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The role of knowledge and self‐efficacy on dental consultation behavior of patients with type 2 diabetes
Author(s) -
Kudoh Rie,
Shibayama Taiga,
Hidaka Kikue
Publication year - 2021
Publication title -
japan journal of nursing science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.363
H-Index - 17
eISSN - 1742-7924
pISSN - 1742-7932
DOI - 10.1111/jjns.12378
Subject(s) - medicine , odds ratio , logistic regression , diabetes mellitus , glycated hemoglobin , type 2 diabetes , disease , confidence interval , family medicine , periodontal disease , self efficacy , dentistry , psychology , psychotherapist , endocrinology
Abstract Aim This study aimed to examine the association of knowledge and self‐efficacy as variables for behavior related to dental consultations among patients with type 2 diabetes, depending on the diagnosis of periodontal disease at a general hospital in Japan. Methods A cross‐sectional survey was conducted with 198 patients with type 2 diabetes (mean age: 66.1 ± 10.1 years, men: 56.6%, mean glycated hemoglobin: 7.3 ± 1.0%). The self‐efficacy of patients with periodontal disease was assessed using the Self‐Efficacy Scale for Self‐Care. Knowledge was measured using five dichotomous items based on reference to clinical guidelines. Dental consultation behavior was assessed from regular dental checkup behavior. Results In total, 31.8% of participants attended their regular dental checkup in the last year. Logistic regression analysis revealed that dental consultation behavior was positively associated with self‐efficacy among patients diagnosed with periodontal disease (odds ratio [OR] = 1.26, 95% confidence interval [CI]: 1.10–1.45), and positively associated with the knowledge among patients not diagnosed with periodontal disease (OR = 1.54, 95%, CI: 1.09 − 2.16). Conclusion Patients without periodontal disease need to learn about accurate knowledge regarding periodontal disease as a complication of diabetes and its prevention via dental checkups. Supportive consultation to improve self‐efficacy with respect to dental consultations should be offered to patients with periodontal disease. Medical professionals will be able to support each patient with type 2 diabetes by changing the educational approach for promoting regular dental checkups at the time of diabetes consultations.