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对于残疾自照顾成人的口腔健康干预策略:系统性审查
Nithimar Sermsuti-Anuwat1, Palinee Hongpaitoon2, Daophon Ardiam1
1Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand, chula.ac.th.
International journal of dentistry
|January 26, 2026
概括
有或没有药物辅助的教育和行为策略显著改善了残疾成年人的口腔自我护理. 量身定制的,加强的干预措施显示出最有前途的更好的口腔健康结果.
科学领域:
- 口腔健康研究研究 口腔健康研究
- 关于残疾人的研究.
- 公共卫生干预 公共卫生干预
背景情况:
- 在残疾成年人中,口腔健康差异仍然存在,这对公共卫生构成了重大挑战.
- 需要有效的策略来改善这种人群的口腔自我护理实践.
研究的目的:
- 系统地评估教育,行为和药理干预措施的有效性,以提高残疾独立成年人的口腔健康自我护理.
- 综合随机对照试验 (RCT) 关于改善口腔卫生和结果的策略的证据.
主要方法:
- 按照PRISMA 2020指南进行系统审查,包括2000-2024年出版的RCT.
- 在多个数据库 (PubMed,Scopus,Cochrane图书馆等) 中进行搜索. 对于各种残疾的成年人 (18-70岁) 的研究.
- 独立选,数据提取和质量评估 (Cochrane RoB 2.0工具),由于异质性而进行叙事综合.
主要成果:
- 十个RCT (681名参与者) 符合纳入标准. 教育和行为干预措施 (例如,OHI,MI) 显著改善了知识,态度和自我护理实践.
- 药物辅助剂 (例如,赫西丁) 减少了斑块和微生物负载,特别是当与行为支持相结合时.
- 观察到短期改善,但证据的确定性受到异质性和偏差风险的限制.
结论:
- 结合量身定制的教育,行为强化和药物支持的多方面的干预措施提高了残疾独立成年人的口腔健康.
- 未来的研究需要标准化的方法,强大的偏见评估和长期跟进,以告知临床实践和政策.
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