Chalmers J M, Levy S M, Buckwalter K C, Ettinger R L, Kambhu P P
AIHW Dental Statistics & Research Unit, University of Adelaide, Australia.
Spec Care Dentist. 1996 Mar-Apr;16(2):71-9. doi: 10.1111/j.1754-4505.1996.tb00837.x.
Nurses' aides provide the majority of direct care for nursing facility residents. This study investigated aides' self-reported oral care activities and personal, job, organizational, and resident factors associated with oral care. A 30-item questionnaire was completed by 488 aides, and interviews were conducted with 65 of these aides. Aides were performing oral care activities for residents. Associations between some of the four groups of factors proposed and aides' oral care provision were found. Aides' attitudes toward oral care, lack of time and staff to complete oral care, and behavioral and physical difficulties with residents may have affected the time spent by these aides in providing oral care. The study highlighted the need for further investigation and assessment of (1) aides' CNA training courses and (2) continuing oral health educational interventions in nursing facilities. Personal interview were found to be a useful qualitative instrument for conducting dental research in nursing facilities. Further investigation is needed of interviews and other methodologies, such as observation, to supplement self-report as a measure of aides' oral care activities.
护理助理为护理机构的居民提供大部分直接护理。本研究调查了助理自我报告的口腔护理活动以及与口腔护理相关的个人、工作、组织和居民因素。488名助理完成了一份30项的问卷，并对其中65名助理进行了访谈。助理们为居民开展口腔护理活动。在所提出的四组因素中的一些因素与助理提供口腔护理之间发现了关联。助理对口腔护理的态度、完成口腔护理的时间和人员不足，以及与居民在行为和身体方面的困难，可能影响了这些助理提供口腔护理所花费的时间。该研究强调需要进一步调查和评估：（1）助理的护理助理培训课程；（2）护理机构中持续的口腔健康教育干预措施。个人访谈被发现是在护理机构进行牙科研究的一种有用的定性工具。需要进一步调查访谈和其他方法，如观察法，以补充自我报告作为衡量助理口腔护理活动的一种方式。
