Aims

This study aimed to identify and prioritize factors contributing to the provision of periodontal care by certified diabetes nurse educators to outpatients with diabetes in medical settings in Japan.

Methods

Questionnaires were administered to 321 certified diabetes educator nurses from 1277 institutions. The practice of periodontal care was assessed, with factors contributing to periodontal care through items developed based on the capability, opportunity, and motivation-behavior model. Fisher’s exact tests and logistic regression were performed.

Results

>70% of certified diabetes educator nurses did not provide periodontal care for diabetes patients. The respondents who assessed people’s oral conditions were more likely to engage in individual or group education and consult for oral management professionals than those who did not. Significant factors for such assessment were low psychological capability and reflective motivation, irregular and weak intention to engage in oral management, and working at an institution without an outpatient department specializing in diabetes.

Conclusions

The education for certified diabetes educator nurses who do not work at an institution with an outpatient department specialized in diabetes care should be prioritized. Particularly, education to improve knowledge, skills, and confidence in oral assessments and to make periodontal management regular is needed.

中文翻译：

---

糖尿病教育护士对糖尿病门诊患者进行牙周管理实践的相关因素：日本的一项全国性调查

宗旨

本研究旨在确定和优先考虑有助于由经过认证的糖尿病护士教育者向日本医疗机构的糖尿病门诊患者提供牙周护理的因素。

方法

对来自 1277 家机构的 321 名经过认证的糖尿病教育护士进行了问卷调查。评估牙周护理的实践，通过基于能力、机会和动机 - 行为模型开发的项目来评估牙周护理的因素。进行了 Fisher 精确检验和逻辑回归。

结果

> 70% 的认证糖尿病教育护士没有为糖尿病患者提供牙周护理。评估人们口腔状况的受访者比未评估的受访者更愿意接受个人或团体教育并咨询口腔管理专业人士。这种评估的重要因素是心理能力和反思动机低下，从事口腔管理的意愿不规则和弱，以及在没有糖尿病专科门诊的机构工作。

结论

应优先对不在设有专门从事糖尿病护理的门诊部的机构工作的经认证的糖尿病教育护士进行教育。特别是，需要通过教育来提高对口腔评估的知识、技能和信心，并定期进行牙周管理。