Rani Haslina, Mohd-Dom Tuti Ningseh, Meei Tew In, Rosli Muhammad Syafiq Asyraf, Quan Lee Zi, Abdul Aziz Aznida Firzah, Hassan Siti Aisya Athirah, Mohamad Aun Nur Saadah
Department of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.
Family Oral Wellness Research Group, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.
Healthcare (Basel). 2024 Dec 6;12(23):2469. doi: 10.3390/healthcare12232469.
BACKGROUND/OBJECTIVES: Older adults need specialised dental care due to age-related changes and chronic conditions, but inadequate coordination and capacity hinder access to domiciliary oral care. This review explores the characteristics, barriers, facilitators, caregiver education, and outcomes of domiciliary oral care to improve services for frail older adults.
A systematic scoping search was conducted following the PRISMA guidelines. A literature search was performed to identify the key search terms and the databases that were relevant to the objectives. A total of 454 documents were retrieved, 31 of which were included in the final synthesis.
Overall, the barriers and facilitators in delivering domiciliary dental service for the elderly can be categorised into four groups: system, oral healthcare provider, caregiver, and patient. Having policies or guidelines supporting domiciliary oral care was one of the most frequently reported factors. Six studies reported outcomes of educational programme for caregivers and all were with positive results.
The review highlights the need for a multi-pronged approach involving the healthcare system, oral healthcare providers, caregivers, and older adults themselves to improve access to and quality of oral healthcare services for this vulnerable population.
背景/目的：由于与年龄相关的变化和慢性疾病，老年人需要专业的牙科护理，但协调不足和能力欠缺阻碍了他们获得居家口腔护理服务。本综述探讨居家口腔护理的特点、障碍、促进因素、护理人员教育以及护理结果，以改善为体弱老年人提供的服务。
按照PRISMA指南进行系统的范围检索。进行文献检索以确定与目标相关的关键检索词和数据库。共检索到454篇文献，其中31篇纳入最终综述。
总体而言，为老年人提供居家牙科服务的障碍和促进因素可分为四类：系统、口腔医疗服务提供者、护理人员和患者。有支持居家口腔护理的政策或指南是最常被报告的因素之一。六项研究报告了针对护理人员的教育项目的结果，且均为积极结果。
该综述强调需要采取多管齐下的方法，涉及医疗保健系统、口腔医疗服务提供者、护理人员和老年人自身，以改善这一弱势群体获得口腔医疗服务的机会和服务质量。
