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急性病住院患者的口腔状况和口腔保健需求。

Oral status and the need for oral health care among patients hospitalised with acute medical conditions.

机构信息

Gentofte University Hospital, House of Research, Copenhagen, Denmark.

出版信息

J Clin Nurs. 2012 Oct;21(19-20):2851-9. doi: 10.1111/j.1365-2702.2012.04197.x. Epub 2012 Aug 21.

DOI:10.1111/j.1365-2702.2012.04197.x
PMID:22905928
Abstract

AIMS AND OBJECTIVES

To investigate the prevalence of oral health problems in patients hospitalised with acute medical conditions.

BACKGROUND

Increases in our knowledge of oral health and its effects on overall well-being have helped us elucidate the relationship between oral health, disease and treatment. Currently, little is known regarding the number of patients requiring oral care at the time of hospitalisation.

DESIGN

This was a cross-sectional study that assessed patients hospitalised with acute medical conditions using the Revised Oral Assessment Guide (ROAG).

METHODS

The ROAG was translated into Danish, and three experienced nurses performed the assessments. A visual guide was used to calibrate the assessments. The data were analysed with spss to determine the percentage of participants who exhibited specific clinical characteristics.

RESULTS

Ninety-one per cent of the newly admitted patients in this study had one or more oral health problems. Common oral problems, listed in order of the most frequent first, included the following: local plaque or debris, decayed teeth or damaged dentures and dryness and/or changes in the colour of the tongue. There was a correlation between age and the number of oral health problems.

CONCLUSIONS

In this study, oral health was severely affected at the time that patients were hospitalised for acute medical issues.

RELEVANCE TO CLINICAL PRACTICE

Highlights the need for standardised oral health assessments of acutely hospitalised patients, which should begin as soon as the patient's condition allows. Without these oral health assessments, a number of oral problems may not be detected and may increase in severity.

摘要

目的和目标

调查患有急性内科疾病的住院患者的口腔健康问题的流行情况。

背景

我们对口腔健康及其对整体健康的影响的认识不断提高,有助于阐明口腔健康、疾病和治疗之间的关系。目前,对于住院时需要口腔护理的患者数量知之甚少。

设计

这是一项横断面研究,使用修订后的口腔评估指南(ROAG)评估患有急性内科疾病的住院患者。

方法

ROAG 被翻译成丹麦语,由三名经验丰富的护士进行评估。使用视觉指南来校准评估。使用 spss 分析数据,以确定表现出特定临床特征的参与者的百分比。

结果

在这项研究中,91%的新入院患者有一个或多个口腔健康问题。常见的口腔问题按最常见的顺序列出,包括以下内容:局部菌斑或碎屑、龋齿或损坏的义齿以及干燥和/或舌色变化。年龄与口腔健康问题的数量之间存在相关性。

结论

在这项研究中,患者因急性内科问题住院时口腔健康受到严重影响。

临床相关性

强调需要对急性住院患者进行标准化的口腔健康评估,应在患者病情允许时尽快进行。如果不进行这些口腔健康评估,一些口腔问题可能不会被发现,并可能加重。

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