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酒精依赖的成年人获得初级牙科护理的障碍:一种定性研究
C Bowes1,2, M Breckons3,4, R D Holmes1
1School of Dental Sciences, Newcastle University, Newcastle, UK.
恐惧和身体,社会和环境障碍阻碍了酒精依赖 (AD) 的人去看牙医. 在康复服务中,清醒和综合牙科护理可以改善获取,超越疼痛驱动的动机.
科学领域:
- 口腔健康研究 口腔健康研究
- 药物中毒药物 药物中毒药物
- 公共卫生 公共卫生
背景情况:
- 酒精依赖 (AD) 的人经常面临口腔健康问题.
- 在这群人群中,牙医缺勤是常见的,对潜在原因的理解有限.
- 探索患者的观点对于改善牙科护理的准入至关重要.
研究的目的:
- 调查影响阿兹海默症患者获得初级牙科护理的障碍,激励因素和促进因素.
- 了解成年人与酒精依赖有关牙科护理生活经验.
- 确定可以利用的因素,以改善这个人口群体的口腔健康结果.
主要方法:
- 一项使用远程,半结构化访谈 (一对一和小组) 的定性研究.
- 在英格兰北部,参与的成年人有过酒精依赖的经验.
- 数据分析采用反射主题分析,由COM-B模型提供信息.
主要成果:
- 关键障碍包括对牙医的恐惧,阿尔茨海默病的身体和社会影响,财务限制以及口腔健康优先级较低.
- 疼痛是寻求牙科护理的主要动机,以及口腔健康日益优先考虑.
- 促进者包括在康复计划中的清醒期和牙科服务的可用性.
结论:
- 恐惧和各种障碍导致面向问题的牙医出诊,对口腔健康产生负面影响.
- 促进出席需要解决能力和机会,特别是当个人从AD中缓解时.
- 将牙科护理纳入康复服务和了解"因果关系网络"对于干预开发至关重要.
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