提升精神科日間照護中心個案口腔健康維護能力之改善方案

慢性精神病人因疾病影響，造成自我照顧能力退化及缺乏動機，而無法維護口腔健康狀況，亦造成臨床照護之負荷。本專案小組成員調查個案口腔健康，發現51.3%的個案口腔健康不佳，單位也無口腔評估機制，由問卷得知個案口腔保健認知正確率為35.55%；口腔保健行為正確率僅11.89%。確立造成口腔維護能力不佳原因為缺乏動機、認知不足、缺乏口腔衛生評估機制。經規劃潔牙比賽、口腔衛生教育訓練、建立評估及提醒機制，措施介入後認知正確率達71.31%，保健行為正確率達42.16%。此專案藉由提高個案口腔健康的認知及能力，也讓工作人員重視口腔健康的重要性，並提早發現問題予以轉介牙科處置，讓個案減少口腔問題帶來的負面影響及降低臨床照護之負荷。

關鍵字

精神病人；口腔健康；口腔健康維護能力

並列摘要

Most chronic mental patients suffered from poor oral hygiene due to poor self-care and lack of motivation. Our team investigated the oral hygiene of chronic mental patients. We found that 51.3% of the patients had poor oral hygiene and the care unit did not provide any assessment. The questionnaire in our study showed that the correct rate of oral hygiene care was 35.55%; the correct rate of oral hygiene behavior was only 11.89%. The reasons for the poor ability to maintain oral hygiene can be concluded as a lack of motivation, of cognition, and of assessment. After we planned the oral cleaning competition, oral hygiene training, and established evaluation and reminding program, the correct concept rate reached 71.31% and the correct oral care behavior reached 42.16%. By improving the awareness and ability of patients, focusing on the importance of oral hygiene, and early detection of problems with dentist referral, it can reduce the negative impact of oral problems.

並列關鍵字

psychiatric patient ； oral hygiene ； oral hygiene maintenance

參考文獻

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劉淑娟、游美芳（2013）．長期照護個案的口腔照護及其重要性．源遠護理，7（2），5-9。doi:10.6530/YYN.2013.7(2).02

駱蔓萱、郭曉菁、楊奕馨（2011）．牙科治療前後對患者口腔健康相關生活品質之影響．台灣口腔醫學科學雜誌，27（2），108-124。doi:10.7059/TJOMS.201108.0045

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Tang, L. R., Zheng, W., Zhu, H., Ma, X., Chiu, H. F., Correll, C. U., ... Xiang, Y. T. (2016). Self-reported and interviewer-rated oral health in patients with schizophrenia, bipolar disorder, andmajor depressive disorder. Perspectives in Psychiatric Care, 52(1), 4-11. doi:10.1111/ppc.12096

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提升精神科日間照護中心個案口腔健康維護能力之改善方案

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