北京市基层医疗卫生机构儿童保健人员口腔健康知信行调查  

A survey of oral health knowledge,attitude and practice of child health care workers in primary health care institutions in Beijing

作　　者：张丽晋[1] 何辉[1] 尚晓瑞[1] 李一辰[1] ZHANG Li-jin;HE Hui;SHANG Xiao-rui;LI Yi-chen(Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing Maternal and Child Health Care Hospital,Beijing 100026,China)

机构地区：[1]首都医科大学附属北京妇产医院/北京妇幼保健院儿童保健科,北京100026

出　　处：《北京口腔医学》2024年第4期276-280,共5页Beijing Journal of Stomatology

摘　　要：目的了解北京市基层医疗卫生机构儿童保健人员(以下简称儿保人员)口腔健康认知、态度和行为现状,并进行影响因素分析。方法2023年7月~2023年8月期间,对北京市基层医疗卫生机构参与儿童保健工作的全部人员开展线上无记名问卷调查。问卷内容包括一般情况、口腔健康知识知晓情况、对口腔健康的态度情况和口腔卫生行为和饮食习惯情况等。结果北京市基层医疗卫生机构儿保人员口腔卫生知识(84.0%)和龋病防治知识(97.5%)总体知晓率较高,绝大多数的儿保人员对口腔健康持积极态度(>81.0%),餐后漱口(95.3%)和每天刷牙次数2次(82.1%)的比例较高。“儿童口腔保健从孕前开始”知晓率较低,为30.6%,每天使用牙线(40.0%)和定期接受口腔检查(41.6%)的比例不到一半。儿保人员口腔知识得分和态度得分(r=0.346,P<0.05),知识得分和行为得分(r=0.172,P<0.05),态度得分和行为得分(r=0.119,P<0.05)均呈正相关。多因素分析显示:工作时间≤5年者(OR=0.520,95%CI:0.399-0.677)及6~9年者(OR=0.706,95%CI:0.516-0.965)倾向于不知晓儿童口腔保健从孕期开始,工作时间≤5年者(OR=1.600,95%CI:1.102-2.323)、年龄≤30岁者(OR=3.742,95%CI:1.821-7.691)和31~40岁者(OR=2.346,95%CI:1.553-3.543)倾向于每天帮助儿童刷牙。结论北京市基层医疗卫生机构儿保人员口腔知识整体知晓率较高,口腔健康态度较好,个人口腔卫生行为方面还有待改善。基层儿保人员口腔健康知信行与其工作年限和年龄有关。Objective To investiqate the current status of oral health knowledge,attitude and practice of child health care workers in primary health care institutions in Beijing.Methods During July 2023~August 2023,an online anonymous questionnaire survey was conducted on all personnel involved in child health care in primary health centers in Beijing.The questionnaire included general information,knowledge of oral health,attitude towards oral health and oral hygiene practices and eating habits.Results The overall knowledge of oral health(84.0%)and caries prevention and treatment(97.5%)among child health care workers was high,with the vast majority of them having a positive attitude towards oral health(>81.0%),and a high percentage of them rinsing their mouths after meals(95.3%)and brushing their teeth twice a day(82.1%).Knowledge of"children's oral health care starts before pregnancy"was low at 30.6%.Less than half flossed daily(40.0%)and received regular oral exams(41.6%).There was a positive correlation between the oral knowledge score and the attitude score(r=0.346,P<0.05),the knowledge score and the practice score(r=0.172,P<0.05),and the attitude score and the practice score(r=0.119,P<0.05)of the child health care workers.Multifactorial analysis showed that those who had worked for≤5 years(OR=0.520,95%CI:0.399-0.677)and those with 6-9 years(OR=0.706,95%CI:0.516-0.965)tended to be unaware that children's oral health care begins during pregnancy.Those with≤5 years of work(OR=1.600,95%CI:1.102-2.323),and those with age≤30 years(OR=3.742,95%CI:1.821-7.691)and those aged 31-40 years(OR=2.346,95%CI:1.553-3.543)tended to help children brush their teeth daily.Conclusions The overall oral knowledge of pediatric health care workers in Beijing's primary health care institutions is high,oral health attitudes are good,and there is room for improvement in personal oral hygiene practices.Oral health knowledge,attitude and practice were related to the years of work and age of primary child health care workers.

关 键 词：口腔健康 儿童 知识 态度 行为 

分 类 号：R780.1[医药卫生—口腔医学]