Chadwick Darren, Chapman Melanie, Davies Gill
Faculty of Education, Health & Wellbeing, The University of Wolverhampton, Wolverhampton, UK.
Community Adult Learning Disability Services, Manchester University NHS Foundation Trust, Manchester, UK.
J Appl Res Intellect Disabil. 2018 May;31(3):379-394. doi: 10.1111/jar.12415. Epub 2017 Oct 17.
BACKGROUND/PURPOSE: Accessing oral health care can be more difficult for adults with intellectual disabilities with reports of poorer levels of oral health. This investigation identifies factors influencing engagement in day-to-day oral and dental health care for adults with intellectual disabilities.
A survey, containing questions about facilitators and barriers to maintaining oral health and hygiene, was completed with adults with intellectual disabilities and their caregivers (N = 372).
Data were analysed using thematic network analysis. Two global themes were identified; "Personal and lifestyle influences," mentioned more often as barriers to oral care, included physical, sensory, cognitive, behavioural and affective factors and "social and environmental factors," mentioned more as facilitators, included caregiver support, equipment and adaptations used and oral hygiene routine.
Numerous individual, social and environmental factors influence oral care. A coordinated organisational response is advocated involving collaboration between dental and intellectual disability services and training for caregivers and people with intellectual disabilities.
背景/目的：据报道，智障成年人的口腔健康水平较差，他们获得口腔保健服务可能更加困难。本调查确定了影响智障成年人日常口腔和牙齿保健参与度的因素。
对智障成年人及其照顾者（N = 372）进行了一项调查，其中包含有关维持口腔健康和卫生的促进因素和障碍的问题。
使用主题网络分析法对数据进行了分析。确定了两个总体主题；“个人和生活方式影响”，更多地被提及为口腔护理的障碍，包括身体、感官、认知、行为和情感因素；“社会和环境因素”，更多地被提及为促进因素，包括照顾者支持、使用的设备和适应性措施以及口腔卫生习惯。
许多个人、社会和环境因素影响口腔护理。提倡采取协调一致的组织应对措施，包括牙科和智障服务之间的合作以及对照顾者和智障人士的培训。
