Nurses’ knowledge, attitude, and practice regarding oral management for outpatients with type 2 diabetes: a national survey on certified diabetes educators
Nurses’ knowledge, attitude, and practice regarding oral management for outpatients with type 2 diabetes: a national survey on certified diabetes educators
复制标题
护士对 2 型糖尿病门诊患者口腔管理的知识、态度和实践：针对经过认证的糖尿病教育者的全国调查
DOI：
10.1007/s13340-021-00555-w
复制
发表时间：
2021
影响因子：
2.2
通讯作者：
Hidaka Kikue
中科院分区：
文献类型：
--
作者：
Kudoh Rie;Shibayama Taiga;Hidaka Kikue
经过认证的糖尿病教育护士与口腔管理相关的知识、态度和实践之间的关联尚未得到充分研究。本研究的目的是检查知识和态度之间的关联，作为日本医疗机构中经过认证的糖尿病教育者护士口腔管理实践的变量。问卷调查对象为来自 1277 家医疗机构的 300 名经过认证的糖尿病教育护士。关于口腔管理的知识、态度和实践的项目是使用糖尿病和牙周病指南、报告和书籍中的项目以及先前研究的详尽结果进行评估的。超过 70% 的参与者没有进行足够的口腔管理。 Logistic回归分析显示，所有项目均与护士对口腔管理的信心呈负相关（因素1：比值比[OR] = 0.55；95%置信区间[CI]0.37-0.83；因素2：OR = 0.35；95%CI 0.18-0.70；因素3：OR = 0.38； 95% CI 0.24–0.61；因素 4：OR = 0.29； CI 0.18–0.49）。口腔管理实践加上将牙周病解释为糖尿病并发症（OR = 2.67；95% CI 1.01–7.02），以及支持与多个医疗部门的合作（OR = 2.65；95% CI 1.24–5.65）与护士教育呈正相关。这些结果表明，需要采取更多的护士教育策略，以了解口腔管理实践的重要性，并提高患者口腔管理的知识、态度和信心。
The association among certified diabetes educator nurses’ knowledge, attitudes, and practices related to oral management has not been well examined. The aim of this study was to examine the association between knowledge and attitude as variables for nurses’ practice of oral management as certified diabetes educators at medical facilities in Japan. The questionnaires were administered to 300 certified diabetes educator nurses from 1277 medical facilities. The items regarding knowledge, attitude, and practice of oral management were assessed using items from the guidelines, reports, and books on diabetes and periodontal disease, as well as the exhaustive findings of previous studies. More than 70% of the participants did not practice adequate oral management. Logistic regression analysis revealed that all the items were negatively associated with nurses’ confidence in oral management (Factor 1: odds ratio [OR] = 0.55; 95% confidence interval [CI] 0.37–0.83; Factor 2: OR = 0.35; 95% CI 0.18–0.70; Factor 3: OR = 0.38; 95% CI 0.24–0.61; Factor 4: OR = 0.29; 95% CI 0.18–0.49). The practice of oral management coupled with an explanation regarding periodontal disease as a diabetic complication (OR = 2.67; 95% CI 1.01–7.02), and supporting collaboration with multiple medical departments (OR = 2.65; 95% CI 1.24–5.65) were positively associated with nurses’ education. These results suggest that more strategies for nurses’ education are needed to understand the importance of oral management practices and to improve knowledge, attitudes, and confidence in patient oral management.