Use of oral health care services among older home care clients in the context of an intervention study.

IF 1.9 4区医学 Q2 NURSING

Scandinavian Journal of Caring Sciences Pub Date : 2024-06-01 Epub Date: 2024-02-22 DOI:10.1111/scs.13247

Eveliina Tuuliainen, Annamari Nihtilä, Kaija Komulainen, Irma Nykänen, Sirpa Hartikainen, Miia Tiihonen, Anna Liisa Suominen

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引用次数: 0

Abstract

Background: An increasing number of care-dependent older people living at home need external support to receive regular dental care.

Objectives: To investigate the use of oral health care services among old home care clients who participated in an intervention study focusing on oral self-care and nutrition.

Materials and methods: This study employed data from the multidisciplinary Nutrition, Oral Health and Medication (NutOrMed) intervention study with a population-based sample of 245 home care clients (74% female) aged 75 or more divided in intervention (n = 140) and two control groups (n = 105). The data were collected through interviews at baseline and 6-month follow-up.

Results: At baseline, 43% of participants reported visits to oral health care within the previous year. At 6-month follow-up, this proportion was 51%. In the intervention group, the corresponding figures were 46% and 53%, and in the controls 39% and 48%. Adjusted regression analyses showed that this change was statistically significant (p = 0.008). In addition, higher education and toothache or other discomfort related to teeth or dentures at baseline were associated with increased use after the 6-month follow-up (OR = 1.1, 95% CI = 1.0-1.2; OR = 3.4, 95% CI = 1.5-7.9) but being edentulous indicated the opposite (OR = 0.2, 95% CI = 0.1-0.4). Belonging to the intervention group was not associated with increased use.

Conclusions: In older adults, any efforts to raise awareness of oral health are of great potential to increase use of services.

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在一项干预研究中，老年家庭护理客户使用口腔保健服务的情况。

背景越来越多依赖护理的居家老年人需要外部支持来定期接受牙科护理：调查参与干预研究的居家养老服务对象对口腔保健服务的使用情况，该研究关注口腔自我护理和营养：本研究采用了多学科营养、口腔健康和用药（NutOrMed）干预研究的数据，以人群为样本，将245名75岁或以上的居家养老服务对象（74%为女性）分为干预组（n = 140）和两个对照组（n = 105）。数据是通过基线访谈和 6 个月随访收集的：结果：在基线调查中，43%的参与者表示在过去一年中接受过口腔保健服务。在 6 个月的随访中，这一比例为 51%。干预组的相应数字分别为 46% 和 53%，对照组分别为 39% 和 48%。调整回归分析表明，这一变化具有显著的统计学意义（P = 0.008）。此外，教育程度较高以及基线时牙痛或其他与牙齿或假牙有关的不适与 6 个月随访后使用率增加有关（OR = 1.1，95% CI = 1.0-1.2；OR = 3.4，95% CI = 1.5-7.9），但无牙则相反（OR = 0.2，95% CI = 0.1-0.4）。属于干预组与增加使用无关：结论：在老年人中，任何提高口腔健康意识的努力都极有可能增加服务的使用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Scandinavian Journal of Caring Sciences NURSING-

CiteScore

4.60

自引率

5.30%

发文量

期刊介绍： Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.