BENECOMO, Flemish-Netherlands Geriatric Oral Research Group, Ghent, Belgium.
BENECOMO, Flemish-Netherlands Geriatric Oral Research Group, Nijmegen, The Netherlands.
Clin Oral Investig. 2018 Jan;22(1):281-292. doi: 10.1007/s00784-017-2110-6. Epub 2017 Apr 3.
The objective of the study was to evaluate the effect of an oral healthcare programme in nursing homes on care staff knowledge and attitude regarding oral health.
The study sample consisted of the nurses and nurses' aides from 63 nursing homes, which either received an oral healthcare programme including mobile dental care or were on a waiting list to receive this programme. A validated questionnaire completed at baseline and again after the study period assessed the care staff knowledge and attitude. Paired t test, independent t test, general linear and linear mixed models were used to examine the changes in attitude and knowledge scores.
In total, 546 questionnaires were completed by the same people from 36 nursing homes at baseline and on completion of the study. After the intervention period, knowledge significantly improved in both study groups (I p < 0.001; C p < 0.001), the intervention group significantly showing the largest increase (p < 0.001). The outcome variable attitude only showed a significant improvement in the intervention group (p < 0.001). The mixed models confirmed the impact of some aspects of the intervention on the attitude and the knowledge of the caregivers.
The oral healthcare programme including a mobile dental team resulted in a significant increase of the care staff knowledge and attitude regarding oral health.
The integration of a dental professional team in nursing home organisations should be encouraged because it could be valuable to tackle barriers for the provision of daily oral hygiene and to support the continuous integration of oral health care into general care.
本研究旨在评估养老院口腔保健计划对护理人员口腔健康知识和态度的影响。
研究样本由来自 63 家养老院的护士和护士助理组成，这些养老院要么接受了包括移动牙科护理在内的口腔保健计划，要么正在等待接受该计划。在基线和研究期结束时，使用经过验证的问卷评估护理人员的知识和态度。采用配对 t 检验、独立 t 检验、广义线性和线性混合模型来检验态度和知识得分的变化。
共有 36 家养老院的 546 名护理人员在基线和研究结束时完成了相同的问卷。干预后，两组的知识都显著提高（I 组 p<0.001；C 组 p<0.001），干预组的增长最大（p<0.001）。态度这一因变量仅在干预组中显示出显著改善（p<0.001）。混合模型证实了干预的某些方面对护理人员的态度和知识产生了影响。
包括移动牙科团队在内的口腔保健计划显著提高了护理人员的口腔健康知识和态度。
应鼓励将牙科专业团队纳入养老院组织，因为这可能有助于解决日常口腔卫生护理的障碍，并支持将口腔保健不断纳入常规护理。
