摘要
目的:探索低龄儿童龋患儿就医延迟的因素,并分析其相关关系,为进一步改善患儿就医延迟行为提供参考。方法:选取2023年6月至2023年12月初次就诊于某部队三甲医院口腔科的低龄儿童龋病患儿为研究对象,采用Logistic回归分析筛选患儿就医延迟的危险因素与保护性因素;采用Spearman相关系数和结构方程模型进行变量间的相关性分析。结果:共纳入研究对象300例,其中出现就医延迟行为247例(82.33%)。多因素Logistic回归分析结果显示,儿童生活质量评价(OR=3.249,95%CI=1.237~8.537,P=0.017)、父母关怀(OR=1.707,95%CI=1.242~2.347,P=0.001)、家庭影响(OR=0.378,95%CI=0.220~0.649,P=0.001)、疾病感知障碍(OR=1.066,95%CI=1.016~1.119,P=0.009)是低龄儿童龋患儿就医延迟行为的影响因素。口腔保健意识作为潜在变量,由外显变量定期口腔检查、每天睡前刷牙和疾病感知障碍进行测量,社会支持现状由外显变量父母关怀与家庭影响进行测量,患儿是否发生就医延迟行为统计结果作为就医延迟倾向的测量变量。在此结构方程模型中,口腔保健意识和社会支持可直接影响患儿就医延迟行为,也可通过中介变量口腔健康状况影响患儿就医延迟行为。结论:低龄儿童龋患儿就医延迟行为发生率为82.33%,儿童生活质量评价、父母关怀与家庭影响、疾病感知障碍是患儿发生就医延迟行为的主要影响因素。应进一步加大口腔健康教育宣传力度,提高社区医院利用率与认可度,进而降低就医延迟行为发生率。
AIM:To explore the influencing factors of medical treatment delay among children with early childhood caries,and to analyze their correlation,so as to provide a reference for further improving the behavior of medical treatment delay.METHODS:From June 2023 to December 2023,children with early childhood caries who were treated for the first time in the Department of Stomatology of a military tertiary hospital were selected as the research objects.Logistic regression analysis was used to screen the risk factors and protective factors of delayed medical treatment.Spearman correlation coefficient and structural equation model were used to analyze the correlation among the variables.RESULTS:A total of 300 cases were included in the study,of which 247 cases(82.33%)had delayed medical treatment.The results of the multivariate Logistic regression analysis showed that Children's quality of life evaluation(OR=3.249,95%CI=1.237-8.537,P=0.017),parental care(OR=1.707,95%CI=1.242-2.347,P=0.001),family influence(OR=0.378,95%CI=0.220-0.649,P=0.001),and disease perception disorders(OR=1.066,95%CI=1.016-1.119,P=0.009)were the influencing factors of delayed medical behavior in young children with dental caries.Oral health care awareness as a latent variable was measured by the explicit variables regular oral check-ups,daily brushing before bedtime,and illness perception impairment.The status of social support was measured by the explicit variables of parental care and family influence,and the statistical results of whether children had medical delay behavior were used as the measurement variable of medical delay tendency.In this structural equation model,oral health care awareness and social support can directly affect children's medical delay behavior,and can also affect children's medical delay behavior through the mediating variable oral health status.CONCLUSION:The incidence of medical delay behavior in young children with caries is 82.33%.Children's quality of life evaluation,parental care and family influence,and disease perception disorders are the main influencing factors of medical delay behavior in children.Oral health education and publicity should be further strengthened to improve the utilization and recognition of community hospitals,so as to reduce the incidence of medical delay behavior.
作者
王蒙蒙
董瑞
王栋
刘鑫
张钰
张会君
WANG Meng-meng;DONG Rui;WANG Dong;LIU Xin;ZHANG Yu;ZHANG Hui-jun(Department of Nursing,Jin zhou Medical University,Jinzhou 121001,China;不详)
出处
《牙体牙髓牙周病学杂志》
2025年第5期267-272,共6页
Chinese Journal of Conservative Dentistry
基金
辽宁省社科基金项目(L21BGLO23)
解放军第九六〇医院青年自主创新科学基金资助项目(2023MS05)
山东第二医科大学附属医院科技发展项目(2024FYM113)。
