Et mundhygiejneprogram forbedrer den orale sundhed for indlagte patienter i rehabilitering efter slagtilfaelde
Engelsk titel: An oral hygiene protocol improves oral health for patients in inpatient stroke rehabilitation
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Författare:
Murray, Joanne
;
Scholten, Ingrid
Email: joanne.murray@flinders.edu.au
Språk: Dan
Antal referenser: 44
Dokumenttyp:
Artikel
UI-nummer: 18070040
Sammanfattning
THE OBJECTIVE – To determine whether a simple oral hygiene
protocol improves the oral health of inpatients in stroke rehabilitation.
THE BACKGROUND DATA DISCUSSING THE PRESENT STATUS OF
THE FIELD – Poor oral health can lead to serious complications,
such as pneumonia. The comorbidities associated
with stroke, such as dysphagia, hemiparesis and cognitive
impairment, can further impede independent oral care. International
stroke guidelines recommend routine oral care
but stop short of detailing specific regimes.
MATERIALS AND METHODS – The oral health assessment tool
(OHAT) was conducted by speech-language pathologists
with 100 patients with and without dysphagia in three metropolitan
inpatient stroke rehabilitation facilities. A simple
nurse-led oral hygiene regime was then implemented with
all participants, which included twice daily tooth brushing
and mouth rinsing after lunch, and oral health was measured
again one week later.
RESULTS – Initially, dysphagia was negatively associated
with OHAT scores, and independence for oral hygiene was
positively associated with oral health. After one week of a
simple oral hygiene regime, the OHAT scores available for
89 participants indicated an improvement on average for
all participants. In particular, 59% of participants with dysphagia
had an improvement of 1 or more points. None of the
participants developed pneumonia.
CONCLUSION – A simple, inexpensive oral hygiene regime resulted
in positive outcomes for patients with and without dysphagia
in inpatient stroke rehabilitation settings. Oral health
assessments and oral hygiene regimes that are simple to
implement by the interdisciplinary team can be incorporated
into standard stroke care with positive effect.