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Dental Students' Knowledge and Perception of Elderly in Relation to Geriatric Dentistry Training

Original article

Abstrak

Pelajar pergigian perlu dilengkapkan dengan kemahiran, ilmu pengetahuan serta sikap positif semasa memberi penjagaan pergigian kepada wargatua. Laporan daripada Kementerian Kesihatan Malaysia menunjukkan prevalens karies pergigian dan penya­kit periodontium di kalangan wargatua negara ini masih tinggi. Tujuan kajian ini adalah untuk mengenalpasti tahap pengetahuan serta persepsi pelajar pergigian tahun akhir terhadap wargatua erkaitan dengan pembelajaran pergigian geriatrik di Univer­siti Ke­bangsaan Malaysia (UKM). Semua pelajar pergigian tahun akhir diminta me­leng­kapkan borang soal selidik yang merangkumi 3 bahagian: 1) Palmore’s Facts on Aging Quiz II, 2) Faktor sosial dan kesihatan mulut pesakit, dan 3) Persepsi terhadap pem­belajaran pergigian geriatrik. Sejumlah 83 pelajar telah turut serta dalam kajian ini. Dua puluh empat peratus (n=20) daripada mereka mendapat markah melebihi 70% dalam soalan berkenaan pengetahuan terhadap wargatua, sementara 73% (n=61) mendapat markah di antara 50-70%. Para pelajar telah memilih ketidakupayaan fizikal, masalah pengang­kutan dan keutamaan lain yang lebih kompleks sebagai tiga sebab teratas bagi war­gatua tidak menepati temujanji rawatan pergigian mereka. Majoriti pe­lajar melaporkan kekurangan sumber bahan pendidikan dan pendedahan latihan la­pangan yang terhad sebagai halangan utama yang dihadapi sepanjang kursus. Seba­gai kesimpulan, keba­nyakan pelajar mempunyai tahap pengetahuan yang sederhana berkaitan dengan wargatua serta berupaya mengenalpasti isu sosial yang mempenga­ruhi kesihatan mulut mereka. Secara am, tiada banyak perubahan terhadap persepsi kemahiran pe­lajar pergigian dalam menguruskan pesakit wargatua selepas menjalani modul pergi­gian geriatrik di fakulti.

Abstract

Dental students need to be equipped with skills, knowledge and positive attitudes while providing dental care to the elderly. Reports from Ministry of Health Malaysia indicated that the prevalence of dental caries and periodontal disease was high among older people in the country. The aim of this study was to assess the knowledge and perception of final year dental students towards the elderly in relation to training of geriatric dentistry in Universiti Kebangsaan Malaysia Medical Centre (UKMMC). All the final year dental students were required to complete a questionnaire that comprised of 3 sections: 1) Palmore’s Facts on Aging Quiz II, 2) Oral health and social concerns of patients, and 3) Perception towards the teaching of geriatric dentistry. A total of 83 students participated in the study. Twenty-four per cent (n=20) scored more than 70% to questions on knowledge about older people and 73% (n=61) scored between 50-70%. The students had ranked physical disability, transportation problems and complex and overlapping priorities as reasons for elderly not keeping to their appointments. Majority of the students reported that lack of educational resource materials and very minimum clinical sites experience were the main barriers faced during the course. In conclusion, majority of the students had moderate to good knowledge about older people and were able to recognize issues of social concerns that can influence their oral health. In general, there were not many changes in the perceived competencies of managing older patients following the geriatric module.