An intervention to reduce care-resistant behavior in persons with dementia during oral hygiene: a pilot study
An intervention to reduce care-resistant behavior in persons with dementia during oral hygiene: a pilot study
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DOI：
10.1111/j.1754-4505.2011.00190.x
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发表时间：
2011-05-01
影响因子：
1.4
通讯作者：
Brock, Alexandra
中科院分区：
文献类型：
--
作者：
Jablonski, Rita;Therrien, Barbara;Brock, Alexandra
本试验的主要目的是测试一项旨在减少中重度痴呆患者在口腔卫生活动中的护理抵抗行为（CRB）的干预措施的可行性。该干预措施，使用威胁减少（MOUTh）管理口腔卫生，结合最佳口腔卫生实践和CRB减少技术。口腔健康可操作为从口腔健康评估工具（OHAT）获得的总分。CRB使用护理抵抗力量表的改进来测量。七名患有痴呆症的疗养院居民接受了14天的每日两次口腔护理。基线OHAT平均评分为7.29（SD = 1.25）改善至1.00（SD = 1.26，p < .001）; CRB从2.43 CRB/分钟改善（SD = 4.26）至1.09 CRB/分钟（SD = 1.56，t = 1.97，df 41，p= 0.06）。该试点研究的结果表明，MOUTh干预是可行的，并减少了CRB，从而允许更有效的口腔护理。
The primary purpose of this pilot study was to test the feasibility of an intervention designed to reduce care-resistant behaviors (CRBs) in persons with moderate-to-severe dementia during oral hygiene activities.The intervention, Managing Oral Hygiene Using Threat Reduction (MOUTh), combined best oral hygiene practices with CRB reduction techniques. Oral health was operationalized as the total score obtained from the Oral Health Assessment Tool (OHAT). CRB was measured using a refinement of the Resistiveness to Care Scale. Seven nursing home residents with dementia received twice daily mouth care for 14 days. The baseline OHAT mean score of 7.29 (SD = 1.25) improved to 1.00 (SD = 1.26, p < .001); CRB improved from 2.43 CRBs/minute (SD = 4.26) to 1.09 CRBs/minute (SD = 1.56, t = 1.97, df 41, p= .06).The findings from this pilot study suggest that the MOUTh intervention is feasible and reduced CRBs, thus allowing more effective oral care.