Nitschke Ina, Ramm Claudia, Schrock Annett
Klinik für Alters- und Behindertenzahnmedizin, Universität Zürich, Plattenstr. 15, 8032, Zürich, Schweiz,
Z Gerontol Geriatr. 2015 Aug;48(6):550-6. doi: 10.1007/s00391-014-0831-6. Epub 2014 Dec 2.
The complexity of dental care and oral hygiene for people with dementia increases with increasing numbers of residual teeth.
This study was carried out to determine whether the offer of a telephone helpline on oral health and dementia would be utilized.
Over a period of 1 year contacts received by a telephone helpline manned by three oral healthcare staff were collected and analyzed.
From 01 June 2012 to 31 May 2013 a total of 355 callers (180 healthcare staff and 175 relatives) presented and discussed 2535 problems. The average duration of a call was 21 min. Almost one quarter of the callers were looking for mobile dental care services and 14.4 % were looking for a dentist specialized in caring for patients with dementia. Oral disease, oral care and conflicts between stakeholders on aspects of oral health were discussed. Of the healthcare staff three quarters asked about training to improve the oral health of people with dementia.
The demand on the specialists of the helpline showed a substantial knowledge deficit of healthcare staff and relatives. The study confirmed a wide range of oral health issues of people with dementia. Knowledge on oral and denture hygiene and on oral disease could be introduced into primary training and continued professional education. In addition to the lack of knowledge, deficits also exist in the oral healthcare system for people with dementia. Politicians and healthcare stakeholders are encouraged to incorporate oral healthcare for people with dementia into strategies and dementia networks.
痴呆症患者的牙齿护理和口腔卫生复杂性会随着残牙数量的增加而上升。
开展本研究以确定口腔健康与痴呆症方面的电话求助热线是否会被使用。
在1年的时间里,收集并分析了由三名口腔医护人员值守的电话求助热线接到的咨询。
2012年6月1日至2013年5月31日,共有355名来电者(180名医护人员和175名亲属)咨询并讨论了2535个问题。平均通话时长为21分钟。近四分之一的来电者在寻找流动牙科护理服务,14.4%的来电者在寻找专门护理痴呆症患者的牙医。讨论了口腔疾病、口腔护理以及利益相关者在口腔健康方面的冲突。在医护人员中,四分之三的人询问了改善痴呆症患者口腔健康的培训。
对求助热线专家的需求表明医护人员和亲属存在大量知识欠缺。该研究证实了痴呆症患者存在广泛的口腔健康问题。口腔和假牙卫生以及口腔疾病方面的知识可纳入初级培训和继续职业教育。除了知识欠缺外,痴呆症患者的口腔医疗保健系统也存在不足。鼓励政界人士和医疗保健利益相关者将痴呆症患者的口腔医疗保健纳入战略和痴呆症网络。