不同口腔健康教育方式对学龄儿童口腔知识行为效果评估  

Evaluation of the effectiveness of various oral health education methods on oral knowledge and behavior of school-age children

作　　者：皮小琴 杨再波 高桂林 阳琼 牟倩 PI Xiao-qin;YANG Zai-bo;GAO Gui-lin;YANG Qiong;MOU Qian(Department of Stomatology,The Central Hospital of Enshi TuJia and Miao Autonomous Prefecture,Hubei Enshi 445800,China;Enshi Clinical College of Wuhan University,Hubei Enshi 445800,China;Department of Urological Surgery,The Central Hospital of Enshi TuJia and Miao Autonomous Prefecture,Hubei Enshi 445800,China)

机构地区：[1]恩施土家族苗族自治州中心医院口腔诊疗中心,湖北恩施445800 [2]武汉大学恩施临床学院,湖北恩施445800 [3]恩施土家族苗族自治州中心医院泌尿外科,湖北恩施445800

出　　处：《临床口腔医学杂志》2024年第7期415-419,共5页Journal of Clinical Stomatology

基　　金：中华口腔医学会口腔健康教育创新·闪耀计划项目(CSA-OHE2021-10)。

摘　　要：目的:探讨不同口腔健康教育方式对学龄儿童口腔知识、行为及口腔卫生的影响。方法:2022年10月~2023年4月期间,选取恩施城区两所学校二、三年级学生作为研究对象,分为医师组和教师组,医师组由恩施州中心医院儿童口腔医生进行口腔健康知识教育讲座,同时一次性发放口腔健康学习资料;教师组由各班班主任进行相同口腔健康知识教育讲座,持续6个月发放口腔健康学习资料及牙牙精灵视频学习。通过调查问卷评估1个月及6个月的口腔健康知识和口腔健康行为掌握情况,同时随机抽取110名学生采用改良Quigley-Hein菌斑指数评价龈上菌斑,以观察不同教育方式对口腔卫生的影响。结果:在口腔健康教育后6个月口腔健康知识方面,教师组问卷正确率均高于医师组,且有统计学差异(P<0.05);在口腔健康教育后1个月和6个月口腔健康行为方面,教师组问卷正确率呈现上升趋势,较医师组效果明显;在口腔健康教育后1个月的菌斑检查方面,教师组菌斑指数低于医师组,且有统计学差异(P<0.05)。结论:教师组和医师组的口腔健康教育措施均有效改善了口腔健康知识行为,菌斑控制效果明显,但教师组的口腔健康教育措施效果优于医师组。Objective:To investigate the impact of different oral health education methods on the oral knowledge, behavior, and hygiene of school-age children.Methods:From October 2022 to April 2023,second and third-grade students from two schools in Enshi urban area were selected as participants.They were divided into two groups: the physician group, where oral health education was delivered by pediatric stomatologists from Enshi Central Hospital along with distribution of learning materials, and the teacher group, where the head teacher conducted the same education session supplemented with oral health learning materials and a six-month “Ya-Ya Fairy” video learning program.Questionnaires were used to analyze the awareness of oral health knowledge and behavior, and their effects were assessed at intervals of 1 month and 6 months.Simultaneously, 110 students were randomly chosen to evaluate periodontal status over one month using the improved Quigley-Hein plaque index.Results:After 6 months, the teacher group demonstrated a higher awareness rate of oral health knowledge compared to the physician group, with a statistically significant difference(P<0.05).Regarding oral health behavior, improvements were observed in both groups after 1 month and 6 months, yet the teacher group exhibited a more pronounced enhancement than the physician group.Regarding plaque index, the teacher group demonstrated lower plaque index compared to the physician group, with a statistically significant difference(P<0.05).Conclusion:Both teacher-led and physician-led oral health education interventions effectively enhanced oral knowledge and behavior, with superior outcomes observed in the teacher-led group.

关 键 词：口腔健康教育 口腔健康知识 口腔健康行为 菌斑指数 

分 类 号：R780.1[医药卫生—口腔医学]