Webb Bettine C, Whittle Terry, Schwarz Eli
Faculty of Dentistry, The University of Sydney, Sydney, NSW, Australia.
Gerodontology. 2013 Sep;30(3):226-31. doi: 10.1111/j.1741-2358.2012.00670.x. Epub 2012 May 21.
To ascertain the Directors of Nursing (DONs) perception of the provision of dental care and the difficulties in oral health maintenance for residents in New South Wales (NSW) aged care facilities (ACFs).
There were no specific figures relating to DONs' perceptions of oral health needs and dental care nor obstructions to dental care of residents.
A total of 414 questionnaires, encoded for confidentiality, were posted to all DONs of ACFs in NSW and the data analysed.
Questionnaires were returned from 255 ACFs (response rate 61.6%) representing 16 861 residents with a male-to-female ratio of 1:3.45. Of these residents, 48% had a dental assessment on admission by qualified dental staff. In 74.2% of facilities, no regular visits by dental staff took place, and 58.6% considered the perceived unwillingness of dental professionals to visit residents a barrier to good oral health. DONs reported that 53.6% of residents had dentures only, while 18.3% had natural teeth only. The most frequent difficulties reported by staff were residents' use of abusive language (78.2%) and residents refusing to open mouth (60.9%).
Lack of involvement of dental professionals in admission assessment and in ongoing programmes was of concern to DONs in ACFs.
确定新南威尔士州（NSW）老年护理机构（ACF）的护理主任（DON）对提供牙科护理的看法以及居民口腔健康维护方面的困难。
没有关于护理主任对口腔健康需求和牙科护理看法的具体数据，也没有关于居民牙科护理障碍的数据。
总共414份编码以确保保密性的问卷被寄给新南威尔士州老年护理机构的所有护理主任，并对数据进行了分析。
255家老年护理机构返回了问卷（回复率61.6%），代表16861名居民，男女比例为1:3.45。在这些居民中，48%在入院时由合格的牙科工作人员进行了牙科评估。在74.2%的机构中，牙科工作人员没有定期来访，58.6%的机构认为牙科专业人员不愿意看望居民是良好口腔健康的障碍。护理主任报告说，53.6%的居民只有假牙，而18.3%的居民只有天然牙。工作人员报告的最常见困难是居民使用辱骂性语言（78.2%）和居民拒绝张嘴（60.9%）。
牙科专业人员未参与入院评估和持续项目，这是老年护理机构护理主任所关注的问题。
