基于PDCA循环对儿童口腔健康持续干预方法的探索

doi:10.11852/zgetbjzz2021-1669

中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (7): 783-786.DOI: 10.11852/zgetbjzz2021-1669

基于PDCA循环对儿童口腔健康持续干预方法的探索

李娜¹, 戴泰鸣^1,2, 段旭博¹, 关敏², 谢本军³, 汪朝政⁴, 王庭才⁵, 杨威¹

1.贵州大学医学院,贵州贵阳 550025;
2.贵阳市口腔医院;
3.贵阳市卫生健康局;
4.开阳县民族学校;
5.开阳县禾丰乡卫生院;

收稿日期:2021-11-03 修回日期:2022-02-17 发布日期:2022-07-25 出版日期:2022-07-10
通讯作者: 杨威,E-mail:vyang@gzu.edu.cn
作者简介:李娜(1996-),女,贵州人,硕士研究生,主要研究方向为社会医学与卫生事业管理。
基金资助:
贵阳市科技计划项目(筑科合同[2018]1-53号)

Exploration of continuous intervention methods for children's oral health based on Plan-Do-Check-Action cycle

LI Na^*, DAI Tai-ming, DUAN Xu-bo, GUAN Min, XIE Ben-jun, WANG Chao-zheng, WANG Ting-cai, YANG Wei

^*Medical School of Guizhou University, GuiYang, Guizhou 550025, China

Received:2021-11-03 Revised:2022-02-17 Online:2022-07-10 Published:2022-07-25
Contact: YANG Wei, E-mail: vyang@gzu.edu.cn

摘要/Abstract

摘要： 目的探索在农村地区有效提高乳恒牙交替期儿童口腔健康认知、促进良好卫生行为养成及改善口腔卫生状况的持续干预方法。方法 2021年3—10月,基于PDCA口腔健康管理方法,对贵阳市某乡镇学校二年级儿童开展口腔健康教育与行为干预,在两个阶段(3个月时、6个月时)观察干预对象口腔健康认知、行为习惯与口腔卫生状况变化情况。结果基线调查时,口腔健康知识总知晓率、良好行为习惯报告率、菌斑指数、龋态值分别为48.1%、52.7%、1.86±1.12、1.53±0.62,持续干预3个月后,分别达到81.3%、75.6%、0.94±0.67、1.39±0.68,与基线时相比差异均有统计学意义(χ²=175.072、123.768,t=8.800,2.381,P<0.05);在6个月时,口腔健康总体认知率、良好行为习惯报告率分别为76.9%、71.2%,与3个月时相比差异有统计学意义(χ²=4.170、5.193、P<0.05),菌斑指数为(1.07±0.73),与3个月时相比差异无统计学意义(P>0.05)。结论持续干预能有效提高儿童口腔保健意识、促进健康行为习惯养成,但长期效果的保持还需不断强化,未来可能还需从组织形式、评价体系等方面来改进干预方案。

关键词: 乳恒牙交替期, 口腔健康, 社区干预, 农村地区

Abstract: Objective To explore continuous intervention methods to effectively improve oral health cognition, promote healthy behaviors, and improve the oral health status of children with primary and permanent tooth alternation in rural areas. Methods From March to October 2021, oral health education and behavioral interventions based on the Plan-Do-Check-Action (PDCA) cycle were carried out for second-grade children in a township school in Guiyang City for 6 months. The changes in oral health cognition, behavior habits and oral hygiene status of the children were observed in 3 months and 6 months after intervention. Results At the baseline survey, the total awareness rate of oral health knowledge, the rate of self-reported good behavior habits, plaque index and caries status value were 48.1%, 52.7%, 1.86±1.12, 1.53±0.62, respectively, which were 81.3%, 75.6%, 0.94±0.67, 1.39±0.68 in three months after intervention, and the difference was significant (χ²=175.072, 123.768, t=8.800, 2.381,P＜0.05). At six months, the total awareness rate of oral health knowledge and the rate of self-reported good behavior habits were 76.9% and 71.2%, respectively, which were significantly different from those in three months after intervention(χ²=4.170, 5.193, P＜0.05).The plaque index in six months after intervention was 1.07±0.73, which was not significantly different compared with that in three months. Conclusions Continuous intervention can effectively improve children's oral health awareness and promote the development of healthy behavior, but the maintenance of long-term effects needs to be continuously strengthened. Besides, it is suggested to improve the intervention program in the future from the perspective of organizational form and evaluation system.

Key words: alternate period of primary and permanent teeth, oral health, community intervention, rural areas

中图分类号:

R780.1

李娜, 戴泰鸣, 段旭博, 关敏, 谢本军, 汪朝政, 王庭才, 杨威. 基于PDCA循环对儿童口腔健康持续干预方法的探索[J]. 中国儿童保健杂志, 2022, 30(7): 783-786.

LI Na, DAI Tai-ming, DUAN Xu-bo, GUAN Min, XIE Ben-jun, WANG Chao-zheng, WANG Ting-cai, YANG Wei. Exploration of continuous intervention methods for children's oral health based on Plan-Do-Check-Action cycle[J]. Chinese Journal of Child Health Care, 2022, 30(7): 783-786.

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基于PDCA循环对儿童口腔健康持续干预方法的探索

Exploration of continuous intervention methods for children's oral health based on Plan-Do-Check-Action cycle

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