一种供家庭护理护士将老年人转介给牙科护理专业人员的简化口腔指标的验证。
Validation of a simplified oral indicator for home care nurses to refer older people to dental care professionals.
作者信息
Weening-Verbree Lina F, Schuller Annemarie A, Krijnen Wim P, Van der Schans Cees P, Zuidema Sytse U, Hobbelen Johannes S M
机构信息
Research Group Healthy Ageing, Allied Health Care and Nursing and FAITH Research, Hanze University of Applied Sciences, Groningen, The Netherlands; Center for Dentistry and Oral Hygiene, University Medical Center Groningen, Groningen, The Netherlands.
Center for Dentistry and Oral Hygiene, University Medical Center Groningen, Groningen, The Netherlands; TNO the Netherlands Organisation for Applied Scientific Research, Leiden, The Netherlands.
出版信息
Acta Odontol Scand. 2024 Dec 16;83:672-681. doi: 10.2340/aos.v83.42487.
OBJECTIVES
This study aims to explore the identification of older people in need of dental consultation, with a Simplified Oral Indicator (SOI) used by home care nurses (HCNs) and with the Geriatric Oral Health Assessment Index (GOHAI-NL) completed by older people themselves, compared with the Oral Health Assessment Tool (OHAT-NL), performed by dental hygienists.
METHODS
The HCNs completed SOI based on their professional view, knowledge and experience; scores red/orange/green were given to older people for oral health and oral hygiene. Older people completed the GOHAI-NL and dental hygienists completed the OHAT-NL.
RESULTS
Data from 141 older people were analysed. Sensitivity and specificity of SOI -OHAT-NL were low (0.45 and 0.64, respectively); SOI scored only few older people as 'red', while only 11 older people did not need a dental referral according to the OHAT-NL. OHAT-NL and GOHAI-NL correlation was significant, but low (r = -0.226, p = 0.012).
CONCLUSION
Simplified Oral Indicator is currently not sensitive enough to identify older people in need of dental consultation. Additional education to HCNs and/or adjusting SOI may be needed. The GOHAI-NL seems not useful in dental triage.
目的
本研究旨在探讨居家护理护士（HCNs）使用简化口腔指标（SOI）以及老年人自行完成老年口腔健康评估指数（GOHAI-NL）来识别需要牙科咨询的老年人，并与牙科保健员进行的口腔健康评估工具（OHAT-NL）进行比较。
方法
HCNs根据其专业观点、知识和经验完成SOI；根据老年人的口腔健康和口腔卫生状况给予红色/橙色/绿色评分。老年人完成GOHAI-NL，牙科保健员完成OHAT-NL。
结果
分析了141名老年人的数据。SOI-OHAT-NL的敏感性和特异性较低（分别为0.45和0.64）；SOI将很少老年人评为“红色”，而根据OHAT-NL，只有11名老年人不需要牙科转诊。OHAT-NL与GOHAI-NL的相关性显著，但较低（r = -0.226，p = 0.012）。
结论
简化口腔指标目前在识别需要牙科咨询的老年人方面不够敏感。可能需要对HCNs进行额外培训和/或调整SOI。GOHAI-NL在牙科分诊中似乎没有用处。
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