1
|
Weiss S, Tinsky N, Oren L, Chodick G, Spierer S, Yarom N, Ashkenazi M. Effect of prolonged hospitalization on the maintenance of oral health: A self-report survey. Int J Dent Hyg 2024. [PMID: 38575751 DOI: 10.1111/idh.12804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 03/16/2024] [Accepted: 03/21/2024] [Indexed: 04/06/2024]
Abstract
OBJECTIVES This study aims to evaluate the effect of prolonged hospitalization on the maintenance of dental health and to assess the nursing staff's approach to addressing these concerns. METHODS A survey questionnaire explored changes in the routine dental care of patients hospitalized for over a month. The involvement of nursing staff in addressing dental care was also evaluated. RESULTS Fifty adult patients aged 18-89 years (mean age 62.4 ± 20.54 years), 27 (54%) males, completed the survey. During hospitalization (mean 58.59 ± 38.63 days) 26% and 18%, increased consumption of sweets and sugary beverages, between meals, respectively; 26% and 20% of the patients reduced the frequency of tooth brushing in the morning and in the evening, respectively, and 42.2% of them, reduced the quality of their toothbrushing during hospitalization. Nevertheless, 95.9% and 93.9% of them were never instructed during hospitalization to limit their consumption of sweets and sugary beverages and 83.3% and 62.5% of them had never been reminded or offered assistance during hospitalization in performing toothbrushing, respectively. The lower frequency of morning toothbrushing was significantly correlated with a lack of nurses' assistance (p = 0.004). In contrast, 62.6% reported they were reminded every day to shower. Patients in the rehabilitation and geriatrics departments reported a greater need for a brush/toothpaste (p < 0.0001) and assistance in toothbrushing (p < 0.0001). CONCLUSIONS Prolonged hospitalization leads to significant deterioration in inpatients' dental health maintenance. Raising awareness among nurses regarding their inpatient's oral health maintenance is warranted. Providing patients with toothbrushes, toothpaste and educational materials upon hospitalization is recommended.
Collapse
Affiliation(s)
| | | | - Liat Oren
- Sheba Medical Center, Tel Hashomer, Israel
| | - Gabi Chodick
- School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | | | - Noam Yarom
- Sheba Medical Center, Tel Hashomer, Israel
- School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | | |
Collapse
|
2
|
Gaffar B, Bakhurji E, AlKhateeb R, AlHashim H, AlGaoud H, AlDaamah Z, AlSaleh J, Aldamanhori R, AlHamid S, AlBarrak A, Siddiqui IA, Virtanen JI. Exploring factors influencing nurses' attitudes towards their role in dental care. PLoS One 2023; 18:e0288927. [PMID: 37471406 PMCID: PMC10358942 DOI: 10.1371/journal.pone.0288927] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 07/07/2023] [Indexed: 07/22/2023] Open
Abstract
BACKGROUND The burden of oral disease requires collaboration between health care professionals. Nurses are frequently exposed to patients and can play a vital role in prevention of oral diseases. This study aimed to investigate nurses' attitudes towards their role in dental care and its associated factors. METHODS This cross-sectional, survey-based study recruited a total of 525 nurses in Eastern Saudi Arabia, using a snow-ball sampling technique. Data was collected using an online, pre-validated 40-item questionnaire with four domains (attitudes, knowledge, practices, and demographic data). RESULTS Nurses showed satisfactory attitudes (52.8 ± 8.2) and average knowledge (13.4 ±3.9). More than two thirds (70.3%) reported responding to patients' questions about oral health conditions, 47.1% and 19.7% conducted oral health screening and education respectively. Referral practices were reported by 266 (50.7%) of the participants with pain being the main reason for referrals. Attending lectures/ trainings on oral health and having a formal education about oral health were significantly associated with nurses' positive attitudes towards their role in dental care (P<0.001). Conducting oral health screening or education were also significantly associated with positive attitudes (P = 0.001). CONCLUSION Positive attitudes were observed among those with undergraduate oral health backgrounds, in continuous education, and those who were involved in oral health screenings. There is a need for under and postgraduate inclusion of oral health training in nurses' education.
Collapse
Affiliation(s)
- Balgis Gaffar
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Eman Bakhurji
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Reem AlKhateeb
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Hussain AlHashim
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Hadeel AlGaoud
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ziyad AlDaamah
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Jamal AlSaleh
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Rand Aldamanhori
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Shahad AlHamid
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Alanoud AlBarrak
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Intisar Ahmad Siddiqui
- Department of Dental Education, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Jorma I Virtanen
- Institute of Dentistry, University of Turku, Turku, Finland
- Faculty of Medicine, University of Bergen, Bergen, Norway
| |
Collapse
|
3
|
Kanmodi KK, Amoo BA, Nwafor JN, Nnyanzi LA, Ogbeide ME, Hundeji AA, Adetunji CO. Knowledge and Practices Regarding Oral Hygiene, Cariogenic Diet Intake, and Dental Check-Ups Among Registered Nurses in Nigeria: A Pilot Study. JOURNAL OF HEALTH AND ALLIED SCIENCES NU 2023. [DOI: 10.1055/s-0042-1760439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/19/2023]
Abstract
Abstract
Objectives To investigate the knowledge and practices of registered nurses in Nigeria concerning oral hygiene, cariogenic diets, and dental check-ups through a pilot study.
Methods This study was an online survey of 129 registered nurses in Nigeria. Data were collected via the WhatsApp social media using an electronic questionnaire (Google form). Data analysis was done using the SPSS version 26 software (IBM Corp, New York, USA).
Results The response and completeness rates of this pilot study were 41.7% (129/311) and 96.9% 9125/129), respectively. The majority (62.2%) of the respondents were females. The majority (89.1%) had average/above average score on basic oral health knowledge; however, there was no significant relationship between their level of basic oral health knowledge and their sociodemographic characteristics (p > 0.05). The majority (66.7%) of the respondents brushed twice daily, 86.8% used a fluoridated toothpaste, and 60.5% changed their toothbrush every 3 months. Furthermore, more than half (55.8%) consumed sugary snack/drink on daily basis, while 55.0% rinsed their mouth with water immediately after taking sugary snack, and only 55.8% did floss their teeth. Among those who flossed their teeth, only 37.5% did it once daily. It is also striking that 26.4% of the respondents had never visited a dentist for a dental check-up.
Conclusion Study findings showed a high level of basic oral health knowledge and a lower level of appropriate oral self-care practices among nurses in Nigeria. However, there is a need for a nationally representative study of nurses in Nigeria to further establish these findings.
Collapse
Affiliation(s)
- Kehinde Kazeem Kanmodi
- Cephas Health Research Initiative Inc, Ibadan, Nigeria
- Department of Community Health, Aminu Musa Habib College of Health Science and Technology, Yauri, Nigeria
- School of Health and Life Sciences, Teesside University, Middlesbrough, United Kingdom
- Faculty of Dentistry, University of Puthisastra, Phnom Penh, Cambodia
| | - Babatunde Abiodun Amoo
- Cephas Health Research Initiative Inc, Ibadan, Nigeria
- African Field Epidemiology Network, Abuja, Nigeria
| | - Jacob Njideka Nwafor
- Cephas Health Research Initiative Inc, Ibadan, Nigeria
- Department of Medicine, Nottingham University Hospital NHS Trust, Nottingham, United Kingdom
| | - Lawrence Achilles Nnyanzi
- School of Health and Life Sciences, Teesside University, Middlesbrough, United Kingdom
- School of Public Health, King Ceasar University, Kampala, Uganda
| | - Mike Eghosa Ogbeide
- Cephas Health Research Initiative Inc, Ibadan, Nigeria
- Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
| | - Abdullahi Adamu Hundeji
- Department of Community Health, Aminu Musa Habib College of Health Science and Technology, Yauri, Nigeria
| | | |
Collapse
|
4
|
Cea-Arestín P, Blanco-Hortas A, Varela-Centelles P, Seoane-Romero J, Varela-Centelles A, Seoane-Romero JM. Awareness of Oral Disorders Among Community-Dwelling Elderly Spaniards. HISPANIC HEALTH CARE INTERNATIONAL 2021; 20:212-216. [PMID: 34851201 DOI: 10.1177/15404153211063638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction: Oral status has a clear impact on systemic health, a key component of successful aging. Awareness of oral disorders permits early diagnoses and treatments. This study investigates oral disorders awareness among community-dwelling elders. Methods: Community-based survey through face-to-face interviews undertaken in four cities at busy commercial and administrative areas. Results: A total of 789 people were recruited, mostly nonsmoker (60.3%) males (56.9%) with basic education (65.6%). The most frequently recalled disorder was bruxism, followed by periodontal diseases and ulcerations/aphthae. Caries was mentioned by 3.91%. Dentate participants were more aware of dental-related disorders, such as bruxism (p = .001) and periodontitis (p = .010), except for caries (p = .100). Caries awareness was related to educational level (p = .018) and smoking (p = .020), as was oral cancer (p = .019) with former smokers more aware of this neoplasm. Education was strongly related with periodontal awareness (p = .001). Conclusion: Awareness of the main oral disorders is worryingly poor among the elderly population and immediate action is required by taking advantage of the position of family nurses in the treatment of systemic chronic disorders and through educational interventions on this population subgroup to ease preventive behaviors, favor early diagnoses, and promote simpler, more effective treatments with a lower financial burden.
Collapse
Affiliation(s)
- Pablo Cea-Arestín
- Department of Surgery and Medical-Surgical Specialties, School of Medicine and Dentistry, 16780University of Santiago de Compostela, Santiago de Compostela, Galicia, Spain
| | - Andrés Blanco-Hortas
- Fundación IDIS, Lucus Augusti University Hospital, 54407Galician Health Service, Lugo, Spain
| | - Pablo Varela-Centelles
- Primary Care Clinics, EOXI Lugo, Cervo e Monforte de Lemos, 54407Galician Health Service, Lugo, Spain
| | - Javier Seoane-Romero
- 58402Ciudad Real General University Hospital, Castilla-La Mancha Health Service, Ciudad Real, Castilla-La Mancha, Spain
| | | | - Juan M Seoane-Romero
- 16763Department of Surgery and Medical-Surgical Specialties, School of Medicine and Health Sciences, 16763University of Oviedo, Oviedo, Asturias, Spain
| |
Collapse
|
5
|
Silva AM, Miranda LFB, AraÚjo ASM, Prado JÚnior RR, Mendes RF. Electric toothbrush for biofilm control in individuals with Down syndrome: a crossover randomized clinical trial. Braz Oral Res 2020; 34:e057. [PMID: 32578800 DOI: 10.1590/1807-3107bor-2020.vol34.0057] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Accepted: 04/07/2020] [Indexed: 11/21/2022] Open
Abstract
Poor oral hygiene seems to be the norm in children and teenagers with Down Syndrome (DS). Advances in design and types of toothbrushes may improve biofilm control. This randomized, single-blind, crossover clinical trial evaluated the effectiveness of electric toothbrushes regarding mechanical control of biofilm in children and teenagers with DS and their cooperation. Twenty-nine participants with DS, aged 6 to 14 years, used both types of toothbrushes: electric (ET) and manual (MT). The order of use of the different types of toothbrushes was randomly defined, including a 7-day period with each type with 7-day washout period in between. The Turesky-Quigley-Hein biofilm index was used before and after brushing to assess the effectiveness of the technique. Frankl's behavioral scale was used during toothbrushing to assess the participants' cooperation. Paired T-test, Mann Whitney, Chi-square, and Fisher's Exact tests were applied, with a significance level of 5%. The quantity of dental biofilm was significantly reduced after both brushing techniques (p < 0.001). However, no significant difference was found in total biofilm (ET: 0.73 ± 0.36; MT: 0.73 ± 0.34; p = 0.985) or % biofilm reduction (ET: 72.22%; MT: 70.96%; p = 0.762) after brushing between techniques or in % biofilm reduction between toothbrushes of age groups (6 -9 years, p = 0.919; 10-14 years, p = 0.671). Participants showed similar cooperation level with the two types of toothbrush (p = 1.000). The use of electric or manual toothbrush had no effect on the quantity of dental biofilm removed in children and teenagers with DS, nor did it influence their cooperation during the procedure.
Collapse
Affiliation(s)
- Aryvelto Miranda Silva
- Universidade Federal do Piauí - UFPI, Postgraduation Program in Dentistry, Teresina, PI, Brazil
| | | | - Ana Sara Matos AraÚjo
- Universidade Federal do Piauí - UFPI, Department of Restorative Dentistry, Teresina, PI, Brazil
| | | | - Regina Ferraz Mendes
- Universidade Federal do Piauí - UFPI, Postgraduation Program in Dentistry, Teresina, PI, Brazil
| |
Collapse
|
6
|
Li HW, Huang CH, Chou C, Wang TF. Knowledge, attitudes, practice and related factors of oral cancer prevention among public health nurses in Taiwan. Eur J Cancer Care (Engl) 2020; 29:e13262. [PMID: 32458509 DOI: 10.1111/ecc.13262] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Revised: 01/02/2020] [Accepted: 04/16/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Public health nurses (PHNs) in Taiwan act as individual/family-based primary care providers and as population-based community care providers. A little information is currently available on the ability of PHNs to prevent oral cancer. We surveyed knowledge, attitudes and behaviour of oral cancer prevention among PHNs. METHODS This study recruited 400 PHNs through the Taiwan Public Health Center. A structured electronic questionnaire was used to collect PHNs' demographics and scale scores for oral cancer knowledge, attitudes and preventive behaviour. RESULTS Providing PHNs with oral cancer prevention education, having the supervisor's support for preventive work and receiving in-service education would improve PHNs' knowledge, attitude and behaviour for oral cancer prevention. Attitude, oral cancer-related courses arranged by current employer (major factor), supervisor's support for work and having responsibility for oral cancer prevention were associated with the oral cancer preventive behaviour of PHNs, and explain 41.1% of total variance. CONCLUSIONS We established a linear regression model for understanding the role of PHNs in the practice of preventing oral cancer. It may be useful for the government in improving school-based and in-service oral cancer prevention education programmes for PHNs as well as developing programmes for increasing public awareness and education of oral cancer prevention.
Collapse
Affiliation(s)
- Hsiu-Wen Li
- Department of Cardiology, Taipei Veterans General Hospital, Taipei City, Taiwan
| | - Chun-Hsia Huang
- School of Nursing, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
| | - Chyuan Chou
- Excellent Dental Center, Taipei City, Taiwan
| | - Tze-Fang Wang
- School of Nursing, National Yang-Ming University, Taipei City, Taiwan
| |
Collapse
|
7
|
Nagarakanti S, Avuluri J, Chava VK. Evaluation of Nurses' Attitude toward the Provision of Oral Hygiene Care to Hospitalized Patients at Two Private Hospitals in South India. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2019; 24:472-474. [PMID: 31772924 PMCID: PMC6875888 DOI: 10.4103/ijnmr.ijnmr_39_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Revised: 07/31/2019] [Accepted: 08/26/2019] [Indexed: 11/22/2022]
Abstract
Background: Several hospitalized patients with complex medical issues depend on nursing staff for their daily health care due to several functional limitations. This study investigates the Oral Hygiene Care (OHC) activities and attitudes of nurses toward hospitalized patients. Materials and Methods: A cross-sectional survey was conducted at two private hospitals using a self-administered, structured questionnaire distributed to 585 nursing staff. Data were analyzed through percentages. Results: About 85.70% of the nurses ranked OHC as important; among them, 74.00% ranked as important to extremely important. Very few (2.40%) rated providing OHC to be an unpleasant task and the majority (41.80%) felt lack or proper training is one of the reasons for providing OHC satisfactorily. Conclusions: Nurses experienced significant behavioral and physical difficulties while providing OHC, but still found it important. Therefore, training programs are needed for nurses to improve OHC to hospitalized patients.
Collapse
Affiliation(s)
- Sreenivas Nagarakanti
- Department of Periodontology, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - Joshna Avuluri
- Department of Periodontology, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - Vijay K Chava
- Department of Periodontology, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| |
Collapse
|
8
|
Ferraz NKL, Tataounoff J, Nogueira LC, Ramos-Jorge J, Ramos-Jorge ML, Pinheiro MLP. Mechanical control of biofilm in children with cerebral palsy: a randomized clinical trial. Int J Paediatr Dent 2015; 25:213-20. [PMID: 25200983 DOI: 10.1111/ipd.12132] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Dental biofilm removal is difficult and can be ineffective in individuals with cerebral palsy. OBJECTIVE Determine the effectiveness of brushing with an electric toothbrush on and off in comparison with manual brushing for the removal of biofilm in children aged four to 16 years with cerebral palsy. METHODS A crossover, randomized, simple-blind, clinical trial was conducted. The examiner was blinded to the brushing method (G1: manual; G2: electric toothbrush on; and G3: electric toothbrush off). The order was determined randomly. The participants (n = 40) were examined before and after brushing performed by caregivers using the Turesky-Quigley-Hein biofilm index. Statistical analysis involved the paired t-test, Wilcoxon, Kruskal-Wallis, and anova tests. RESULTS Biofilm was significantly reduced with the three brushing methods (P < 0.001) (mean reductions: 47.6% in G1; 47.4% in G2; 44.5% in G3). Significant differences were found between G1 and G3 (P < 0.001) and between G2 and G3 (P = 0.007). No significant difference was found between G1 and G2 (P = 0.06). CONCLUSION All methods reduced biofilm. Effectiveness was similar between manual brushing and with the electric toothbrush on, whereas both these methods achieved better results in comparison with the electric toothbrush switched off.
Collapse
Affiliation(s)
- Nayara Kelly Lyrio Ferraz
- School of Dentistry, Federal University of Jequitinhonha and Mucuri Valleys (UFVJM), Diamantina, Minas Gerais, Brazil
| | | | | | | | | | | |
Collapse
|
9
|
Parish CL, Singer R, Abel S, Metsch LR. Addressing the oral healthcare needs of special needs children: pediatric nurses’ self-perceived effectiveness. SPECIAL CARE IN DENTISTRY 2013; 34:88-95. [DOI: 10.1111/scd.12035] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Carrigan L. Parish
- Senior Project Director; Department of Sociomedical Sciences; Columbia University Mailman School of Public Health; New York NY
| | - Richard Singer
- Doctoral Graduate Student; University of Miami Miller School of Medicine; Department of Epidemiology and Public Health, Miami, FL; Assistant Professor; Nova Southeastern College of Dental Medicine; Department of Orthodontics; Fort Lauderdale FL
| | - Stephen Abel
- Associate Dean for Community and Professional Initiatives; University at Buffalo School of Dental Medicine; Buffalo NY
| | - Lisa R. Metsch
- Chair Sociomedical Sciences; Stephen Smith Professor of; Sociomedical Sciences; Columbia University Mailman School of Public Health, New York, NY; Volunteer Faculty; University of Miami Miller School of Medicine; Department of Epidemiology and Public Health; Miami FL
| |
Collapse
|