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The Association between the Oral Hygiene Condition of Stroke Patients and Knowledge, Attitude, and Behavior of Primary Caregivers on Oral Hygiene
acute stroke inpatients,oral care executor,oral health knowledge,oral health attitudes,oral care behavior,oral hygiene condition,
|Publication Year :||2015|
Oral care poses a challenge in the clinical care of stroke patients with cognitive or physical functional impairments. Oral care is usually ignored in clinical settings and patients are often at high risk of oral disease. In Taiwan, the oral care of acute stroke patients is mostly carried out by family members or private caregivers (including local and foreign caregivers). This study examines the correlation among oral health knowledge, attitudes, and care behavior of oral care executors (patients themselves, family members, or private caregivers) and the oral hygiene of stroke patients. The results of this study offer the new knowledge on variables that influence patients’ oral hygiene and provide reference to improve clinical care and oral health practices to maintain patient oral health and avoid stroke-related complications.
A descriptive correlation and cross-sectional study was designed through the use of a structured questionnaire and a scale of bedside oral examination. Eighty-one subjects were recruited among stroke patients from neurological, neurosurgery, family medicine, multidisciplinary combined care, and geriatric wards from one medical center in northern Taiwan. SPSS (ver 18.0) was used for data analysis. Descriptive statistics (mean, standard deviation, frequency, and percent) and inferential statistics (independent sample t-test, analysis of variance, and stepwise regression) were calculated to reveal the correlations among the demographics, clinical characteristics, and the oral hygiene condition of subjects and their demographics, oral health knowledge, attitudes, and care behavior of oral care executors.
The results showed that: (1) the relationship of the oral care executors and patients was the main predictor of oral health knowledge. For example, local caregivers had better oral health knowledge when compared to foreign caregivers. (2) The age of oral care executors and their relationship to the patient were the main predictors of oral health attitudes as follows: the group over 65 years of age had better attitude score than the group under 45 years of age; and local caregivers were better than foreign caregivers, and both groups were better than patients. (3) The age and clinical experience of the oral care executor were the main predictors of oral care behavior: the group over 65 years of age was better than the group less than 45 years of age; the more experienced the oral care executor, the better the grade in oral care behavior. (4) Multivariate hierarchical multiple regression analysis indicated that there were three variables that influenced patient oral hygiene:
(a) Oral care executors: The relation to the patient, gender, and attendance in an oral health course during the past year were the main predictors of patient oral hygiene. Foreign caregivers were better than local caregivers; males were better than females; and individuals who received training courses on oral hygiene were better than those who did not.
(b) Subjects: The less the patient had oral health impairing factors, the better the oral hygiene condition of the patient; patients who did not have factors that may impair oral health had better oral hygiene conditions than those who did.
(c) Oral care behavior: the better the oral care behavior of the oral care executor, the better the oral hygiene condition of the patient.
|Appears in Collections:||護理學系所|
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