Carers’ education improves oral health of older people suffering from dementia – results of an intervention study
Identifieur interne : 000A12 ( Main/Exploration ); précédent : 000A11; suivant : 000A13Carers’ education improves oral health of older people suffering from dementia – results of an intervention study
Auteurs : Andreas Zenthöfer ; Inga Meyer-Kühling [Allemagne] ; Anna-Luisa Hufeland ; Johannes Schröder [Allemagne] ; Tomas Cabrera ; Dominik Baumgart ; Peter Rammelsberg ; Alexander J. HasselSource :
- Clinical Interventions in Aging [ 1176-9092 ] ; 2016.
Abstract
The aim of this study was to evaluate the effectiveness of carers’ education on improvements in oral health and denture hygiene of care-dependent and cognitively impaired older people in nursing homes compared to those without intervention.
A total of 219 seniors living in 14 nursing homes in southwest Germany (intervention: n=144; control: n=75) were enrolled in this study. For each participant, Plaque Control Record (PCR), Gingival Bleeding Index (GBI), Denture Hygiene Index (DHI) and Community Periodontal Index of Treatment Needs (CPITN) were assessed at baseline and six months following the interventions. In addition, demographic parameters such as age, sex, chronic diseases, permanent medications, level of dependency and cognitive state were recorded. In the intervention homes, education for caregivers was provided and ultrasound baths for denture cleaning were implemented. Changes in the dental target variables PCR, GBI, CPITN and DHI during the six-month study period were compared between subjects in the intervention and the control groups as well as between subjects with and without dementia. Additionally, multivariate models were compiled for each dental index to evaluate possible confounders.
In the intervention group, PCR and DHI significantly improved during the study period (
Carers’ education improves oral health of people in nursing homes over a clinically relevant period of time. Implementation of ultrasound baths is a simple and effective measure to improve denture hygiene of both institutionalized elderly people and seniors with dementia and in severe need of care. From a clinical standpoint, it is noteworthy that the respective interventions can be easily implemented in everyday care routine.
Url:
DOI: 10.2147/CIA.S118330
PubMed: 27942206
PubMed Central: 5137930
Affiliations:
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Hassel</name><affiliation><nlm:aff id="af1-cia-11-1755">Department of Prosthetic Dentistry, University of Heidelberg</nlm:aff><wicri:noCountry code="subfield">University of Heidelberg</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27942206</idno><idno type="pmc">5137930</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5137930</idno><idno type="RBID">PMC:5137930</idno><idno type="doi">10.2147/CIA.S118330</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002B08</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002B08</idno><idno type="wicri:Area/Pmc/Curation">002B08</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002B08</idno><idno type="wicri:Area/Pmc/Checkpoint">000848</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000848</idno><idno 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Inga" sort="Meyer Kuhling, Inga" uniqKey="Meyer Kuhling I" first="Inga" last="Meyer-Kühling">Inga Meyer-Kühling</name><affiliation><nlm:aff id="af2-cia-11-1755">Institute of Gerontology, University of Heidelberg</nlm:aff><wicri:noCountry code="subfield">University of Heidelberg</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:aff id="af3-cia-11-1755">Section of Geriatric Psychiatry, Center of Psychiatry, University of Heidelberg, Heidelberg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Section of Geriatric Psychiatry, Center of Psychiatry, University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Hufeland, Anna Luisa" sort="Hufeland, Anna Luisa" uniqKey="Hufeland A" first="Anna-Luisa" last="Hufeland">Anna-Luisa Hufeland</name><affiliation><nlm:aff id="af1-cia-11-1755">Department of Prosthetic Dentistry, University of Heidelberg</nlm:aff><wicri:noCountry code="subfield">University of Heidelberg</wicri:noCountry></affiliation></author><author><name sortKey="Schroder, Johannes" sort="Schroder, Johannes" uniqKey="Schroder J" first="Johannes" last="Schröder">Johannes Schröder</name><affiliation><nlm:aff id="af2-cia-11-1755">Institute of Gerontology, University of Heidelberg</nlm:aff><wicri:noCountry code="subfield">University of Heidelberg</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:aff id="af3-cia-11-1755">Section of Geriatric Psychiatry, Center of Psychiatry, University of Heidelberg, Heidelberg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Section of Geriatric Psychiatry, Center of Psychiatry, University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Cabrera, Tomas" sort="Cabrera, Tomas" uniqKey="Cabrera T" first="Tomas" last="Cabrera">Tomas Cabrera</name><affiliation><nlm:aff id="af1-cia-11-1755">Department of Prosthetic Dentistry, University of Heidelberg</nlm:aff><wicri:noCountry code="subfield">University of Heidelberg</wicri:noCountry></affiliation></author><author><name sortKey="Baumgart, Dominik" sort="Baumgart, Dominik" uniqKey="Baumgart D" first="Dominik" last="Baumgart">Dominik Baumgart</name><affiliation><nlm:aff id="af1-cia-11-1755">Department of Prosthetic Dentistry, University of Heidelberg</nlm:aff><wicri:noCountry code="subfield">University of Heidelberg</wicri:noCountry></affiliation></author><author><name sortKey="Rammelsberg, Peter" sort="Rammelsberg, Peter" uniqKey="Rammelsberg P" first="Peter" last="Rammelsberg">Peter Rammelsberg</name><affiliation><nlm:aff id="af1-cia-11-1755">Department of Prosthetic Dentistry, University of Heidelberg</nlm:aff><wicri:noCountry code="subfield">University of Heidelberg</wicri:noCountry></affiliation></author><author><name sortKey="Hassel, Alexander J" sort="Hassel, Alexander J" uniqKey="Hassel A" first="Alexander J" last="Hassel">Alexander J. Hassel</name><affiliation><nlm:aff id="af1-cia-11-1755">Department of Prosthetic Dentistry, University of Heidelberg</nlm:aff><wicri:noCountry code="subfield">University of Heidelberg</wicri:noCountry></affiliation></author></analytic><series><title level="j">Clinical Interventions in Aging</title><idno type="ISSN">1176-9092</idno><idno type="eISSN">1178-1998</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Aim</title><p>The aim of this study was to evaluate the effectiveness of carers’ education on improvements in oral health and denture hygiene of care-dependent and cognitively impaired older people in nursing homes compared to those without intervention.</p></sec><sec><title>Methods</title><p>A total of 219 seniors living in 14 nursing homes in southwest Germany (intervention: n=144; control: n=75) were enrolled in this study. For each participant, Plaque Control Record (PCR), Gingival Bleeding Index (GBI), Denture Hygiene Index (DHI) and Community Periodontal Index of Treatment Needs (CPITN) were assessed at baseline and six months following the interventions. In addition, demographic parameters such as age, sex, chronic diseases, permanent medications, level of dependency and cognitive state were recorded. In the intervention homes, education for caregivers was provided and ultrasound baths for denture cleaning were implemented. Changes in the dental target variables PCR, GBI, CPITN and DHI during the six-month study period were compared between subjects in the intervention and the control groups as well as between subjects with and without dementia. Additionally, multivariate models were compiled for each dental index to evaluate possible confounders.</p></sec><sec><title>Results</title><p>In the intervention group, PCR and DHI significantly improved during the study period (<italic>P</italic><0.001). Oral health and denture hygiene improved likewise in subjects with and without dementia. In the control group, no significant improvements were observed (<italic>P</italic>>0.05).</p></sec><sec><title>Conclusion</title><p>Carers’ education improves oral health of people in nursing homes over a clinically relevant period of time. Implementation of ultrasound baths is a simple and effective measure to improve denture hygiene of both institutionalized elderly people and seniors with dementia and in severe need of care. From a clinical standpoint, it is noteworthy that the respective interventions can be easily implemented in everyday care routine.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Furuta, M" uniqKey="Furuta M">M Furuta</name></author><author><name sortKey="Komiya Nonaka, M" uniqKey="Komiya Nonaka M">M Komiya-Nonaka</name></author><author><name sortKey="Akifusa, S" uniqKey="Akifusa S">S Akifusa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Komulainen, K" uniqKey="Komulainen K">K Komulainen</name></author><author><name sortKey="Ylostalo, P" uniqKey="Ylostalo P">P Ylöstalo</name></author><author><name sortKey="Syrj L, Am" uniqKey="Syrj L A">AM Syrjälä</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chalmers, Jm" uniqKey="Chalmers J">JM Chalmers</name></author><author><name sortKey="Carter, Kd" uniqKey="Carter K">KD Carter</name></author><author><name 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uniqKey="Ohlmann B">B Ohlmann</name></author><author><name sortKey="Rammelsberg, P" uniqKey="Rammelsberg P">P Rammelsberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meyer Kuhling, I" uniqKey="Meyer Kuhling I">I Meyer-Kühling</name></author><author><name sortKey="Wendelstein, B" uniqKey="Wendelstein B">B Wendelstein</name></author><author><name sortKey="Pantel, J" uniqKey="Pantel J">J Pantel</name></author><author><name sortKey="Specht Leible, N" uniqKey="Specht Leible N">N Specht-Leible</name></author><author><name sortKey="Zenthofer, A" uniqKey="Zenthofer A">A Zenthöfer</name></author><author><name sortKey="Schroder, J" uniqKey="Schroder J">J Schröder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Imrey, Pb" uniqKey="Imrey P">PB Imrey</name></author><author><name sortKey="Chilton, Nw" uniqKey="Chilton N">NW Chilton</name></author><author><name sortKey="Pihlstrom, Bl" uniqKey="Pihlstrom B">BL Pihlstrom</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>District de Karlsruhe</li></region><settlement><li>Heidelberg</li></settlement></list><tree><noCountry><name sortKey="Baumgart, Dominik" sort="Baumgart, Dominik" uniqKey="Baumgart D" first="Dominik" last="Baumgart">Dominik Baumgart</name><name sortKey="Cabrera, Tomas" sort="Cabrera, Tomas" uniqKey="Cabrera T" first="Tomas" last="Cabrera">Tomas Cabrera</name><name sortKey="Hassel, Alexander J" sort="Hassel, Alexander J" uniqKey="Hassel A" first="Alexander J" last="Hassel">Alexander J. Hassel</name><name sortKey="Hufeland, Anna Luisa" sort="Hufeland, Anna Luisa" uniqKey="Hufeland A" first="Anna-Luisa" last="Hufeland">Anna-Luisa Hufeland</name><name sortKey="Rammelsberg, Peter" sort="Rammelsberg, Peter" uniqKey="Rammelsberg P" first="Peter" last="Rammelsberg">Peter Rammelsberg</name><name sortKey="Zenthofer, Andreas" sort="Zenthofer, Andreas" uniqKey="Zenthofer A" first="Andreas" last="Zenthöfer">Andreas Zenthöfer</name></noCountry><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Meyer Kuhling, Inga" sort="Meyer Kuhling, Inga" uniqKey="Meyer Kuhling I" first="Inga" last="Meyer-Kühling">Inga Meyer-Kühling</name></region><name sortKey="Schroder, Johannes" sort="Schroder, Johannes" uniqKey="Schroder J" first="Johannes" last="Schröder">Johannes Schröder</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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