口腔健康教育介入計畫對職場員工口腔保健行為影響成效

The Effectiveness of an Oral Health Education Intervention Program on Oral Health Care Behavior in Working Place Employees

余佳華(Jia-Hua Yu)

指導教授 ： 黃曉靈

高雄醫學大學/口腔醫學院/口腔衛生學系碩士在職專班/碩士(2014年)

https://doi.org/10.6832/KMU.2014.00096

摘要

研究背景:
成年人牙周病是常見口腔疾病，常因不良生活型態造成。口腔健康教育的介入已被證實可有效提升口腔相關知識、態度與口腔保健行為，進而改善口腔健康狀態。目前台灣口腔保健介入計畫主要針對婦幼、學齡前兒童或老人等族群，並未有職場相關的口腔健康促進計劃。
研究目的:
評值職場員工口腔健康教育介入計畫對口腔保健知識、態度、及口腔保健行為之成效。
研究方法:
採單組前後測設計。於北、中、南區分別選取兩家職場，共256位完成介入與前後測問卷。介入方式使用團體口腔健康課程，內容包含口腔疾病、口腔衛生、潔牙示範教學與回覆示教，共2.5小時；擔任主管職位則需多一堂(半小時)職場口腔健康實施優勢的課程。使用自填式問卷收集知識、態度與行為前後測資料。每位參加者於填寫問卷後再輔以10分鐘一對一個人衛教，加強潔牙教學。
以邏輯斯迴歸分析方法，探討介入後在口腔保健知識、態度得分、自覺口腔健康狀況、口腔保健行為等相關變項之改善成效。
研究結果：
介入後員工口腔保健知識、態度平均得分顯著高於介入前(p<.001)。一天刷牙2次以上、刷牙時間2分鐘以上、使用貝式刷牙法、牙線使用及使用含氟牙膏，皆顯著提升兩成，且前後測達顯著差異 (p<.001)。結果顯示於職場口腔保健課程介入後員工知識得分、態度得分、一天刷牙次數2次以上、每次刷牙時間2分鐘以上、每三個月更換牙刷、選用含氟牙膏、及每日使用牙線等口腔保健行為，皆有顯著提升。
結論:
職場口腔健康教育的介入，可有效提升員工口腔保健知識、態度及行為。

關鍵字

職場員工 ； 口腔健康教育 ； 口腔保健行為

並列摘要

Background：
Periodontal disease is one of common oral disease.Oral health education intervention can improve oral health-related knowledge, attitudes and behaviors, and further improve oral health status. However, most of Taiwanese oral health care programs were focusing on maternaland children, pre-schoolers, and the elderly population;no workplace oral health program has conducetd.
Objective：
To evaluate the effects of an oral health education intervention program on oral health care knowledge, attitudes and behaviors in working place employees.
Method：
The study design was one group pre- and post- test. Two workplaces were selected from northern, central and southern districts, respectively. A total of 256 subjects completed intervention and pre-/post-test questionnaires. We conducted two and half hours of group oral health teaching curriculum including oral diseases introduction, oral hygiene, teeth cleaning demonstrations and a repeat of what had been demonstrated earlier for employees. Executive managers required more than a half hour class concerning oral health implementation superiority. A self-adminstered questioniare was used to collect data regarding oral health knowledge, attitudes and beahaviors. Each participant had a 10-minute supplementation of personal oral hygiene instructions right after completing the questionnaires.Logistic regression analysis was used to examine the effectiveness of level of oral health knowledge, attitude and beahviors.
Results：
Tooth brushing over twice daily, tooth brushing over 2 minutes, using the modify Bass method, dental flossing and fluoride toothpaste were significantly improved by 20% (p<.001).Higher knowledge score, higher attitudes score, tooth brushing over twice daily, tooth brushing over 2 minutes, replacing toothbrush within 3 months, selecting fluoride toothpaste and flossing daily were found significant improved after oral health intervention.
Conclusion：
Workplace oral health education intervention can improve employee oral health knowledge, attitudes and behaviors.

並列關鍵字

Working place employees ； Oral health education ； Oral health care behavior

參考文獻

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