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长期肠内和肠外营养患者口腔健康评估:护理的重要方面。

Assessment of Oral Health in Long-Term Enteral and Parenteral Nutrition Patients: Significant Aspects of Nursing Care.

机构信息

Department of Surgical Nursing, Medical University of Gdańsk, 80-211 Gdańsk, Poland.

Laboratory of Microbiology, Medical Diagnostic Laboratories Invicta, 81-740 Sopot, Poland.

出版信息

Int J Environ Res Public Health. 2023 Feb 15;20(4):3381. doi: 10.3390/ijerph20043381.

DOI:10.3390/ijerph20043381
PMID:36834077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9967838/
Abstract

Oral health is an underestimated factor affecting overall human health and quality of life. Long-term enteral or parenteral nutritional treatment requires not only regular assessment of access routes, the patient's nutritional status, and tolerance to the selected method of nutrition but also of oral health. This article discusses the connections between the influence of chewing function, salivation, and xerostomia on the health of the oral cavity of patients on long-term enteral and parenteral nutrition. In addition, the role of nurses in assessing oral health is presented as well as crucial elements of a comprehensive oral assessment in a nursing care plan. Patients receiving long-term enteral and parenteral nutrition have an increased risk of developing oral diseases. Increasing knowledge about the factors affecting oral health among nurses is crucial to provide appropriate care for patients requiring long-term nutritional treatment with omission of the natural route of food intake. Regular assessment of oral health by nurses should be an important aspect in long-term nutritional treatment recommendations.

摘要

口腔健康是一个被低估的因素,它影响着人类整体的健康和生活质量。长期的肠内或肠外营养治疗不仅需要定期评估进入途径、患者的营养状况和对所选营养方法的耐受性,还需要评估口腔健康。本文讨论了咀嚼功能、唾液分泌和口干对长期肠内和肠外营养患者口腔健康的影响之间的联系。此外,还介绍了护士在评估口腔健康方面的作用,以及护理计划中全面口腔评估的关键要素。接受长期肠内和肠外营养的患者发生口腔疾病的风险增加。增加护士对影响口腔健康因素的了解对于为需要长期营养治疗且不能经自然途径摄入食物的患者提供适当的护理至关重要。护士定期评估口腔健康应成为长期营养治疗建议的一个重要方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12f1/9967838/cfd3daf933af/ijerph-20-03381-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12f1/9967838/cfd3daf933af/ijerph-20-03381-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12f1/9967838/cfd3daf933af/ijerph-20-03381-g001.jpg

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本文引用的文献

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Dental Care for Older Adults.老年人的口腔护理。
Int J Environ Res Public Health. 2022 Dec 23;20(1):214. doi: 10.3390/ijerph20010214.
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Relationship between Oral Health Status and Oropharyngeal Dysphagia in Older People: A Systematic Review.老年人口腔健康状况与口咽吞咽困难的关系:系统评价。
Int J Environ Res Public Health. 2022 Oct 20;19(20):13618. doi: 10.3390/ijerph192013618.
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Changes in Nutrition-Intake Method and Oral Health through a Multidisciplinary Team Approach in Malnourished Older Patients Admitted to an Acute Care Hospital.
通过多学科团队方法改变营养不良老年患者的营养摄入方法和口腔健康,这些患者入住急性护理医院。
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Oral Health Status of Adult Dysphagic Patients That Undergo Endoscopic Gastrostomy for Long Term Enteral Feeding.长期肠内喂养行内镜下胃造口术的吞咽困难患者的口腔健康状况。
Int J Environ Res Public Health. 2022 Apr 15;19(8):4827. doi: 10.3390/ijerph19084827.
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