Effect of oral health education programs for caregivers on oral hygiene of the elderly: A systemic review and meta-analysis

Wang, Tze Fang; Huang, Chun‐Kai; Chou, Chyuan; Yu, Shu

doi:10.1016/j.ijnurstu.2015.01.015

Cited by 66 publications

(60 citation statements)

References 37 publications

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“…This study suggests that the use of an educational program for caregivers is effective in improve the elderly's health and hygiene indicators, as previously reported by Wang et al 6 , suggesting that such programs should be installed as routine in LTCI contributing to better health conditions.…”

Section: Discussionsupporting

confidence: 84%

“…2017 Sept-Oct; 46(5): [284][285][286][287][288][289][290][291] Educational program in oral health... 285 of dependence in daily activities and requiring a multidisciplinary treatment, with contributions from nurses, caregivers and other health professionals 4 , associated to the impact in the financial system 5 . Moreover, factors such as cognitive decline 6 , sarcopenia 7 and lack of mobility in elders due to either physical disabilities or tissue and organ impairments resulting from aging or degenerative diseases also contribute significantly to poor oral health 8 .…”

Section: Introductionmentioning

confidence: 99%

“…There is a failure between the high need for dental care and the limited services offered to the institutionalized elders 10 ; thus, there is a need to educate caregivers about oral health to be potential care educators. There are some barriers [10][11][12] to achieving adequate oral health for the residents of LTCIs; these barriers include high costs, restricted mobility, a low level of awareness about the needs of elders, the perceived need for dental care among the institutionalized elders, the number of teeth, the functional and clinical status of the elders, financial restrictions, resistance to care and fear and lack of caregiver knowledge about oral health 10 ; knowing that the health education of caregivers contributes to the improvement of the oral health of the elderly 6,13,14 .…”

Section: Introductionmentioning

confidence: 99%

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Educational program in oral health for caregivers on the oral hygiene of dependent elders

Lago

Fais

Montandon

et al. 2017

Rev. odontol. UNESP

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ResumoObjetivo: Devido ao aumento do número de idosos que vivem em instituições de longa permanência são essenciais projetos de ações para melhorar a saúde bucal. Assim, o objetivo deste estudo foi avaliar o impacto de um programa educacional para os cuidadores de idosos institucionalizados por meio da avaliação da higiene bucal. Material e método: O programa de educação consistiu em palestras para cuidadores sobre saúde bucal que foram realizadas uma vez por mês. Foram avaliados 40 idosos institucionalizados dependentes funcionalmente e 14 cuidadores. Os hábitos de higiene, o índice de placa e o revestimento/descoloração da língua dos idosos foram avaliados antes do programa educacional (T0) e após 6 (T1), 12 (T2), 18 (T3) e 24 meses (T4). Os cuidadores responderam perguntas sobre seus conhecimentos, suas dúvidas e sobre a implementação de cuidados bucais (T0 a T4). Resultado: Após análise dos dados (Friedman, Qui-quadrado e Spearman, α = 0,05), observou-se melhora gradual na higiene oral dos idosos, com maior freqüência de escovação (p = 0,0005), alteração do tipo de escova (p = 0,0065) e redução do índice de placa (p <0,05) e revestimento da língua (p <0,05). Os cuidadores mostraram uma melhoria acentuada no seu conhecimento sobre saúde bucal. Conclusão: Concluiu-se que o programa educacional para cuidadores teve um impacto positivo na saúde bucal dos idosos institucionalizados observado pelo aumento na eficácia dos parâmetros de higiene bucal, como índice de placa e revestimento da língua, contribuindo para o ganho de conhecimento em higiene pelos cuidadores.Descritores: Cuidadores; assistência odontológica para idosos; educação; instituição de longa permanência para idosos; assistência à idosos. AbstractObjective: Due increased number of elders living in long-term care institutions, actions designs to improve their oral health are essential. Thus, the aim of this study was to evaluate the impact of an educational program for the caregivers through the assessment of the oral hygiene of institutionalized elders. Material and method: The education program consisted in lectures to caregivers about oral health that were performed once a month. The subjects were 40 functionally dependent institutionalized elders and 14 caregivers. Hygiene habits, plaque index, and tongue coating/discoloration of the elders were measured before the educational program (baseline-T0) and after 6 (T1), 12 (T2), 18 (T3) and 24 months (T4). Caregivers answered questions about their knowledge, doubts and implementation of dental care (T0 to T4). Result: After analyzing the data (Friedman, Chi-square and Spearman α = 0.05), a gradual improvement in the oral hygiene of the subjects was observed, with an increased frequency of brushing (p=0.0005), a change in the brush type (p=0.0065) and a reduction in the plaque index (p<0.05) and tongue coating (p<0.05). Caregivers showed a marked improvement in their dental care knowledge. Conclusion: It was concluded that the educational program for caregivers had a positive impact in the oral health ...

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Educational program in oral health for caregivers on the oral hygiene of dependent elders

Lago

Fais

Montandon

et al. 2017

Rev. odontol. UNESP

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“…The oral tissue loses elasticity, flake, and become more fragile and susceptible to oral cavity injuries, favoring the colonization by opportunistic microbiota [37]. It should also be kept in mind that the cognitive, functional, or neuropsychiatric problems that can affect the elderly make it even harder to perform the oral hygiene [38]. It should be reminded that the hypertensive participants in the sample are on average almost six years older than the normotensive participants and, therefore, more predisposed to such events.…”

Section: Discussionmentioning

confidence: 99%

Characterization of Oral Microbiota in Removable Dental Prosthesis Users: Influence of Arterial Hypertension

Marchi-Alves

Freitas

Andrade

et al. 2017

BioMed Research International

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Introduction Studies have described the possible relation between oral infections and atherosclerotic events. Objective To characterize the oral microbiota of normotensive and hypertensive users of dental prostheses. Methods The sample consisted of 41 complete dental prosthesis users, divided into groups: 21 participants with systemic arterial hypertension and 20 normotensive participants. The data collection included the characteristics of the sociodemographic variables and the determination of the microbial load in the saliva. For the descriptive analyses, Statistical Package for the Social Sciences was used. The description of the proportional differences between the groups was based on the application of Mann–Whitney's statistical test. Statistical significance was set at 5% (p < 0.05). Results The analysis of the oral microbiota showed the vast growth of aerobic microorganisms in all samples from both groups. The microbial load of streptococci and staphylococci was significantly higher among hypertensive participants. Candida yeasts were detected in the saliva culture of most samples. The hypertensive participants rank in the category of very high colonization index/high risk of infection related to this microorganism. Conclusions The mouth of dental prosthesis users, especially when hypertensive, can constitute an important reservoir of pathogens, indicating an established inflammatory or infectious condition or risk for developing this condition.

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“…Studies have consistently revealed poor oral hygiene and health among people living in nursing homes compared with younger and community-dwelling older adults. Nursing home residents face more severe oral problems, for example, tooth loss, periodontal disease, caries, and xerostomia 1–4. Worsening of oral health not only affects chewing function, and therefore nutrition, but also general health by aggravating cardiovascular diseases and infectious respiratory diseases 5–8.…”

Section: Introductionmentioning

confidence: 99%

Oral health-related quality of life and prosthetic status of nursing home residents with or without dementia

Klotz

Hassel

Schröder³

et al. 2017

CIA

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PurposeThe objective of this cross-sectional study was to evaluate the effect of prosthetic status on the oral health-related quality of life (OHRQoL) of nursing home residents with or without dementia.MethodsThe study was performed in 14 nursing homes across the federal state of Baden-Württemberg, Germany. All eligible participants were included, and general and medical information and information about their dental and prosthetic statuses were collected. The Geriatric Oral Health Assessment Index (GOHAI) was administered to evaluate OHRQoL. The Mini-Mental State Examination (MMSE) served to classify participants into living or not living with dementia according to the established cutoff value for dementia (MMSE <24). Parametric bivariate statistics and logistic regression models were used to analyze data at P<0.05.ResultsA total of 169 participants were included in this study. The mean age of the participants was 82.9 years. A total of some 70% of the sample was living with dementia. The mean GOHAI score along the sample was 49.1 (8.3), and 41% of the sample reported substantially compromised OHRQoL (GOHAI <50). OHRQoL was statistically similar for people with or without dementia (P=0.234); objective oral health was also similar in both groups (P>0.05). The number of teeth (odds ratio [OR]: 2.0), the type of prosthetic status (OR: 6.5), and denture-related treatment needs (OR: 2.4) were the major factors significantly affecting OHRQoL (P<0.05).ConclusionThe OHRQoL of elderly nursing home residents is substantially compromised. Several prosthetic treatment needs for residents living with or without dementia were identified. Edentulism without tooth replacement and having <5 teeth resulted in an increased risk of substantially compromised OHRQoL. Further studies should be conducted to determine whether improvements in prosthetic status can increase OHRQoL.

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Effect of oral health education programs for caregivers on oral hygiene of the elderly: A systemic review and meta-analysis

Cited by 66 publications

References 37 publications

Educational program in oral health for caregivers on the oral hygiene of dependent elders

Educational program in oral health for caregivers on the oral hygiene of dependent elders

Characterization of Oral Microbiota in Removable Dental Prosthesis Users: Influence of Arterial Hypertension

Oral health-related quality of life and prosthetic status of nursing home residents with or without dementia

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