뇌졸중 환자의 구강건강 향상을 위한 개입과 평가: 주제범위 문헌고찰
Interventions and evaluation to improve oral health in patients with stroke: a scoping review
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This scoping review aimed to identify and analyze intervention strategies and assessment methods for oral hygiene management (OHM) and oral function management (OFM) in patients with stroke admitted to general wards, with the goal of providing directions for future research. Methods: We conducted a comprehensive literature search on studies published over the past 10 years across databases, including Cochrane, Embase, Medline, PubMed, and ProQuest. A total of 18 studies met the inclusion and exclusion criteria. Results: In the OHM studies (N=7), oral hygiene care was primarily provided by nurses, dental assistants, and nursing care aides. Oral hygiene was assessed using plaque and gingival bleeding indices with products such as electronic toothbrushes and mouth rinses. In the OFM studies (N=11), care was provided by speech-language pathologists, occupational therapists, and dental hygienists. Assessment tools included the Functional Oral Intake Scale, the PenetrationAspiration Scale, and Video Fluoroscopic Swallowing Studies. Conclusions: Improving the oral health of patients with stroke requires both hygiene and functional management. Therefore, it is necessary to develop a method that provides specialized oral care tailored to the hospitalization environment and the specific conditions of patients with stroke.
Abstract
Objectives: This scoping review aimed to identify and analyze intervention strategies and assessment methods for oral hygiene management (OHM) and oral function management (OFM) in patients with stroke admitted to general wards, with the goal of providing directions for future research. Methods: We conducted a comprehensive literature search on studies published over the past 10 years across databases, including Cochrane, Embase, Medline, PubMed, and ProQuest. A total of 18 studies met the inclusion and exclusion criteria. Results: In the OHM studies (N=7), oral hygiene care was primarily provided by nurses, dental assistants, and nursing care aides. Oral hygiene was assessed using plaque and gingival bleeding indices with products such as electronic toothbrushes and mouth rinses. In the OFM studies (N=11), care was provided by speech-language pathologists, occupational therapists, and dental hygienists. Assessment tools included the Functional Oral Intake Scale, the PenetrationAspiration Scale, and Video Fluoroscopic Swallowing Studies. Conclusions: Improving the oral health of patients with stroke requires both hygiene and functional management. Therefore, it is necessary to develop a method that provides specialized oral care tailored to the hospitalization environment and the specific conditions of patients with stroke.
참고문헌 (28)
- Martino R, "Dysphagia after stroke : incidence, diagnosis, and pulmonary complications", Stroke, 36(12), pp.2756~2763 (2005)[DOI]
- Hong KS, "Impact of neurological and medical complications on 3-month outcomes inacute ischaemic stroke", European Journal of Neurology, 15(12), pp.1324~1331 (2008)[DOI]
- Pow EH, "A longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the community", International Dental Journal, 55(5), pp.319~324 (2005)[DOI]
- Kim EK, "A study on the oral health and oral health related quality of life of stroke patients in a rehabilitation ward : a pilot study", J Dent Hyg Sci, 16(2), pp.127~133 (2016)[DOI]
- Sørensen, "Dysphagia screening and intensified oral hygiene reduce pneumonia after stroke", J NeurosciNurs, 45(3), pp.139~146 (2013)[DOI]
- Kim EK, "Lasting effect of an oral hygiene care program for patients with stroke during in-hospital rehabilitation : a randomized single-center clinical trial", Disability and Rehabilitation, 39(22), pp.2324~2329 (2017)[DOI]
- Talbot A, "Oral care and stroke units", Gerodontology, 22(2), pp.77~83 (2005)[DOI]
- Horne M, "Organisation, practice and experiences of mouth hygiene in stroke unit care : a mixed-methods study", J Clin Nurs, 24(5-6), pp.728~738 (2015)[DOI]
- Daramola T, "The Ohio State University", Doctor, pp.2010
- Lee YJ, "Oral health care provided by nurses for hospitalized patients in Korea", Int J Dent Hyg, 17(4), pp.336~342 (2019)[DOI]
- Lalla E, "Diabetes mellitus and periodontitis : a tale of two common interrelated diseases", Nat Rev Endocrinol, 7(12), pp.738~748 (2011)[DOI]
- Jang JH, "Preliminary study for the development of a visiting oral health care intervention program for the elderly based on community healthcare", J Korean Acad Oral Health, 44(3), pp.166~172 (2020)[DOI]
- Choi MI, "The influence of professional oral hygiene care on reducing ventilator-associated pneumonia in trauma intensive care unit patients", Br Dent J, 232(4), pp.253~259 (2022)[DOI]
- Fan D, "The effect of oral hygiene care program in stroke patients", J Korean Soc Dent Hyg, 14(3), pp.363~370 (2014)[DOI]
- Suzuki R, "Assignment of dental hygienists improves outcomes in Japanese rehabilitation wards : a retrospective cohort study", J Nutr Health Aging, 24(1), pp.28~36 (2020)[DOI]
- Bang HL, "The effect of an exercise-based swallowing training program for nursing home residents with stroke", J Muscle Jt Health, 21(2), pp.85~96 (2014)[DOI]
- Arnold M, "Dysphagia in acute stroke : incidence, burden and impact on clinical outcome", PLoS ONE, 11(2), pp.e0148424~ (2016)[DOI]
- Kim HS, "Effects of swallowing training program for nursing home residents with stroke", J Muscle Jt Health, 30(3), pp.230~241 (2023)[DOI]
- Levac D, "Scoping studies : advancing the methodology", Implement Sci, 20(5), pp.1~9 (2010)[DOI]
- Arksey H, "Scoping studies : toward a methodological framework", Int J Soc Res Methodol, 8(1), pp.19~32 (2005)[DOI]
- Labeit B, "Dysphagia after stroke : research advances in treatment interventions", The Lancet Neurology, 23(4), pp.418~428 (2024)[DOI]
- Dai R, "A randomized clinical trial of oral hygiene care programmes during stroke rehabilitation", J Dent, (61), pp.48~54 (2017)[DOI]
- Lee GR, "The effects of the oral care program for improving swallowing function of the elderly using welfare centers on depression, self efficacy, subjective oral health status and swallowing related quality of life", Res Community Public Health Nurs, 31(2), pp.166~178 (2020)[DOI]
- McKenna G, "Impact of oral rehabilitation on the quality of life of partially dentate elders in a randomized controlled clinical trial : 2year follow-up", PLoS ONE, 13(10), pp.e0203349~ (2018)[DOI]
- Cho EP, "Impact of oral function improving exercise on the oral function and quality of life in the elderly", Doctor, pp.2009
- Yang SO, "The effects of oral function improving exercise on the UWS, oral function and OHIP in elderly", J Korean Pubilc Health Nurs, 26(3), pp.478~490 (2012)[DOI]
- Kim YS, "The effect of oral function improvement with oral exercise program by elderly people", J Korean Soc Dent Hyg, 16(4), pp.559~566 (2016)[DOI]
- Sakayori T, "Evaluation of a Japanese"prevention of long-term care"project for the improvement in oral function in the high-risk elderly", Geriatr Gerontol Int, 13(2), pp.451~457 (2013)[DOI]