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使用角色替代来改善养老院的口腔健康:一个过程评估
Annie Hendry1, Sarah R Baker2, Gerry McKenna3
1Bangor Institute of Health and Medical Research, Bangor University, Bangor, UK.
Gerodontology
|August 7, 2025
概括
角色替代,将牙科任务重新分配给治疗师和护士,显示了改善养老院中老年人口腔健康的潜力. 然而,伙伴关系和员工态度方面的挑战仍然是有效提供服务的障碍.
科学领域:
- 老年人牙科 老年人牙科
- 公共卫生 牙科 公共卫生 牙科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在养老院的老年人经常经历口腔健康不佳和牙科服务有限.
- 角色替代,从牙医转移到其他牙科专业人员的任务重新分配,是提出的解决方案.
研究的目的:
- 评估牙科治疗师和牙科护士对英国养老院中依赖老年人的角色替代的实施情况.
- 通过实用集群随机对照试验和过程评估,评估对口腔健康结果的影响.
主要方法:
- 与参与干预交付的17个关键利益相关者进行半结构化访谈.
- 在22个养老院进行干预的观察.
- 在卫生服务中促进研究实施行动 (PARIHS) 框架的利用.
主要成果:
- 利益相关者认为角色替代是当前牙科护理模式的可行替代方案.
- 有效的合作伙伴关系工作至关重要,但并非始终被观察到;一些员工没有优先考虑口腔健康.
- 养老院环境带来了挑战,无处不在的含糖食物和饮料影响了日常生活.
结论:
- 角色替代有望解决依赖老年人的口腔健康需求.
- 在促进口腔健康和确保在养老院环境中提供有效服务方面,仍然存在重大挑战.
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