Kim Eun-Kyong, Park Eun Young, Sa Gong Jung-Whan, Jang Sung-Ho, Choi Youn-Hee, Lee Hee-Kyung
a Department of Dental Hygiene, College of Science & Technology , Kyungpook National University , Daegu , Korea.
b Department of Dentistry , College of Medicine, Yeungnam University , Daegu , Korea.
Disabil Rehabil. 2017 Nov;39(22):2324-2329. doi: 10.1080/09638288.2016.1226970. Epub 2016 Sep 15.
Because the oral hygiene is poorly prioritized in the immediate post-stroke period, we implemented an oral hygiene care program (OHCP) for stroke in-patients and evaluated its persistence after discharge.
In all, 62 patients with stroke who were admitted to the rehabilitation ward were randomly assigned to two groups: 33 patients to the intervention group and 29 to the control group. The OHCP, including tooth brushing education and professional tooth cleaning, was administered to the intervention group twice a week six times during in-hospital rehabilitation. Oral health status was examined both at baseline and three months after discharge from the hospital. Oral hygiene status was examined at three- to four-day intervals five times during the hospitalization period.
After OHCP, oral hygiene status including the plaque index, calculus index, and O'Leary plaque index improved significantly in the intervention group, compared to the control group (p < 0.05). In the intervention group, after administration of the OHCP for the fourth time, the O'Leary index improved significantly, and remained high when checked three months after discharge (p < 0.001).
An OHCP conducted during in-hospital rehabilitation was effective in improving oral health and plaque control performance among patients with stroke, with effects still seen three months after discharge from the hospital. Implications for Rehabilitation Initial oral hygiene status and plaque control performance were poor in stroke patients who were in rehabilitation center. An oral hygiene care program during in-hospital rehabilitation was effective in improving oral hygiene status and plaque control performance among stroke patients at three months after discharge. Repeated tooth brushing education and professional tooth cleaning were necessary to improve plaque control performance of stroke patients.
由于在卒中后急性期口腔卫生未得到足够重视，我们为卒中住院患者实施了一项口腔卫生护理计划（OHCP），并评估了出院后该计划的持续性。
共有62名入住康复病房的卒中患者被随机分为两组：33名患者为干预组，29名患者为对照组。干预组在住院康复期间每周接受两次OHCP，包括刷牙教育和专业牙齿清洁，共进行6次。在基线时以及出院后3个月检查口腔健康状况。在住院期间每隔三到四天检查一次口腔卫生状况，共检查5次。
与对照组相比，OHCP实施后，干预组的口腔卫生状况，包括菌斑指数、牙石指数和奥利里菌斑指数均有显著改善（p < 0.05）。在干预组中，第四次实施OHCP后，奥利里指数显著改善，出院后三个月检查时仍保持较高水平（p < 0.001）。
在住院康复期间实施的OHCP对改善卒中患者的口腔健康和菌斑控制效果显著，出院后三个月仍可见效。对康复的启示：康复中心的卒中患者初始口腔卫生状况和菌斑控制效果较差。住院康复期间的口腔卫生护理计划对改善卒中患者出院后三个月的口腔卫生状况和菌斑控制效果显著。反复进行刷牙教育和专业牙齿清洁对于提高卒中患者的菌斑控制效果是必要的。
