Factors That Affect Oral Care Outcomes for Institutionalized Elderly

被引:4
作者
Nomura, Yoshiaki [1 ]
Takei, Noriko [2 ]
Ishii, Takanori [2 ]
Takada, Koji [2 ]
Amitani, Yasuharu [3 ]
Koganezawa, Hitomi [4 ]
Fukuhara, Shizuko [5 ]
Asai, Keita [5 ]
Uozumi, Ryuji [6 ]
Bessho, Kazuhisa [5 ]
机构
[1] Tsurumi Univ, Dept Translat Res, Sch Dent Med, Tsurumi Ku, 2-1-3 Tsurumi, Yokohama, Kanagawa 2308501, Japan
[2] Lion Fdn Dent Hlth, Sumida Ku, 3-7 Honjo 1-Chome, Tokyo, Japan
[3] Tsurumi Univ, Dept Math, Sch Dent Med, Tsurumi Ku, 2-1-3 Tsurumi, Yokohama, Kanagawa 2308501, Japan
[4] Med Corp Hakuoukai Koganezawa Dent Clin, 5-6 Ooishihigashi 4-Chome, Otsu, Siga 5202264, Japan
[5] Kyoto Univ, Grad Sch Med, Dept Oral & Maxillofacial Surg, Sakyo Ku, 54 Kawahara Cho, Kyoto 6068507, Japan
[6] Kyoto Univ, Grad Sch Med, Dept Biomed Stat & Bioinformat, Sakyo Ku, 54 Kawahara Cho, Kyoto 6068507, Japan
关键词
D O I
10.1155/2018/2478408
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
The aim of this study was to evaluate the effect of an oral care intervention program on the incidence of pneumonia and fever as a surrogate endpoint. In addition, we tried to determine the oral care risk factors for the incidence of fever. We provided an oral care program for the elderly at one private nursing home in July 2013. The maximum capacity of the nursing home was 60 residents. The body temperatures of all residents were measured twice a day and were summarized as the incidence of fever over a one-month period, which was used as the dependent variable. The residents' life conditions, number of teeth, and prescribed diet were used as independent variables. The factors that affected the incidence of fever were the number of remaining teeth, a prescribed diet of sliced food, the meal care level, and the oral Candida levels. These risk factors affected the incidence of fever independently or interactively with oral care. Some risk factors for the incidence of fever were enhanced by the oral care program. It is important to evaluate and control these factors before the implementation of an oral care program.
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页数:9
相关论文
共 44 条
[1]   Prevalence of potential respiratory pathogens in the mouths of elderly patients and effects of professional oral care [J].
Abe, S ;
Ishihara, K ;
Okuda, K .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2001, 32 (01) :45-55
[2]  
Adachi M, 2007, Int J Dent Hyg, V5, P69, DOI 10.1111/j.1601-5037.2007.00233.x
[3]   Effect of professional oral health care on the elderly living in nursing homes [J].
Adachi, M ;
Ishihara, K ;
Abe, S ;
Okuda, K ;
Ishikawa, T .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 2002, 94 (02) :191-195
[4]   Systematic review of the association between respiratory diseases and oral health [J].
Azarpazhooh, Amir ;
Leake, James L. .
JOURNAL OF PERIODONTOLOGY, 2006, 77 (09) :1465-1482
[5]  
Bansal M, 2013, J Med Life, V6, P244
[6]   DENTAL HYGIENE INTERVENTION TO PREVENT NOSOCOMIAL PNEUMONIAS [J].
Barnes, Caren M. .
JOURNAL OF EVIDENCE-BASED DENTAL PRACTICE, 2014, 14 :103-114
[7]   Modification of the risk of mortality from pneumonia with oral hygiene care [J].
Bassim, Carol W. ;
Gibson, Gretchen ;
Ward, Timothy ;
Paphides, Brian M. ;
DeNucci, Donald J. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2008, 56 (09) :1601-1607
[8]   Survey of oral care practices in US intensive care units [J].
Binkley, C ;
Furr, LA ;
Carrico, R ;
McCurren, C .
AMERICAN JOURNAL OF INFECTION CONTROL, 2004, 32 (03) :161-169
[9]   DYSPHAGIA THERAPY FOLLOWING STROKE - A CONTROLLED TRIAL [J].
DEPIPPO, KL ;
HOLAS, MA ;
REDING, MJ ;
MANDEL, FS ;
LESSER, ML .
NEUROLOGY, 1994, 44 (09) :1655-1660
[10]  
DEUTSCH JM, 2001, AACN PROCEDURE MANUA