改善早期牙科护理利用率的干预措施的有效性:系统性审查和元分析
Quintessence international (Berlin, Germany : 1985)
|July 30, 2024
概括
早期的牙科护理对于预防儿童牙至关重要,但利用率很低. 像产前教育和益生菌这样的干预措施在减少牙方面表现有前途,尽管父母的参与策略产生了不同的结果.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 早期的牙科护理对于预防幼儿牙 (ECC) 是至关重要的.
- 在全球范围内,早期牙科护理的利用率仍然很低,特别是在低社会经济地位的家庭中.
- 解决护理障碍对于改善幼儿口腔健康结果至关重要.
研究的目的:
- 系统地审查有关改善幼儿早期牙科护理利用率的干预措施的证据.
- 确定有效的策略,以增加儿童牙科服务的获取和参与.
- 为旨在减少ECC患病率的公共卫生倡议提供信息.
主要方法:
- 七个随机对照试验的系统审查.
- 评估干预措施,包括产前口腔健康促进,激励性采访,在社会工作中使用口腔内摄像头,金钱激励,化物漆和益生菌.
- 研究设计和结果的定性评估.
主要成果:
- 干预措施显著降低了牙的发生率,特别是在高风险儿童中.
- 频繁的产前口腔健康信息和每日益生菌的管理是有效的减少.
- 通过提高动机和减少障碍来增加家长参与的策略显示了不确定的结果.
结论:
- 由于ECC率很高,在生命早期建立和维护牙科家是关键的公共卫生目标.
- 持续监测和父母的积极参与是保护儿童口腔健康的关键.
- 未来的研究应该探索创新的,以技术为导向的策略,以吸引家长,特别是服务不足的人群.
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