Information de reference pour ce titreAccession Number: | 01445423-201206000-00121.
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Author: | Willumsen, Tril 1,2; Karlsen, Line 3; Naess, Richard 3; Bjrntvedt, Sissel 1[phi]
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Institution: | (1) Dental Health Services' Competence East (TK[script phi]), Norway; (2) Department of Cariology and Gerodontology, Faculty of Dentistry, University of Oslo, Oslo, Norway; (3) Public Dental Health Services in [script phi]stfold, Norway
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Title: | |
Source: | Gerodontology. 29(2):e748-e755, June 2012.
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Abstract: | Objective: To explore nursing home patients' oral hygiene and their nurses' assessments of barriers to improvement.
Background: In nursing homes, nurses are responsible for patients' oral hygiene.
Materials and methods: This study assessed the oral hygiene of 358 patients in 11 Norwegian nursing homes. 494 nurses in the same nursing homes participated in a questionnaire study.
Results: More than 40% of patients had unacceptable oral hygiene. 'More than 10 teeth' gave OR = 2, 1 (p = 0.013) and 'resist being helped' OR = 2.5 (p = 0.018) for unacceptable oral hygiene. Eighty percent of the nurses believed knowledge of oral health was important, and 9.1% often considered taking care of patients' teeth unpleasant. Half of the nurses reported lack of time to give regular oral care, and 97% experienced resistant behaviour in patients. Resistant behaviour often left oral care undone. Twenty-one percent of the nurses had considered making legal decisions about use of force or restraints to overcome resistance to teeth cleaning.
Conclusion: Oral hygiene in the nursing homes needed to be improved. Resistant behaviour is a major barrier. To overcome this barrier nurses' education, organisational strategies to provide more time for oral care, and coping with resistant behaviour in patients are important factors.
Copyright (C) 2012 John Wiley & Sons, Inc.
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Author Keywords: | gerodontology; nursing home; oral hygiene; oral health; behavioural problems; resistance.
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References: | 1. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2005; 33: 81-92.
2. Marin Zuluaga DJ, Ferreira J, Willumsen T, et al. Oral health in institutionalised elderly people in Oslo, Norway and its relationship with dependence and cognitive impairment. Gerodontology, 2010; doi: 10.1111/j.1741-2358.2011.00490.x.
3. Gimmestad AL. Oral health in institutionalized persons in Norway. J Norw Dent Assoc 2006; 116: 268-273. (in Norwegian).
4. Abe S, Ishihara K, Adachi M, Okuda K. Oral hygiene evaluation for effective oral care in preventing pneumonia in dentate elderly. Arch Gerontol Geriatr 2006; 43: 53-64.
5. Sjogren P, Nilsson E, Forsell M, et al. A systematic review of the preventive effect of oral hygiene on pneumonia and respiratory tract infection in elderly people in hospitals and nursing homes: effect estimates and methodological quality of randomized controlled trials. J Am Geriatr Soc 2008; 56: 2124-2130.
6. Sarin J, Balasubramaniam R, Corcoran AM, et al. Reducing the risk of aspiration pneumonia among elderly patients in long-term care facilities through oral health interventions. J Am Med Dir Assoc 2008; 9: 128-35.
7. Meurman JH, Hamalainen P. Oral health and morbidity - implications of oral infections on the elderly. Gerodontology 2006; 23: 3-16.
8. Hamalainen P, Meurman JH, Kauppinen M, et al. Oral infections as predictors of mortality. Gerodontology 2005; 22: 151-157.
9. Kandelman D, Petersen PE, Ueda H. Oral health, general health, and quality of life in older people. Spec Care Dentist 2008; 28: 224-236.
10. Jablonski RA, Munro CL, Grap MJ, et al. The role of biobehavioral, environmental, and social forces on oral health disparities in frail and functionally dependent nursing home elders. Biol Res Nurs 2005; 7: 75-82.
11. Cohen-Mansfield J, Lipson S. The underdetection of pain of dental etiology in persons with dementia. Am J Alzheimers Dis Other Demen 2002; 17: 249-253.
12. Chalmers J, Pearson A. Oral hygiene care for residents with dementia: a literature review. J Adv Nurs 2005; 52: 410-419. (Review).
13. Coleman P, Watson NM. Oral care provided by certified nursing assistants in nursing homes. J Am Geriatr Soc 2006; 54: 138-143.
14. Nordenram G, Ljunggren G. Oral status, cognitive and functional capacity versus oral treatment need in nursing home residents: a comparison between assessments by dental and ward staff. Oral Dis 2002; 8: 296-302.
15. Young BC, Murray CA, Thomson J. Care home staff knowledge of oral care compared to best practice: a West of Scotland pilot study. Br Dent J 2008; 205: 450-451.
16. Kirkevold [script phi], Engedal K. The quality of care in Norwegian nursing homes. Scand J Caring Sci 2006; 20: 177-183.
17. Kirkevold [script phi], Engedal K. Quality of care in Norwegian nursing homes - deficiencies and their correlates. Scand J Caring Sci 2008; 22: 560-567.
18. Lovdata (Norwegian Laws). http://www.ub.uio.no/cgi-bin/uju...- ouverture dans une nouvelle fenêtre (accessed 28 December 2010).
19. Howarth H. Mouth care procedures for the very ill. Nurs Times 1977; 73: 35-45.
20. Longhurst RH. A cross-sectional study of the oral healthcare instruction given to nurses during their basic training. Br Dent J 1998; 184: 453-457.
21. Frenkel H, Harvey I, Newcombe RG. Improving oral health in institutionalised elderly people by educating caregivers: a randomised controlled trial. Community Dent Oral Epidemiol 2001; 29: 289-297.
22. Forsell M, Kullberg E, Hoogstraate J, et al. An evidence-based oral hygiene education program for nursing staff. Nurse Educ Pract 2011; 11: 256-259.
23. Samson H, Iversen MM, Strand GV. Oral care training in the basic education of care professionals. Gerodontology 2010; 27: 121-128.
24. Henriksen BM, Ambj[phi]rnsen E, Axell TE. Evaluation of a mucosal-plaque index (MPS) designed to assess oral care in groups of elderly. Spec Care Dentist 1999; 19: 154-157.
25. Paulsson G, Fridlund B, Holmen A, et al. Evaluation of an oral health education program for nursing personnel in special housing facilities for the elderly. Spec Care Dentist 1998; 18: 234-242.
26. Wardh I, Paulsson G, Fridlund B. Nursing staff's understanding of oral health care for patients with cancer diagnoses: an intervention study. J Clin Nurs 2009; 18: 799-806.
27. Statistics Norway. http://statbank.ssb.no/statistik...- ouverture dans une nouvelle fenêtre (accessed 16 December 2010).
28. Wardh I, Andersson L, Sorensen S. Staff attitudes to oral health care. A comparative study of registered nurses, nursing assistants and home care aides. Gerodontology 1997; 14: 28-32.
29. Andersson K, Furhoff AK, Nordenram G, et al. 'Oral health is not my department'. Perceptions of elderly patients' oral health by general medical practitioners in primary health care centres: a qualitative interview study. Scand J Caring Sci 2007; 21: 126-133.
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Language: | English.
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Document Type: | Original Articles.
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Journal Subset: | Clinical Medicine. Health Professions.
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ISSN: | 0734-0664
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DOI Number: | https://dx.doi.org/10.1111/j.174...- ouverture dans une nouvelle fenêtre
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