老年人居家口腔护理:对西澳大利亚州珀斯市专业护理人员观点的定性研究。

IF 2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Gerodontology Pub Date : 2023-07-16 DOI:10.1111/ger.12704
Safaa Idris, Somto Aghanwa, Jane O'Halloran, Angela Durey, Linda Slack-Smith
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引用次数: 0

摘要

目的研究西澳大利亚珀斯 65 岁以上居家老年人的专业支持工作者和个案经理(专业护理人员)对促进或影响口腔保健的因素的看法,并确定专业护理人员在这种情况下对支持的需求:背景:对于居家的老年人来说,获得牙科服务可能很难,也负担不起。有偿照护者通常在促进获得服务方面发挥着重要作用,但有关这些利益相关者观点的定性证据却很有限:鉴于该领域的证据有限,这项简单的定性研究采用了建构主义基础理论。参与者包括 15 名居家老年人的专业照护者。研究人员对研究记录进行了分析,以确定参与者对提供口腔保健服务的主要障碍和促进因素的看法:结果:客户获得牙科护理的障碍包括参与者对牙科系统的不确定性、对口腔保健的不重视、负担能力以及对谁负责提供口腔护理的困惑。促进因素包括参与者支持客户在口腔护理方面的自主性、将口腔护理更好地融入初级医疗保健以及为专业护理人员提供教育和培训机会:结论:确保口腔保健成为初级保健计划的一部分、明确为居家老年人提供口腔保健服务的角色和责任以及培训护理人员是主要的研究结果。牙科和老年护理部门之间的跨部门合作可以使牙科医生和专业护理人员在共同学习中受益,并可能对居家老年人产生影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Homebound oral care for older adults: A qualitative study of professional carers' perspectives in Perth, Western Australia

Objective

To examine professional support workers and case managers' (professional carers) perspectives of what promoted or compromised oral health care in homebound adults aged over 65 years in Perth, Western Australia and identify professional carers' need for support in this context.

Background

Accessing dental services can be difficult to navigate and unaffordable for homebound older adults. Paid carers often play a substantial role in facilitating access to services yet there is limited qualitative evidence of the perspectives of these stakeholders.

Methods

Given limited evidence in this area, this simple qualitative study was informed by constructivist grounded theory. Participants comprised 15 professional carers of homebound older adults. Transcripts were analysed to identify participant perceptions of key barriers and enablers to providing oral health care.

Results

Barriers to clients accessing dental care included participants' uncertainty around navigating the dental system, low priority of oral health care, affordability and confusion around who was responsible to provide oral care. Enablers included participants supporting clients' autonomy around oral care, better integration of oral care into primary health care and education and opportunity for training for professional carers.

Conclusion

Ensuring oral health is part of primary health plans, clarifying roles and responsibilities around delivering oral health care to homebound older adults and training carers were key findings. Inter-sectoral collaboration between the dental and aged care sectors can benefit dental practitioners and professional carers in shared learning and has likely flow-on effects for homebound older adults.

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来源期刊
Gerodontology
Gerodontology 医学-老年医学
CiteScore
4.10
自引率
10.00%
发文量
50
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.
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