國小學童齲齒狀況之探討－口腔醫療資源缺乏地區(Part II)

在許多願意付出社會關懷的牙醫團體經營下，目前已有許多偏遠地區的學校有牙醫介入照護，而本研究特選在牙醫尚未介入學校服務前所做的調査，希望可以真正深入瞭解由中央健康保險局評定為口腔醫療資源缺乏且醫療需求遠大於供給的地區，其學童原始口腔健康狀況及學童參與學校牙醫治療計畫的意願材料與方法：此研究為橫斷面研究，以同一時間調查對象之齲齒發生率及學童家庭基本資料、學童口腔照護習慣為探討題目。對象為平地口腔醫療資源不足區，至調查之日尚未有牙醫介入照護的高雄縣內門鄉內門國小，95學年度全校1-6年級學生，共計275位。研究方法為檢查其口腔狀況及實施問卷調查，回收的有效問卷有263份(95.64%)。

關鍵字

醫療資源缺乏；齲齒盛行率；口腔健康狀況

並列摘要

Under the operations of many dentist groups who are willing to devote social care, dentists have already stepped into the dental care for primary school children in many remote districts' schools. This study especially chooses the investigation that was undertaken before the dentists participated in the school services, hoping to truly understand in the areas that Bureau of National Health Insurance assessed as lacking the resources of dental care and the demand of medical treatment is way higher that supply, what the primary school children's original oral hygiene statuses are and their willingness to participate in school's dental treatment plan. Materials and methods: This is a cross-sectional research, targeting students in Nei-Meng Primary School, Nei-Meng Village, Kaohsiung County, a school without dental care provider in its neighborhood. The study approaches utilize oral examinations and accompany questionnaires. Investigations were conducted on all 275 school children that were enrolled in 2006, and 263 valid questionnaires were retrieved and evaluated. Results: The study results indicate that the caries index is 5.61, caries prevalence is 93.54%, while the rate for caries filling is only 13.03%. Differences also exist between sexes in self-care of oral hygiene, in that female students demonstrate higher frequencies in using dental floss as well as brushing teeth. The difference is more pronounced between sexes in the brushing rate before going to bed at night, as 82.96% of the female students are having the brushing habits, while only 69.53% of male students conduct such practices. Owing to the distant location of the neighborhood, only 37 school children (14.23%) are experiencing dental examinations periodically. As for the reasons contributing to the lack of periodical dental examinations, 129 students (57.85%) answered ''parents are too busy at work＂, and 91 students (40.81%) claimed ''fear of seeing dentist＂. Among the 263 school children, 193 (73.38%) of them are willing to participate in the school's dental treatment plan, while 70 (26.62%) of them are unwilling to participate in the school's dental treatment plan. From the result that influences the school children who are unwilling to participate in the school's dental treatment plan, it shows that the main reason is that they have already received the treatment from somewhere else, which has 33 children in total (38.37%); the second main reason is that their parents disagreed to allow their children to participate in the treatment, which has 21 children in total (24.42%). Conclusion: The female students demonstrate higher frequencies in using dental floss as well as brushing teeth than male students. Owing to the distant location of the neighborhood, only 14.23% of students are experiencing dental examinations periodically. Therefore, dental caries of children are closely related to the supply of medical resources.

並列關鍵字

medical resources deficiency ； cavies prevalence ； oral hygiene status

國際替代計量

國小學童齲齒狀況之探討－口腔醫療資源缺乏地區(Part II)

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