为患有先天性心脏病的儿童和青少年提供牙科建议:心脏病护士调查

Aylen Dervish, M. Vaidyanathan, K. Gaskin
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摘要

对于患有先天性心脏病的儿童和青少年来说,最佳的口腔保健和牙科教育对于降低感染性心内膜炎的风险至关重要。本研究旨在确定心脏科护士为患有先天性心脏病的儿童和青少年及其家人提供的预防性牙科保健信息。本研究于 2021 年 11 月至 2022 年 3 月和 2022 年 10 月至 11 月对儿童和青少年心脏病护士进行了横断面在线调查,收集了有关预防性牙科建议的数据。研究采用滚雪球式抽样方法招募受访者,共收到来自英格兰七个心脏网络的 27 名心脏科护士的回复。在这 27 名参与者中,有 24 人(88.9%)向患者及其家属提供了牙科建议,21 人(77.8%)对提供建议有中度或高度信心,但略多于一半的参与者(14 人,51.9%)不了解国家先天性心脏病牙科标准。调查分析得出了三个主题:教育需求、资源可用性和授权。尽管回复率相对较低,但不同网络在执行心脏病标准方面的不一致是显而易见的。建议包括改善牙科服务的可及性、加强牙科和心脏病团队之间的合作、为儿童和青少年心脏病护士提供牙科教育以及向家长提供正确的建议,以促进这一高风险群体的最佳牙科健康。
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Dental advice for children and young people with congenital heart disease: a survey of cardiac nurses
Optimum oral healthcare and dental education is vital for children and young people with congenital heart disease to reduce the risk of infective endocarditis. The aims of this study were to ascertain the information provided by cardiac nurses regarding preventative dental care for children and young people with congenital heart disease and their families. Data about preventative dental advice were collected via a cross-sectional online survey of children and young people's cardiac nurses, conducted from November 2021–March 2022 and October–November 2022. A snowball sampling method was used to recruit respondents for the study, resulting in responses from 27 cardiac nurses across seven cardiac networks in England. Of the 27 participants, 24 (88.9%) gave dental advice to patients and their families, 21 (77.8%) and were moderately or highly confident about providing advice, but just over half (n=14, 51.9%) were unaware of national congenital heart disease dental standards. Three themes emerged from analysis of the survey: educational needs, resource availability and empowerment. Despite the relatively low response rate, inconsistencies in the implementation of cardiac standards among different networks were evident. Recommendations include improving access to dental services, improving collaboration between dental and cardiac teams, providing dental education for children and young people's cardiac nurses and giving correct advice to parents to promote optimum dental health for this high-risk group.
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