Faculty of Dentistry, University of Chile - Service of Health Information Systems, Agència de Salut Pública de Barcelona, Barcelona, Spain.
Med Oral Patol Oral Cir Bucal. 2013 Jul 1;18(4):e641-9. doi: 10.4317/medoral.18767.
To describe the frequency of brushing teeth and cleaning of dentures, performed by caregivers, for institutionalized elderly people.
A cross-sectional study in a sample of 196 caregivers of 31 health centers in Barcelona. The dependent variables were frequency of dental brushing and frequency of cleaning of dentures of the elderly by caregivers. The independent variables were characteristics of caregivers and institutions. We performed bivariate and multivariate descriptive analyses. Robust Poisson regression models were fitted to determine factors associated with the dependent variables and to assess the strength of the association.
83% of caregivers were women, 79% worked on more than one shift, 42% worked only out of necessity, 92% were trained to care for elderly persons, 67% were trained in oral hygiene care for the elderly, and 73% recognized the existence of institutional protocols on oral health among residents. The variables explaining the lower frequency of brushing teeth by caregivers for the elderly, adjusted for the workload, were: no training in the care of elderly persons (PRa 1.7 CI95%: 1.6-1.8), not fully agreeing with the importance of oral health care of the elderly (PRa 2.5 CI95%: 1.5-4.1) and not knowing of the existence of oral health protocols (PRa 1.8 CI95% 1.2-2.6). The variables that explain the lower frequency of cleaning dentures, adjusted for the workload, were lack of training in elderly care (PRa 1.7 CI95%: 1.3-1.9) and not knowing of the existence of protocols (PRa 3.7 CI95%: 1.6-8.7).
The majority of caregivers perform activities of oral health care for the elderly at least once per day. The frequency of this care depends mainly on whether caregivers are trained to perform these activities, the importance given to oral health, the workload of caregivers and the existence of institutional protocols on oral health of institutionalized elderly persons.
描述照顾者为机构内老年人刷牙和清洁假牙的频率。
这是一项在巴塞罗那 31 个卫生中心的 196 名照顾者样本中进行的横断面研究。依赖变量为照顾者为老年人刷牙的频率和清洁假牙的频率。独立变量为照顾者和机构的特征。我们进行了双变量和多变量描述性分析。拟合稳健泊松回归模型，以确定与依赖变量相关的因素，并评估关联的强度。
83%的照顾者为女性，79%的人轮班工作，42%的人只是出于需要而工作，92%的人接受过照顾老年人的培训，67%的人接受过老年人口腔卫生护理培训，73%的人承认居民的口腔健康存在机构协议。在调整工作量后，解释照顾者为老年人刷牙频率较低的变量有：未接受过老年人护理培训（PRa 1.7 CI95%：1.6-1.8）、不完全认同老年人口腔保健的重要性（PRa 2.5 CI95%：1.5-4.1）和不知道口腔健康协议的存在（PRa 1.8 CI95% 1.2-2.6）。在调整工作量后，解释照顾者清洁假牙频率较低的变量有：缺乏老年人护理培训（PRa 1.7 CI95%：1.3-1.9）和不知道协议的存在（PRa 3.7 CI95%：1.6-8.7）。
大多数照顾者每天至少为老年人进行一次口腔保健活动。这种护理的频率主要取决于照顾者是否接受过执行这些活动的培训、对口腔健康的重视程度、照顾者的工作量以及机构内老年人口腔健康协议的存在。
