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医院环境中心血管疾病患者的口腔健康教育策略:范围综述。

Oral health education strategies for patients living with cardiovascular disease within hospital settings: a scoping review.

机构信息

The University of Sydney Dental School, The University of Sydney, Sydney, NSW, Australia.

Westmead Applied Research Centre, The University of Sydney, Westmead, NSW, Australia.

出版信息

Front Public Health. 2024 Jun 19;12:1389853. doi: 10.3389/fpubh.2024.1389853. eCollection 2024.

Abstract

OBJECTIVE

To identify and describe the impact of current oral health education programmes provided to patients in cardiology hospital wards and outpatient clinics.

METHODS

This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Scoping Reviews statement. Searches were conducted using electronic databases: Cochrane, Medline, and Scopus, as well as grey literature searching.

RESULTS

Three eligible studies were identified. All included studies reported generalised poor oral health in their participants at baseline, with significant improvement at follow-up. They all reported significant reductions in plaque deposits and gingival bleeding. One study reported significantly less bacteria on participant tongues, as well as fewer days with post-operative atrial fibrillation in the intervention group. Furthermore, in this study, one patient in the intervention group developed pneumonia, whilst four patients in the control group did.

CONCLUSION

Oral health education for patients with cardiovascular disease is limited and many have poor oral health. Educational programmes to improve oral health behaviours in patients with cardiovascular disease can improve both oral and general health outcomes.

IMPLICATIONS FOR PUBLIC HEALTH

Oral disease is a modifiable risk factor for cardiovascular disease. Integrating oral health education into cardiology hospital settings is a simple strategy to improve access to oral health information and improve both oral and cardiovascular outcomes.

摘要

目的

确定并描述目前在心脏病学医院病房和门诊为患者提供的口腔健康教育计划的影响。

方法

本综述符合系统评价和荟萃分析的首选报告项目,用于范围综述。使用电子数据库(Cochrane、Medline 和 Scopus)以及灰色文献检索进行搜索。

结果

确定了三项符合条件的研究。所有纳入的研究都报告了参与者在基线时普遍存在口腔健康状况不佳的情况,在随访时明显改善。它们都报告了菌斑沉积和牙龈出血显著减少。一项研究报告说,在干预组中,参与者舌头上的细菌明显减少,术后心房颤动的天数也减少了。此外,在这项研究中,干预组有一名患者发生肺炎,而对照组有四名患者发生肺炎。

结论

心血管疾病患者的口腔健康教育有限,许多患者口腔健康状况不佳。改善心血管疾病患者口腔健康行为的教育计划可以改善口腔和整体健康结果。

公共卫生意义

口腔疾病是心血管疾病的可改变风险因素。将口腔健康教育纳入心脏病学医院环境是一种简单的策略,可以改善获得口腔健康信息的机会,并改善口腔和心血管结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c21c/11220159/c63407cebe52/fpubh-12-1389853-g001.jpg

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