慢性精神病人口腔衛生健康促進方案之成效

口腔衛生常被精神病人所忽略，國內外研究發現精神病人口腔問題普遍嚴重，有迫切作預防性改善措施的需要。本研究旨探討口腔衛生健康促進方案，對於慢性精神科病人之牙菌斑指數、口腔衛生健康促進知識、態度與行為之改善成效。研究採類實驗研究設計，以中部某區域教學醫院精神科男性慢性病房為場所，以隨機集群取樣方式，分為兩組實驗組35人與對照組32人；實驗組介入口腔衛生健康促進方案三個月，對照組只接受常規照護，以牙菌斑控制記錄表(Plaque Control Index)記錄牙菌斑指數，以及結構性問卷收集資料，其內容為口腔衛生健康促進知識、態度、行為進行前後評量。

關鍵字

口腔健康促進方案；口腔衛生；慢性精神病人

並列摘要

「Oral hygiene」is often ignored by Psychiatric patients. Studies indicate that poor oral hygiene is a common and serious problem among psychiatric patients and is needed to be prevented and intervened. The purpose of this study is to explore oral hygiene health promotion programs for the effect of improving the dental plaque index, oral hygiene health promotion knowledge, and attitude and behavior in chronic psychiatric patients.This study used a quasi‐experimental research design with one central regional teaching hospital psychiatric male chronic ward as a place by cluster sampling, divided into two groups: experimental group (n = 35) and control group (n = 32). The experimental group has involved oral health promotion program for three months. However, the control group only received routine care. The plaque index was recorded with the Plaque Control Index, and the structural questionnaires were collected. The content of the questionnaire was evaluated know the difference between before and after oral hygiene health promotion knowledge, attitude and behavior.The results show that the improvement of dental plaque index, oral hygiene health promotion knowledge, attitude and behavior are better in the experimental group receiving oral hygiene promotion program than these in the control group. There is a statistically significant difference, indicating that the oral health of patients with chronic psychiatric disorders promote the intervention of the program is indeed effective. It is recommended that this program should be cited in clinical practice to create a patient's own brush learning and implementation and have the right oral health promotion knowledge, attitudes and behavior to develop their oral health habit.