ارزیابی سواد سلامت دهان و دندان کارشناسان مامایی شاغل در مراکز بهداشت و درمان شهر اصفهان

نوع مقاله : مقاله‌های پژوهشی

چکیده

مقدمه: تغییرات فیزیولوژیکی بدن مادر در دوران بارداری موجب حساسیت بیشتر این گروه نسبت به بیماری‌های دهان و دندان شده که می‌تواند بر سلامت مادر و کودک تأثیرات مهمی داشته باشد. جهت بهبود سلامت دهان و دندان مادر و سلامت نوزاد مراقبت‌های دندان‌پزشکی پیش از بارداری و طی دوره‌ی بارداری ضروری به نظر می‌رسد. هدف از این مطالعه، ارزیابی سواد سلامت دهان و دندان کارشناسان مامایی شاغل در مراکز بهداشت و درمان شهر اصفهان بود.
مواد و روش‌ها: این مطالعه‌ی توصیفی- تحلیلی بر روی 110 کارشناس مامایی شاغل در مراکز بهداشت و درمان شهر اصفهان در سال 1400-1399 انجام شد که با استفاده از پرسش‌نامه‌ی سطح سواد سلامت آن‌ها بررسی گردید. پرسش‌نامه شامل اطلاعات دموگرافیک (سن و سابقه‌ی کاری) و 17 سؤال در چهار حیطه‌ی (شنیداری، درک مطلب، توانایی خواندن و تصمیم‌گیری) و ارزیابی رفتار بهداشتی بود . داده‌ها با آزمون‌های آماری Kruskal-Wallis،  Mann–Whitneyو Spearman و Fisher تجزیه و تحلیل شدند (0/05 = α).
یافته‌ها: بین رفتارهای سلامت دهان و دندان و سطح سواد سلامت در کارشناسان مامایی تفاوت معنی‌دار وجود نداشت (0/449 = p value). بین امتیاز سواد سلامت دهان و دندان کارشناسان مامایی با میزان سن (0/693 = r، -0/038 = p value) و سابقه‌ی کار (0/325 = r، 0/095- = p value) تفاوت معنی‌داری وجود نداشت.
نتیجه‌گیری: سواد سلامت دهان و دندان کارشناسان مامایی در حد مطلوب بود. و سواد سلامت با سن و سابقه کار ارتباط معناداری نداشت. برای افزایش میزان سواد سلامت می‌توان دوره‌های آموزش بیشتر در بازه‌های زمانی مشخص در دستور کار مراکز درمانی قرار گیرد.
واژگان کلیدی: سلامت دهان، سواد، مامایی، بارداری

عنوان مقاله [English]

Evaluation of Oral Health Literacy Among Midwifery Experts Working in Isfahan Health Centers

چکیده [English]

Introduction: The physiological changes in the mother's body during pregnancy make this group more sensitive to oral and dental diseases, which can have important effects on the health of the mother and the child. To improve the oral and dental health of the mother and the health of the baby, dental care before pregnancy and during pregnancy seems necessary. The purpose of this study was to determine the level of oral health literacy in midwifery experts working in Isfahan health centers.
Materials and Methods: This research is descriptive and cross-sectional and 110 questionnaires answered by midwifery experts were selected for review in this study. The questionnaire used in this study includes two demographic questions in the field of age and work experience of midwifery experts and 20 questions about measuring oral health literacy. The data were analyzed with chi-square and Fisher's exact test (α = 0.05).
Findings: No relationship was observed between oral health behavioral habits and health literacy level in midwifery experts (p value = 0.449). There was no significant relationship between the oral health literacy score of midwifery experts with age (p value = -0.338, r = 0.693) and work experience (p value = -0.095, r = 0.325).
Conclusion: According to this study, it can be concluded that the oral health literacy of midwifery experts is sufficient, but the need for more training to increase the updating of information of midwives in Isfahan is felt. 
Keywords: Oral health; Literacy; Midwifery; Pregnancy

1. Burgette JM, Lee JY, Baker AD, Vann Jr WF. Is dental utilization associated with oral health literacy? J Dent Res 2010; 10(2): 101-0.
2. Marmot M, Friel S, Bell R, Houweling TA, Taylor S, Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Lancet 2008; 372(9650): 1661-9.
3. Buunk‐Werkhoven YA, Dijkstra A, van der Schans CP. Determinants of oral hygiene behavior: a study based on the theory of planned behavior. Community Dent Oral Epidemiol 2011; 39(3): 250-9.
4. Bress LE. Improving oral health literacy - the new standard in dental hygiene practice. J Dent Hyg 2013; 87(6): 322-9.
5. Bahramian H, Mohebbi SZ, Khami MR, Quinonez RB. Qualitative exploration of barriers and facilitators of dental service utilization of pregnant women: A triangulation approach. BMC Pregnancy Childbirth 2018; 18(1): 153.
6. George A, Shamim S, Johnson M, Ajwani S, Bhole S, Blinkhorn A, et al. Periodontal treatment during pregnancy and birth outcomes: A meta-analysis of randomised trials. Int J Evid Based Healthc 2011; 9(2): 122-47.
7. American Academy of Pediatric Dentistry, Clinical Affairs Committee--Infant Oral Health Subcommittee. Guideline on infant oral health care. Pediatr Dent 2012; 34(5): e148-52.
8. Cuco G, Fernandez-Ballart J, Sala J, Viladrich C, Iranzo R, Vila J, et al. Dietary patterns and associated lifestyles in preconception, pregnancy and postpartum. Eur J Clin Nutr 2006; 60(3): 364-71.
9. George A, Johnson M, Blinkhorn A, Ajwani S, Bhole S, Yeo AE, et al. The oral health status, practices and knowledge of pregnant women in south-western Sydney. Aust Dent J 2113; 58(1): 26-33.
10. Ramos-Gomez FJ, Crystal YO, Ng MW, Crall JJ, Featherstone JD. Pediatric dental care: prevention and management protocols based on caries risk assessment. J Calif Dent Assoc 2011; 38(10): 746-61
11. Touriño S, Suarez-Cotelo MDC, Núñez-Iglesias MJ, Dominguez-Martis EM, Mosteiro-Miguens DG, Lopez-Ares D, et al. Knowledge, attitudes, and practices of Spanish midwives and midwifery students toward oral healthcare during pregnancy. Int J Environ Res Public Health 2021; 18(11): 6089.
12. Adams SH, Gregorich SE, Rising SS, Hutchison M, Chung LH. Integrating a nurse-midwife-led oral health intervention into centering pregnancy prenatal care: Results of a pilot study. J Midwifery Womens Health 2017; 62(4): 463-9.
13. Bahri N, Iliati HR, Bahri N, Sajjadi M, Boloochi T. Effects of oral and dental health education program on knowledge, attitude and short-time practice of pregnant women (Mashhad-Iran) [in Persian]. J Mashhad Dent Sch 2012; 36(1): 1-12.
14. Naghibi Sistani MM, Montazeri A, Yazdani R, Murtomaa H. New oral health literacy instrument for public health: development and pilot testing. J Investig Clin Dent 2014; 5(4): 313-21.
15. Shekarchizadeh H, Khami MR, Mohebbi SZ, Virtanen JI. Oral health behavior of drug addicts in withdrawal treatment. BMC Oral Health 2013; 13: 11.
16. Abou El Fadl R, Blair M, Hassounah S. Integrating maternal and children's oral health promotion into nursing and midwifery practice- A systematic review. PLoS One 2016; 11(11): e0166760.
17. Saied Moallemi Z, Haghighi M. Assessing oral health literacy among the residents of Isfahan in 2014-2015 [in Persian]. J Isfahan Dent Sch 2016; 12(3): 268-79.
18. Sabounchi SS, Seyedzadeh Sabounchi S, Safari M. Knowledge and attitude of midwifery students on oral health care. Dent J (Basel) 2019; 7(3): 83.
19. Golkari A, Khosropanah H, Saadati F. Evaluation of knowledge and practice behaviors of a group of Iranian obstetricians, general practitioners, and midwives, regarding periodontal disease and its effect on the pregnancy outcome. J Public Health Res 2013; 2(2): e15.