Validation of a simplified oral indicator for home care nurses to refer older people to dental care professionals.

IF 1.4 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Acta Odontologica Scandinavica Pub Date : 2024-12-16 DOI:10.2340/aos.v83.42487

Lina F Weening-Verbree, Annemarie A Schuller, Wim P Krijnen, Cees P Van der Schans, Sytse U Zuidema, Johannes S M Hobbelen

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Abstract

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.

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验证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。

目的：本研究旨在探讨家庭护理护士（HCNs）使用的简化口腔指标（SOI）和老年人自行完成的老年口腔健康评估指数（GOHAI-NL）与口腔卫生员使用的口腔健康评估工具（OHAT-NL）对需要牙科咨询的老年人的识别。方法：HCNs根据其专业观点、知识和经验完成SOI；老年人的口腔健康和口腔卫生得分为红色/橙色/绿色。老年人完成GOHAI-NL，牙科保健师完成OHAT-NL。结果：对141名老年人的数据进行了分析。SOI -OHAT-NL的敏感性和特异性较低（分别为0.45和0.64）；根据OHAT-NL， SOI只有少数老年人被评为“红色”，而只有11名老年人不需要牙科转诊。OHAT-NL与GOHAI-NL相关性显著，但较低（r = -0.226, p = 0.012）。结论：目前简化口腔指标在识别老年人牙科会诊方面不够灵敏。可能需要对hcn进行额外的教育和/或调整SOI。GOHAI-NL在牙科分诊中似乎没有用。

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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