一项个性化口腔健康干预措施对家庭护理人员及其护理对象牙菌斑和龋齿的影响。

The Effect of an Individually Tailored Oral Health Intervention on Dental Plaque and Caries Among Family Caregivers and Their Care Recipients.

作者信息

Annina Salmi, Irma Nykänen, Tarja Välimäki, Sohvi Koponen, Roosa-Maria Savela, Ursula Schwab, Liisa Suominen Anna

机构信息

Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.

Department of Periodontology, Institute of Dentistry, University of Turku, Turku, Finland.

出版信息

Gerodontology. 2025 Mar 25. doi: 10.1111/ger.12814.

DOI:10.1111/ger.12814

PMID:40129259

Abstract

OBJECTIVE

This study aimed to evaluate the effect of an individually tailored oral health intervention on the oral hygiene and health of family caregivers and their care recipients aged 60 years and older.

BACKGROUND

Older adults are retaining their natural teeth longer. The compromised condition of teeth and oral health increases the risk of the deterioration of functional ability. Focused early intervention plays a significant role in preventing oral health problems in the future.

MATERIALS AND METHODS

This study was a six-months intervention study with a six-month follow-up and was part of the LENTO (Lifestyle, Nutrition and Oral health of caregivers) study. The sample consisted of family caregivers and their care recipients living in Eastern Finland. At baseline, the total sample comprised 239 (124 family caregivers and 115 care recipients) who were randomly allocated to either an intervention or a control group. In the intervention group, family caregivers received a tailored oral health intervention.

RESULTS

The number of teeth with plaque decreased among family caregivers (β = -2.1, CI -4.0-(-1.2), p = 0.015) and their care recipients (β = -0.6, CI -0.0-(-2.1), p = 0.050). The number of teeth with caries decreased among family caregivers who participated in the intervention (β = -0.6, CI -1.1-(-0.1), p = 0.015), but not among their care recipients.

CONCLUSION

Our study shows that tailored information effectively promotes oral cleanliness among older adults. Furthermore, the number of teeth with caries decreased among family caregivers. It can therefore be recommended that such information and education on oral hygiene be implemented in healthcare systems in general. Furthermore, an interprofessional approach is necessary to promote better oral health in this vulnerable group of older adults.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04003493. Registered on June 28, 2019.

摘要

目的

本研究旨在评估一项个性化口腔健康干预措施对60岁及以上家庭照护者及其照护对象口腔卫生和健康的影响。

背景

老年人保留天然牙的时间更长。牙齿和口腔健康状况不佳会增加功能能力下降的风险。有针对性的早期干预在预防未来口腔健康问题方面起着重要作用。

材料与方法

本研究是一项为期6个月的干预研究，并进行了6个月的随访，是LENTO（照护者的生活方式、营养与口腔健康）研究的一部分。样本包括居住在芬兰东部的家庭照护者及其照护对象。基线时，总样本包括239人（124名家庭照护者和115名照护对象），他们被随机分配到干预组或对照组。在干预组中，家庭照护者接受了个性化的口腔健康干预。

结果

家庭照护者（β=-2.1，可信区间-4.0-（-1.2），p=0.015）及其照护对象（β=-0.6，可信区间-0.0-（-2.1），p=0.050）中有牙菌斑的牙齿数量减少。参与干预的家庭照护者中有龋齿的牙齿数量减少（β=-0.6，可信区间-1.1-（-0.1），p=0.015），但其照护对象中没有减少。