IMPROVING ORAL CARE PROVIDED BY NURSING ASSISTANTS

改善护理助理提供的口腔护理

• 批准号: 6949043
• 负责人: RITA A JABLONSKI
• 金额: $ 14.5万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-15 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6949043
• 关键词: behavioral /social science research tag; clinical research; cognition disorders; data collection methodology /evaluation; dental plaque; dental survey; dentistry education; dentures; disease /disorder proneness /risk; education evaluation /planning; experience; frail elderly; functional ability; geographic difference; geriatric nursing; health care personnel performance; human subject; nursing care quality; nursing homes; oral health

DESCRIPTION (provided by applicant): The purpose of this research is to measure the effect of an educational intervention for certified nursing assistants (CNAs) on the oral care of frail and functionally dependent nursing home (NH) elders. The specific aims of the study are: 1) Collect and analyze data surrounding the knowledge, opinions, and practices of CNAs providing oral hygiene care to frail and functionally dependent elders; 2) Develop an oral care educational program to address deficits in the knowledge, opinions, and practices of CNAs who provide oral care for cognitively impaired NH residents; and 3) Pilot test the educational program in two facilities that differ in ownership, geographic location, and resident demographics. All of the CNAs in 2 NHs will be surveyed in order to meet specific aim #1. A sample of 39 NH residents residing on the Alzheimer's Units of both NHs will be recruited for the study. Denture and dental plaque, functional status, resistance to care, and cognitive impairment will be measured and recorded. The quantity and quality of the oral care provided by a sample of 48 CNAs from both Alzheimer's Units will be measured. The CNAs will receive a 1-hour training session on providing oral care to cognitively impaired and care resistant elders followed by an hour of oneon- one structured support during their usual working hours, where the investigator or research assistant will help the CNAs apply the strategies they learned to real-life patient care situations. The effectiveness of the intervention will be measured by the amount of plaque on the teeth and dentures at 4 weeks, 8 weeks, and 12 weeks post-intervention. Repeated measures ANOVA will be examined to determine the impact of the educational intervention on the plaque scores of the NH elders. Terms in the model will include the nursing facility and time. A decrease in plaque scores from the baseline measurement to week 4 will be interpreted as an immediate measure of efficacy regarding the educational intervention. A sustained effect will be measured by the plaque scores measured at weeks 8 and 12.

描述（由申请人提供）：本研究的目的是衡量认证护理助理 (CNA) 的教育干预对体弱且功能依赖的疗养院 (NH) 老年人口腔护理的影响。该研究的具体目标是： 1) 收集和分析有关 CNA 为体弱和功能依赖的老年人提供口腔卫生护理的知识、观点和实践的数据； 2) 制定口腔护理教育计划，以解决为认知障碍的新罕布什尔州居民提供口腔护理的 CNA 的知识、观点和实践方面的缺陷； 3) 在所有权、地理位置和居民人口统计数据不同的两个设施中试点测试教育计划。为了实现具体目标 1，将对 2 个新罕布什尔州的所有 CNA 进行调查。居住在两个 NH 阿尔茨海默病病房的 39 名 NH 居民样本将被招募来参与这项研究。将测量和记录假牙和牙菌斑、功能状态、对护理的抵抗力和认知障碍。将测量来自两个阿尔茨海默病科室的 48 个 CNA 样本提供的口腔护理的数量和质量。 CNA 将接受 1 小时的培训课程，为认知障碍和护理抗拒的老年人提供口腔护理，然后在平时工作时间内提供一小时的一对一结构化支持，其中调查员或研究助理将帮助 CNA 将他们学到的策略应用于现实生活中的患者护理情况。干预的有效性将通过干预后 4 周、8 周和 12 周时牙齿和假牙上的牙菌斑数量来衡量。将检查重复测量方差分析以确定教育干预对 NH 老年人斑块评分的影响。模型中的术语将包括护理设施和时间。从基线测量到第 4 周，斑块分数的下降将被解释为教育干预效果的直接衡量标准。持续效果将通过第 8 周和第 12 周时测量的斑块评分来衡量。