Department of Nursing, İnternal Medicine Nursing, Faculty of Health Science, Izmir Bakırcay University, İzmir, Turkey.
Halil Bayraktar Health Services Vocational College, University of Erciyes, Kayseri, Turkey.
J Ren Care. 2022 Dec;48(4):262-271. doi: 10.1111/jorc.12396. Epub 2021 Aug 3.
Patients receiving haemodialysis suffer from oral problems, pain, deteriorated nutrition, and decreased self-confidence and quality of life. Nurses have a critical role in the evaluation and care of oral health.
The aim was to investigate the associations between socio-demographic characteristics, medication use, and biochemical blood levels and oral health in adult patients receiving haemodialysis treatment.
This study was conducted as a descriptive study.
The sample study was made up of one hundred and fifty individuals treated with haemodialysis between March and June 2018.
Patient diagnosis and Bedside Oral Exam guide was the tool used to examine oral health.
It was seen that patients' oral health worsened as the number of dental caries increased. It was found that low level of education, those with nonregular oral care and brushing teeth, those using parathyroid hormone-lowering agents and who stated they complied with the drug and diet therapy had higher mean Bedside Oral Exam guide scores, meaning their oral health was statistically significantly worse (p < 0.05). Bedside Oral Exam guide scores were weakly negatively correlated with predialysis serum potassium levels (r = -0.213; p = 0.009), weakly positively correlated with the daily fluid amount consumed (r = -0.185; p = 0.024), and decayed teeth (r = -0.224; p = 0.006).
Use of parathyroid hormone-lowering agents, low level of education, insufficient oral care, decayed teeth, compliance with diet and medication, daily liquid consumption, and low potassium levels could lead to an increased severity of poor oral health in patients receiving haemodialysis. Oral and dental health protocols should be developed for all haemodialysis units.
接受血液透析的患者会出现口腔问题、疼痛、营养恶化、自信心下降以及生活质量降低。护士在评估和护理口腔健康方面发挥着关键作用。
本研究旨在探讨社会人口统计学特征、用药情况以及生化血液水平与接受血液透析治疗的成年患者口腔健康之间的关联。
本研究为描述性研究。
该样本研究由 2018 年 3 月至 6 月期间接受血液透析治疗的 150 名个体组成。
使用患者诊断和床边口腔检查指南来检查口腔健康。
研究发现，随着龋齿数量的增加，患者的口腔健康状况恶化。研究还发现，文化程度较低、口腔护理和刷牙不规律、使用甲状旁腺激素降低剂且自述遵循药物和饮食治疗的患者，其床边口腔检查指南评分较高，表明他们的口腔健康状况更差，具有统计学意义（p<0.05）。床边口腔检查指南评分与透析前血清钾水平呈弱负相关（r=-0.213；p=0.009），与每日液体摄入量呈弱正相关（r=-0.185；p=0.024），与龋齿呈弱负相关（r=-0.224；p=0.006）。
使用甲状旁腺激素降低剂、文化程度较低、口腔护理不足、龋齿、饮食和药物治疗依从性、每日液体摄入以及低钾血症可能会导致接受血液透析的患者口腔健康恶化的严重程度增加。所有血液透析单位都应制定口腔和牙科健康方案。
