Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo, Japan.
J Oral Rehabil. 2024 Jun;51(6):938-946. doi: 10.1111/joor.13660. Epub 2024 Feb 16.
As the participation of dental professionals in multidisciplinary care is often limited, instructions on oral health management provided by dental professionals to other professionals are important to achieve transdisciplinary oral health management; however, the effectiveness of such instructions remains unclear. In this longitudinal study, we aimed to determine the impact of oral health management provided by dental professionals and nurses instructed on oral health management by dental professionals on the oral health of inpatients eligible for a Nurition Support Team (NST).
The study participants were 117 patients (66 men and 51 women, mean age: 71.9 ± 12.5 years) who received oral health management during the NST intervention period. The participants received oral health management from nurses (Ns group) or dental professionals (D group). The nurses who conducted the oral health management received instructions from dental professionals. Oral health was assessed at the beginning and end of the NST intervention using the Oral Health Assessment Tool (OHAT).
The Ns and D groups showed significant improvements in the total OHAT scores at the end of the NST intervention. Both groups showed significant improvements in the OHAT subitems of lip, tongue, gums and tissues, saliva, oral cleanliness and dental pain, while only the D group showed a significant improvement in the denture subitem.
Effective oral health management provided by dental professionals or by nurses trained by them improved the oral health status of inpatients eligible for NST at an acute-care hospital.
由于牙科专业人员参与多学科护理的机会往往有限，因此牙科专业人员向其他专业人员提供的口腔健康管理指导对于实现跨学科口腔健康管理至关重要；然而，这些指导的效果尚不清楚。在这项纵向研究中，我们旨在确定牙科专业人员提供的口腔健康管理以及接受牙科专业人员口腔健康管理指导的护士提供的口腔健康管理对有资格接受营养支持团队（NST）的住院患者的口腔健康的影响。
研究参与者为 117 名患者（66 名男性和 51 名女性，平均年龄：71.9±12.5 岁），他们在 NST 干预期间接受了口腔健康管理。参与者接受护士（Ns 组）或牙科专业人员（D 组）的口腔健康管理。进行口腔健康管理的护士接受了牙科专业人员的指导。使用口腔健康评估工具（OHAT）在 NST 干预开始和结束时评估口腔健康。
Ns 和 D 组在 NST 干预结束时的总 OHAT 评分均显著提高。两组在口唇、舌头、牙龈和组织、唾液、口腔清洁度和牙齿疼痛的 OHAT 亚项中均显示出显著改善，而只有 D 组在义齿亚项中显示出显著改善。
在急性护理医院，由牙科专业人员或接受他们培训的护士提供的有效口腔健康管理可改善有资格接受 NST 的住院患者的口腔健康状况。
