Effect of a collaborative transdisciplinary team approach on oral health status in acute stroke patients
Effect of a collaborative transdisciplinary team approach on oral health status in acute stroke patients
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DOI：
10.1111/joor.12855
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发表时间：
2019-12-01
影响因子：
2.9
通讯作者：
Maehara, Taketoshi
中科院分区：
文献类型：
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作者：
Obana, Michiyo;Furuya, Junichi;Maehara, Taketoshi
研究背景脑卒中急性期口腔功能易恶化。因此，口腔卫生保健涉及的牙科和医疗专业人员组成的跨学科的方法可能是重要的，但尚未详细研究。目的通过对脑卒中急性期患者口腔健康状况的调查，探讨口腔科医生、口腔医学专家、护士和语言治疗师的跨学科合作对脑卒中急性期患者口腔健康的影响。方法研究对象为115例急性脑卒中患者，他们在大学医院住院期间接受口腔保健。他们的口腔健康状况进行了评估，使用口腔健康评估工具（OHAT）的入院和出院。结果急性脑卒中患者入院时OHT评分较高，口腔健康状况较差。合作口腔保健导致出院时OHAT评分显著下降，表明口腔健康状况有所改善。多因素分析发现，入院时的舌头、假牙和口腔清洁度的OHAT评分是与出院时口腔健康状况不良相关的重要变量。结论实施口腔医学与口腔医学的跨学科合作，可以改善脑卒中急性期患者的口腔健康状况。特别是，通过OHT在入院时发现的与舌头、假牙和口腔清洁有关的问题的患者可能需要更深入的干预。
Background Oral function deteriorates easily during the acute phase of cerebral stroke. Therefore, oral health care involving a transdisciplinary approach consisting of dental and medical professionals might be important, but has not been studied in detail. Objective This study assessed the oral health status of patients with cerebral stroke in the acute phase, with the aim of elucidating the efficacy of collaborative, transdisciplinary oral health care involving dentists, dental hygienists, nurses and speech therapists. Methods The participants were 115 consecutive acute cerebral stroke patients, who received oral health care while hospitalised at the university hospital. Their oral health status was assessed using the oral health assessment tool (OHAT) on admission and discharge. Results Patients with acute cerebral stroke had high OHAT scores on admission, meaning poor oral health status. The collaborative oral health care resulted in significant decrease of OHAT scores at discharge, indicative of the improvement of oral health status. Multivariate analysis identified OHAT score for tongue, dentures and oral cleanliness on admission as the significant variables associated with poor oral health status at discharge. Conclusions Thus, the oral health of cerebral stroke patients in the acute phase can be improved by implementing transdisciplinary collaboration of medical and dental professionals. Particularly, patients with problems pertaining to the tongue, dentures and oral cleanliness as revealed through OHAT on admission may require more intensive intervention.