Oral health behaviour and socio-demographic profile of subjects with Alzheimer's disease as reported by their family caregivers
Oral health behaviour and socio-demographic profile of subjects with Alzheimer's disease as reported by their family caregivers
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DOI：
10.1111/j.1741-2358.2007.00149.x
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发表时间：
2007-03-01
期刊：
影响因子：
2
通讯作者：
De Marchi, Renato Jose
中科院分区：
文献类型：
--
作者：
Hugo, Fernando Neves;Hilgert, Juliana Balbinot;De Marchi, Renato Jose
目的：评估家庭护理人员向阿尔茨海默病 (AD) 患者提供的口腔保健情况。方法：对来自阿雷格里港医院 AD 患者亲友组的 56 名阿尔茨海默病护理人员进行结构化访谈。进行Spearman和Pearson相关性分析。结果：AD受试者的平均年龄为76.09（+/- 7.76）岁，其中53.6%为女性，58.9%处于AD晚期。平均牙齿数量为 11.66 (+/- 10.94)，每天进行口腔卫生 2.21 (+/- 1.04) 次。 85.7% 的 AD 受试者由护理人员提供口腔保健。在大多数情况下，护理人员借助牙刷和/或嵌入非氟化漱口水的纱布为 AD 受试者提供口腔卫生。 44% 的受试者/护理人员使用漱口水而不是假牙刷来清洁完整的假牙。 AD 受试者的牙齿数量、每天进行的口腔卫生程序次数以及当前吸烟情况之间存在显着相关性。结论：AD 受试者的口腔保健计划应考虑护理人员对口腔健康和卫生的看法和知识，因为当疾病从早期发展到更晚期时，护理人员是这些患者的主要提供者。
Objective: To evaluate the oral health care provided to subjects with Alzheimer's disease (AD) as reported by their family caregivers.Method: Structured interviews were performed with 56 Alzheimer caregivers from the Group of relatives and friends of subjects with AD of the Hospital de Clinicas de Porto Alegre. Spearman and Pearson correlations were performed.Results: The mean age of the subjects with AD was 76.09 (+/- 7.76) years, 53.6% were female and 58.9% were in the advanced stage of AD. The mean number of teeth present was 11.66 (+/- 10.94), and oral hygiene was performed 2.21 (+/- 1.04) times/day. The provision of oral health care to subjects with AD was carried out by caregivers in 85.7%. Oral hygiene was provided by the caregivers to the subjects with AD with the aid of a toothbrush and/or gauze embedded with non-fluoridated mouthwash in the majority of the cases. Complete dental prostheses were cleaned with the aid of mouthwashes instead of denture brushes by 44% of the subjects/caregivers. There was a significant association between the number of teeth in the subjects with AD and the number of oral hygiene procedures performed per day and current smoking.Conclusion: Oral health care planning for subjects with AD should take into account caregivers' perceptions and knowledge about oral health and hygiene as caregivers represent the primary providers to these patients when the disease progresses from early to more advanced stages.