偏瘫患者口腔健康知识、态度及口腔卫生行为的调查

Investigation on oral health knowledge,attitude and behavior of hemiplegic patients

目的调查分析偏瘫患者口腔健康知识、口腔保健态度和口腔卫生行为情况。方法2019年8月15日至9月15日在北京博爱医院由脑卒中、脑外伤等中枢神经系统损伤导致的偏瘫患者,通过纸质问卷方式,调查其人口学信息、口腔健康知识、口腔保健态度和口腔卫生行为等情况。结果发出问卷200份,收回有效问卷184份。刷牙习惯好的103例,能独立步行的患者刷牙习惯好的比例最高(χ^(2)=6.564,P=0.038);口腔健康知识平均分5.3,平均正确率75.7%;口腔保健态度平均分3.3,平均正性态度率81.8%,不同特征患者间无显著性差异(Z<5.299,P>0.05)。12个月内有口腔科就医经历59例,不同性别和出行方式间均无显著性差异(χ^(2)<4.707,P>0.05)。结论能独立步行的患者刷牙习惯好的比例最高,偏瘫患者口腔卫生知识及健康态度有待提高,口腔卫生服务利用较低。

Objective To investigate and analyze the knowledge,attitude and behavior of oral health for hemiplegic patients.Methods From August 15 to September 15,2019,patients with hemiplegia caused by central nervous system damages such as stroke and traumatic brain injury in Beijing Bo'ai Hospital were investigated their demographic information,oral health behavior,oral health knowledge,oral health attitude and utilization of oral health services through paper questionnaires.Results A total of 200 questionnaires were sent out and 184 valid questionnaires were collected.There were 103 patients with good brushing habits,and the highest proportion was in independent walkers(χ^(2)=6.564,P=0.038).The average score of oral health knowledge was 5.3,and the average accuracy of oral health knowledge was 75.7%.The average score of oral health attitude was 3.3,and the average positive attitude was 81.8%.Both the knowledge and attuite scores were not significant in different characteristics(Z<5.299,P>0.05).There were 59 patients visiting institute of stomatology in past twelve months,and there was no significant difference among genders and travel modes(χ^(2)<4.707,P>0.05).Conclusion The brushing habits is well in independent walkers.The oral health knowledge and attitude of hemiplegia patients need to be improved,and the utilization of oral health services is low.