关于痴呆症患者非自愿口腔护理的障碍和促进者:一种定性研究
Maud Jonker1, Coos Engelsma2, David J Manton3,4
1Department of Gerodontology, Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands.
概括
为患有痴呆症的人提供非自愿的口腔护理是具有挑战性的,因为沟通,物流,知识和提供障碍. 解决这些问题可以改善这个人群的口腔健康结果.
科学领域:
- 老年学是指老年学的学科.
- 口腔健康 口腔健康
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 痴呆症往往导致对口腔护理的抵抗.
- 护理人员犹不决提供非自愿的口腔护理,冒着不良健康后果的风险.
研究的目的:
- 确定为表现出耐护行为的痴呆症患者提供非自愿口腔护理的障碍和促进因素.
主要方法:
- 与医疗保健提供者进行了32次半结构化,一对一的访谈.
- 分析定性数据以确定主题和子主题.
主要成果:
- 确定了四个主要主题:沟通,物流,知识和口腔护理提供.
- 障碍包括提供者之间的沟通问题,资源限制,培训不足以及关于非自愿护理的伦理/法律问题.
结论:
- 建议包括加强护士监测,多学科团队与牙科专业人员的参与,态度转变,明确的镇静/护理协议以及进一步的研究.
- 改善非自愿的口腔护理提供需要解决系统和个人层面的挑战.
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