Webb Bettine C, Whittle Terry, Schwarz Eli
Faculty of Dentistry, The University of Sydney, Westmead, NSW, Australia.
School of Dentistry, Oregon Health & Science University, Portland, OR, USA.
Gerodontology. 2015 Dec;32(4):254-9. doi: 10.1111/ger.12103. Epub 2013 Dec 12.
To investigate carers' perception of the provision of dental care in aged care facilities (ACFs) New South Wales (NSW), Australia.
Carers are responsible for 'hands-on, day-to-day' care of residents, including dental care, yet there were no specific figures available concerning their role in NSW ACFs.
Questionnaires were mailed to 406 NSW directors of nursing (DONs) requesting completion by a carer who was proficient in English and without the influence of the DON. The 23-item questionnaire was presented in 4 sections, and the data qualitatively analysed.
211 questionnaires were completed and returned, giving a response rate of 52%. Carers were mostly female (91.9%) in the 40-50 and >50 age groups. Oral health training had been received by 66.7% of carers, and although 73.2% thought that their training was adequate, carers in general requested further training. Long waiting periods for government dental services (69.4%) and resident unable to communicate oral health problems (69.2%) were seen as the most frequent barriers to dental care. Almost all carers reported the availability of electric tooth brushes, fluoride gel, disclosing tablets/gel, interdental brushes and the use of a foam mouth prop, while few reported the use of other dental care products.
As carers provided almost all of oral health care for residents, emphasis should be placed on training in geriatric dental care techniques and use of dental products.
调查澳大利亚新南威尔士州老年护理机构(ACF)中护理人员对提供牙科护理的看法。
护理人员负责居民的“实际日常”护理,包括牙科护理,但在新南威尔士州的老年护理机构中,关于他们的作用没有具体数据。
向406名新南威尔士州的护理主任(DON)邮寄问卷,要求由精通英语且不受护理主任影响的护理人员填写。这份包含23个条目的问卷分为4个部分,并对数据进行了定性分析。
共收回211份问卷,回复率为52%。护理人员大多为40至50岁及50岁以上的女性(91.9%)。66.7%的护理人员接受过口腔健康培训,尽管73.2%的人认为他们的培训足够,但护理人员总体上仍要求进一步培训。政府牙科服务等待时间长(69.4%)和居民无法表达口腔健康问题(69.2%)被视为牙科护理最常见的障碍。几乎所有护理人员都报告有电动牙刷、氟化物凝胶、示踪片/凝胶、牙间隙刷以及泡沫口腔支撑物可供使用,而很少有人报告使用其他牙科护理产品。
由于护理人员几乎为居民提供了所有口腔健康护理,应重视老年牙科护理技术培训和牙科产品的使用。