Perceptions of oral health by those living with mental illnesses in the Victorian Community - The consumer's perspective
Perceptions of oral health by those living with mental illnesses in the Victorian Community - The consumer's perspective
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DOI：
10.1111/idh.12278
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发表时间：
2018-05-01
影响因子：
2.4
通讯作者：
Meldrum, R.
中科院分区：
文献类型：
--
作者：
Ho, H. D.;Satur, J.;Meldrum, R.
目的了解澳大利亚社区精神疾病患者的生活经历，界定口腔健康。研究人群维多利亚时期社区严重精神疾病患者。进行了两个焦点小组和四个半结构式访谈。这些数据被转录并进行主题分析。结果参与者普遍重视口腔健康，并认识到定期预约牙科对改善他们的口腔健康起到关键作用。参与者认为，他们的精神疾病压倒了他们保持良好口腔健康的能力。应对、牙科恐惧、耻辱、经济障碍和沟通被认为是关于利用和获得护理的问题。讨论口腔健康的经验既有积极的也有消极的。从数据中找出了口腔健康的障碍和促进因素，并围绕个人、环境和临床支持提出了建议。结论这是一项有价值的研究，为了解一个复杂的问题提供了新的见解。建议创造一个支持性的牙科环境和方向，以改善牙科体验，使精神疾病患者更容易获得口腔健康。还建议以社区为基础的心理健康组织与这一群体一起帮助改善口腔健康，从而建立一种协作方法，支持这一弱势群体的口腔健康。
ObjectiveTo understand the way people living with mental illness in an Australian community experience and define oral health.Study populationPeople living with serious mental illness in the Victorian Community.MethodsQualitative methodologies were used in this study. Two focus groups and four semi-structured interviewswere conducted. The data were transcribed and thematically analysed.ResultsParticipants generally valued oral health and recognized that attending regular dental appointments played a key role in improving their oral health. Participants felt that their mental illness overwhelmed their ability to maintain good oral health. Coping, dental fear, stigma, financial barriers and communication were identified as issues around utilization and access to care.DiscussionExperiences of oral health were both positive and negative. Barriers and enablers, extending beyond participant oral health literacy for oral health, were identified from the data, and recommendations around personal, environmental and clinical supports were made.ConclusionThis is a valuable study that provides new insight into a complicated issue. Recommendations to create a supportive dental environment and direction to improve the dental experience have been made to make oral health more accessible for people living with mental illness. Recommendations have also been made for community-based mental health organizations to aid the improvements in oral health with this group of people, thus building a collaborative approach to support oral health for this vulnerable group.