學校人員意願與口腔衛生教育介入對國小學童口腔衛生影響之探討

The Influence of School Staffs Willingness and Dental Health Education Intervention on the Oral Hygiene Status of the Elementary School Children

蔡吉政(Chi-Cheng Tsai) ； 蕭夢雄(Meng-Hsiung Shiao) ； 吳逸民(Yi-Min Wu)

《The Kaohsiung Journal of Medical Sciences》 14卷6期 (1998/06) Pp. 379-386

https://doi.org/10.6452/KJMS.199806.0379

摘要

本研究主要在探討目前國小教育制度下，校務行政人員及導師參與誰廣口腔衛生的意願，以及口腔衛生教育的介入對國小學童口腔衛生狀況的影響。以問卷方式請高雄市75所雲立小學之校長、訓導主任、體衛組長及校護填寫，了解各校對口腔衛生工作之重視程度與推行狀況。隨機選出學校行政人員意願高與低各二所學校，再對每校五年級導師作問春，選出導師參與意願強與弱各兩班的學生進行問卷、口腔檢查、及教導刷牙，並記錄其教導前後之口腔衛生狀況。結果顯示： 1.學童在未教導之前，各組的菌斑指數並無顯著差異，但較注重口腔衛生教育之學校，其學童之齲齒指數（DMFT）較低且齲齒填補率也較高。
2.由朴口腔衛生教育的介入，學童的菌斑指數確實有明顯改善。
3.欲持續維持學童良好的口腔衛生習慣，學校行政人員及導師參與意願的高低，確實有正面的影響。而且學校行政人員的影響力遠大於導師。
4.對口腔衛生教育較注重之導師，其班上學童口腔衛生知識之得分較高。同學、導師對口腔衛生教育之態度，也會受到學校行政人員對口腔衛生教育態度之影響。

並列摘要

The main purpose of this study was to under-stand the influence of school administrator’s and teacher’s participation in oral hygiene promotion, and dental health education intervention on the oral hygiene status of the elementary school children. Questionnaires designed to evaluate the school staff’s willingness to emphasize and proceed the oral hygiene programs were answered by the school administrators (principals, deans of pupils’ affair, chiefs of physical education and hygiene departments, and nurses) in 75 public elementary schools of the Kaohsiung City, Taiwan. Two of the most, and of the least cooperative schools were randomly selected. The fifth grade teachers of those four schools were asked to answer the questionnaires. Pupils of the two classes whose teachers who had the greatest and the least willingness to particpate were selected for further investigation. Pupils were asked to answer questionnaires, receive oral examinations and tooth-brushing instructions every other two weeks for a total of two times. The results were as follows:
1. Before active oral hygiene instruction, there is no significant difference in plaque scores among groups. However, DMFT scores are influenced by school administrators.
2. The oral hygiene education intervention actually significantly improved the school children’s plaque scores.
3. The cooperation of school administrators and teachers has a positive influence on keeping (forming) school children’s good oral hygiene habits. Furthermore, the influence from school administrators is more than that from teachers.
4. School children’s knowledge of oral hygiene is influenced by school’ administrators and teachers while teachers’ attitude of oral hygiene is influenced by school administra-tors.

並列關鍵字

oral hygiene ； plaque index ； DMFT