- 期刊
慢性精神分裂病人口腔衛生執行率之改善方案
A Project of Improving Execution Rate of Oral Hygiene among Chronic Schizophrenic Patients
摘要
本專案旨在提昇慢性精神科住院病人口腔衛生執行率。觀察40位慢性住院精神病人執行口腔衛生情形，發現執行率低，其原因包括：1.病人不知道刷牙的重要性及方法、2.缺乏完善的口腔衛教版本、3.護理人員人力不足未督促及觀察口腔衛生時間與執行治療衝突、4.未將口腔衛生列入護理常規等，故運用口腔團體衛教、獎勵措施、播放刷牙歌以提醒刷牙等措施，結果顯示病人主動刷牙由41%提升至71.8%、護理人員督促病人刷牙由32.3%至97.5%，刷牙的正確性由0%提升至93%，口腔清潔性：無牙垢由11.3% 提升至35%，無舌苔由35%提升至58%，無口中異味由40%提升至90%；口腔黏膜完整性：無牙齦發炎由70%提升至83%，無黏膜紅腫由83%提升至98%，無潰瘍由95%提升至100%，其他口腔部位無出血由85%提升至95%。本專案實施後病人口腔衛生改善成效顯著，故希望此方案可以全面推廣到慢性精神病房。
並列摘要
This project was aiming at improving oral hygiene of chronic schizophrenic inpatients. By observingoral hygiene of 40 chronic patients, we found: (1) Patients did not know the importance and the proper method of brushing; (2) Patients lacked complete oral hygiene instructions; (3) Nursing staffs' shortage and time conflict; and (4) Oral hygiene teaching was excluded from nursing routine. Therefore, group education and incentives such as playing brushing song were used to remind the patients. The results showed that the rate of patients brushing actively rose from 41% to 71.8%; the number of patients being urged to brush increased from 32.3% to 97.5%; the accuracy of brushing climbed from 0% to 93%. Oral cleanness: Rate of patients with no plaque increased from 11.3% to 35%; rate of patients with absence of tongue coating rose from 35% to 58%; rate of patients with absence of mouth odor rose from 40% to 90%. Oral mucosa integrity: Rate of patients with no gingivitis grew from 70% to 83%; 83% to 98% of patients without mucosal swelling; 95% to 100% of the patients without ulcer; and a growth of 85% to 95% of the patients without bleeding from other parts of the mouth. We hope that this program can be fully utilized in chronic schizophrenic wards.