Salmi Annina, Nykänen Irma, Välimäki Tarja, Koponen Sohvi, Savela Roosa-Maria, Schwab Ursula, Suominen Anna Liisa
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引用次数: 0
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.
目的：本研究旨在评估个体化口腔健康干预对60岁及以上家庭照顾者及其受照顾者口腔卫生和健康的影响。背景：老年人保留天然牙齿的时间更长。牙齿和口腔健康的受损状况增加了功能能力恶化的风险。有针对性的早期干预对今后预防口腔健康问题起着重要作用。材料和方法：本研究是一项为期6个月的干预研究和6个月的随访，是LENTO（照顾者的生活方式、营养和口腔健康）研究的一部分。样本包括生活在芬兰东部的家庭照顾者和他们的照顾对象。在基线时，总样本包括239人（124名家庭照顾者和115名接受照顾者），他们被随机分配到干预组或对照组。在干预组中，家庭照顾者接受了量身定制的口腔健康干预。结果：家庭照顾者（β = -2.1, CI -4.0-(-1.2), p = 0.015）和受照顾者（β = -0.6, CI -0.0-(-2.1), p = 0.050）的牙菌斑数量减少。参与干预的家庭照顾者的龋齿数量减少（β = -0.6, CI -1.1-(-0.1), p = 0.015），但接受护理者的龋齿数量没有减少。结论：我们的研究表明，量身定制的信息有效地促进了老年人的口腔清洁。此外，在家庭照顾者中，龋齿的数量减少了。因此，可以建议在一般的卫生保健系统中实施这些关于口腔卫生的信息和教育。此外，有必要采取跨专业的方法来促进老年人这一弱势群体的口腔健康。试验注册：ClinicalTrials.gov NCT04003493。2019年6月28日注册。
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.
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