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  • 學位論文

南區機構內老年失智症照護者口腔衛生知識、態度、行為調查

An Investigation of Knowledge, Attitude and Practice Toward the Caregivers’ Oral Health in Caring for the Senile Population with Dementia in Southern Institutions

指導教授 : 黃純德

摘要


研究背景: 近年來老人長期照護問題已逐漸受到社會的重視,一般大約有75%的老年人有一種或是多種慢性病,其中老年失智症這類慢性疾病,常因疾病歷程的特殊性,以及伴隨許多日常生活失能的狀況。長期照護機構中,由於成本的問題及相關資源不足,往往無法找到適當的牙醫師至機構協助個案的口腔照護,且護理人員缺乏正式口腔保健訓練。國內對於針對機構內口腔保健身負重任的照護者,相關的調查及文獻很少,因此,希望能探討機構內失智症照護者是否具備足夠正確的口腔衛生知識、態度及行為。本研究主要針對機構內失智症照護者口腔衛生知識、態度及行為進行調查,希望藉由此一研究結果,能作為政府衛生部門推行相關口腔保健計劃之參考。 研究目的: 本研究目的為瞭解南區機構內老年失智症照護者口腔衛生知識、態度、行為現況及其影響因素。 研究方法: 採立意取樣針對南區16間長期照護機構進行問卷調查。回收有效問卷250份,回收率89.29%,問卷資料收集完成後以Microsoft Access軟體輸入電腦存檔,以Excel軟體作資料處理,再以JMP套裝軟體做統計分析。 結果: 護理人員中口腔衛生知識總分平均分數為66.92±14.18,其影響因素為年齡層;照顧服務員為57.62±15.91,其影響因素為最高學歷、出生國籍。護理人員中口腔衛生態度總分平均分數為75.93±6.94,其影響因素為口腔衛生知識總分;照顧服務員為72.62±6.99,無顯著之影響因素。口腔衛生行為方面,護理人員及照顧服務員一天刷二次者最多,分別為49.53%及58.74%。有定期看牙醫之護理人員佔47.66%;照顧服務員佔30.77%。牙痛才去看牙醫之護理人員佔54.21%最多;照顧服務員佔70.63%。護理人員中有每天協助失智住民清潔口腔者佔49.53%;照顧服務員佔78.01%。 結論: 機構內護理人員口腔衛生知識高於照顧服務員,態度方面兩者均屬正向,然而行為方面兩者均需加強,但護理人員實際協助失智住民清潔口腔機會並不高,建議機構工作人員需接受口腔保健訓練課程及研討會,並結合地區牙醫師資源,共同促進機構內失智老人之口腔健康。

關鍵字

失智症照護者 知識 態度 行為

並列摘要


Background: Recently the long-term aged care issue has been increasingly emphasized in our society. In general, 75% of the older adults had one or more chronic diseases. Among them, the elderly with senile dementia had some characteristics in the stages of the disease along with a functional disorder in daily life. Owing to a shortage of funds and information in the institutions, it was hard to find a suitable dentist to handle the case of the oral health problem there, Moreover, the nurses and caregivers in the institutions lacked formal training in oral health care. The nurses and caregivers in the institutions were highly responsible for the oral health care, but unfortunately there were limited research and documents for reference in Taiwan. Therefore, it is time to make a thorough investigation of the knowledge, attitude and practice of the caregivers and nurses oral health care while looking after the elderly with senile dementia in the institutions and see if they are qualified for the job. This research focused on the understanding and the present status of the knowledge, attitude and practice of caregivers and nurses’ oral health care while looking after the elderly with senile dementia in the institutions, hoping it can serve as a reference to the National Health Administration’s promotion of oral health programs in institutions. Objective: The major purpose of this study was to understand the relationship between the present status of the knowledge, attitude and practice of caregivers and nurses oral health care and their influencing factors while looking after the elderly with dementia in the institutions. Method: This research applied purposive sampling method through questionnaires sent to 16 long-term care institutions in the south of Taiwan. There were 250 questionnaires collected in total, with a 89.29% return rate. The collected data were stored, processed and analyzed by Microsoft Access, Excel and JMP respectively . Result: The mean score of the nurses’ oral health related knowledge was 66.92±14.18; the major factor influencing the score was age. And that of the caregivers’ was 57.62±15.91; the major factor influencing the score was the level of formal schooling , nationality and the consciousness of oral health. The mean score of the nurses’ oral health attitude was 75.93±6.94; the major factor influencing the score was the mean score of the nurses’ oral health related knowledge. And that of the caregivers’ was 72.62±6.99. In the aspect of oral health practice, 49.53% of the nurses and 58.74% of the caregivers brushed their teeth twice a day. 4766% of the nurses and 30.77% of the caregivers visited a dentist routinely. And 54.21% of the nurses and 70.63% of the caregivers visited a dental clinic only when they had a toothache. 49.53% of the nurses and 78.01% of the caregivers helped to clean the oral cavity of the elderly with senile dementia daily. Conclusion: It is true that the knowledge of oral health of the nurses in the institutions was better than that of the caregivers there. At the same time, the attitude of them both was positive. And yet they both should have put more emphasis on their practice. But actually the nurses did not often assist the elderly with dementia in cleaning their oral cavity. Hence it is suggested that the staff of the institutions should regularly attend seminars in oral health care and training, be encouraged to attend oral hygiene programs, and efficiently cooperate with local dentists to promote the health of the elderly with dementia in the institutions.

參考文獻


參考文獻
1.內政部a。96年10月底老人長期照護、養護安養機構概況。取自: http://www.moi.gov.tw/stat/。2007年12月8日取得。
2.內政部b。近年我國老年人口數一覽表。取自:
http://sowf.moi.gov.tw/04/07/1/1-03.htm。2007年12月8日取得。
3.內政部。身心障礙者生活需求調查報告。取自:

被引用紀錄


陳玉英(2015)。口腔照護執行者的口腔衛生知識、態度、執行狀況與中風病人口腔衛生之相關性探討〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2015.02930

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