Flemish-Netherlands Geriatric Oral Research Group (BENECOMO), Dutch Association for Gerodontology (NVGd), Bunnik, Netherlands; Department Oral Public Health (OPH), Acadamic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands.
Flemish-Netherlands Geriatric Oral Research Group (BENECOMO), Dutch Association for Gerodontology (NVGd), Bunnik, Netherlands; Department of Medical Dental Interaction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit, Amsterdam, Netherlands.
Int Dent J. 2022 Apr;72(2):169-178. doi: 10.1016/j.identj.2021.05.012. Epub 2021 Jul 17.
Research into oral health care for older people has shown that dental care in general decreases with increasing age and frailty and, therefore, oral health care provision may be complex. The aim of this study is to identify the oral health care dentists provide to community-dwelling older people and which barriers they experience in doing this.
In this cross-sectional study, a representative sample of dentists in the Netherlands was asked to prospectively select one older patient and describe this patient using a specially developed registration form; the patient was requested to fill out a questionnaire. The relationship between experienced barriers in providing oral health care to older patients and characteristics of the dentists and the patients was studied by means univariate and multivariate logistic regression analysis.
In total, 923 dentists were asked to participate in the study. Data were available for 39.4% dentist-patient pairs. In most cases (87.4%), oral health care was focussed on conservation of the dentition. In all, 14.0% of the dentists experienced barriers in providing oral health care for older people. Some patient factors increase the risk of experiencing barriers, eg, the more difficult behaviour of older patients and the greater disease burden.
Oral health care was mostly focussed on conservation of the dentition, and dentists especially experience barriers in oral health provision to older patients if they are already frail.
针对老年人口腔保健的研究表明，总体而言，随着年龄的增长和身体虚弱，牙科护理会减少，因此，口腔保健服务可能会变得复杂。本研究旨在确定社区居住的老年人的口腔保健牙医提供的服务以及他们在提供这些服务时遇到的障碍。
在这项横断面研究中，要求荷兰的代表性牙医样本前瞻性地选择一位老年患者，并使用专门开发的登记表描述该患者；要求患者填写一份问卷。通过单变量和多变量逻辑回归分析研究了为老年患者提供口腔保健时遇到的障碍与牙医和患者特征之间的关系。
共邀请了 923 名牙医参与研究。有数据的牙医-患者对为 39.4%。在大多数情况下（87.4%），口腔保健的重点是保留牙齿。在所有情况下，有 14.0%的牙医在为老年人提供口腔保健方面遇到了障碍。一些患者因素会增加遇到障碍的风险，例如，老年患者行为更困难和疾病负担更大。
口腔保健主要集中在保留牙齿上，如果老年患者已经虚弱，牙医在为老年患者提供口腔保健方面尤其会遇到障碍。
