The role of knowledge and self‐efficacy on dental consultation behavior of patients with type 2 diabetes
The role of knowledge and self‐efficacy on dental consultation behavior of patients with type 2 diabetes
复制标题
知识和自我效能感对2型糖尿病患者牙科就诊行为的影响
DOI：
10.1111/jjns.12378
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发表时间：
2020
影响因子：
1.7
通讯作者：
Hidaka Kikue
中科院分区：
文献类型：
--
作者：
Kudoh Rie;Shibayama Taiga;Hidaka Kikue
目的本研究旨在研究知识和自我效能作为2型糖尿病患者牙科咨询相关行为的变量的关联，这取决于日本综合医院牙周病的诊断。（平均年龄：66.1 ± 10.1岁，男性：56.6%，平均糖化血红蛋白：7.3 ± 1.0%）。牙周病患者的自我效能是使用自我效能量表进行评估。知识测量使用五个二分项目的基础上参考临床指南。牙科咨询行为进行了评估，从定期牙科检查behaviors.ResultsIn总数，31.8%的参与者参加了他们的定期牙科检查，在过去的一年。Logistic回归分析显示，牙周病患者的牙科咨询行为与自我效能呈正相关（比值比[OR] = 1.26，95%可信区间[CI]：1.10-1.45），且与未诊断为牙周病的患者的知识呈正相关结论无牙周病的糖尿病患者应通过牙科检查了解牙周病作为糖尿病并发症的正确认识及其预防。应向牙周病患者提供支持性咨询，以提高牙科咨询的自我效能。医疗专业人员将能够支持每一个2型糖尿病患者通过改变教育方法，促进定期牙科检查时，糖尿病咨询。
AimThis study aimed to examine the association of knowledge and self‐efficacy as variables for behavior related to dental consultations among patients with type 2 diabetes, depending on the diagnosis of periodontal disease at a general hospital in Japan.MethodsA cross‐sectional survey was conducted with 198 patients with type 2 diabetes (mean age: 66.1 ± 10.1 years, men: 56.6%, mean glycated hemoglobin: 7.3 ± 1.0%). The self‐efficacy of patients with periodontal disease was assessed using the Self‐Efficacy Scale for Self‐Care. Knowledge was measured using five dichotomous items based on reference to clinical guidelines. Dental consultation behavior was assessed from regular dental checkup behavior.ResultsIn total, 31.8% of participants attended their regular dental checkup in the last year. Logistic regression analysis revealed that dental consultation behavior was positively associated with self‐efficacy among patients diagnosed with periodontal disease (odds ratio [OR] = 1.26, 95% confidence interval [CI]: 1.10–1.45), and positively associated with the knowledge among patients not diagnosed with periodontal disease (OR = 1.54, 95%, CI: 1.09 − 2.16).ConclusionPatients without periodontal disease need to learn about accurate knowledge regarding periodontal disease as a complication of diabetes and its prevention via dental checkups. Supportive consultation to improve self‐efficacy with respect to dental consultations should be offered to patients with periodontal disease. Medical professionals will be able to support each patient with type 2 diabetes by changing the educational approach for promoting regular dental checkups at the time of diabetes consultations.