PDF(Pubmed)
Abstract：
BACKGROUND: The oral health of older people is closely related to their overall health. Timely and effective intervention in oral issues is necessary to maintain their overall health. This study aimed to evaluate the feasibility and effectiveness of an Oral Health Promotion Program (OHPP) in Geriatric Care Facilities (GCFs).
METHODS: The OHPP was implemented in two GCFs and evaluated using a pre/post-design. Questionnaires on self-efficacy and attitude for providing oral care were sent to 42 nurse participants before and three months after the implementation of the OHPP. Outcomes of 295 patient participants were assessed at four time points (T1-baseline, T2-one month, T3-two months, and T4-three months post-implementation) including Activities of Daily Living (ADL), Mini-Mental State Examination (MMSE), and Oral Health Assessment Tool (OHAT).
RESULTS: The oral health and daily activity ability of patient participants showed an improving trend at four time points pre/post-implementation of the OHPP. The proportion of patients with healthy mouths (OHAT: 0-3 points) increased from 29.8 to 67.8% and their scores of OHAT and ADL were significantly better at T4 compared to T1, T2, and T3 (p < 0.001). Self-efficacy (SE-PMC: T1 = 18.93 ± 3.18, T4 = 28.83 ± 6.56, p < 0.001) and attitude (A-PMC: T1 = 18.78 ± 3.09, T4 = 28.20 ± 6.03, p < 0.001) for oral care among nurse participants improved after the implementation of the OHPP.
CONCLUSIONS: This study highlights the feasibility of implementing OHPP within GCFs, potentially enhancing the oral health and daily living activities of older individuals. Integrating the OHPP into routine care in geriatric settings is not only practical but also widely acceptable, offering a proactive approach to address oral health disparities among older residents. Stakeholders can maximize the impact of the OHPP by fostering collaboration among healthcare professionals, administrators, and residents, ultimately improving oral health outcomes and overall quality of life of older residents.
BACKGROUND: ChiCTR2000035236 (registration date: 04/08/2020).
METHODS: The OHPP was implemented in two GCFs and evaluated using a pre/post-design. Questionnaires on self-efficacy and attitude for providing oral care were sent to 42 nurse participants before and three months after the implementation of the OHPP. Outcomes of 295 patient participants were assessed at four time points (T1-baseline, T2-one month, T3-two months, and T4-three months post-implementation) including Activities of Daily Living (ADL), Mini-Mental State Examination (MMSE), and Oral Health Assessment Tool (OHAT).
RESULTS: The oral health and daily activity ability of patient participants showed an improving trend at four time points pre/post-implementation of the OHPP. The proportion of patients with healthy mouths (OHAT: 0-3 points) increased from 29.8 to 67.8% and their scores of OHAT and ADL were significantly better at T4 compared to T1, T2, and T3 (p < 0.001). Self-efficacy (SE-PMC: T1 = 18.93 ± 3.18, T4 = 28.83 ± 6.56, p < 0.001) and attitude (A-PMC: T1 = 18.78 ± 3.09, T4 = 28.20 ± 6.03, p < 0.001) for oral care among nurse participants improved after the implementation of the OHPP.
CONCLUSIONS: This study highlights the feasibility of implementing OHPP within GCFs, potentially enhancing the oral health and daily living activities of older individuals. Integrating the OHPP into routine care in geriatric settings is not only practical but also widely acceptable, offering a proactive approach to address oral health disparities among older residents. Stakeholders can maximize the impact of the OHPP by fostering collaboration among healthcare professionals, administrators, and residents, ultimately improving oral health outcomes and overall quality of life of older residents.
BACKGROUND: ChiCTR2000035236 (registration date: 04/08/2020).
摘要：
背景：老年人的口腔健康与其整体健康密切相关。对口腔问题进行及时有效的干预是维持其整体健康的必要条件。本研究旨在评估老年人护理机构（GCFs）口腔健康促进计划（OHPP）的可行性和有效性。
方法：在两个GCF中实施了OHPP，并使用前/后设计进行了评估。在实施OHPP之前和之后三个月，向42名护士参与者发送了关于自我效能感和提供口腔护理态度的问卷。在四个时间点评估295名患者参与者的结果(T1-基线，T2-一个月，T3-两个月，和实施后T4-三个月)，包括日常生活活动(ADL)，小型精神状态检查（MMSE），口腔健康评估工具（OHAT）。
结果：患者参与者的口腔健康和日常活动能力在实施OHPP之前/之后的四个时间点显示出改善趋势。口腔健康（OHAT：0-3分）的患者比例从29.8％增加到67.8％，T4时的OHAT和ADL评分明显优于T1，T2和T3（p<0.001）。实施OHPP后，护士对口腔护理的自我效能（SE-PMC：T1=18.93±3.18，T4=28.83±6.56，p<0.001）和态度（A-PMC：T1=18.78±3.09，T4=28.20±6.03，p<0.001）得到改善。
结论：这项研究强调了在GCFs中实施OHPP的可行性，有可能增强老年人的口腔健康和日常生活活动。将OHPP纳入老年病患者的常规护理不仅实用，而且可以广泛接受。提供积极的方法来解决老年居民的口腔健康差距。利益相关者可以通过促进医疗保健专业人员之间的合作来最大程度地发挥OHPP的影响，管理员,和居民,最终改善老年居民的口腔健康结果和整体生活质量。
背景：ChiCTR2000035236（注册日期：04/08/2020）。
方法：在两个GCF中实施了OHPP，并使用前/后设计进行了评估。在实施OHPP之前和之后三个月，向42名护士参与者发送了关于自我效能感和提供口腔护理态度的问卷。在四个时间点评估295名患者参与者的结果(T1-基线，T2-一个月，T3-两个月，和实施后T4-三个月)，包括日常生活活动(ADL)，小型精神状态检查（MMSE），口腔健康评估工具（OHAT）。
结果：患者参与者的口腔健康和日常活动能力在实施OHPP之前/之后的四个时间点显示出改善趋势。口腔健康（OHAT：0-3分）的患者比例从29.8％增加到67.8％，T4时的OHAT和ADL评分明显优于T1，T2和T3（p<0.001）。实施OHPP后，护士对口腔护理的自我效能（SE-PMC：T1=18.93±3.18，T4=28.83±6.56，p<0.001）和态度（A-PMC：T1=18.78±3.09，T4=28.20±6.03，p<0.001）得到改善。
结论：这项研究强调了在GCFs中实施OHPP的可行性，有可能增强老年人的口腔健康和日常生活活动。将OHPP纳入老年病患者的常规护理不仅实用，而且可以广泛接受。提供积极的方法来解决老年居民的口腔健康差距。利益相关者可以通过促进医疗保健专业人员之间的合作来最大程度地发挥OHPP的影响，管理员,和居民,最终改善老年居民的口腔健康结果和整体生活质量。
背景：ChiCTR2000035236（注册日期：04/08/2020）。
