scholarly journals Pengetahuan, Sikap dan Keterampilan Perawat tentang Oral Care pada Pasien Tidak Sadar

Author(s):  
Endah Fitriasari ◽  
Elly L. Sjattar ◽  
Kusrini S. Kadar

Background: Providing oral care for adults who are hospitalized with dependency is a nursing responsibility and is an important component of providing nursing care services, as an effort to maintain general health. Objective: To observe nurses' knowledge, attitudes and skills about oral care in unconscious patients. Methods: Using an database to search for articles from journals that had been published through PubMed, Google Scholar, and Proquest. Results: Six articles that discussed oral health care knowledge, attitudes and skills were included in the review. There were three articles with cross-sectional designs and one article each for descriptive, non-randomized intervention trials and mixed methods. Conclusion: Efforts to renew knowledge, attitudes and improve oral health care skills can be done through training or through oral health programs. Keywords: knowledge; attitudes; nurse skills; oral care; unconscious patients ABSTRAK Latar Belakang: Memberikan oral care untuk orang dewasa yang dirawat di rumah sakit dengan ketergantungan adalah tanggung jawab keperawatan dan merupakan komponen penting dari pemberiaan layanan asuhan keperawatan, sebagai upaya menjaga kesehatan secara umum. Tujuan: Untuk melihat pengetahuan, sikap dan keterampilan perawat tentang oral care pada pasien tidak sadar. Metode: Menggunakan basis data elektronik dalam mencari artikel dari jurnal yang telah dipublikasikan melalui PubMed, Google scholar, dan Proquest. Hasil: Enam artikel yang membahas tentang pengetahuan, sikap dan keterampilan perawatan kesehatan mulut dimasukkan dalam tinjauan. Terdapat tiga artikel dengan desain cross- sectional serta masing- masing satu artikel untuk deskriptif, non-randomized intervention trial dan mixed method. Kesimpulan: Upaya memperbaharui pengetahuan, sikap dan meningkatkan keterampilan perawatan kesehatan mulut dapat dilakukan dengan pelatihan ataupun melalui program kesehatan mulut. Kata kunci: pengetahuan; sikap; keterampilan perawat; oral care; pasien tidak sadar

2021 ◽  
pp. 108482232110084
Author(s):  
Agata Wilk ◽  
Lisa LaSpina ◽  
Linda D. Boyd ◽  
Jared Vineyard

This study aimed to explore the level of perceived oral health literacy (OHL) among caregivers of the homebound population in the Chicago metropolitan area and how caregivers’ OHL impacts their oral care to the homebound population. The relationships between demographic characteristics, perceived OHL levels, personal oral health behaviors, and oral health care to clients were also assessed. This cross-sectional survey research examined 69 caregivers of the homebound population employed by home health agencies. The OHL was determined by the validated Health Literacy in Dentistry Scale (HeLD-14). Independent t-tests, chi-square tests set at p < .05 significance level, and logistic regressions were used for analysis. The mean age of participants was 43. The HeLD-14 scores indicated a high perceived OHL among this group. Caregivers came from diverse groups, and the majority spoke a second language at home. About 93% performed oral self-care the recommended amount of time or more, while only 57% did it for their clients. Those who cleaned clients’ mouth twice a day had a higher OHL score ( M = 23 compared to M = 19). About 43% did not check for sores in the client’s mouth, and those who checked had a higher OHL score ( M = 25 compared to M = 19). Controlling for OHL, age was a good predictor of oral care frequency to clients. These findings provide current evidence and add to the body of knowledge on OHL among homebound individuals. The results provide insights for designing a preventive approach in oral health care to the homebound population.


2020 ◽  
Vol 8 (3) ◽  
pp. 184-191
Author(s):  
Najat Abdrabbo AlYafei ◽  
Bushra Naaz Fathima Jaleel

Aging is a natural and irreversible process of life. Oral health of elderly people is an important public health issue and good oral health is an essential part of their health care. Currently, the challenge lies in aligning the existing health system with the needs and preferences of the elderly people. The aim of this article is to propose a model for Domiciliary Oral Health Care Services for elderly in Qatar, wherein a definite pathway for oral care is identified and the Domiciliary Oral Health Care Services program is standardized, from the initial phase of oral assessment, through the oral health promotion and preventative phase until the dental treatment phase. This model will help to deliver oral health care to elderly who may be unable to access or face difficulties to access the dental services in conventional dental clinical settings due to disability, infirmity or old age. It will ensure oral comfort, pain relief, essential oral care and enhancement of oral hygiene for the elderly. Working in collaboration with organizations offering Home Healthcare Services, Domiciliary Oral Health Care Services will help in realization of the shared goal of achieving ‘Healthy Ageing’, holistic health and welfare for the elderly in Qatar. By favoring the policy to initiate the DOHCS as “Essential health services that benefits all elderly people living in Qatar”, the State of Qatar would probably be the pioneer in Middle East region to initiate such a program at National level for improving the oral health of the elderly.


2021 ◽  
Vol 13 ◽  
pp. 64-70
Author(s):  
Vinod Anju ◽  
Raj Sunil N ◽  
Chinnappa Anitha

Objectives: Mucopolysaccharidosis (MPS) comprises of a set of rare inherited lysosomal disorder which results in deposition of glycosaminoglycans (GAGs) in various tissues and organs resulting in disturbances in the developing structures. The aim of the study was to systematically record the oral findings of patients diagnosed with MPS and subsequently assess their oral health needs. Methodology: A cross- sectional study was conducted on patients diagnosed with MPS (n=57). Complete soft tissue and hard tissue examination was done and the findings recorded. DMFT or def indices were recorded in accordance with WHO criteria and methods. Results: The study showed that the patients diagnosed with MPS have higher oral health care needs owing to the anatomical and pathological changes. The study showed that the patients diagnosed with MPS had poor oral hygiene and high caries incidence. However, the number of filled teeth in spite of high caries index wassignificantly less which showed neglected oral care. Interpretation and Conclusion: The patients diagnosed with MPS have higher oral health care needs. Hence, regular dental evaluation and treatment must be incorporated in their health care regimen.


2015 ◽  
Vol 21 (2) ◽  
pp. 148 ◽  
Author(s):  
Lydia Hearn ◽  
Linda Slack-Smith

The oral health of older people living in residential aged care facilities has been widely recognised as inadequate. The aim of this paper is to identify barriers to effective engagement of health-care providers in oral care in residential aged care facilities. A literature review was conducted using MEDline, CINAHL, Web of Science, Academic Search Complete and PsychInfo between 2000 and 2013, with a grey literature search of government and non-government organisation policy papers, conference proceedings and theses. Keywords included: dental/oral care, residential aged care, health-care providers, barriers, constraints, and limitations. A thematic framework was used to synthesise the literature according to a series of oral health-care provision barriers, health-care provider barriers, and cross-sector collaborative barriers. A range of system, service and practitioner level barriers were identified that could impede effective communication/collaboration between different health-care providers, residents and carers regarding oral care, and these were further impeded by internal barriers at each level. Findings indicated several areas for investigation and consideration regarding policy and practice improvements. While further research is required, some key areas should be addressed if oral health care in residential aged care services is to be improved.


2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Zurainie Abllah ◽  
Karimah Hanim Abdul Aziz ◽  
Nurjasmine Aida Jamani

Introduction: During pregnancy, increased acidity in the mouth increases the risk of antenatal mother to get dental caries. It is worsen if antenatal mother has morning sickness like vomiting during pregnancy. It can aggravate the problem by exposing the teeth to more gastric acid. In addition, antenatal mothers have hormonal changes that they are more susceptible to periodontal problems. Therefore, it is important for antenatal mother to get dental treatment and use oral health service. This study aim is to describe barriers to utilisation of oral health care services among antenatal mothers attending the Klinik Kesihatan Ibu dan Anak around Kuantan. Materials and Methods: A cross sectional study which was conducted among purposely selected 296 antenatal mothers aged 18-45 years from Kuantan, Pahang in 18 months duration. Study used validated selfadministered questionnaire to obtain information on the variables of interest. Results: Common barriers to utilization of services among antenatal mothers are fear to dental pain (45.6%), time constraints- busy at workplace (36.5%) and feeling of not having any dental problems (36.1%). Meanwhile the least barrier to oral health care services among antenatal mothers is attitude of the dentist (0.7%), followed by attitude of the staff (1.4%) and condition of treatment room (1.7%) Conclusion(s): Fear of dental pain is the main barrier to utilization of service among antenatal mothers and dissatisfaction of the service provided is the least barrier among other factors.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiangqun Ju ◽  
Gloria C. Mejia ◽  
Qiang Wu ◽  
Huabin Luo ◽  
Lisa M. Jamieson

Abstract Background Social determinants drive disparities in dental visiting. Disparities can be measured simply by comparing outcomes between groups (inequality) but can also consider concepts of social justice or fairness (inequity). This study aimed to assess differences in dental visiting in the United States in terms of both social inequality and inequity. Methods Data were obtained from a cross-sectional study—the National Health and Nutrition Examination Survey (NHANES) 2015–2016, and participants were US adults aged 30+ years. The outcome of interest, use of oral health care services, was measured in terms of dental visiting in the past 12 months. Disparity was operationalized through education and income. Other characteristics included age, gender, race/ethnicity, main language, country of birth, citizenship and oral health status. To characterize existing inequality in dental service use, we examined bivariate relationships using indices of inequality: the absolute and relative concentration index (ACI and RCI), the slope index of inequality (SII) and relative index of inequality (RII) and through concentration curves (CC). Indirect standardization with a non-linear model was used to measure inequity. Results A total of 4745 US adults were included. Bivariate analysis showed a gradient by both education and income in dental visiting, with a higher proportion (> 60%) of those with lower educational attainment /lower income having not visited a dentist. The concentration curves showed pro-higher education and income inequality. All measures of absolute and relative indices were negative, indicating that from lower to higher socioeconomic position (education and income), the prevalence of no dental visiting decreased: ACI and RCI estimates were approximately 8% and 20%, while SII and RII estimates were 50% and 30%. After need-standardization, the group with the highest educational level had nearly 2.5 times- and the highest income had near three times less probability of not having a dental visit in the past 12 months than those with the lowest education and income, respectively. Conclusion The findings indicate that use of oral health care is threatened by existing social inequalities and inequities, disproportionately burdening disadvantaged populations. Efforts to reduce both oral health inequalities and inequities must start with action in the social, economic and policy spheres.


2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Anna L. Suominen ◽  
Sari Helminen ◽  
Satu Lahti ◽  
Miira M. Vehkalahti ◽  
Matti Knuuttila ◽  
...  

2021 ◽  
pp. 238008442110126
Author(s):  
J.L.P. Protudjer ◽  
C. Billedeau ◽  
K. Hurst ◽  
R. Schroth ◽  
C. Stavropoulou ◽  
...  

Introduction: Rates of periodontal disease and tooth loss are increased in individuals with rheumatoid arthritis (RA). Understanding factors that contribute to the increased burden of periodontal disease in RA is critical to improving oral health and arthritis outcomes. Objectives: To determine the perceptions held by people with RA relating to their oral health, to identify patient-centered priorities for oral health research, and to inform optimal strategies for delivering oral health knowledge. Methods: Semistructured interviews were conducted with patients with RA. Recorded interview transcripts were iteratively reviewed to reveal surface and latent meaning and to code for themes. Constructs were considered saturated when no new themes were identified in subsequent interviews. We report themes with representative quotes. Results: Interviews were conducted with 11 individuals with RA (10 women [91%]; mean age, 68 y), all of whom were taking RA medication. Interviews averaged 19 min (range, 8 to 31 min) and were mostly conducted face-to-face. Three overall themes were identified: 1) knowledge about arthritis and oral health links; 2) oral health care in RA is complicated, both in personal hygiene practices and in professional oral care; and 3) poor oral health is a source of shame. Participants preferred to receive oral health education from their rheumatologists or dentists. Conclusions: People with RA have unique oral health perceptions and experience significant challenges with oral health care due to their arthritis. Adapting oral hygiene recommendations and professional oral care delivery to the needs of those with arthritis are patient priorities and are required to improve satisfaction regarding their oral health. Knowledge Translation Statement: Patients living with long-standing rheumatoid arthritis described poor oral health–related quality of life and multiple challenges with maintaining optimal oral health. Study findings indicate a need for educational materials addressing oral health maintenance for patients with rheumatic diseases and their providers.


2001 ◽  
Vol 9 (2) ◽  
pp. 112-121 ◽  
Author(s):  
Dorthe Holst ◽  
Aubrey Sheiham ◽  
Poul Erik Petersen

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