Preventive oral health intervention among older home care clients
Preventive oral health intervention among older home care clients
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DOI：
10.1093/ageing/afx020
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发表时间：
2017-09-01
期刊：
影响因子：
6.7
通讯作者：
Suominen, Anna Liisa
中科院分区：
文献类型：
--
作者：
Nihtila, Annamari;Tuuliainen, Eveliina;Suominen, Anna Liisa
背景：口腔健康状况不佳在依赖支持性护理的老年人中很常见，这影响了他们的生活质量。认知障碍和功能依赖可能会增加损害日常口腔hygienic.Aim的风险：探讨一个量身定制的预防性口腔健康干预的有效性在家庭护理客户年龄75岁或以上Patients和方法：干预组包括151例（84.4 +/- 5.6年）和对照组118例（84.7 +/- 5.2年）。在进行量身定制的口腔和义齿卫生干预之前，进行了访谈和临床检查。两组的参与者在6个月后再次接受访谈和复查。结果：干预显著减少了菌斑覆盖的牙齿数量，改善了义齿卫生。此外，功能能力和认知功能显着相关，更好的口腔hygienics.Conclusions：干预有积极的影响，口腔hygienics. Conclusions，但牙菌斑的数量仍然很高，即使在干预后。需要基于个人需求的多种方法来改善脆弱老年人的口腔健康，包括将牙科预防护理纳入家庭护理护士执行的日常护理计划。
Background: poor oral health is common among older people dependent on supportive care and it affects their quality of life. Cognitive impairment and functional dependency may increase the risk of compromised daily oral hygiene.Aim: to investigate the effectiveness of a tailored preventive oral health intervention among home care clients aged 75 years or over.Patients and methods: the intervention group comprised 151 patients (84.4 +/- 5.6 years) and the control group 118 patients (84.7 +/- 5.2 years). An interview and a clinical examination were carried out before a tailored intervention of oral and denture hygiene. The participants in both groups were re-interviewed and re-examined after 6 months.Results: the intervention significantly reduced the number of plaque covered teeth and improved denture hygiene. In addition, functional ability and cognitive function were significantly associated with better oral hygiene.Conclusions: the intervention had a positive effect on oral hygiene, however the number of teeth with plaque remained high, even after the intervention. Multiple approaches based on individual needs are required to improve the oral health of vulnerable older adults, including integrating dental preventive care into daily care plan carried out by home care nurses.