老年人口腔健康评估工具:一项范围综述

Oral Health Assessment Tools for Elderly Adults: A Scoping Review.

作者信息

Yang Heng, Xiao Jiechenming, Cui Shaomei, Zhang Liyan, Chen Lixia

机构信息

Department of Nursing, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, People's Republic of China.

Department of Nursing, Huangyan Hospital, Wenzhou Medical University, Taizhou, Zhejiang, People's Republic of China.

出版信息

J Multidiscip Healthc. 2023 Dec 22;16:4181-4192. doi: 10.2147/JMDH.S442439. eCollection 2023.

Abstract

PURPOSE

The aim of this study was to synthesize the Oral Health Assessment Tool for elderly adults and determine its psychosocial properties.

METHODS

We conducted a scoping review. The Arkey and O'Malley methodology was employed to conduct scoping reviews involving the exploration of both national and international databases, as well as a manual search of the reference lists of the selected studies. We focused on oral health assessment tools for elderly adults (>60 years). The review report adhered to the standards outlined in the PRISMA-ScR guidelines. The study protocol was officially filed with the Open Science Framework.

RESULTS

A total of 19 documents were included. The literature search included a time frame ranging from 1995 to 2023 and covered a diverse range of 13 countries. Of the 19 assessment tools examined, it was found that only the Oral Assessment Sheet had multidimensional characteristics, while the remaining tools were unidimensional in nature. The evaluation of oral health assessment tools was conducted across several contexts, including nursing homes, geriatric facilities, communities, and hospitals. A total of eleven studies underwent reliability testing, whereas two studies were alone validated for validity and did not undergo reliability testing. Additionally, seven studies were exclusively validated for reliability and did not undergo validity testing.

CONCLUSION

Multidimensional oral health assessment tools for elderly adults that integrate social and psychological aspects need to be developed and validated. It is necessary to develop oral health assessment tools based on hospitalized elderly patients to meet the oral and dental health needs of elderly patients.

摘要

目的

本研究旨在综合老年人口腔健康评估工具并确定其社会心理特性。

方法

我们进行了一项范围综述。采用阿基和奥马利的方法进行范围综述,包括检索国内外数据库以及人工检索所选研究的参考文献列表。我们重点关注针对老年人(>60岁)的口腔健康评估工具。综述报告遵循PRISMA-ScR指南中概述的标准。研究方案已正式提交至开放科学框架。

结果

共纳入19篇文献。文献检索的时间范围为1995年至2023年,涵盖了13个不同的国家。在所审查的19种评估工具中,发现只有口腔评估表具有多维特征,而其余工具本质上是单维的。口腔健康评估工具的评估在多个环境中进行,包括养老院、老年护理机构、社区和医院。共有11项研究进行了信度测试,而有2项研究仅进行了效度验证,未进行信度测试。此外,有7项研究仅进行了信度验证,未进行效度测试。

结论

需要开发和验证整合社会和心理方面的老年人多维口腔健康评估工具。有必要基于住院老年患者开发口腔健康评估工具,以满足老年患者的口腔和牙齿健康需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ea/10750773/ef54124fb146/JMDH-16-4181-g0001.jpg

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