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日本一家医院护士在为老年患者进行口腔健康检查时的做法、态度和信心

Practices, Attitudes, and Confidence of Nurses in the Performance of Oral Health Checkups for Elderly Patients in a Japanese Hospital.

作者信息

Haresaku Satoru, Aoki Hisae, Makino Michiko, Monji Mayumi, Kansui Akino, Kubota Keiko, Kuroki Madoka, Naito Toru

出版信息

Oral Health Prev Dent. 2018;16(6):517-524. doi: 10.3290/j.ohpd.a41657.

Abstract

PURPOSE

To investigate the practices, attitudes, and confidence of nurses in the performance of oral health checkups in order to develop an educational oral health checkup training programme for nurses.

MATERIALS AND METHODS

A cross-sectional questionnaire survey was distributed to nurses (n = 184) who worked in a hospital and an affiliated long-term care facility in Japan from September to October in 2016. The questionnaire survey investigated their practices, attitudes and confidence in the performance of oral health checkups for elderly patients who were in their care and the factors that were associated with the performance of oral health checkups.

RESULTS

A total of 143 (77.7%) nurses participated in this study. Almost half (51.7%) performed oral health checkups for elderly patients. More than 60% examined the lip, tongue and tongue coating, gingiva and oral mucosa, and oral cleanliness; however only 32.4% examined the present teeth and 8.1% examined the saliva. Approximately 90% of the nurses felt that all health professionals should perform oral health checkups for elderly patients who were in their care. Their confidence of the oral examination was statistically significantly associated with their performance of oral health checkups for elderly patients.

CONCLUSIONS

This is the first survey to investigate the practices, attitudes, and confidence of nurses in the performance of oral health checkups. These findings will contribute to the development of a training programme for nurses who perform oral health checkups in elderly patients.

摘要

目的

调查护士在进行口腔健康检查方面的实践、态度和信心,以便为护士制定口腔健康检查培训教育计划。

材料与方法

2016年9月至10月,对在日本一家医院及附属长期护理机构工作的护士(n = 184)进行了横断面问卷调查。该问卷调查了她们对所护理老年患者进行口腔健康检查的实践、态度和信心,以及与口腔健康检查执行情况相关的因素。

结果

共有143名(77.7%)护士参与了本研究。近半数(51.7%)为老年患者进行口腔健康检查。超过60%的护士检查了嘴唇、舌头及舌苔、牙龈和口腔黏膜以及口腔清洁情况;然而,只有32.4%的护士检查了现有牙齿,8.1%的护士检查了唾液。约90%的护士认为所有医护人员都应为所护理的老年患者进行口腔健康检查。她们的口腔检查信心与为老年患者进行口腔健康检查的实践在统计学上显著相关。

结论

这是首次调查护士在进行口腔健康检查方面的实践、态度和信心的研究。这些发现将有助于为对老年患者进行口腔健康检查的护士制定培训计划。

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