooth trauma(χ2=13.148,P<0.001).Conclusions The school teachers had insufficient knowledge about the emergency management of avulsed permanent teeth.School oral health campaigns with regards to emergency management of avulsed teeth will help improve teachers'knowledge and their behaviors.