儿童口腔科普短剧健康教育对10岁儿童口腔保健知信行的效果评价

Effect of oral health education with children popular oral science short drama on oral health care KAP among 10-year-old children

目的:评价儿童口腔科普短剧健康教育对10岁儿童口腔保健知信行(KAP),即知识(knowledge)、态度(attitude)、行为(practice)3个方面的影响,为探索建立一种适应新时期的儿童口腔健康教育方式提供依据。方法:拍摄制作儿童口腔科普短剧。以上海市闵行区某小学校10岁儿童为研究对象,入组时、入组1个月在校园内组织观看短剧,进行健康教育。使用自行设计的调查问卷,在入组时、入组1个月及入组6个月时分别进行对应的口腔保健KAP调查。采用SPSS 21.0软件包对调查结果进行配对t检验和χ2检验。结果:174例研究对象完成随访。干预前,研究对象的口腔保健知识、态度、行为得分分别为(21.02±12.54)分、(74.48±19.87)分和(31.90±22.39)分,第1个月时分别为(57.05±17.56)分、(85.06±14.97)分和(55.03±29.32)分,第6个月时分别为(71.76±16.27)分、(91.49±12.40)分和(73.99±27.46)分,与干预前相比,均有显著提高(P<0.001)。在干预前,不同性别间的KAP分值无显著差异,1个月、6个月时的知识和行为得分男生显著低于女生(P<0.05)。结论:通过儿童口腔科普短剧进行学校口腔健康教育,对提高10岁儿童口腔保健KAP具有良好效果,重复开展的效果更好。

PURPOSE:To evaluate the impact of health education with children popular oral science short drama on 10-year-old children's oral health knowledge,attitude,practice(KAP),and provide evidence for oral health education methods for children.METHODS:A oral health education short drama for children was filmed.10-year-old children from a primary school in Minhang district,Shanghai were selected as the study subjects.The groups were asked to watch the drama on campus at enrollment and the first month for health education.Self-made questionnaires were used to conduct corresponding oral health KAP surveys at the time of enrollment,the first month and the sixth month.The survey results were compared using SPSS 21.0 software package for t test and Chi-square test,to compare the changes in oral health KAP scores and the accuracy of each question before and after oral health education.RESULTS:One hundred and seventy-four children were followedup.Before the intervention,the subjects'oral health knowledge,attitude,and behavior scores were(21.02±12.54),(74.48±19.87),(31.90±22.39),and(57.05±17.56),(85.06±14.97),(55.03±29.32)at the first month;and(71.76±16.27),(91.49±12.40),(73.99±27.46)at the 6th month,respectively.Compared with those before the intervention,significant increases were observed(P<0.001).Before the intervention,there was no significant difference in KAP scores between different genders,but there were significant differences in knowledge and behavior scores at 1 and 6 months after intervention between different genders(P<0.05).CONCLUSIONS:School oral health education through children oral science short drama has a good effect on improving the knowledge,attitude and behavior of oral health care for 10-year-old children,and it is more effective when repeat.