医务人员对老年患者牙齿脱落风险认知及防范措施调查研究

Medical staff′s perception of tooth loss risk in older adults and implement of preventive measures for tooth loss

目的了解医务人员对老年患者牙齿脱落风险认知及防范措施实施现状,为老年患者牙齿脱落风险评估及干预提供参考。方法选取357名医务人员为研究对象,采用老年患者牙齿脱落风险认知问卷和牙齿脱落防范措施实施问卷进行调查。结果共197人(55.18%)遇到过牙齿脱落事件,医务人员对老年患者牙齿脱落风险认知得分为(47.84±7.82)分。不同科室、工作年限、年龄、学历和经历过牙齿脱落事件的医务人员认知得分比较,差异有统计学意义(均P<0.01)。临床中预防牙齿脱落的措施有缝线束牙、牙套、口腔科会诊等。结论医务人员对老年患者牙齿脱落风险认知处于中等水平,各种防范措施的有效性有待进一步验证。管理者应制定牙齿脱落风险评估表和标准化的防范措施,以提高风险认知水平。

Objective To understand how medical staff perceive tooth loss risk in older adults,how they implement preventive measures,and to provide references for tooth loss risk assessment and interventions for the population.Methods A total of 357 medical staffers from a tertiary hospital were selected by convenience sampling method.A self-made questionnaire was used to investigate medical staffers′general information,perception of tooth loss risk in older adults,and implement of preventive measures for tooth loss.Results Totally,197(55.18%)medical staffer had experienced elderly tooth loss incidents.Staffers′perception score of tooth loss risk in older adults averaged(47.84±7.82)points.Staffers′perception score varied significantly by departments,working years,age groups,educational attainments,and whether having experiencing elderly tooth loss incidents(P<0.01 for all).Clinical measures to prevent tooth loss included sutures,braces,and dental consultations.Conclusion Medical staffers′perception score of tooth loss risk in older adults was slightly below medium level.And the effectiveness of various preventive measures needs to be further verified.Managers should develop a risk assessment tool for elderly tooth loss and make standardized preventive measures to improve risk perception level.