Chen Xi, D'Souza Violet, Comnick Carissa L, Xie Xianjin
Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa, Iowa City.
Faculty of Dentistry, University of Toronto, Toronto, Canada.
Spec Care Dentist. 2020 Nov;40(6):580-588. doi: 10.1111/scd.12521. Epub 2020 Sep 29.
To examine the association between the assessments of certified nursing assistants (CNAs) on resident's oral self-care function and resident's oral hygiene outcomes in three North Carolina assisted-living (AL) facilities.
Sixty-five dentate AL residents were included in this secondary analysis. CNAs were asked to rate the AL residents' overall oral self-care function using a 6-point Likert scale. Their assessments were then compared with the objective, performance-based Dental Activities Test and the oral hygiene and gingival health measures. The analysis showed that nearly 90% of the participants presented with at least one untreated decayed or broken tooth. On average, nearly two-thirds of the surfaces were covered by soft deposits (Debris Index = 1.83, SD = 0.60). Generalized mild to moderate inflammation (Gingival Index = 1.51, SD = 0.53) commonly presented on residents' gingiva. CNAs were able to accurately identify the residents with substantial impairment in oral self-care function, yet they tended to overestimate the oral self-care function of residents with mild to moderate impairment. CNAs assessments were also not significantly correlated with residents' oral hygiene measures.
CNAs failed to identify and provide assistance to AL residents with impaired oral self-care function, contributing to poor oral oral hygiene in these vulnerable individuals.
在北卡罗来纳州的三家辅助生活（AL）设施中，研究认证护理助理（CNA）对居民口腔自我护理功能的评估与居民口腔卫生结果之间的关联。
65名有牙的AL居民纳入了这项二次分析。要求CNA使用6点李克特量表对AL居民的整体口腔自我护理功能进行评分。然后将他们的评估结果与基于表现的客观牙科活动测试以及口腔卫生和牙龈健康指标进行比较。分析表明，近90%的参与者至少有一颗未经治疗的龋齿或破损牙齿。平均而言，近三分之二的牙面被软垢覆盖（软垢指数=1.83，标准差=0.60）。居民牙龈普遍存在轻度至中度炎症（牙龈指数=1.51，标准差=0.53）。CNA能够准确识别口腔自我护理功能严重受损的居民，但他们往往高估了轻度至中度受损居民的口腔自我护理功能。CNA的评估结果也与居民的口腔卫生指标没有显著相关性。
CNA未能识别口腔自我护理功能受损的AL居民并为其提供帮助，导致这些弱势群体的口腔卫生状况较差。
