Preventive and Community Dentistry, University of Iowa, Iowa City, Iowa.
Division of Biostatistics and Computational Biology, University of Iowa, Iowa City, Iowa.
Spec Care Dentist. 2021 May;41(3):372-380. doi: 10.1111/scd.12577. Epub 2021 Feb 15.
The purpose of this study was to determine if the number of certified nursing assistants (CNAs) trained with the Mouth Care Matters (MCM) oral health educational program had an impact on nursing facility (NF) resident oral health.
Three NFs participated in a cluster randomized control trial. In NF-A: all CNAs were offered the MCM program, NF-B: 3 CNAs were offered the MCM program, and NF-C: Control (no CNAs were offered the MCM program). Demographic information, systemic health data, and oral health data at baseline, 3-month, and 6-month intervals were collected and analyzed using Kruskal-Wallis, Wilcoxon signed-rank and Wilcoxon rank-sum tests. A total of 24 dentate residents participated in this study. Plaque control record scores for NF-A were significantly reduced compared to NF-B and NF-C (P < .001 and P = .002 respectively) and gingival bleeding index for NF-A were significantly reduced compared to NF-B and NF-C (P = .002 and P < .001 respectively).
Increasing the number of CNA's trained in the Mouth Care Matters educational program positively impacted NF residents' oral hygiene.
本研究旨在确定经过“口腔护理要点”（Mouth Care Matters，MCM）口腔健康教育计划培训的注册护士助理（Certified Nursing Assistant，CNA）人数对护理机构（Nursing Facility，NF）居民口腔健康的影响。
三家 NF 参与了一项聚类随机对照试验。在 NF-A 中：为所有 CNA 提供 MCM 计划；在 NF-B 中：有 3 名 CNA 接受了 MCM 计划；在 NF-C 中：为对照组（未向 CNA 提供 MCM 计划）。在基线、3 个月和 6 个月的间隔时间收集人口统计学信息、系统健康数据和口腔健康数据，并使用克鲁斯卡尔-沃利斯检验、威尔科克森符号秩检验和威尔科克森秩和检验进行分析。共有 24 名有牙居民参与了这项研究。与 NF-B 和 NF-C 相比，NF-A 的菌斑控制记录评分显著降低（P<.001 和 P=.002），NF-A 的牙龈出血指数也显著降低（P=.002 和 P<.001）。
增加接受“口腔护理要点”教育计划培训的 CNA 人数可积极影响 NF 居民的口腔卫生。
