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目的了解绵阳市12岁和15岁学生口腔保健知识、态度、行为在口腔卫生服务模式研究前后的差异,为探讨相应地区中小学的口腔健康教育有效措施提供参考。方法采取整群抽样的方法,在绵阳市涪城区、游仙区、江油区各抽取1所小学五年级和1所初中二年级学生作为调查对象,经过2 a的干预,干预后比较学生知识、态度、行为和卫生服务利用方面的调查结果。结果项目实施后,听说过含氟牙膏、认为含氟牙膏有好处、细菌是引起牙龈发炎的原因之一、清洁牙齿可以预防龋齿、定期检查牙齿很重要等知晓率有所提高,分别达到了38.2%,61.9%,80.6%,68.1%,92.8%,差异均有统计学意义(χ2值分别为24.396,91.013,44.638,62.143,335.617,P值均<0.05);含氟牙膏使用率提高,达到了35.5%,差异有统计学意义(P<0.01);牙龈出血时请医生治疗、牙龈出血时用清水漱口等选择率有所提高,分别达到了11.8%,62.9%,牙龈出血时不采取任何措施、牙疼时自己忍着等选择率有所下降,降低后分别为10.5%,42.2%,差异均有统计学意义(χ2值分别为5.352,30.989,53.125,1.881,28.548,P值均<0.05)。结论口腔健康教育使学生的口腔健康知识、态度、行为以及卫生服务利用水平明显改善。
Objective To understand the differences of oral health care knowledge, attitude and behavior among 12-year-olds and 15-year-olds in Mianyang City before and after the study of oral health services and to provide reference for the effective measures of oral health education in primary and secondary schools in corresponding areas. Methods A cluster sampling method was used to select one grade five and one grade two sophomore in Fucheng District, Youxian District and Jiangyou District of Mianyang City, respectively. After 2-year intervention and comparison of students’ knowledge, Attitudes, behaviors and health service utilization findings. Results After the implementation of the project, I heard that fluorine-containing toothpaste, fluoride toothpaste that the benefits of bacteria is one of the causes gum inflammation, cleaning the teeth can prevent dental caries, teeth regularly check the importance of such awareness has increased, respectively, reached 38.2%, 61.9%, 80.6%, 68.1% and 92.8%, respectively (all χ2 values were 24.396,91.013,44.638,62.143,335.617, P <0.05 respectively) Reached 35.5%, the difference was statistically significant (P <0.01); gingival bleeding, please doctor treatment, gingival bleeding gargle with water and other options have increased to 11.8%, respectively, 62.9%, gingival bleeding is not Take any measures, toothache, endure their choice rate decreased, reduced to 10.5%, respectively, 42.2%, the differences were statistically significant (χ2 values were 5.352,30.989,53.125,1.881,28.548, P value All <0.05). Conclusion Oral health education has significantly improved students’ oral health knowledge, attitude, behavior and utilization of health services.