Mouth Care in Assisted Living: Potential Areas for Improvement.
Mouth Care in Assisted Living: Potential Areas for Improvement.
复制标题
辅助生活中的口腔护理：改进的潜在领域。
DOI：
10.1016/j.jamda.2020.11.038
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发表时间：
2021-06
影响因子：
7.6
通讯作者：
Zimmerman S
中科院分区：
文献类型：
--
作者：
Kistler CE;Scott J;Ward K;Zeigler R;Sullivan L;Tomlinson SE;Wretman CJ;Zimmerman S
口腔护理不良可能导致全身性疾病，有证据表明，辅助生活（AL）居民缺乏高质量的口腔护理;在AL，护理不良可能是由于工作人员的知识和态度，以及提供护理的组织障碍。确定AL工作人员关于口腔护理的知识和态度以及改变护理的障碍在口腔护理培训前后完成的自我管理重复测量问卷来自180个AL社区的2，012名直接护理工作人员和管理人员9个知识问题和8个态度和实践意图问题，以及关于提供口腔护理的培训和障碍的开放式问题。2012名参与者完成了培训前问卷，1977名参与者完成了培训后问卷。基线知识很高，但工作人员并没有统一意识到口腔护理影响肺炎和糖尿病的系统-口腔联系。几乎所有的工作人员都报告学习了新技术（96%），包括拒绝护理的居民（95%）。建议改善口腔护理的领域包括有更多的实践经验。主要的感知障碍，以照顾围绕居民谁抗拒照顾和缺乏时间。根据从培训中受益的报告，AL工作人员压倒性地指出，新知识是有帮助的，这表明基于技能的培训的好处，特别是在痴呆症护理方面。口腔护理在AL一直严重不足的研究，值得额外的关注。我们报告的潜在领域，以改善口腔护理的辅助生活居民。
Poor oral care may lead to systemic disease, and there is evidence that assisted living (AL) residents lack quality oral care; in AL, poor care may be due to staff knowledge and attitudes, as well as organizational barriers to providing care. Determine AL staff knowledge and attitudes regarding mouth care and barriers to changing care Self-administered repeated-measures questionnaires completed before and after oral care training 2,012 direct care staff and administrators from 180 AL communities Nine knowledge questions and eight attitude and practice intention questions, and open-ended questions regarding training and obstacles to providing oral care Overall, 2012 participants completed pre-training questionnaires, and 1977 completed post-training questionnaires. Baseline knowledge was high, but staff were not uniformly aware of the systemic-oral link whereby mouth care impacts pneumonia and diabetes. Almost all staff reported learning a new technique (96%), including for residents who resist care (95%). Suggested areas to improve mouth care included having more hands-on experience. The primary perceived obstacles to care centered around residents who resist care and a lack of time. Based on reports of having benefitted from training, AL staff overwhelmingly noted that new knowledge was helpful, suggesting the benefit of skills-based training, especially in dementia care. Mouth care in AL has been sorely understudied, and merits additional attention. We report on potential areas to improve oral care in assisted living residents.
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影响因子：
3.2
作者：
Zimmerman S;Cohen LW;Reed D;Gwyther LP;Washington T;Cagle JG;Beeber AS;Sloane PD
通讯作者：
Sloane PD
影响因子：
5.7
作者：
Zimmerman, Sheryl;Sloane, Philip D.;Barrick, Ann Louise
通讯作者：
Barrick, Ann Louise
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
1.3
作者：
Jablonski-Jaudon, Rita A.;Kolanowski, Ann M.;Azuero, Andres
通讯作者：
Azuero, Andres
影响因子：
1.4
作者：
Saarela, Riitta Kt.;Soini, Helena;Pitkala, Kaisu H.
通讯作者：
Pitkala, Kaisu H.