School of Dentistry, University of Western Australia, Perth, Western Australia, Australia.
Int J Ment Health Nurs. 2018 Feb;27(1):178-186. doi: 10.1111/inm.12307. Epub 2017 Mar 27.
The association between oral health, self-esteem and quality of life is well established yet there is limited research on the impact of addressing the poor oral health of people living with mental health disorders. Greater consideration is warranted on how enhancing oral health in the course of mental healthcare might reduce the burden of a person's ill health. The role of mental health professionals is important in this regard yet uncertainty persists about the role these providers can and should play in promoting oral health care for people with mental health disorders. This qualitative study explored the issue of oral health and mental health with community based mental health professionals in Perth, Western Australia. It examined their views on the oral health status and experiences of their clients, and the different and alternative ways to improve access to care, knowledge and preventative regimens. Findings indicated participants' ambivalence, reluctance and lack of training in raising oral health issues, despite its acknowledged importance, indicating a siloed approach to care. Findings offer an opportunity to reflect on whether a more integrated approach to oral health care for people with mental health disorders would improve health outcomes.
口腔健康、自尊和生活质量之间的关系已得到充分证实,但关于解决心理健康障碍患者口腔健康状况不佳的影响的研究有限。在精神保健过程中加强口腔健康如何减轻人们健康状况不佳的负担,这方面需要更多的考虑。心理健康专业人员在这方面的作用很重要,但对于这些提供者在促进精神健康障碍患者的口腔保健方面可以发挥的作用和应该发挥的作用仍然存在不确定性。这项定性研究探讨了西澳大利亚州珀斯社区心理健康专业人员的口腔健康和心理健康问题,研究了他们对客户口腔健康状况和体验的看法,以及改善获得护理、知识和预防方案的不同和替代方法。研究结果表明,尽管认识到其重要性,但参与者在提出口腔健康问题方面存在矛盾心理、不情愿和缺乏培训,这表明护理方法是孤立的。研究结果提供了一个机会来反思,对于精神健康障碍患者的口腔保健采取更综合的方法是否会改善健康结果。