碩士 / 高雄醫學大學 / 口腔衛生學研究所 / 102 / Background:
Awareness of oral health care is insufficient for diabetes patients to realize their disease impact on oral disease and its complications, and thus failed to take appropriate preventive oral health behaviors.
Objective:
To evaluate the effectiveness of non-surgical periodontal therapy and oral hygiene instruction on periodontal status, oral health knowledge, attitude and behaviors among type II diabetic patients.
Method:
A quasi-experimental experimental design was used. Type II diabetic patients were recruited from the Division of Endocrinology and Metabolism in Kaohsiung Medical University Hospital, Taiwan. Inclusion criteria of participants were having type II diabetes, aged 45-65, having at least five teeth in oral cavity, having gingival bleeding when screening, and probing pocket depth (PPD)≧5mm. Diabetic patients who had periodontal treatment within six months, regular used antibiotic and bisphosphonates and had seriously harmful diseases were excluded. Non-surgical periodontal therapy will be used for experimental group, the control group will be offered no receive clinical oral health education. A total of 28 patients finished the study. Wilcoxon rank sum test and Fisher’s exact test, McNemar exact test/marginal homogeneity test analyzed the differences in oral self-care behavior knowledge attitudes between pretest and post-test. Wilcoxon sign rank test/two sample t-test/Repeated-measures ANOVA analyzed the differences in periodontal status between pretest and posttest.
Result:
There was significant improvement of the periodontal index among experimental group after non-surgical periodontal therapy intervention. Clinical oral hygiene instruction increased the frequency of brushing method; however, oral health knowledge and attitude had no significant increase at post-test.
Conclusion:
The oral health knowledge and attitude had no significant change after oral hygiene instruction. Further periodontal-related health education should provide for diabetes patients to increase their oral health care behaviors.
| Identifer | oai:union.ndltd.org:TW/102KMC05013018 |
| Date | January 2014 |
| Creators | Shin-Jiun Tsai, 蔡欣君 |
| Contributors | Hsiao-Ling Huang, 黃曉靈 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 84 |
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