Khokhar Waqqas Ahmad, Clifton Andrew, Jones Hannah, Tosh Graeme
Bradgate Mental Health Unit, Glenfield General Hospital, Leicestershire Partnership Trust, Leicester, UK.
Cochrane Database Syst Rev. 2011 Nov 9(11):CD008802. doi: 10.1002/14651858.CD008802.pub2.
People with serious mental illness experience an erosion of functioning in day-to-day life over a protracted period of time. There is also evidence to suggest that people with serious mental illness have a greater risk of experiencing oral disease and have greater oral treatment needs than the general population. However, oral health has never been seen as a priority in people suffering with serious mental illness. Poor oral health has a serious impact on quality of life, everyday functioning, social inclusion and self-esteem. We feel that oral healthcare advice could have a positive impact on this disadvantaged population.
To assess the effectiveness of oral health advice in reducing morbidity, mortality and preserving the quality of life in people with serious mental illness.
We searched the Cochrane Schizophrenia Group Trials Register (October 2009) which is based on regular searches of CENTRAL, MEDLINE, EMBASE, CINAHL and PsycINFO.
We planned to include all randomised clinical trials focusing on oral health advice versus standard care or comparing oral health advice with other more focused methods of delivering care or information.
The review authors (GT, AC, WK) independently screened search results and did not identify any studies that fulfilled the review's criteria.
We did not identify any studies that met our inclusion criteria.
AUTHORS' CONCLUSIONS: Healthcare professionals should be more proactive in liaising with oral health professionals in developing novel ways to cater for the needs of people with serious mental illness.
患有严重精神疾病的人在较长一段时间内日常生活功能会逐渐受损。也有证据表明,与普通人群相比,患有严重精神疾病的人患口腔疾病的风险更高,口腔治疗需求也更大。然而,口腔健康在患有严重精神疾病的人群中从未被视为优先事项。口腔健康状况不佳会对生活质量、日常功能、社会融入和自尊产生严重影响。我们认为口腔保健建议可能会对这一弱势群体产生积极影响。
评估口腔健康建议在降低患有严重精神疾病的人的发病率、死亡率和维持生活质量方面的有效性。
我们检索了Cochrane精神分裂症组试验注册库(2009年10月),该注册库基于对CENTRAL、MEDLINE、EMBASE、CINAHL和PsycINFO的定期检索。
我们计划纳入所有聚焦于口腔健康建议与标准护理对比,或比较口腔健康建议与其他更具针对性的护理或信息提供方法的随机临床试验。
综述作者(GT、AC、WK)独立筛选检索结果,未发现任何符合综述标准的研究。
我们未发现任何符合纳入标准的研究。
医疗保健专业人员应更积极地与口腔健康专业人员联络,以开发新方法来满足患有严重精神疾病的人的需求。