探討長期照護機構失能住民口腔衛生改善專案

Exploring Oral Hygiene Project for Frail Elders in a Long-Term Care Institution

邱淑卿(Shu-Ching Chiu) ； 黃子庭(Tzu-Ting Huang) ； 江慧玲(Hui-Ling Chiang)

《長庚護理》 13卷3期 (2002/09) Pp. 264-275

摘要

Often elderly people in long-term care institutions are unable to clearly communicate their oral hygiene needs or unable to perform their own oral hygiene. If no one in the institution assesses the residents' oral hygiene needs, oral problems and infections may occur, such as gingival swelling, inflamed wheals, or candidiasis. Therefore, oral hygiene for the elderly in the long-term care institution is important. The purpose of this project was to understand the current oral hygiene conditions of frail elders in a long-term care institution in northern Taiwan and to determine the best oral hygiene method.
Twenty-six (26) elderly patients who needed total oral hygiene care were recruited into this project. The oldest patients were 76-45 years (42%). The average length of stay was 3~5 years (46%). Subjects were randomly assigned to four groups based on oral care methods. Group 1 used Chlorhexidine (CMX) solutions with oral swabs. Group 2 used red tea with oral swabs. Group 3 used warm water with a soft toothbrush and a toothpick. Group 4 used oil tea with oral swabs. Evaluation was done in 3 time frames: one week before intervention and one week and four weeks after intervention. Results showed a decrease in tongue coating of 9.8% (from 77.8% to 66.8%) and a decrease in halitosis of 15.9% (from 51.9% to 36.0%). The group using CMX solutions was significantly more effective than other groups (p＜.05). Therefore, findings suggest that nurses use CMX solutions to increase the effectiveness of oral hygiene for elderly patients in long-term facilities.

關鍵字

失能老人 ； 口腔衛生 ； 長期照護機構 ； 口腔清潔護理

並列摘要

Often elderly people in long-term care institutions are unable to clearly communicate their oral hygiene needs or unable to perform their own oral hygiene. If no one in the institution assesses the residents' oral hygiene needs, oral problems and infections may occur, such as gingival swelling, inflamed wheals, or candidiasis. Therefore, oral hygiene for the elderly in the long-term care institution is important. The purpose of this project was to understand the current oral hygiene conditions of frail elders in a long-term care institution in northern Taiwan and to determine the best oral hygiene method.
Twenty-six (26) elderly patients who needed total oral hygiene care were recruited into this project. The oldest patients were 76-45 years (42%). The average length of stay was 3~5 years (46%). Subjects were randomly assigned to four groups based on oral care methods. Group 1 used Chlorhexidine (CMX) solutions with oral swabs. Group 2 used red tea with oral swabs. Group 3 used warm water with a soft toothbrush and a toothpick. Group 4 used oil tea with oral swabs. Evaluation was done in 3 time frames: one week before intervention and one week and four weeks after intervention. Results showed a decrease in tongue coating of 9.8% (from 77.8% to 66.8%) and a decrease in halitosis of 15.9% (from 51.9% to 36.0%). The group using CMX solutions was significantly more effective than other groups (p＜.05). Therefore, findings suggest that nurses use CMX solutions to increase the effectiveness of oral hygiene for elderly patients in long-term facilities.

並列關鍵字

frail elder ； oral hygiene ； long-term care institution ； oral hygiene care