Araştırma Makalesi
DETERMINATION OF AWARENESS OF MIDWIVES AND NURSES WORKING IN PRIMARY PREVENTIVE HEALTH SERVICES REGARDING ORAL AND DENTAL HEALTH IN PREGNANCY
Öz
This descriptive study was conducted to determine the awareness of midwives and nurses regarding oral and dental health in pregnancy. The universe of the study consists of midwives and nurses working in all Family Health Centers (n=34) in a city center in the Mediterranean region, Turkey. It was aimed to reach the whole universe (n=119) without sampling, and 106 midwives and nurses who volunteered to participate in the study formed the sample of the research. The data were collected by using a questionnaire including 22 questions. In the analysis of the data, the Chi-square test was used in addition to descriptive statistical methods. The midwives and nurses stated that the most common dental health problem during pregnancy was dental caries (67.0%), and the oral-dental health problem during pregnancy can be associated with the low birth weight (32.1%). Participants had no idea about the relationship between oral/dental health in pregnancy and stillbirth and preeclampsia. Only 39.6% of them answered the question of whether women should have dental treatment in their pregnancy asyes, while 59.4% had no idea about the dental examination. Professional experience year was determined to affect the participants' giving more positive responses in some issues related to oral and dental health (low birth weight, dental X-ray) (p <0.01), and it was found that loss of teeth positively affected the state of giving education to pregnant women about oral health (p <0.05). The study showed that the awareness of midwives and nurses about oral and dental health during pregnancy was not at the desired level, and they should be educated on this issue.
Anahtar Kelimeler
Destekleyen Kurum
None
Proje Numarası
None
Teşekkür
Acknowledgments The authors thank the Provincial Public Health Directorate for permission and support and also the midwives and the nurses, who have been working in Family Health Centres (34 FHCs) affiliated with the Provincial Directorate of Health for their support and participation. We also thank Prof. Dr.Yusuf Ergün for revising the paper regarding clarity and scientific and language convenience. This manuscript would be presented as oral presentation at 1stInternational Midwifery Education and Research Development Congress, held in İzmir, in 07-09 November 2018.
Kaynakça
- Akar Ç. Strategy evaluation of oral health services in Turkey. Turkish Dental Association Publications, Research Series, 2014;9:1-73. (Original Work in Turkish).
- American College of Obstetricians and Gynecologists. Oral health care during pregnancy and through the lifespan. Committee Opinion 569, Obstet Gynecol, 2013;122(2):417-422. doi: 10.1097/01.AOG.0000433007.16843.10.
- Armitage GC. Bi‐directional relationship between pregnancy and periodontal disease, Periodontol 2000, 2013;61(1):160-176. doi: 10.1111/j.1600-0757.2011.00396.x.
- Boggess KA. Society for maternal-fetal medicine publications committee. maternal oral health in pregnancy, Obstet Gynecol, 2008;111(4):976-986. doi: 10.1097/AOG.0b013e31816a49d3.
- Chaparro A, Sanz A, Quintero A, et al. Increased inflammatory biomarkers in early pregnancy is associated with the development of pre‐eclampsia in patients with periodontitis: A case control study, J Periodontal Res, 2013;48(3):302-7. doi: 10.1111/jre.12008.
- Dahlen HG, Johnson M, Hoolsema J, et al. Process evaluation of the midwifery initiated oral health-dental service program: Perceptions of midwives in Greater Western Sydney, Australia, Women Birth, 2019;32(2):e159-e165. doi: 10.1016/j.wombi.2018.06.021.
- George A, Dahlen HG, Blinkhorn A, et al. Evaluation of a midwifery initiated oral health-dental service program to improve oralhealth and birth outcomes for pregnant women: A multi-centre randomised controlled trial, Int J Nurs Stud, 2018;82:49-57. doi: 10.1016/j.ijnurstu.2018.03.006.
- Golkari A, Khosropanah H, Saadati F. Evaluation of knowledge and practice behaviours 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):15. doi: 10.4081/jphr.2013.e15.
- Heilbrunn-Lang AY, De Silva AM, Lang G, et al. Midwives’ perspectives of their ability to promote the oral health of pregnant women in Victoria, Australia, BMC Pregnancy Childbirth, 2015;15:110. doi: 10.1186/s12884-015-0536-x.
- Jarjoura K, Devine PC, Perez-Delboy A, et al. Markers of periodontal infection and preterm birth, Am J Obstet Gynecol, 2005;192(2):513-519. doi: 10.1016/j.ajog.2004.07.018.
- Kawamura M, Spadafora A, Kim KJ, et al. Comparison of United States and Korean dental hygiene students using the Hiroshima University‐Dental Behavioural Inventory (HU‐DBI), Int Dent J, 2002;52(3):156-162. doi: 10.1111/j.1875-595X.2002.tb00621.x.
- Kılınç G, Günay T. Oral and dental health knowledge of medical students in Dokuz Eylul University, J DEÜ Medical Faculty, 2010;24(3):131-137. https://doi.org/10.17567/ataunidfd.461351. (Original Work in Turkish).
- Kısa S, Zeyneloğlu S. Inpatient postpartum women’s status of oral hygiene habits and visit to the dentist during their most recent pregnancy, TAF Prev Med Bull, 2013;12(1):65-74. doi: 10.5455/pmb.1-1344345051. (Original Work in Turkish).
- Lasisi TJ, Abdus-Salam RA. Pattern of oral health among a population of pregnant women in Southwestern Nigeria, Arch Basic Appl Med, 2018;6:99-103. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052798/.Accessed May 5, 2019.
- Mecdi M, Hotun NŞ. Oral and dental health in pregnancy, Sted, 2015;24(4):161-166. (Original Work in Turkish).
- Prenatal care management guigeline.Turkish Health Minister, Public Health Institution of Turkey, Ankara, Turkey, 2018, http://sbu.saglik.gov.tr/Ekutuphane/kitaplar/dogumonubakim.pdf. Published March, 2014, Accessed May 15, 2019.
- Rocha JMd, Chaves VR, Urbanetz AA, et al. Obstetricians' knowledge of periodontal disease as a potential risk factor for preterm delivery and low birth weight, Brazilian Oral Res, 2011;25(3):248-254. doi: 10.1590/S1806-83242011000300010.
- Sağlam E, Saruhan N, Çanakçı CF. Pregnancy and periodontal disease, MÜSBED, 2014;4(4):261-267.doi: 10.5455/musbed.20141015013328.(Original Work in Turkish).
- Shanthi V, Vanka A, Bhambal A, et al. Association of pregnant women periodontal status to preterm and low-birth weight babies: A systematic and evidence-based review, Dent Res J(Isfahan), 2012;9(4):368-380.
- Sharif S, Saddki N, Yusoff A. Knowledge and attitude of medical nurses toward oral health and oral health care of pregnant women,Malays J Med Sci, 2016;23(1):63-71.
- Turkish Dentist Association. Distribution of Turkish Dentists' Working Styles to Institutions and Provinces / Provinces by 2014, 2015. (Original Report in Turkish). http://www.tdb.org.tr/tdb/v2/yayinlar/Dishekimi_Dagilim_Kitapciklari/2014YiliDishDagKitapcigi.pdf. Published May 5, 2015. Accessed May 15, 2019.
- Turkish Health Minister, public health institution of Turkey Strategic Planning of 2014-2017, Ankara: Public Health Institution of Turkey; 2014. 2014. http://www.sp.gov.tr/upload/xSPStratejikPlan/files/x4rRI+Stratejik_Plan_2014-2017.pdf. Published January 1, 2014. Accessed May 15, 2018.
- Vergnes JN, Sixou M. Preterm low birth weight and maternal periodontal status: a meta-analysis, Am J Obstet Gynecol, 2007;196(2): 135.e1-7. doi:10.1016/j.ajog.2006.09.028.
- Wagner Y, Heinrich-Weltzien R. Midwives’ oral health recommendations for pregnant women, infants and young children: results of a nationwide survey in Germany, BMC Oral Health, 2016;16:36. doi:10.1186/s12903-016-0192-1.
- Wooten KT, Lee J, Jared H, et al. Nurse practitioner’s and certified nurse midwives’ knowledge, opinions and practice behaviors regarding periodontal disease and adverse pregnancy outcomes, J Dent Hyg, 2011;85(2):122-131.
- Xiong, X, Buekens P, Vastardis S, et al. Periodontal disease and pregnancy outcomes: state-of-the-science, Obstet Gynecoll Surv, 2007;62(9):605-615. doi:10.1097/01.ogx.0000279292.63435.40.
Birinci Basamak Koruyucu Sağlık Hizmetlerinde Çalışan Ebe ve Hemşirelerin Gebelikte Ağız-Diş Sağlığına İlişkin Farkındalığının Belirlenmesi
Öz
Tanımlayıcı tipteki bu araştırma, ebe ve hemşirelerin gebelikte ağız ve diş sağlığı ile ilgili farkındalıklarını belirlemek amacıyla yapıldı. Araştırmanın evrenini, Türkiye’nin Akdeniz Bölgesi’ndeki bir il merkezine bağlı tüm Aile Sağlığı Merkezlerinde (n=34) çalışan ebe ve hemşireler oluşturmaktadır. Örneklem seçimine gidilmeyip evrenin tamamına (n= 119) ulaşılması hedeflendi ve araştırmaya katılmaya gönüllü 106 ebe ve hemşire araştırmanın örneklemini oluşturdu. Veriler22 soruluk bir anket formu kullanılaraktoplandı. Verilerin analizinde tanımlayıcı istatistiksel yöntemleri yanı sıra Ki-kare testi kullanıldı. Ebe ve hemşireler gebelikte en sık görülen ağız-diş sağlığı probleminin diş çürümesi (%67.0) olduğunu, ve gebelikteki ağız-diş sağlığı problem sorununun düşük doğum ağırlığı (%32.1) ile ilişkilendirilebileceğini belirttiler. Katılımcıların gebelikte ağız-diş sağlığı sorunu ile ölü doğum ve preeklampsi ilişkisi hakkında fikri bulunmamaktaydı. “Gebelikte diş tedavisi yaptırılmalı mıdır?” sorusuna yalnızca %39.6’ı evet yanıtını verirken, %59.4’ünün diş muayenesi hakkında fikri bulunmamaktaydı. Meslekte çalışma yılının gebelikte ağız-diş sağlığına ilişkin bazı konularda daha fazla olumlu yanıt vermeye etki ettiği (düşük doğum ağırlığı, diş röntgeni çektirme) (p<0.01), diş kaybı durumlarının gebelere ağız diş sağlığı konusunda eğitim verme durumunu pozitif etkilediği saptandı (p<0.05). Ebelerin ve hemşirelerin gebelikte ağız ve diş sağlığı konusunda farkındalıkları istenilen düzeyde olmadığı belirlendi ve bu konuda eğitilmelidirler.
Anahtar Kelimeler
Proje Numarası
None
Kaynakça
- Akar Ç. Strategy evaluation of oral health services in Turkey. Turkish Dental Association Publications, Research Series, 2014;9:1-73. (Original Work in Turkish).
- American College of Obstetricians and Gynecologists. Oral health care during pregnancy and through the lifespan. Committee Opinion 569, Obstet Gynecol, 2013;122(2):417-422. doi: 10.1097/01.AOG.0000433007.16843.10.
- Armitage GC. Bi‐directional relationship between pregnancy and periodontal disease, Periodontol 2000, 2013;61(1):160-176. doi: 10.1111/j.1600-0757.2011.00396.x.
- Boggess KA. Society for maternal-fetal medicine publications committee. maternal oral health in pregnancy, Obstet Gynecol, 2008;111(4):976-986. doi: 10.1097/AOG.0b013e31816a49d3.
- Chaparro A, Sanz A, Quintero A, et al. Increased inflammatory biomarkers in early pregnancy is associated with the development of pre‐eclampsia in patients with periodontitis: A case control study, J Periodontal Res, 2013;48(3):302-7. doi: 10.1111/jre.12008.
- Dahlen HG, Johnson M, Hoolsema J, et al. Process evaluation of the midwifery initiated oral health-dental service program: Perceptions of midwives in Greater Western Sydney, Australia, Women Birth, 2019;32(2):e159-e165. doi: 10.1016/j.wombi.2018.06.021.
- George A, Dahlen HG, Blinkhorn A, et al. Evaluation of a midwifery initiated oral health-dental service program to improve oralhealth and birth outcomes for pregnant women: A multi-centre randomised controlled trial, Int J Nurs Stud, 2018;82:49-57. doi: 10.1016/j.ijnurstu.2018.03.006.
- Golkari A, Khosropanah H, Saadati F. Evaluation of knowledge and practice behaviours 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):15. doi: 10.4081/jphr.2013.e15.
- Heilbrunn-Lang AY, De Silva AM, Lang G, et al. Midwives’ perspectives of their ability to promote the oral health of pregnant women in Victoria, Australia, BMC Pregnancy Childbirth, 2015;15:110. doi: 10.1186/s12884-015-0536-x.
- Jarjoura K, Devine PC, Perez-Delboy A, et al. Markers of periodontal infection and preterm birth, Am J Obstet Gynecol, 2005;192(2):513-519. doi: 10.1016/j.ajog.2004.07.018.
- Kawamura M, Spadafora A, Kim KJ, et al. Comparison of United States and Korean dental hygiene students using the Hiroshima University‐Dental Behavioural Inventory (HU‐DBI), Int Dent J, 2002;52(3):156-162. doi: 10.1111/j.1875-595X.2002.tb00621.x.
- Kılınç G, Günay T. Oral and dental health knowledge of medical students in Dokuz Eylul University, J DEÜ Medical Faculty, 2010;24(3):131-137. https://doi.org/10.17567/ataunidfd.461351. (Original Work in Turkish).
- Kısa S, Zeyneloğlu S. Inpatient postpartum women’s status of oral hygiene habits and visit to the dentist during their most recent pregnancy, TAF Prev Med Bull, 2013;12(1):65-74. doi: 10.5455/pmb.1-1344345051. (Original Work in Turkish).
- Lasisi TJ, Abdus-Salam RA. Pattern of oral health among a population of pregnant women in Southwestern Nigeria, Arch Basic Appl Med, 2018;6:99-103. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052798/.Accessed May 5, 2019.
- Mecdi M, Hotun NŞ. Oral and dental health in pregnancy, Sted, 2015;24(4):161-166. (Original Work in Turkish).
- Prenatal care management guigeline.Turkish Health Minister, Public Health Institution of Turkey, Ankara, Turkey, 2018, http://sbu.saglik.gov.tr/Ekutuphane/kitaplar/dogumonubakim.pdf. Published March, 2014, Accessed May 15, 2019.
- Rocha JMd, Chaves VR, Urbanetz AA, et al. Obstetricians' knowledge of periodontal disease as a potential risk factor for preterm delivery and low birth weight, Brazilian Oral Res, 2011;25(3):248-254. doi: 10.1590/S1806-83242011000300010.
- Sağlam E, Saruhan N, Çanakçı CF. Pregnancy and periodontal disease, MÜSBED, 2014;4(4):261-267.doi: 10.5455/musbed.20141015013328.(Original Work in Turkish).
- Shanthi V, Vanka A, Bhambal A, et al. Association of pregnant women periodontal status to preterm and low-birth weight babies: A systematic and evidence-based review, Dent Res J(Isfahan), 2012;9(4):368-380.
- Sharif S, Saddki N, Yusoff A. Knowledge and attitude of medical nurses toward oral health and oral health care of pregnant women,Malays J Med Sci, 2016;23(1):63-71.
- Turkish Dentist Association. Distribution of Turkish Dentists' Working Styles to Institutions and Provinces / Provinces by 2014, 2015. (Original Report in Turkish). http://www.tdb.org.tr/tdb/v2/yayinlar/Dishekimi_Dagilim_Kitapciklari/2014YiliDishDagKitapcigi.pdf. Published May 5, 2015. Accessed May 15, 2019.
- Turkish Health Minister, public health institution of Turkey Strategic Planning of 2014-2017, Ankara: Public Health Institution of Turkey; 2014. 2014. http://www.sp.gov.tr/upload/xSPStratejikPlan/files/x4rRI+Stratejik_Plan_2014-2017.pdf. Published January 1, 2014. Accessed May 15, 2018.
- Vergnes JN, Sixou M. Preterm low birth weight and maternal periodontal status: a meta-analysis, Am J Obstet Gynecol, 2007;196(2): 135.e1-7. doi:10.1016/j.ajog.2006.09.028.
- Wagner Y, Heinrich-Weltzien R. Midwives’ oral health recommendations for pregnant women, infants and young children: results of a nationwide survey in Germany, BMC Oral Health, 2016;16:36. doi:10.1186/s12903-016-0192-1.
- Wooten KT, Lee J, Jared H, et al. Nurse practitioner’s and certified nurse midwives’ knowledge, opinions and practice behaviors regarding periodontal disease and adverse pregnancy outcomes, J Dent Hyg, 2011;85(2):122-131.
- Xiong, X, Buekens P, Vastardis S, et al. Periodontal disease and pregnancy outcomes: state-of-the-science, Obstet Gynecoll Surv, 2007;62(9):605-615. doi:10.1097/01.ogx.0000279292.63435.40.
Toplam 26 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Proje Numarası | None |
| Yayımlanma Tarihi | 21 Haziran 2020 |
| Gönderilme Tarihi | 4 Nisan 2020 |
| Kabul Tarihi | 27 Nisan 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 8 Sayı: 2 |
