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Oral Health Care Protocol for Caregivers of Elderly in Nursing Homes: A Systematic Review
Nur A'thirah Zulkifly1,2, Aminda Faizura Omar1, Budi Aslinie Md Sabri1
1Faculty of Dentistry, Universiti Teknologi MARA, Selangor Branch, Sungai Buloh Campus, Selangor, Malaysia.
Background:
Elderly individuals in nursing homes often experience oral health problems due to their impairments and medical conditions, which can affect their general health. Caregivers in nursing homes may also have inadequate training and awareness, further exacerbating the residents' oral health conditions.
Methods:
Three databases (Scopus, Web of Science, and PubMed) and various websites were comprehensively searched for guidelines relevant to this systematic review, which were appraised by two reviewers using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool. Quality scores were calculated based on six AGREE II domains and used to determine the overall assessment of each guideline.
Results:
Nine guidelines were reviewed, seven out of nine guidelines were categorized as high quality, and two guidelines scored above 70% across all six AGREE II domains, demonstrating consistently high-quality guidelines. The unique characteristics of each guideline were also identified.
Conclusion:
The seven high-quality guidelines each offer unique strengths. Therefore, it is recommended to explore consolidating key elements from these guidelines to create a more comprehensive protocol for the caregivers of elderly individuals in nursing homes.
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