Sains Malaysiana 42(1)(2013): 13–17

Exploring Factors Influencing Adherence to Oral Hygiene Care among Periodontal Patients: A Pilot Study

(Menyelami Faktor-faktor yang Mempengaruhi Tahap Penjagaan Kebersihan Mulut yang Baik dalam Kalangan Pesakit Periodontal: Suatu Kajian Awal)

B. Badiah*, P.L. Kang, W.S. Hor, M. Razali & T.N.M. Dom

Department of Periodontology, Faculty of Dentistry, Universiti Kebangsaan Malaysia

Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia

Diserahkan: 20 Disember 2011 / Diterima: 27 Mei 2012

ABSTRACT

The objective of this study was to investigate in-depth factors influencing adherence to oral hygiene care among periodontal patients. This qualitative research was based on patients undergoing initial phase of periodontal therapy at the Universiti Kebangsaan Malaysia (UKM) Periodontic Clinics. The data collection were obtained using a focus group discussion (FGD) and the session was recorded and later transcribed for manual analysis. Six patients participated in the FGD. The main themes which emerged collectively from the discussion were ‘lack of knowledge’ and ‘poor motivation’ related to effective oral hygiene care. Respondents noted that motivation to adhere to oral hygiene care improved when clinicians undertook good professional care and when patients themselves experienced retrospective regret for their tooth loss. This study showed lack of oral health knowledge, poor attitude towards oral hygiene care, good dentist-patient relationship, regret about past neglect, cultural beliefs and affordability were the factors which might influence adherence to oral hygiene care among periodontal patients.

Keywords: Adherence; attitude; oral hygiene care; periodontal patients; qualitative study

ABSTRAK

Penyelidikan ini bertujuan untuk menyelami secara mendalam faktor-faktor yang boleh mempengaruhi tahap penjagaan kebersihan mulut yang baik dalam kalangan pesakit periodontal. Penyelidikan kualitatif ini melibatkan para pesakit yang melalui fasa pertama rawatan periodontal di klinik periodontal Fakulti Pergigian, Universiti Kebangsaan Malaysia (UKM). Penyelidikan ini bedasarkan perbincangan fokus berkumpulan dengan perbincangan pesakit dirakam dan ditranskrip secara ‘verbatim untuk dianalisis. Perkara utama yang diutarakan oleh para pesakit berdasarkan perbincangan tersebut adalah kurang pengetahuan dan kurang motivasi untuk meningkatkan mutu kebersihan mulut. Walau bagaimanapun, motivasi terhadap kebersihan mulut pesakit meningkat apabila rawatan profesional diberikan dan juga wujudnya kesedaran diri akan punca kehilangan gigi.  Penyelidikan ini menunjukkan kurang pengetahuan, sikap negatif terhadap penjagaan kebersihan mulut, perhubungan pesakit dan doktor gigi yang baik, kesedaran akan punca kehilangan gigi, adat resam dan kepercayaan serta kemampuan merupakan faktor yang boleh mempengaruhi penjagaan kebersihan mulut dalam kalangan pesakit periodontal.

Kata kunci: Kepatuhan; penjagaan kebersihan mulut; penyelidikan kualitatif; pesakit periodontal; sikap

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*Pengarang untuk surat-menyurat; email: bandiahb@yahoo.com