Salmi Riikka, Tolvanen Mimmi, Suhonen Riitta, Lahti Satu, Närhi Timo
Department of Prosthetic Dentistry and Stomatognathic Physiology, University of Turku, Turku, Finland.
Department of Community Dentistry, University of Turku, Turku, Finland.
Scand J Caring Sci. 2018 Dec;32(4):1342-1347. doi: 10.1111/scs.12579. Epub 2018 Apr 25.
Increasing number of older adults lives in their own homes, but needs help in many daily routines. Domiciliary care nursing staff (DCNS) is often needed to support oral home care. However, information of nursing staff's knowledge, skills and activity in this task is sparse.
The study aimed to assess DCNS knowledge, perceived skills and activities to support oral home care of older domiciliary care clients.
The study was conducted among DCNS in one of the largest cities in Finland. All DCNS members (n = 465) received a questionnaire with 14 multiple choice and open questions regarding the perceived skills, knowledge and activities of oral health guidance of older domiciliary care clients. In total, 115 (25%) DCNS members returned the questionnaires. Frequencies, percentages, means and standard deviations were used to describe the samples and study variables. DCNS was categorised according to age and working years for group comparisons, which were assessed with chi-squared test.
Knowledge concerning oral health was mostly on a high level. Around 50% of DCNS considered their knowledge regarding dental prosthesis hygiene as sufficient. Of the DCNS, 67% informed that they had received education on oral health care. However, over 50% of the DCNS had a need for further education in issues related to oral home care. DCNS were active in supporting most oral and prosthesis hygiene means, yet less in guidance concerning toothbrushing. Activity to support cleaning the interdental spaces was the weakest, in which only 12% of the respondents considered having average or excellent skills. Younger DCNS had better knowledge on oral home care due to recent education, but older staff members were more skilful in performing oral hygiene measures.
There is a need for structured instructions and training on oral home care for DCNS. Oral home care should be taken into account more often and regularly.
越来越多的老年人居住在自己家中，但在许多日常事务中需要帮助。通常需要居家护理护理人员（DCNS）来支持口腔居家护理。然而，关于护理人员在这项任务中的知识、技能和活动的信息却很稀少。
本研究旨在评估DCNS在支持老年居家护理客户口腔居家护理方面的知识、感知技能和活动。
该研究在芬兰最大的城市之一对DCNS进行。所有DCNS成员（n = 465）都收到了一份问卷，其中包含14个关于老年居家护理客户口腔健康指导的感知技能、知识和活动的多项选择题和开放式问题。总共有115名（25%）DCNS成员返回了问卷。使用频率、百分比、均值和标准差来描述样本和研究变量。根据年龄和工作年限对DCNS进行分类以进行组间比较，采用卡方检验进行评估。
关于口腔健康的知识大多处于较高水平。约50%的DCNS认为他们关于假牙卫生的知识足够。在DCNS中，67%表示他们接受过口腔保健教育。然而，超过50%的DCNS需要在与口腔居家护理相关的问题上接受进一步教育。DCNS积极支持大多数口腔和假牙卫生手段，但在刷牙指导方面做得较少。支持清洁牙间隙的活动最为薄弱，只有12%的受访者认为自己在这方面有中等或优秀的技能。由于最近接受了教育，年轻的DCNS在口腔居家护理方面有更好的知识，但年长的工作人员在执行口腔卫生措施方面更熟练。
需要为DCNS提供关于口腔居家护理的结构化指导和培训。应更频繁、定期地考虑口腔居家护理。
