福建省口腔医师对高血压患者管理的认知与行为模式调查

The awareness and behavior model of Fujian dentists toward managing hypertensive patients

  • 摘要: 目的 评估福建省口腔医师管理和诊治高血压患者的认知和行为模式。方法 采用网络问卷的形式调查福建省各级口腔医师610名。调查内容包括口腔医师对使用血压计的态度和行为,以及对高血压患者进行慢性病管理和正确诊治的相关知识和能力。结果 72.5%(442/610)的口腔医师表示他们的诊疗机构配备了血压计,仅11.3%(69/610)的口腔医师在治疗前常规测量所有就诊患者的血压,73.3%(447/610)的口腔医师仅在患者自诉有高血压史时才去测量血压,尤其是进行一些有创操作,如拔牙手术、种植手术时。如果患者血压超过180/100 mmHg, 88.2%(538/610)的口腔医师会紧急将该患者转诊至心内科或上级医院,而不会进行常规的选择性口腔治疗。约81.2%(495/610)的口腔医师认为对高血压患者进行口腔治疗有发生并发症的风险。约54.1%(330/610)的口腔医师临床上更常使用不含肾上腺素的局部麻醉剂,以减少治疗过程的麻醉风险。结论 福建省口腔医师对于高血压患者的慢性病管理和正确诊治仍不够重视,需要在临床实践中加以改进。

     

    Abstract: Objective To evaluate the awareness and behavior model of dentists in managing and treating hypertensive patients in Fujian Province. Methods E-questionnaires were created and sent to dentists of all levels in Fujian Province(n=610).The questionnaire included an assessment of attitude and behaviour towards using a sphygmomanometer in the department of stomatology or clinic, as well as an assessment of the knowledge and ability of the stomatologist to manage and properly diagnose chronic diseases in patients with hypertension. Results About 72.5%(442/610) of clinics were equipped with sphygmomanometers. However, only 11.3%(69/610) of dentists routinely measured the blood pressure of all patients prior to treatment. When patients reported a history of hypertension, 73.3%(447/610) of dentists would measure blood pressure, especially when performing invasive procedures such as tooth extraction surgery and implant surgery. If the patient’s blood pressure exceeds 180/100 mmHg, 88.2%(538/610) of oral physicians would urgently refer the patient to the department of cardiology or superior hospital instead of routine elective dental treatment. About 81.1%(495/610) of dentists believed that oral treatment of patients with hypertension had a risk of complications. About 54.1%(330/610) of the dentists preferred using local anesthetics without adrenaline to reduce the risk of anesthesia during treatment. Conclusion The dentists in Fujian province do not pay enough attention to the proper management and diagnosis of hypertensive patients, which should be improved in clinical practice.

     

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