原住民國中學生實施衛生教育介入對其口腔保健認知與行為影響之研究

Intervention Study of the Oral Health Education on the Knowledge and Behavior of Aboriginal Junior High School Students

蘇若蘭(Rouh-Lan Sue) ； 楊奕馨(Yi-Hsin Yang) ； 曾筑瑄(Chu-Hsuan Tseng) ； 謝天渝(Tien-Yu Shieh)

《中華牙醫學雜誌（中文版）》 25卷2期 (2006/06) Pp. 103-111

https://doi.org/10.7106/CJD.200606.0103

摘要

本研究目的是為發展適用原住民國中一年級學生口腔衛生教育之教案，根據設計之教案實施口腔教生教育介入活動，爾後評估介入後對知識、態度、行為之改變情況，並進一步探討影響山地鄉國中學生學習效果之相關因素。本研究選定屏東縣山地鄉的二所國中一午級學生，班數人數相近，且多屬排灣族群，對照組共155人，介入對象為實驗組共四班，學生有95人。對照組不接受任何衛教介入活動，實驗組選擇自習課時間由專業口腔衛生人員進行360分鐘完整的衛生教育介入活動。在衛教介入前一週，兩組接受口腔牙菌斑檢測及前測評量，以作為教學活動介入前後之比較基礎。教學結束後二週，兩組皆進行後測評量及牙菌斑檢測，以了解衛教介入後之效果。資料分析以描述性統計、t-test、卡方檢定、迴歸分析來比較衛教介入對兩組間之差異，並探討影響學習效果之相關因素。研究結果顯示，教學活動介入後對實驗組學生在口腔保健知識平均值得分皆顯著高於對照組；而在口腔保健習慣則皆有明顯改變，包括甜食使用次數下降，一天刷牙次數的增加及使用貝氏刷牙法。透過專業技術教導介入活動，實驗組學生牙菌斑堆積指數較對照組下降多(p=0.0507)。本研究分析得知家庭因素的影響及性別上的差異為影響原住民國中生學習效果之明顯因素。

關鍵字

原住民國中生 ； 口腔保健衛生教育介入

並列摘要

This study attempted to develop teaching materials suitable for oral health education implementation for aboriginal junior high school students. Changes on knowledge, attitudes and behavior after the intervention were evaluated. All students enrolled were first-grade aboriginal students in Ping-Tung County. 155 students from Lai-Yi Junior High School in the control group; and 95 students from Ma-Ja Junior High School in the experimental group. Only students in the experimental group received 300 minutes of interventional activity on oral health education. Both groups received oral dental plaque examination and pre-survey evaluation one week prior to the interventional activity began and two weeks after the educational activities. Data were analyzed by version JMP 501 software. Results showed an increase in the mean value of scores on oral health knowledge and behavior in the intervention group. Frequencies on sweets consumption were decreased. Daily frequency of tooth brushing and use of Bass tooth brushing method increased. The significant factors influencing learning results were family factors and gender differences. Students with parents living together or female students have better learning effect than those who parents separated or male student.

並列關鍵字

aboriginal junior high school students ； Oral health education