高原官兵口腔健康知信行现状及提升策略研究  

A study on the current status of oral health knowledge,attitude and practice of plateau military personnels and the improvement strategies

作　　者：于雷 牛丽娜 刘辉 焦凯 许荣宸 唐亚平 冯小倩 刘锐 YU Lei;NIU Lina;LIU Hui;JIAO Kai;XU Rongchen;TANG Yaping;FENG Xiaoqian;LIU Rui(Department of Stomatology,Daping Hospital,Army Medical University(The Third Military Medical University),China,400042 Chongqing;State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Key Laboratory of Stomatology,Department of Prosthodontics,The Third Affiliated Hospital of Air Force Medical University,Xi'an;Department of Stomatology,Tangdu Hospital,Air Force Military Medical University,Xi'an;Department of Stomatology,The First Medical Center,Chinese PLA General Hospital,Beijing)

机构地区：[1]陆军军医大学大坪医院口腔科,重庆400042 [2]口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔医学重点实验室,空军军医大学第三附属医院修复科 [3]空军军医大学唐都医院口腔科 [4]解放军总医院第一医学中心口腔科

出　　处：《实用口腔医学杂志》2025年第1期66-71,共6页Journal of Practical Stomatology

基　　金：军队后勤科研重点项目(编号:BKJ23WS1J006);陆军军医大学科技创新能力提升专项项目(编号:2022XJS30)。

摘　　要：目的:通过高原官兵口腔健康知信行调查与疾病状况分析探索口腔健康提升新策略。方法:设计量表,对高原(≥3000 m)和平原(≤1000 m)各500名部队官兵进行口腔健康知信行调查,并从各组中随机抽取100人进行口腔检查。Logistic回归分析知信行与疾病相关性。针对知信行并结合进行官兵口腔卫生需求调研,构建提升基层卫生人员岗位胜任力的“感知-领悟-交融”(PCI)创新培训体系并检验效果。结果:高原组口腔健康总知晓率(53.61%)、正向态度率(55.00%)、正面行为率(40.29%),均显著低于平原组(P<0.05);而龋病率(73%)、楔状缺损率(34%)、智齿冠周炎率(16%)、牙龈出血率(74%)、牙结石率(81%)、唇炎率(37%)均显著高于平原组(P<0.05)。知信行与疾病呈显著负相关。2组官兵口腔卫生需求均达70%以上。创新培训体系显著提升了卫生人员口腔预防保健综合能力。结论:高原官兵口腔健康亟待提升,本研究的创新培训体系有望成为解决该问题的新策略。Objective:To investigate the current state of oral health knowledge,attitude and practice(KAP)of plateau military personnels and to analyze the disease condition,aiming to explore new strategies for enhancing oral health.Methods:A questionnaire was developed to survey 500 individuals at high altitudes(≥3000 m)and 500 at low altitudes(≤1000 m)regarding their oral health KAP,with 100 subjects randomly selected from each group for oral examinations.Logistic regression analysis was applied to examine the correlation between KAP and disease status.Based on these findings,a survey of the oral health needs of military personnels was conducted in conjunction with their KAP.And an innovative training system,“Perception-Comprehension-Integration”(PCI),was established to improve the competencies of primary healthcare providers,with its effectiveness being evaluated.Results:The high altitude group had significantly lower rates of overall oral health awareness(53.61%),positive attitude(55.00%)and positive practice(40.29%)compared with the low altitude group(P<0.05);the incidence in high altitude group experiencing dental caries(73%),wedge-shaped defects(34%),pericoronitis(16%),gingival bleeding(74%),dental calculus(81%)and cheilitis(37%)were significantly higher than those in the low altitude group(P<0.05).There was a significant negative correlation between KAP scores and disease prevalence.The subjects in both groups showed a substantial demand(exceeding 70%)for oral health.The innovative PCI training system has markedly strengthened the health personnel's compre-hensive preventive and health care capabilities.Conclusion:The oral health status of plateau military personnels is in dire need of enhancement.And the PCI training system is poised to serve as a novel approach to tackling this critical concern.

关 键 词：口腔健康 知信行 高原 现状调查 提升策略 

分 类 号：R780.1[医药卫生—口腔医学]