日間照顧中心的口腔保健照顧－以健順體系為例

國內外口腔保健與健康的相關文獻與研究皆顯示，完善的口腔衛生照護不僅可以減少疾病的惡化，對疾病產生的減少、口腔健康的促進、生活品質的提升都有顯著的助益，突顯出高齡長者的健康體魄和健全牙齒及口腔保健的關聯愈形重要，又特別是受限於知能和表達障礙的失智症長者。爰此，歸納與整理健順體系之日間照顧中心針對於失智失能長者的牙齒保健之作法，並探究其功效。主要經驗如下：一、定時給予適當的飲水量，增加口腔濕潤及減少口腔異味；二、針對不同的知能障礙，提供不一樣的飯後口腔清潔照護；三、健口瑜珈操的執行。最後，依據口腔保健照顧經驗提出建議供服務提供者與照顧者參考。

關鍵字

口腔保健；健口瑜珈操；日間照顧中心；失智和失能；高齡者

並列摘要

Lots of researches and studies which emphasize on oral health and hygiene reveal that a well oral promotion program could reduce the aggravation and the morbidity of disease, and also could promote oral health and life quality in the same time. Therefore, the oral health of elders becomes an important issue, especially for the elderly with dementia whom suffer from cognitive and expressive decline. According to this concept, this study generalizes some conclusions which based on the oral care plans for elders of dementia and disability in the daycare center of Jiangsu system. The conclusions are listed below: 1) Supply water at regular time could increase the oral moist and decrease the oral smell. 2) Provide different oral caring depends on its diverse decline condition. 3) Execute the oral yoga every day. At the end, according to the results, this study would provide some implications for caregivers who provide the care for elders.