การพัฒนาแนวทางการดูแลสุขภาพช่องปากในเด็กก่อนวัยเรียน บริบทพื้นที่เกาะหมากน้อย อำเภอเมือง จังหวัดพังงา : การวิจัยเชิงปฏิบัติการ

Abstract

This action research aims to develop an oral health care guidelines for preschool children in Mhaknoi island, through family and community participation from all stakeholders: caregivers, teachers, school director and health personnel. Quantitative data in oral health status and oral health behavior were collected from 69 children and their caregivers. Qualitative data were collected by observation and in-depth interviews with all stakeholders. Results showed that prevalence of caries in children and their experience of caries was 88.4% and 8.17 ± 5.56 teeth/child, respectively. Four activities were implemented. 1) To improve the effective of tooth brushing after lunch for kindergarten class, this should be included in the job description of kindergarten teacher in order to take care for their students to brush every day and use dye to check the cleanliness every week. 2) To reduce the sweetness in beverage selling in school. The sweetness level decreased from 23-26 % to 15-18 %. In addition, all sellers agreed to the school policy of randomly checking every month. 3) "Good teeth and painting competition", it should be conducted every year in school as activity plan for all children. 4) Oral health workshop in active learning form was done to improve caregivers' knowledges by health personnel. In addition, caregivers controlled eating and brushing at home. However, their knowledge, attitude and practice showed only little improvement and plaque level was not changed.