目的:本研究旨在探讨一种新开发的口腔模拟器对护理专业学生口腔疾病和症状的口腔评估教育的实用性。
方法:参与者是日本护理学校的一年级学生(n=105)。十个相同的口腔模拟器,带有角唇炎,缺失的牙齿,龋齿,微积分,牙周炎,舌下神经硬结,食物残渣,地壳的形成是由一组牙医创造的。在使用口腔健康评估工具(OHAT)进行45分钟的口头评估课程后,模拟器和OHAT的能力测试以及测试反馈是在30分钟的实际程序中进行的。评估方案的成效,在基线和计划完成后,对口腔图像进行了问卷调查和能力测试。
结果:九十九名学生(94.3%)参加了这项研究。在实际程序中使用模拟器和OHAT进行的能力测试结果表明,评估舌头的正确回答率,牙龈,目前的牙齿,口腔疼痛小于40%。他们的信心水平,感知,与基线相比,方案后的口头评估表现在统计学上显著更高.在9个方案后评估类别中,与基线得分最低的得分相比,他们对评估牙科转诊需求的信心水平提高最大。
结论:这项研究发现了护理专业学生的口头评估技能和提高其口头评估信心的几个问题,感知和表现。
OBJECTIVE: This study aimed to investigate the usefulness of a newly developed oral simulator for nursing students\' oral assessment education on oral diseases and symptoms.
METHODS: The participants were first-year students (n=105) at a nursing school in Japan. Ten identical oral simulators with angular cheilitis, missing teeth, dental caries, calculus, periodontitis, hypoglossal induration, food debris, and crust formation were created by a team of dentists. After a 45-minute lecture programme for oral assessment performance with the Oral Health Assessment Tool (OHAT), the ability test with the simulators and the OHAT as well as test feedback were conducted in a 30-minute practical programme. To evaluate the effectiveness of the programmes, questionnaires and ability tests with slides of oral images were conducted at baseline and after the programme.
RESULTS: Ninety-nine students (94.3%) participated in this study. The results of the ability test with the simulators and the OHAT in the practical programme showed that the correct answer rates of assessing tongue, gingiva, present teeth, and oral pain were less than 40%. Their levels of confidence, perception, and oral assessment performance were statistically significantly higher after the programmes than they were at baseline. Their level of confidence in assessing the need for dental referral had the largest increase in scores compared to the lowest scores at baseline in the nine post-programme assessment categories.
CONCLUSIONS: This study identified several problems with nursing students\' oral assessment skills and improvements of their oral assessment confidence, perceptions and performance.