A qualitative study of patients' knowledge and views of about oral health and acceptability of related intervention in an Australian inpatient alcohol and drug treatment facility
A qualitative study of patients' knowledge and views of about oral health and acceptability of related intervention in an Australian inpatient alcohol and drug treatment facility
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DOI：
10.1111/hsc.12423
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发表时间：
2017-05-01
影响因子：
2.4
通讯作者：
Patterson, Sue
中科院分区：
文献类型：
--
作者：
Cheah, Alison Li Sun;Pandey, Ram;Patterson, Sue
社会因素、健康行为和物质的直接影响导致了药物和/或酒精依赖者口腔健康状况不佳，获得牙科服务的机会有限。住院退出管理提供了一个干预的机会，以促进口腔健康，但要有效，它必须是病人接受。为了支持干预设计，我们研究了患者对口腔健康，实践和治疗途径的看法，以及在这种情况下促进健康干预的适当性。由于缺乏知识，在该地区，我们采用了定性的方法，数据收集在半结构化的采访与住院病人的公共专科酒精和药物单位在澳大利亚2014年9月。分析采用了框架方法。所有14名参与者都希望拥有“好牙齿”，但很少有人认真对待口腔保健;大多数人只在紧急情况下寻求帮助。参与者对服务的了解有限，实际和情感障碍阻碍了他们获得服务。由于没有人回顾住院期间对口腔健康的关注，因此强烈支持将口腔健康纳入住院评估。参与者希望以各种形式获得有关物质对口腔健康和口腔卫生习惯的影响的信息，并促进转诊到非判断性的，负担得起的治疗。患者认为在住院期间促进口腔健康是重要的、相关的和可接受的。支持应尊重不同的知识，实践和动机的口腔健康和恢复，病人。解决牙科服务的实际和情感障碍将需要药物和酒精与牙科服务之间的合作，这应该是进一步研究的重点。
Social factors, health behaviours and the direct effects of substances contribute to the poor oral health and restricted access to dental services experienced by people who are dependent on drugs and/or alcohol. Admission for inpatient withdrawal management provides an opportunity for intervention to promote oral health but to be effective it must be acceptable to patients. To support intervention design, we examined patients' views about oral health, practices and treatment access, and appropriateness of health-promoting intervention in this context. Given paucity of knowledge in the area we employed a qualitative approach, data were collected in semi-structured interviews with inpatients of a public specialist alcohol and drug unit in Australia in September 2014. Analysis employed the framework approach. All 14 participants wanted 'good teeth' but few diligently attended to oral healthcare; most sought assistance only in emergencies. Participants' knowledge of services was limited and practical and affective barriers hindered access. With none recalling attention to oral health during admission, support was strong for incorporation of oral health in inpatient assessments. Participants wanted information about the impact of substances on oral health and oral hygiene practices provided in various formats, and facilitated referral to non-judgemental, affordable treatment. Patients regarded promotion of oral health in the inpatient context as important, relevant and acceptable. Support should respect the different knowledge, practices and motivations for oral health and recovery, of patients. Addressing practical and affective barriers to dental services will require collaboration between drug and alcohol and dental services, and this should be the focus of further research.