0.05) was not significant and the variables of knowledge, aspects of behavior change based on HBM, oral exercise behavior, tooth brushing behavior, saliva flow rate, plaque index, diastolic, OHRQoL, quality of life were significant (pblood sugar level, systolic, diastolic, OHRQoL, quality of life (p>0.05) showed no significance in the control group. There was a significant difference in both groups at the pre-test and posttest 2 stages with a p value 2 = 0.677 is obtained, this shows that the statistical model has an influence of 67.70% which means it is quite good.The oral health promotion model "SULUT LENTERA" affects oral health knowledge, tooth brushing behavior, oral exercise behavior, aspects of behavior change based on HBM, salivary flow rate, plaque index, blood sugar level, systolic, diastolic, OHRQoL and quality of life of the elderly in the intervention group after the implementation of "SULUT LENTERA" and the intervention group is better than the control group. Conclusion: The oral health promotion model "SULUT LENTERA" has an effect on increasing knowledge, tooth brushing behavior, oral gymnastics behavior, perception, salivary flow rate, OHRQoL, quality of life and reducing plaque index, blood sugar level, blood pressure of the elderly. "> 0.05) was not significant and the variables of knowledge, aspects of behavior change based on HBM, oral exercise behavior, tooth brushing behavior, saliva flow rate, plaque index, diastolic, OHRQoL, quality of life were significant (pblood sugar level, systolic, diastolic, OHRQoL, quality of life (p>0.05) showed no significance in the control group. There was a significant difference in both groups at the pre-test and posttest 2 stages with a p value 2 = 0.677 is obtained, this shows that the statistical model has an influence of 67.70% which means it is quite good.The oral health promotion model "SULUT LENTERA" affects oral health knowledge, tooth brushing behavior, oral exercise behavior, aspects of behavior change based on HBM, salivary flow rate, plaque index, blood sugar level, systolic, diastolic, OHRQoL and quality of life of the elderly in the intervention group after the implementation of "SULUT LENTERA" and the intervention group is better than the control group. Conclusion: The oral health promotion model "SULUT LENTERA" has an effect on increasing knowledge, tooth brushing behavior, oral gymnastics behavior, perception, salivary flow rate, OHRQoL, quality of life and reducing plaque index, blood sugar level, blood pressure of the elderly. ">
PEMANFAATAN MODEL PROMOSI KESEHATAN GIGI DAN MULUT “SULUT LENTERA” DENGAN TELEDENTISTRY SEBAGAI UPAYA UNTUK MENINGKATKAN KUALITAS HIDUP TERKAIT KESEHATAN GIGI DAN MULUT LANJUT USIA
Novitasari Ratna Astuti, Prof. Dra.RA Yayi Suryo Prabandari, M.Si, Ph.D; Dr.dr, Probosuseno, Sp PD.K-Ger., FINASIM.,SE.,MM; drg Lisdrianto Hanindriyo, MPH, Ph.D
2024 | Disertasi | S3 Kedokteran Umum
INTISARI
PEMANFAATAN MODEL PROMOSI KESEHATANGIGI DAN MULUT “SULUT LENTERA” DENGAN TELEDENTISTRY
SEBAGAI UPAYA UNTUK MENINGKATKAN
KUALITAS HIDUP TERKAIT KESEHATAN GIGI DAN MULUT LANJUT USIA
Latar belakang: Kesadaran, pengetahuan dan perilaku
lansia terhadap kesehatan gigi dan mulut masih kurang. Pandemi covid-19
memberikan tantangan bagi penyedia pelayanan kesehatan gigi dan mulut.
Teledentistry
sebagai
teknologi komunikasi jarak jauh dapat digunakan untuk memberikan pelayanan
perawatan serta konsultasi kesehatan gigi dan mulut. Panduan kesehatan gigi dan mulut untuk tenaga kesehatan pengelola
prolanis, panduan kesehatan gigi dan
mulut untuk lansia serta video belum ada di Indonesia, sehingga diperlukan model promosi
kesehatan gigi dan mulut lansia.
Tujuan: Merancang dan menganalisis pengaruh
implementasi model promosi kesehatan gigi dan mulut lansia “SULUT LENTERA”
menggunakan media dengan teledentistry pada prolanis di klinik pratama
PKU Muhammadiyah dan Aisyiyah di DIY untuk meningkatkan kualitas hidup terkait
dengan kesehatan gigi dan mulut.
Metode: Penelitian ini menggunakan mixed
method. Penelitian kualitatif dengan rancangan exploratory sequential
design dan penelitian kuantitatif dengan rancangan quasi experiment non-equivalent control group design. Pengumpulan data dengan
wawancara mendalam, Focus Group Discussion, kuesioner, pengambilan
data secara klinis pada saliva dan plak gigi pada 198 lansia peserta prolanis
dengan total population pada klinik pratama PKU Muhammadiyah dan Aisyiyah, dilakukan pada bulan Maret 2022 hingga Oktober
2022.
Hasil: Penelitian ini menghasilkan
model kesehatan gigi dan mulut“SULUT LENTERA”. Penelitian menunjukkan variabel sistolik p=0,79, GDP=0,20 (p>0,05) tidak signifikan dan
variabel pengetahuan, aspek perubahan perilaku berdasarkan health belief model,
perilaku senam mulut, perilaku menyikat gigi, laju aliran saliva, indeks plak, diastolik,
OHRQoL, kualitas hidup signifikan (p<0>. Variabel pengetahuan, aspek perubahan perilaku berdasarkan HBM, perilaku
senam mulut, perilaku menyikat gigi, laju aliran saliva, indeks plak, gula darah
puasa, sistolik, diastolik, OHRQoL, kualitas hidup
(p>0,05) menunjukkan tidak signifikan pada kelompok kontrol. Terdapat
perbedaan yang signifikan pada kedua kelompok pada tahap pre-tes dan posttest 2 dengan nilai p<0 xss=removed>Hasil uji statistik menunjukkan bahwa,
program intervensi “SULUT LENTERA”, kualitas hidup, perilaku menyikat gigi
berpengaruh signifikan dan positif terhadap OHRQoL, setelah dilakukan
pengendalian terhadap variabel lainnya. Berdasarkan analisis statitik yang
dilakukan didapatkan nilai R2 =0,677 hal ini menunjukkan bahwa model
statistik mempunyai pengaruh 67,70 % yang berarti cukup baik.
Kesimpulan: Model
promosi kesehatan gigi dan mulut “SULUT LENTERA” berpengaruh terhadap pengetahuan
kesehatan gigi dan mulut, perilaku menyikat gigi, perilaku senam mulut, aspek perubahan perilaku berdasarkan health belief model, laju aliran saliva, indeks plak, gula darah puasa, sistolik, diastolik,
OHRQoL dan kualitas hidup lansia pada kelompok intervensi setelah pemberian ”SULUT
LENTERA”. Kelompok intervensi lebih baik daripada kelompok kontrol.
ABSTRACT
UTILIZATION OF THE ORAL HEALTH
PROMOTION MODEL "SULUT LENTERA" WITH TELEDENTISTRY AS AN EFFORT TO
IMPROVE ORAL HEALTH
RELATED
QUALITY OF LIFE ON ELDERLY
Background: Lack of
awareness, knowledge, and behaviour of the elderly towards oral health. The
covid-19 pandemic has challenge for oral health service providers.
Teledentistry as a remote communication technology can be used to provide oral health
care and consultation services. Oral health guidelines for health workers managing
prolanis, videos, oral health guidelines for the elderly are not provided in
Indonesia. Oral health promotion model is needed for elderly.
Purpose: to design and
analyze the effect of implementing the elderly oral health promotion model
"SULUT LENTERA" using videos, training guides for health workers
manging prolanis, oral health guidelines for elderly with teledentistry at PKU
Muhammadiyah and Aisyiyah Pratama clinics in DIY to improve OHRQoL.
Methods: This study used
mixed methods. Qualitative research with exploratory sequential design and
quantitative research with quasi experiment non-equivalent control group
design. Qualitative data collection with in-depth interviews and Focus Group
Discussions. Quantitative data used questionnaires, clinical data collection on
saliva and dental plaque in 198 elderly prolanis participants with total
population at PKU Muhammadiyah and Aisyiyah Pratama clinics. This research was conducted
from March 2022 until October 2022.
Results: This study
resulted in the oral health promotion model "SULUT LENTERA" and media
improvement. The study showed that the systolic variable p=0,79, blood sugar level p=0,20 (p>0.05) was not significant and the variables of knowledge, aspects of
behavior change based on HBM, oral exercise behavior, tooth brushing behavior,
saliva flow rate, plaque index, diastolic, OHRQoL, quality of life were
significant (p<0>blood sugar level, systolic, diastolic, OHRQoL, quality of life
(p>0.05) showed no significance in the control group. There was a
significant difference in both groups at the pre-test and posttest 2 stages
with a p value <0 xss=removed>2 = 0.677 is obtained, this shows that the statistical
model has an influence of 67.70% which means it is quite good.The oral health
promotion model "SULUT LENTERA" affects oral health knowledge, tooth
brushing behavior, oral exercise behavior, aspects of behavior change based on
HBM, salivary flow rate, plaque index, blood sugar level, systolic,
diastolic, OHRQoL and quality of life of the elderly in the intervention group
after the implementation of "SULUT LENTERA" and the intervention group
is better than the control group.
Conclusion: The oral health
promotion model "SULUT LENTERA" has an effect on increasing knowledge,
tooth brushing behavior, oral gymnastics behavior, perception, salivary flow
rate, OHRQoL, quality of life and reducing plaque index, blood sugar level,
blood pressure of the elderly.
Kata Kunci : promosi kesehatan gigi, teledentistry, lansia