Oral Health Management by Dental Hygienists and Older Adults' Food Forms in Long-Term Care Facilities: A 1-Year Longitudinal Study.

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2025-03-19 DOI:10.1111/ger.12810

Kaoru Inamoto, Kimiya Ozaki, Yutaka Watanabe, Yutaka Yamazaki, Yuki Ohara, Masanori Iwasaki, Hirohiko Hirano, Midori Tsuneishi, Tsuyoshi Kodama, Mitsuyoshi Yoshida, Shunsuke Minakuchi

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引用次数: 0

Abstract

Objective: To date, no studies have directly investigated the association between oral health management (OHM) and food forms. Therefore, this study aimed to investigate the association between OHM by dental hygienists and food forms in older adults admitted to long-term care facilities (LTCFs).

Background: OHM involves oral health maintenance by dental hygienists and may prevent weight loss and pneumonia in older adults admitted to LTCFs.

Materials and methods: Older adults in LTCFs in Japan (n = 273) who participated in baseline (2018) and follow-up (2019) surveys were evaluated. Basic characteristics, medical history, OHM status, oral maintenance management status, food forms, and oral conditions were investigated at baseline. After 1 year, a follow-up survey was conducted only on food items. Furthermore, factors associated with the maintenance or improvement in food forms after 1 year were examined using binomial logistic regression analysis.

Results: Overall, 273 (69.2%) older adults in LTCFs required OHM by dental hygienists during the follow-up year, of whom 142 (52.0%) received OHM and 88 maintained or improved their regular diet. The analyses revealed that the maintenance or improvement in food forms after 1 year was significantly associated with OHM implementation (odds ratio: 2.01, 95% confidence interval: 1.03-3.90).

Conclusion: OHM in older adults in Japanese LTCFs was associated with the maintenance or improvement in food forms, emphasising the importance of OHM for these individuals. OHM may also maintain or improve eating and swallowing functions, improving nutritional status.

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长期护理机构中牙科保健师和老年人食物形式的口腔健康管理：一项为期1年的纵向研究。

目的：到目前为止，还没有研究直接调查口腔健康管理（OHM）与食物形式之间的关系。因此，本研究旨在调查长期护理机构（ltcf）老年人牙齿保健师的OHM与食物形式之间的关系。背景：OHM涉及牙科保健员的口腔健康维护，可以预防住院ltcf的老年人体重减轻和肺炎。材料和方法：对参加基线（2018年）和随访（2019年）调查的日本ltcf老年人（n = 273）进行评估。基线时调查基本特征、病史、OHM状况、口腔维护管理状况、食物形式和口腔状况。1年后，只对食物项目进行了跟踪调查。此外，使用二项逻辑回归分析，研究了与1年后食物形态维持或改善相关的因素。结果：总体而言，273名（69.2%）ltcf中的老年人在随访期间需要牙科保健师进行OHM，其中142名（52.0%）接受了OHM， 88名维持或改善了他们的常规饮食。分析显示，1年后食物形态的维持或改善与OHM的实施显著相关（优势比：2.01,95%置信区间：1.03-3.90）。结论：日本ltcf老年人的OHM与食物形式的维持或改善有关，强调了OHM对这些个体的重要性。OHM还可以维持或改善进食和吞咽功能，改善营养状况。

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

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.