口腔健康与健康老龄化:范围综述。

Oral health and healthy ageing: a scoping review.

机构信息

Office of Research and Education, Canberra Health Services, Australian Capital Territory (ACT) Government, Garran, ACT, 2606, Australia.

Australian Centre for Integration of Oral Health (ACIOH), School of Nursing & Midwifery, Western Sydney University, Liverpool, Australia.

出版信息

BMC Geriatr. 2024 Jan 8;24(1):33. doi: 10.1186/s12877-023-04613-7.

Abstract

BACKGROUND

Good oral health is an important part of healthy ageing, yet there is limited understanding regarding the status of oral health care for older people globally. This study reviewed evidence (policies, programs, and interventions) regarding oral health care for older people.

METHODS

A systematic search of six databases for published and grey literature in the English language by the end of April 2022 was undertaken utilising Arksey and O'Malley's scoping review framework.

RESULTS

The findings from oral health policy documents (n = 17) indicated a lack of priorities in national health policies regarding oral health care for older people. The most common oral health interventions reported in the published studies (n = 62) included educational sessions and practical demonstrations on oral care for older adults, nurses, and care providers. Other interventions included exercises of facial muscles and the tongue, massage of salivary glands, and application of chemical agents, such as topical fluoride.

CONCLUSION

There is currently a gap in information and research around effective oral health care treatments and programs in geriatric dental care. Efforts must be invested in developing guidelines to assist both dental and medical healthcare professionals in integrating good oral health as part of healthy ageing. Further research is warranted in assessing the effectiveness of interventions in improving the oral health status of the elderly and informing approaches to assist the integration of oral health into geriatric care.

摘要

背景

良好的口腔健康是健康老龄化的重要组成部分,但全球范围内对于老年人的口腔保健状况了解有限。本研究回顾了有关老年人口腔保健的证据(政策、方案和干预措施)。

方法

采用阿特赛和奥马利的范围审查框架,对截至 2022 年 4 月底的 6 个数据库中发表的和灰色文献进行了系统搜索。

结果

口腔保健政策文件(n=17)的研究结果表明,国家卫生政策中缺乏对老年人口腔保健的优先事项。发表的研究报告(n=62)中最常见的口腔保健干预措施包括为老年人、护士和护理提供者提供口腔保健教育课程和实际演示。其他干预措施包括面部肌肉和舌头的锻炼、唾液腺按摩和应用化学剂,如局部氟化物。

结论

目前在老年牙科护理中,有效的口腔保健治疗和方案方面存在信息和研究方面的差距。必须投入努力制定准则,以协助牙科和医疗保健专业人员将良好的口腔健康纳入健康老龄化的一部分。需要进一步研究评估干预措施在改善老年人口腔健康状况方面的有效性,并为协助将口腔健康纳入老年护理提供方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5663/10773108/48d049dc72a8/12877_2023_4613_Fig1_HTML.jpg

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