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养老院中的口腔健康:我们所知与我们需要了解的内容。

ORAL HEALTH IN NURSING HOMES: WHAT WE KNOW AND WHAT WE NEED TO KNOW.

作者信息

Sifuentes Andriana M Foiles, Lapane Kate L

机构信息

Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School.

Clinical and Population Health Research, Division Chief and Professor of Epidemiology- Department of Population and Quantitative Health, Sciences University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655.

出版信息

J Nurs Home Res Sci. 2020;6:1-5.

PMID:32524062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7286629/
Abstract

A "silent epidemic" of oral diseases is afflicting older adults. Older adults develop coronal caries at "approximately one new cavity per year". Despite the rapidly growing older adult population, no recent data exist for adults aged ≥ 75 years. Oral disease impacts physical, psychological, and social well-being through pain, diminished function, and reduced quality of life. People of color disproportionately experience oral disease, yet little is known about racial/ethnic disparities in older adults. In the United States, the Health and Human Services Oral Health Strategic Framework proposed concrete steps to eliminate oral health disparities. Notably absent from this strategic plan is explicit consideration of nursing home residents. In the United States, federal regulations require nursing homes to evaluate oral health needs and facilitate access to dental care. Compliance to the regulations is unknown. Data are urgently required to provide essential information for program planning and evaluation on "racial and ethnic minorities, rural populations, and the frail elderly".

摘要

一场口腔疾病的“无声流行病”正在困扰着老年人。老年人“每年大约会出现一颗新龋齿”。尽管老年人口迅速增长,但目前尚无针对75岁及以上成年人的最新数据。口腔疾病通过疼痛、功能减退和生活质量下降影响身体、心理和社会福祉。有色人种遭受口腔疾病的影响尤为严重,但对于老年人中的种族/族裔差异却知之甚少。在美国,卫生与公众服务部的口腔健康战略框架提出了消除口腔健康差异的具体措施。该战略计划中明显没有明确考虑疗养院居民。在美国,联邦法规要求疗养院评估口腔健康需求并便利获得牙科护理。法规的遵守情况不明。迫切需要数据来为有关“种族和少数族裔、农村人口以及体弱老年人”的项目规划和评估提供基本信息。

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本文引用的文献

1
Efficacy of regular professional brushing by a dental nurse for 3 months in nursing home residents-A randomized, controlled clinical trial.养老院居民由牙科护士常规专业刷牙 3 个月的效果:一项随机对照临床试验。
Int J Dent Hyg. 2019 Nov;17(4):327-335. doi: 10.1111/idh.12389. Epub 2019 Feb 22.
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Oral Health Disparities Across the Life Span.全生命周期的口腔健康差异
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Evidence summary: the relationship between oral health and dementia.证据总结:口腔健康与痴呆症之间的关系
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Readily Identifiable Risk Factors of Nursing Home Residents' Oral Hygiene: Dementia, Hospice, and Length of Stay.养老院居民口腔卫生的易识别风险因素:痴呆症、临终关怀和住院时间。
J Am Geriatr Soc. 2017 Nov;65(11):2516-2521. doi: 10.1111/jgs.15061. Epub 2017 Oct 12.
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Evidence summary: The relationship between oral diseases and diabetes.证据总结:口腔疾病与糖尿病之间的关系。
Br Dent J. 2017 Jun 23;222(12):944-948. doi: 10.1038/sj.bdj.2017.544.
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Evidence summary: the relationship between oral health and pulmonary disease.证据总结:口腔健康与肺部疾病之间的关系
Br Dent J. 2017 Apr 7;222(7):527-533. doi: 10.1038/sj.bdj.2017.315.
7
Risk Factors for Malnutrition among Older Adults in the Emergency Department: A Multicenter Study.急诊科老年患者营养不良的危险因素:一项多中心研究
J Am Geriatr Soc. 2017 Aug;65(8):1741-1747. doi: 10.1111/jgs.14862. Epub 2017 Mar 21.
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Evidence summary: the relationship between oral and cardiovascular disease.证据总结:口腔与心血管疾病之间的关系
Br Dent J. 2017 Mar 10;222(5):381-385. doi: 10.1038/sj.bdj.2017.224.
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U.S. Department of Health and Human Services Oral Health Strategic Framework, 2014-2017.美国卫生与公众服务部口腔健康战略框架,2014 - 2017年
Public Health Rep. 2016 Mar-Apr;131(2):242-57.
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Long-Term Care Services in the United States: 2013 Overview.美国长期护理服务:2013年概述
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