Care partner-assisted intervention to improve oral health for older adults with cognitive impairment: A feasibility study.
Care partner-assisted intervention to improve oral health for older adults with cognitive impairment: A feasibility study.
复制标题
护理伙伴辅助干预改善认知障碍老年人口腔健康的可行性研究。
DOI：
10.1111/ger.12528
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发表时间：
2021-09
期刊：
影响因子：
2
通讯作者：
Plassman BL
中科院分区：
文献类型：
--
作者：
Wu B;Anderson RA;Pei Y;Xu H;Nye K;Poole P;Bunn M;Lynn Downey C;Plassman BL
由于口腔卫生习惯不当，患有认知障碍的老年人经常会出现口腔健康状况不佳的情况。这项试点研究旨在评估护理伙伴辅助干预措施改善患有认知障碍的社区老年人口腔卫生的可行性。为期 6 个月的干预措施包括 25 名患有轻度痴呆或轻度认知障碍的老年人，他们被随机分配到治疗组 1 或治疗组 2。治疗组 1 (n = 7) 收到一本教育小册子。治疗组 2（n = 18）收到一本小册子，这是为患有认知障碍的参与者量身定制的护理计划，护理伙伴接受了四次辅导课程，以学习如何促进良好的口腔卫生。两组都收到了电动牙刷。该研究包括为期 3 个月的主动干预和 3 个月的维持阶段。根据口腔健康评估工具，在研究的基线、3个月（主动干预结束）和6个月时测量牙龈指数、牙菌斑指数和整体口腔健康状况的结果。这项研究的退出率非常低。在这项研究中，参与者的口腔卫生得到了改善。与治疗组 1 相比，治疗组 2 的参与者的牙菌斑水平和牙龈炎症有更大程度的减少，整体口腔健康状况也有更大改善。这项研究证明了这种旨在改善认知障碍患者口腔健康的干预措施的可行性，并为在未来的大型随机临床试验中使用该方案奠定了基础。
Older adults with cognitive impairment often experience poor oral health outcomes due to inadequate oral hygiene practices. This pilot study aimed to evaluate the feasibility of a care partner–assisted intervention to improve the oral hygiene of community-dwelling older adults with cognitive impairment. The 6-month intervention included 25 older adults with mild dementia or mild cognitive impairment, who were randomly assigned to Treatment Group 1 or Treatment Group 2. Treatment Group 1 (n = 7) received an educational booklet. Treatment Group 2 (n = 18) received a booklet, a tailored care plan for the participants with cognitive impairment and the care partner received four coaching sessions to learn to facilitate good oral hygiene. Both groups received electric toothbrushes. The study consisted of a 3-month active intervention and 3-month maintenance phase. The outcomes of gingival index, plaque index and overall oral health status based on the Oral Health Assessment Tool were measured at baseline, 3 months (end of active intervention) and 6 months of the study. This study had very low dropout rate. Participants’ oral hygiene improved in this study. In comparison to Treatment Group 1, participants in Treatment Group 2 had a greater reduction in plaque level and gingival inflammation, and greater improvement in overall oral health status. This study demonstrates the feasibility of this intervention designed to improve the oral health of persons with cognitive impairment and it lays the foundation for using this protocol in a future large randomised clinical trial.
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影响因子：
5.7
作者：
KAYSERJONES, J;BIRD, WF;SCHELL, ES
通讯作者：
SCHELL, ES
影响因子：
1.4
作者：
Jablonski, Rita;Therrien, Barbara;Brock, Alexandra
通讯作者：
Brock, Alexandra
影响因子：
2.1
作者：
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通讯作者：
RIPICH, DN
影响因子：
6.7
作者：
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通讯作者：
Suominen, Anna Liisa
DOI：
10.1016/j.jamda.2019.09.022
发表时间：
2020-02-01
影响因子：
7.6
作者：
Volk, Lisa;Spock, Melony;Zimmerman, Sheryl
通讯作者：
Zimmerman, Sheryl