Department of Gerodontology, Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands.
Medical Ethics and Decision Making, Department of Ethics, Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands.
Int J Environ Res Public Health. 2022 Dec 11;19(24):16655. doi: 10.3390/ijerph192416655.
Many older individuals with dementia (OIWD) show care-resistant behavior for oral care. Providing care despite resistance is considered to be involuntary care. Although involuntary care should be minimized, in some OIWD it may be necessary to avoid health risks. This study aims to assess the attitudes of healthcare providers with regard to involuntary oral care provision for OIWD who show care-resistant behavior. An online questionnaire consisting of general questions and case specific questions was administered via social media and networking to individuals involved in the oral care of OIWD. A total of 309 participants were included in this study. The outcomes of the questionnaires were categorized per case. In all cases, a discrepancy was seen between the assessment of oral health problems as potentially harmful (range: 73.1-93.5%) and the willingness to provide involuntary care (range: 31.1-63.4%). Hence, many healthcare providers are aware of the subsequent potential health risks related to not providing care, but are still reluctant to provide involuntary oral care. Therefore, many OIWD who show care-resistant behavior potentially do not receive the necessary oral care they require.
许多患有痴呆症的老年人（OIWD）表现出抗拒口腔护理的行为。尽管应尽量减少非自愿护理，但在某些 OIWD 中，为了避免健康风险，可能需要进行非自愿护理。本研究旨在评估医疗保健提供者对表现出抗拒行为的 OIWD 提供非自愿口腔护理的态度。通过社交媒体和网络向参与 OIWD 口腔护理的人员发放了一份包含一般问题和具体案例问题的在线问卷。共有 309 名参与者参与了这项研究。根据每个案例对问卷结果进行了分类。在所有情况下，人们对口腔健康问题可能造成的潜在危害（范围：73.1-93.5%）和提供非自愿护理的意愿（范围：31.1-63.4%）之间存在差异。因此，许多医疗保健提供者意识到不提供护理可能会带来随后的潜在健康风险，但仍不愿提供非自愿口腔护理。因此，许多表现出抗拒行为的 OIWD 可能没有得到他们所需的必要口腔护理。
