基于证据的社区老年人口腔健康管理科普作品的设计及制作

doi:10.3761/j.issn.1672-9234.2023.05.011

摘要/Abstract

摘要：

目的设计并制作基于证据的社区老年人口腔健康科普作品以提高老年人的口腔健康素养。方法总结社区老年人口腔健康管理的最佳证据。基于最佳证据总结，确定科普作品的内容框架；经证据细化和转化，由研究团队共同设计和制作科普作品，通过对5名未参与科普作品制作的成员进行访谈，对科普作品进行评审。结果共形成5个方面21条最佳证据；通过2轮评审，最终形成社区老年人口腔健康管理科普作品视频，视频内容包括口腔健康的重要性、口腔疾病的危险因素、龋齿和牙周病的识别、预防和护理、口腔清洁工具的使用5个科普主题和16个细化主题。结论社区老年人口腔健康管理科普作品研发过程科学，规范性强，注重科普作品的友好化设计，可为其他健康科普作品的研制提供参考。

关键词: 循证护理学, 社区卫生服务, 老年人, 口腔, 护理, 科普作品

Abstract:

Objective To design and develop popular works of oral health management for older adults in the community to improve their oral health literacy. Methods Through summarizing the best evidence for oral health management of older adults in the community，the framework of popular works was identified. The popular works were designed and made by a multidisciplinary team after the evidence refinement and translation. Finally，through focus group interviews with five members who did not participate in the production of popular science works，the popular science works were reviewed. Results A total of 21 best evidences were summarized from five aspects. Through two rounds of experts meeting，the final popular works for community elderly were formed. The final video clips popular works have five themes and 16 refined themes，including the importance of oral health，risk factors of oral diseases，identification of dental caries and periodontal diseases，prevention and care，and use of oral cleaning tools. Conclusion The development method of popular works of oral health management for older adults in the community is scientific and standardized. Such works are user-friendly in design. This study provides a reference for the development of popular works in other fields.

Key words: Evidence-Based Nursing, Community Health Services, Aged, Oral Cavity, Nursing Care, Popular works

梁怡青, 徐慧玲, 曹松梅, 王晶晶, 范伊濛, 蔡佩萱. 基于证据的社区老年人口腔健康管理科普作品的设计及制作[J]. 中华护理教育, 2023, 20(5): 568-574.

LIANG Yiqing, XU Huiling, CAO Songmei, WANG Jingjing, FAN Yimeng, CAI Peixuan. Development of evidence-based popular works of oral health management for older adults in the community[J]. Chinese Journal of Nursing Education, 2023, 20(5): 568-574.

图/表 4

参考文献 32

[1]	台保军. 第四次全国口腔健康流行病学调查知信行结果报告[C]// 2018年中华口腔医学会第十八次口腔预防医学学术年会,西安, 2018.
[2]	van de Rijt LJM, Stoop CC, Weijenberg RAF, et al. The influence of oral health factors on the quality of life in older people:a systematic review[J]. Gerontologist, 2020, 60(5):e378-e394. doi: 10.1093/geront/gnz105
[3]	Nguyen ATM, Akhter R, Garde S, et al. The association of periodontal disease with the complications of diabetes mellitus. A systematic review[J]. Diabetes Res Clin Pract, 2020, 165:108244. doi: 10.1016/j.diabres.2020.108244
[4]	Almeida APCPSC, Fagundes NCF, Maia LC, et al. Is there an association between periodontitis and atherosclerosis in adults? A systematic review[J]. Curr Vasc Pharmacol, 2018, 16(6):569-582. doi: 10.2174/1570161115666170830141852 pmid: 28875830
[5]	Nangle MR, Riches J, Grainger SA, et al. Oral health and cognitive function in older adults:a systematic review[J]. Gerontology, 2019, 65(6):659-672. doi: 10.1159/000496730
[6]	国务院. “十四五”国家老龄事业发展和养老服务体系规划[EB/OL]. (2021-12-30) [2022-09-13]. http://www.gov.cn/zhengce/content/2022-02/21/content_5674844.htm.
[7]	Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2:a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions,or both[J]. BMJ, 2017, 358:j4008.
[8]	The Joanna Briggs Institute(JBI)[EB/OL]. (2017-07-15) [2021-11-20]. http://joannabriggs.org/research/critical-appraisal-tools.html.
[9]	王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967.
	Wang CQ, Hu Y. JBI evidence pre-classification and evidence rank system(2014 Edition)[J]. J Nurses Train, 2015, 30(11):964-967.
[10]	中国健康科普联盟. 中国健康科普作品创作与传播专家共识(2018)[EB/OL]. (2018-09-19) [2022-01-10]. https://baijiahao.baidu.com/s?id=1612008948114394879.
[11]	Agency for Healthcare Research and Quality. Assess,Select,and Create Easy-to-Understand Materials:Tool#11[EB/OL]. (2020-09-30) [2022-03-24]. https://www.ahrq.gov/health-literacy/improve/precautions/tool11.html.
[12]	王梦瑶. 科普微视频评价标准研究[D]. 上海: 上海师范大学, 2018.
[13]	Registered Nurses’ Association of Ontario. Oral health:supporting adults who require assistance second edition[EB/OL]. (2020-12-22) [2021-09-14]. https://rnao.ca/bpg/guidelines/oral-health-supporting-adults-who-require-assistance-second-edition.
[14]	National Institute for Health and Clinical Excellence. Oral health promotion:general dental practice[EB/OL]. (2018-06-21) [2021-09-14]. https://www.nice.org.uk/guidance/ng30.
[15]	Scottish Dental Clinical Effectiveness Programme. Prevention and treatment of periodontal diseases in primary care dental clinical guidance[EB/OL]. (2019-12-30) [2021-09-14]. https://www.sdcep.org.uk/published-guidance/periodontal-management/.
[16]	National Institute for Health and Clinical Excellence. Oral health:local authorities and partners[EB/OL]. (2018-06-21) [2021-09-14]. https://www.nice.org.uk/guidance/ph55.
[17]	National Institute for Health and Clinical Excellence. Dental recall interval between routine dental examinations[EB/OL]. (2020-03-31) [2021-09-14]. https://www.nice.org.uk/guidance/cg19.
[18]	中华口腔医学会. 维护牙周健康的中国口腔医学多学科专家共识(第一版)[J]. 中华口腔医学杂志, 2021, 56(2):127-135.
[19]	Paris S, Banerjee A, Bottenberg P, et al. How to intervene in the caries process in older adults:a joint ORCA and EFCD expert Delphi consensus statement[J]. Caries Res, 2020, 54(5/6):1-7. doi: 10.1159/000505319
[20]	Kossioni AE, Hajto-Bryk J, Maggi S, et al. An expert opinion from the European college of gerodontology and the European geriatric medicine society:European policy recommendations on oral health in older adults[J]. J Am Geriatr Soc, 2018, 66(3):609-613. doi: 10.1111/jgs.2018.66.issue-3
[21]	国家卫健委. 中国居民口腔健康指南[EB/OL]. [2022-10-29]. http://www.nhc.gov.cn/jkj/s5878/200909/42773.shtml.
[22]	Kapellas K, Singh A, Bertotti M, et al. Periodontal and chronic kidney disease association:a systematic review and meta-analysis[J]. Nephrology(Carlton), 2019, 24(2):202-212.
[23]	Zhang J, Ab Malik N, McGrath C, et al. The effect of antiseptic oral sprays on dental plaque and gingival inflammation:a systematic review and meta-analysis[J]. Int J Dent Hyg, 2019, 17(1):16-26. doi: 10.1111/idh.12331 pmid: 29405627
[24]	Cademartori MG, Gastal MT, Nascimento GG, et al. Is depression associated with oral health outcomes in adults and elders? A systematic review and meta-analysis[J]. Clin Oral Investig, 2018, 22(8):2685-2702. doi: 10.1007/s00784-018-2611-y
[25]	Kaur S, White S, Bartold PM. Periodontal disease and rheumatoid arthritis:a systematic review[J]. J Dent Res, 2013, 92(5):399-408. doi: 10.1177/0022034513483142 pmid: 23525531
[26]	Azarpazhooh A, Leake JL. Systematic review of the association between respiratory diseases and oral health[J]. J Periodontol, 2006, 77(9):1465-1482. doi: 10.1902/jop.2006.060010 pmid: 16945022
[27]	康莹, 毛慧佳, 孙小楠, 等. 健康科普创作科学性失范原因及其破解之道[J]. 中国医学伦理学, 2020, 33(12):1556-1560.
	Kang Y, Mao HJ, Sun XN, et al. The reasons of scientific anomie of health science popularization creation and focused countermeasures[J]. Chin Med Ethics, 2020, 33(12):1556-1560.
[28]	叶海春, 李丽. 基于CHARLS数据中老年人口腔卫生服务利用现状及影响因素分析[J]. 中国公共卫生, 2021, 37(1):19-23.
	Ye HC, Li L. Status and influencing factors of oral health service utilization among middle-aged and elderly residents:an analysis on CHARLS data[J]. Chin J Public Heal, 2021, 37(1):19-23.
[29]	朱晓姝, 郑晓瑛, 高嘉敏, 等. 日常生活方式对中国老年人口腔健康影响研究[J]. 人口与发展, 2020, 26(1):60-67.
	Zhu XS, Zheng XY, Gao JM, et al. The relation between ordinary life style and oral health in the elderly[J]. Popul Dev, 2020, 26(1):60-67.
[30]	施百丽, 王辉. 社区老年人口腔保健KAP现状与影响因素[J]. 中国老年学杂志, 2019, 39(18):4609-4611.
[31]	徐先国, 张良年, 杨丽萍, 等. 基于Andersen口腔健康结局模型的社区老年人口腔健康影响因素研究[J]. 中国初级卫生保健, 2021, 35(9):38-42.
	Xu XG, Zhang LN, Yang LP, et al. Study on the influencing factors of oral health of the elderly in community based on Andersen oral health outcome model[J]. Chin Prim Heal Care, 2021, 35(9):38-42.
[32]	张政. 健康科普创作的实践与思考[J]. 中国健康教育, 2020, 36(5):485-486.
	Zhang Z. Practice and reflection on the creation of health science popularization[J]. Chin J Heal Educ, 2020, 36(5):485-486.