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Updated: Sep 11, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
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临终癌症患者死亡前不久口腔护理的影响
Mieko Okamoto1,2, Hiroko Tanaka2, Shigeru Tamura3
1Department of Dentistry and Oral-Maxillofacial Surgery, Toyoake, Aichi, Japan.
Gerodontology
|August 12, 2025
概括
终端癌症患者的持续口腔护理显著改善了口腔水分,并防止了卫生状况的下降. 这种必不可少的息护理支持临近死亡的舒适性和生活质量.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 老年学是一门学科.
背景情况:
- 末期癌症患者经常患有口腔干燥和 kandidasis.
- 在没有专业牙科干预的情况下,口腔卫生不良会在生命的最后几周迅速发展.
- 有效的口服管理对于终身护理至关重要,但其具体益处仍未得到充分研究.
研究的目的:
- 调查定期口腔护理干预措施对晚期癌症患者的影响.
- 评估这些患者口腔干燥和口腔卫生状况的变化.
主要方法:
- 在息治疗中,有20名患者在死亡前多次接受过专业口腔护理.
- 使用口腔健康评估工具 (OHAT) 评估口腔卫生.
- 用口腔湿度检查仪和面部评分表 (FRS) 来测量口腔干燥度.
主要成果:
- 在接受专业口腔护理后,口腔干燥明显改善,无论是在入院时还是在死亡前一周.
- 虽然沟通和遵循指令的能力下降了,而镇静剂/氧气的使用在死亡前增加了,但治疗前的口腔干燥水平在入院和最后一周之间没有显著差异.
- 在入院和死亡周之间,口腔护理持续时间或面部评分表得分没有显著差异.
结论:
- 一致的口腔护理干预措施可以有效地防止癌症患者的口腔卫生恶化.
- 通过持续的口腔护理,可以保持口腔水分,从而提高患者的舒适度.
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