Effect of a Person-Centered Mouth Care Intervention on Care Processes and Outcomes in Three Nursing Homes
被引:64
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作者:
Sloane, Philip D.
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机构:
Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
Univ N Carolina, Dept Family Med, Chapel Hill, NC 27599 USAUniv N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
Sloane, Philip D.
[1
,2
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Zimmerman, Sheryl
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机构:
Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
Univ N Carolina, Sch Social Work, Chapel Hill, NC 27599 USAUniv N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
Zimmerman, Sheryl
[1
,3
]
Chen, Xi
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h-index: 0
机构:
Univ N Carolina, Sch Dent, Chapel Hill, NC 27599 USAUniv N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
Chen, Xi
[4
]
Barrick, Ann L.
论文数: 0引用数: 0
h-index: 0
机构:
Univ N Carolina, Dept Psychol, Chapel Hill, NC 27599 USA
Cent Reg Hosp, Butner, NC USAUniv N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
Barrick, Ann L.
[5
,6
]
Poole, Patricia
论文数: 0引用数: 0
h-index: 0
机构:
Univ N Carolina, Sch Dent, Chapel Hill, NC 27599 USAUniv N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
Poole, Patricia
[4
]
Reed, David
论文数: 0引用数: 0
h-index: 0
机构:
Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USAUniv N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
Reed, David
[1
]
Mitchell, Madeline
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机构:
Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USAUniv N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
Mitchell, Madeline
[1
]
Cohen, Lauren W.
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h-index: 0
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Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USAUniv N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
Cohen, Lauren W.
[1
]
机构:
[1] Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
[2] Univ N Carolina, Dept Family Med, Chapel Hill, NC 27599 USA
[3] Univ N Carolina, Sch Social Work, Chapel Hill, NC 27599 USA
[4] Univ N Carolina, Sch Dent, Chapel Hill, NC 27599 USA
[5] Univ N Carolina, Dept Psychol, Chapel Hill, NC 27599 USA
OBJECTIVES: To develop and test a person-centered, evidence-based mouth care program in nursing homes. DESIGN: Pre-post assessment, with an 8-week intervention period and a pilot 6-month extension at one site. SETTING: Three North Carolina nursing homes. PARTICIPANTS: Ninety-seven residents and six certified nursing assistants (CNAs). INTERVENTION: CNAs already working in the facilities were trained as dedicated mouth care aides. A psychologist and dental hygienist provided didactic and hands-on training in evidence-based mouth care products and techniques and in person-centered behavioral care. MEASUREMENTS: Primary outcome measures for natural teeth were the Plaque Index for Long-Term Care (PI-LTC) and Gingival Index for Long-Term Care (GI-LTC) and for dentures the Denture Plaque Index (DPI); a dentist unmasked to study design obtained measures. Secondary outcomes included quantity and quality of care provided. RESULTS: Outcome scores significantly improved (P < .001 for PI-LTC and GI-LTC; P = .04 for DPI). Coding of videotaped care episodes indicated that care was more thorough (P < .001-P = .03) but took more time (P < .001) after training. Consistency of care appeared to be more important for natural teeth than dentures. CONCLUSION: As little as 8 weeks of mouth care can significantly improve oral hygiene outcomes. Given the consequences of poor oral hygiene, greater attention to mouth care education and provision are merited. The dedicated worker model is controversial, and future work should assess whether other models of care are equally beneficial.
机构:
Korea Univ, Coll Nursing, Seoul, South Korea
Korea Univ, L HOPE Program Community Based Total Learning Hlth, Seoul, South KoreaKorea Univ, Coll Nursing, Seoul, South Korea
Kim, Dayeong
Choi, Young-Rim
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Korea Univ, Coll Nursing, Seoul, South KoreaKorea Univ, Coll Nursing, Seoul, South Korea
Choi, Young-Rim
Lee, Ye-Na
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机构:
Univ Suwon, Dept Nursing, Hwaseong Si, South KoreaKorea Univ, Coll Nursing, Seoul, South Korea
机构:
German Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, GermanyGerman Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, Germany
Mohr, Wiebke
Raedke, Anika
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German Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, GermanyGerman Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, Germany
Raedke, Anika
Afi, Adel
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German Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, GermanyGerman Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, Germany
Afi, Adel
Edvardsson, David
论文数: 0引用数: 0
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机构:
Umeaa Univ, Dept Nursing, Umeaa, Sweden
La Trobe Univ, Sch Nursing & Midwifery, Melbourne, Vic, AustraliaGerman Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, Germany
Edvardsson, David
Muehlichen, Franka
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German Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, GermanyGerman Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, Germany
Muehlichen, Franka
Platen, Moritz
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German Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, GermanyGerman Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, Germany
Platen, Moritz
Roes, Martina
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German Ctr Neurodegenerat Dis eV DZNE, Site Witten, Witten, GermanyGerman Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, Germany
Roes, Martina
Michalowsky, Bernhard
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German Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, GermanyGerman Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, Germany
Michalowsky, Bernhard
Hoffmann, Wolfgang
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German Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, Germany
Univ Med Greifswald UMG, Inst Community Med, Greifswald, GermanyGerman Ctr Neurodegenerat Dis eV DZNE, Site Rostock Greifswald, Greifswald, Germany
机构:
Comm Sexual & Reprod Rights SPOG, San Isidro, Peru
SPOG, San Isidro, Peru
Peruvian Fertil Soc, Lima, Peru
FLASOG, Latin Amer Master Gynecol & Obstet, Panama City, PanamaComm Sexual & Reprod Rights SPOG, San Isidro, Peru
Orozco, Luis Tavara
REVISTA PERUANA DE GINECOLOGIA Y OBSTETRICIA,
2023,
69
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