Wårdh Inger M, Wikström Maude B
Department of Dental Medicine, Gerodontics, Karolinska Institute, Huddinge, Sweden.
Spec Care Dentist. 2014 Mar-Apr;34(2):64-9. doi: 10.1111/scd.12009. Epub 2013 Jan 8.
The oral health status of elderly dependent residents is reported to be poor, as well as difficult to describe. Analysis of oral microbial flora has been suggested as a suitable measurement method. Oral care aides have been shown to have a positive influence on oral health care in nursing. The outcome of an intervention with oral care aides was followed during a two-year period by recording: (a) the proportion of opportunistic microorganisms and bacteria associated with caries (b) whether oral hygiene assistance were given to the residents or not, and (c) individual experiences concerning oral health care among the staff involved. The oral flora and the amount of oral hygiene assistance improved throughout the entire study period, but staff interviews revealed that it took two years for good cooperation and prophylactic routines to be established. An unexpected finding was the positive correlation (p = .0005) between a high proportion of the opportunistic microorganisms and death within one year.
据报道，老年依赖型居民的口腔健康状况较差，且难以描述。有人建议将口腔微生物菌群分析作为一种合适的测量方法。口腔护理助手已被证明对护理中的口腔保健有积极影响。在两年期间，通过记录以下内容跟踪口腔护理助手干预的结果：(a) 与龋齿相关的机会性微生物和细菌的比例；(b) 是否为居民提供了口腔卫生协助；(c) 参与其中的工作人员对口腔保健的个人体验。在整个研究期间，口腔菌群和口腔卫生协助的量都有所改善，但工作人员访谈显示，建立良好的合作和预防常规需要两年时间。一个意外发现是，机会性微生物比例高与一年内死亡之间存在正相关（p = 0.0005）。
