成都市儿童保健医生的低龄儿童口腔健康知识问卷调查

Survey on oral health knowledge questionnaire of young children among child health care physicians in Chengdu

目的了解成都市儿童保健医生对低龄儿童口腔健康知识的认知程度,期待从儿保医生的角度促进儿童的口腔健康和全身健康。方法采用自制问卷对成都市11个市辖区妇女儿童医院和妇幼保健院的儿童保健医生进行随机抽样调查,包括对儿童口腔健康与全身健康的关系、儿童口腔家庭护理方式、龋病病因及预防措施及儿童牙科预防管理早期建立等的认知。结果接受调查的154名儿保医生中,84.4%会主动给家长普及儿童口腔保健知识,有50.7%会在首次儿保时就普及。88.3%认为致龋微生物存在母婴垂直传播,但仅有39.2%知晓婴幼儿的口腔护理方式,27.3%认为儿童应每天使用牙线。有93.5%的儿保医生认为乳牙龋坏应及时处理,约半数以上知晓龋病的联合病因(67.5%)和预防措施(63.0%)。仅有29.2%知晓婴幼儿正确的哺乳姿势,只有36.4%在院校接受过口腔健康教育。结论成都市妇幼保健院的儿童保健医生普及儿童口腔保健知识的态度积极,但认知程度不够全面和深入,此类知识在其院校培养和继续教育中亟待加强。

Objective To understand the cognition of child health care physicians to oral health knowledge of young children in Chengdu,promote children's oral health and overall health from the perspective of child health care physicians.Methods A self-designed questionnaire random survey was performed among the child health care physicians from 11 women and children's hospitals and maternal and child health care hospitals in Chengdu,including the cognitions of the relationship between children's oral health and overall health,children's oral family nursing patterns,the causes and preventive measures of caries,early establishment of children's dental prevention and management.Results Among 154 children health care physicians,84.4% of them took the initiative to educate parents about young children's oral health care,and 50.7% of them did it at the first visit,88.3% of them believed that mother-to-child transmission of cariogenic microorganism existed,but only 39.2% of them knew oral nursing patterns of infants,27.3% of them believed that children should use dental floss every day,93.5% of them considered that primary teeth caries should be treated as early as possible,67.5% of them knew the multiple etiologies of caries,63.0% of them knew the preventive strategies of caries,only 29.2% of them knew the correct breastfeeding posture,only 36.4%of them were educated children's oral health care in the colleges.Conclusion The child health care physicians from maternal and child health care hospitals in Chengdu have a positive attitude towards the popularization of children's oral health care,but the degree of cognition is not comprehensive and deepgoing,oral health knowledge should be enhanced in colleges and continuous education.