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韩国护士为住院患者提供的口腔保健。

Oral health care provided by nurses for hospitalized patients in Korea.

机构信息

Department of Dental Hygiene, Graduate School, Yonsei University, Seodaemun-gu, Korea.

Department of Dental Hygiene, Wonju College of Medicine, Yonsei University, Wonju, Korea.

出版信息

Int J Dent Hyg. 2019 Nov;17(4):336-342. doi: 10.1111/idh.12417. Epub 2019 Aug 13.

Abstract

OBJECTIVES

To investigate registered nurses' awareness and implementation of oral health care in patients who are hospitalized in general wards or intensive care units (ICUs) in South Korea.

METHODS

This research was performed as a descriptive survey of 149 nurses working in nine general hospitals with at least 100 beds in major Korean cities.

RESULTS

Approximately half (40.9%) of the survey respondents reported providing oral health care for hospitalized patients but that relevant protocols were not available at most hospitals or wards (89.5%). Nurses working in an ICU were significantly more likely to provide oral health care than those working in general wards (83.9% vs 15.1%; P < .001). Most respondents (83.2%) were aware of the importance of providing oral health care for hospitalized patients; however, the proportion considering that such care should be provided by dental hygienists was greater than that considering it should be provided by nurses (36.4% vs 26.0%; P < .001). Agreement that oral health care should be provided for hospitalized patients by dental hygienists was highest in nurses working in ICUs (53.3%; P < .001).

CONCLUSIONS

According to this survey, oral healthcare provision is generally low in hospitalized patients and differs between ICUs and general wards. Most respondents considered that dental hygienists should provide oral health care for hospitalized patients. There is an opportunity for nurses and dental hygienists to work collaboratively towards development of an evidence-based protocol for oral health care in hospitalized patients.

摘要

目的

调查在韩国综合病房或重症监护病房(ICU)住院的患者中,注册护士对口腔保健的认知和实施情况。

方法

本研究采用描述性调查方法,对韩国 9 家至少有 100 张床位的主要城市大医院的 149 名护士进行了调查。

结果

约有一半(40.9%)的调查对象报告为住院患者提供口腔保健,但大多数医院或病房没有相关方案(89.5%)。在 ICU 工作的护士明显比在普通病房工作的护士更有可能提供口腔保健(83.9%比 15.1%;P<.001)。大多数受访者(83.2%)意识到为住院患者提供口腔保健的重要性;然而,认为应由牙科保健师提供这种护理的比例大于认为应由护士提供的比例(36.4%比 26.0%;P<.001)。认为应由牙科保健师为住院患者提供口腔保健的受访者中,ICU 护士的比例最高(53.3%;P<.001)。

结论

根据这项调查,住院患者的口腔保健服务普遍较低,且 ICU 和普通病房之间存在差异。大多数受访者认为,牙科保健师应为住院患者提供口腔保健。护士和牙科保健师有机会共同制定基于证据的住院患者口腔保健方案。

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