Department of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan; School of Nursing, Chung Shan Medical University, Taichung, Taiwan.
Center for Geriatrics and Gerontology, Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan; Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
Appl Nurs Res. 2019 Apr;46:1-7. doi: 10.1016/j.apnr.2018.12.008. Epub 2018 Dec 28.
The purpose of this pilot study was to evaluate the effects of the Bass brushing method on dental plaque and pneumonia in older adults hospitalized with pneumonia after discharge.
Poor oral hygiene may lead to pneumonia. Complications of pneumonia in older adults can be life-threatening during hospitalization and after discharge.
Older adults hospitalized with pneumonia (n = 30) were randomly assigned to intervention (with the Bass brushing method; n = 15) or control (with usual care; n = 15) groups. Dental plaque index and pneumonia as detected on chest x-rays were evaluated prior to the intervention (baseline) and every month for six months after discharge.
Participants in the intervention group experienced a sustained reduction in dental plaque from the fourth to the sixth months (p = .024; p = .025; p = .000, respectively) that was not found in the control group. There were no group differences in detected pneumonia throughout the follow-up period. Pneumonia as detected on the chest x-rays at baseline (p = .001) and dental plaque index (p = .021) were significant predictors of the risk of pneumonia across groups.
The Bass brushing method is a simple and effective oral hygiene practice that reduces dental plaque in older adults hospitalized with pneumonia after discharge.
本初步研究旨在评估巴氏刷牙法对肺炎出院后老年患者的口腔菌斑和肺炎的影响。
口腔卫生不良可能导致肺炎。老年患者肺炎的并发症在住院期间和出院后可能危及生命。
将患有肺炎的老年患者（n=30）随机分为干预组（巴氏刷牙法；n=15）和对照组（常规护理；n=15）。在干预前（基线）和出院后 6 个月内每月评估口腔菌斑指数和胸部 X 光片上的肺炎情况。
干预组患者从第四个月到第六个月口腔菌斑持续减少（p=0.024；p=0.025；p=0.000，分别），而对照组则没有。在整个随访期间，两组在检出的肺炎方面没有差异。基线时胸部 X 光片上检出的肺炎（p=0.001）和口腔菌斑指数（p=0.021）是各组肺炎风险的显著预测因素。
巴氏刷牙法是一种简单有效的口腔卫生实践，可减少肺炎出院后老年患者的口腔菌斑。
