School of Nursing, College of Health and Human Development, University Park, PA, USA.
Geriatr Nurs. 2011 Nov-Dec;32(6):439-46. doi: 10.1016/j.gerinurse.2011.09.002. Epub 2011 Nov 4.
The majority of nursing home residents require assistance with activities of daily living, including oral care. Poor oral health is common in the nursing home because residents are not given appropriate assistance to support this aspect of their care. The purpose of this study was to describe the demographic, functional, and behavioral profile of nursing home residents with dementia who require verbal or physical assistance with mouth care. Residents who required verbal support to complete mouth care exhibited higher levels of physical function, higher levels of cognitive functioning in the domains of language and executive function, lower levels of passivity, and higher scores for the personality trait of openness than residents who required physical assistance. Best practices for implementing verbal and physical assistance during mouth care to persons with dementia are presented on the basis of these profiles.
大多数养老院居民需要日常生活活动的帮助,包括口腔护理。养老院中常见口腔健康状况不佳,因为居民没有得到适当的帮助来支持他们的这方面护理。本研究的目的是描述需要口头或身体帮助进行口腔护理的痴呆养老院居民的人口统计学、功能和行为特征。需要口头支持才能完成口腔护理的居民表现出更高的身体功能水平、更高的语言和执行功能领域的认知功能水平、更低的被动性水平,以及更高的开放性人格特质得分,而需要身体协助进行口腔护理的居民则表现出更低的身体功能水平、更低的语言和执行功能领域的认知功能水平、更高的被动性水平,以及更低的开放性人格特质得分。根据这些特征,提出了在为痴呆症患者进行口腔护理时实施口头和身体协助的最佳实践。