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文献分享 |Implementation and Effectiveness of a Nurse-Led Oral Hygiene Program for Schoolchildren: A Quasi-Experimental Study
来源：Public Health Nursing
DOI：10.1111/phn.13483.
IF：1.7
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Abstract
Objectives: Good oral hygiene is essential for schoolchildren's well-being. However, lack of knowledge, negative attitudes, and poor oral hygiene practices may predispose to oral-related diseases. This study aimed to examine the effectiveness of a nurse-led oral hygiene program on schoolchildren's knowledge, attitudes, and practices.
目标:良好的口腔卫生对学童的健康至关重要。然而，缺乏知识、消极态度和不良的口腔卫生习惯可能会导致口腔相关疾病。本研究旨在检验护士主导的口腔卫生计划对学童知识、态度和实践的有效性。
Design: A quasi-experimental design with pre-and-post-test was used.Sample: Using the convenience sampling technique, we recruited 400 schoolchildren, aged 11-12 and in grades 5-6, from two primary schools in Egypt.样本：使用便利抽样技术，我们从埃及的两所小学招募了400名11-12岁和5-6年级的学童。Methods: The study was conducted from September 2022 to May 2023. The Oral Hygiene Program served as the primary intervention. This program contains health education topics (e.g., the importance of oral hygiene, techniques for effective tooth brushing, and dietary choices that promote dental health). Three visits were conducted (Visit 1: introduction of the program purpose and objectives and pre-test scores collection, Visit 2: implementation of oral hygiene topics, and Visit 3: post-test scores collection). We used three self-report instruments (Oral Health Knowledge Questionnaire, Hiroshima University's Dental Behavioral Inventory, and Oral Health Practice Questionnaire) for pre- and post-test. Paired T test and Pearson correlation analysis were used for data analysis.方法：该研究于2022年9月至2023年5月进行。口腔卫生计划是主要干预措施。该计划包含健康教育主题（例如，口腔卫生的重要性、有效刷牙的技巧以及促进牙齿健康的饮食选择）。进行了3次访问（访问1：介绍计划目的和目标以及测试前分数收集，访问2：实施口腔卫生主题，以及访问3：测试后分数收集）。我们使用三种自我报告工具 （口腔健康知识问卷、广岛大学的牙科行为量表和口腔健康实践问卷）进行前测和后测。采用配对T检验和Pearson相关分析进行数据分析。Results: After the intervention program, the oral hygiene program effectively enhanced schoolchildren's knowledge, attitudes, and practices. The post-intervention mean scores were 7.83 ± 0.488 (knowledge), 6.63 ± 1.7 (practices), and 9.33 ± 1.1 (attitudes). High statistically significant differences were noted between schoolchildren's oral health knowledge, attitudes, and practices before and after implementing the program (p = 0.000).结果：干预计划后，口腔卫生计划有效地增强了学童的知识、态度和实践。干预后平均得分分别为7.83±0.488（知识）、6.63±1.7（实践）和9.33±1.1（态度）。学童在实施该计划前后的口腔健康知识、态度和实践之间存在很高的统计学显着差异（p=0.000）。Conclusion: There were enhancements in the level of knowledge, with improved positive attitudes and satisfactory practices among schoolchildren after the implementation of the oral hygiene program. Integrating oral hygiene programs into the general curriculum in primary schools and training school nurses, caregivers, and teachers in implementing oral hygiene programs could improve oral health knowledge, attitudes, and practices for preventing oral problems.结论：在实施口腔卫生计划后，知识水平有所提高，学童的积极态度和令人满意的做法也有所提高。将口腔卫生计划纳入小学的一般课程，并培训学校护士、护理人员和教师实施口腔卫生计划，可以提高口腔健康知识、态度和预防口腔问题的做法。Keywords: attitude; knowledge; oral hygiene; practices; primary school; schoolchildren.关键词：态度;知识;口腔卫生;实践;小学;学生
（译文仅供参考）
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