Effectiveness of Educating Caregivers on Oral Health of Institutionalized Older Adults: A Systematic Review and Meta-Analysis

IF 2 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2025-07-11 DOI:10.1111/opn.70038

Nishant Mehta, Diptajit Das, Easha Dogra, Arpit Gupta, Richa Srivastava, Shweta Sharda, Komal Kaur Saroya, Ashima Goyal

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引用次数: 0

Abstract

Aim

This systematic review and meta-analysis augments the existing body of evidence concerning the effect of oral health education or caregiver training on the oral hygiene status of institutionalised older adults.

Material and Methods

The study follows a protocol registered in PROSPERO (CRD42022309962). We systematically searched four electronic databases, complemented by manual literature searches. We screened eligible studies and extracted data utilising a meticulously designed form. The quality of the studies has been appraised using RoB 2 and RoB 2 CRT. For quantitative analysis, RevMan 5.4.1 has been employed.

Results

We screened 4962 records and evaluated 31 full texts. We conducted qualitative synthesis on 14 trials and subjected data from four trials to quantitative analysis. We assessed the effectiveness of training caregivers regarding the oral health of older adults on denture hygiene status using the post-intervention denture hygiene index scores (mean ± SD). Sub-group analysis, considering the cognitive ability of the study population, revealed a significant difference favouring the intervention compared to no intervention: SMD −0.59; 95% CI (−0.88 to −0.31). Similarly, the oral health education of caregivers was noted to have a statistically significant improvement in the dental plaque scores: SMD −0.51; 95% CI (−0.76 to −0.26). Three studies showed a ‘high risk of bias’, and five studies showed ‘some concerns’.

Conclusion

Oral health education programmes on caregiver training by health care/para-health care professionals significantly improve the oral hygiene status of institutionalised older adults. More robust clinical trials are needed to substantiate the evidence on the effectiveness of educating caregivers about the oral health of older adults.

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教育护理人员对制度化老年人口腔健康的有效性：系统回顾和荟萃分析

目的本系统回顾和荟萃分析增加了关于口腔健康教育或护理人员培训对机构老年人口腔卫生状况影响的现有证据。材料和方法本研究遵循在PROSPERO （CRD42022309962）注册的方案。我们系统地检索了四个电子数据库，并辅以手工文献检索。我们筛选了符合条件的研究，并使用精心设计的表格提取数据。使用RoB 2和RoB 2 CRT对研究的质量进行了评价。定量分析采用RevMan 5.4.1。结果我们筛选了4962条记录，评估了31篇全文。我们对14项试验进行了定性综合，并对其中4项试验的数据进行了定量分析。我们使用干预后义齿卫生指数评分（mean±SD）来评估护理人员对老年人口腔健康的培训效果。考虑到研究人群的认知能力，亚组分析显示干预与未干预有显著差异：SMD为- 0.59；95% CI（- 0.88 ~ - 0.31）。同样，护理人员的口腔健康教育在牙菌斑评分上也有统计学上显著的改善：SMD - 0.51；95% CI（- 0.76 ~ - 0.26）。三项研究显示出“高偏倚风险”，五项研究显示出“一些担忧”。结论卫生保健/辅助卫生保健专业人员的口腔卫生教育方案可显著改善住院老年人的口腔卫生状况。需要更有力的临床试验来证实对护理人员进行老年人口腔健康教育的有效性。

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

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.