老人口腔衰弱評估與照護需求文獻回顧

Review of Oral Frailty Assessment and Care Needs of the Elderly

郭雅雯(Ya-Wen Kuo) ； 陳美燕(Mei-Yen Chen) ； 李建德(Jiann-Der Lee) ； 張儷卿(Li-Ching Chang)

《志為護理-慈濟護理雜誌》 21卷1期 (2022/02) Pp. 75-82

摘要

口腔衰弱是影響身體衰弱與健康重要的部分。由於口腔疾病是經歷時間逐漸演變的過程，使得老人經常以為口腔狀況不佳是老化正常之狀態，因而忽略了對於口腔衰弱問題之發現與處理。臨床上對於口腔衰弱評估並未全面進行，且對於身體衰弱重視程度高於口腔衰弱，因此限制了早期發現口腔衰弱個案的問題。本文透過文獻查證，針對口腔衰弱之定義、誘發因子及評估進行文獻回顧，並針對照護之轉介、食物選擇、口乾照護、口腔機能活化運動與口腔衰弱預防策略進行探討；希冀藉由本文讓醫護人員獲得口腔衰弱評估與照護之新知，進而將口腔衰弱評估融入於臨床照護中，以提升個案整體之照護品質。

關鍵字

老人 ； 口腔衰弱評估 ； 口腔衰弱照護

並列摘要

Oral frailty is an important factor that affects physical frailty and health. Because oral diseases are a process of gradual evolution over time, many elderly people think poor oral status is a normal part of aging and therefore ignore the discovery and treatment of oral frailty problems. Greater emphasis placed on physical frailty assessment in clinical care, means the assessment of oral frailty is often inadequately addressed leading to the problem of limited early detection of oral frailty cases. This paper conducts a literature review examining the definition, precipitating factors and assessment of oral frailty. Identified and discussed are important aspects of oral care including the referral, food selection, care of dry mouth, oral-motor exercises and prevention strategies for oral frailty. It is hoped that through this paper medical staff gain new knowledge of oral frailty assessment and care, and integrate oral frailty assessment into clinical care so as to improve the overall care quality for clinical clients.

並列關鍵字

elderly ； oral frailty assessment ； oral frailty care

參考文獻

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