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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 戴玉慈 | |
dc.contributor.author | Yu-Ying Chen | en |
dc.contributor.author | 陳玉英 | zh_TW |
dc.date.accessioned | 2021-05-14T17:43:29Z | - |
dc.date.available | 2017-09-25 | |
dc.date.available | 2021-05-14T17:43:29Z | - |
dc.date.copyright | 2015-09-25 | |
dc.date.issued | 2015 | |
dc.date.submitted | 2015-08-07 | |
dc.identifier.citation | 中文參考文獻
王妙引(2013)•長期照護機構照顧服務員協助老年住民口腔衛生照護行為之探討(碩士論文)•取自http://140.131.94.7/handle/987654321/662 吳妮蓉、黃純德、鄭雅愛、謝尚廷、蕭思郁、紀乃智、劉旻育(2007)•口腔衛生教育介入對機構保育員的口腔保健認知態度及行為之影響•中華牙醫學雜誌,26(2),226-233。 吳樺姍(2002)•口腔黏膜改變患者之照護•長庚護理,13(3),251-257。 吳慧絹(2011)•影響機構照顧服務員提供失智住民口腔衛生照護行為之探討(碩士論文)•取自http://140.131.94.7/handle/987654321/969 宋博達(2011,9月7日)•假牙清潔知多少•2013年10月13日取自http://www.vghtc.gov.tw/GipOpenWeb/wSite/ct?xItem=35373&ctNode=31473&mp=55000 邱弘毅(2008)•腦中風之現況與流行病學特徵•腦中風會訊,15(3),2-4。 許紘耀、黃國光、沈一慶(2005)•口臭•中華民國牙周病醫學會雜誌,10(2),127-134。 莊靜如(2002)•口腔衛生之道──潔牙工具知多少•健康世界,200,80-86。 張博文(2010)•機構內失智症照護經驗照護者的口腔衛生知識、態度、行為與口腔照護經驗之關係:台灣中部地區之研究(碩士論文)•取自http://www.airitilibrary.com/Publication/alDetailedMesh1?DocID=U0011-2707201014441200 張進順(2013)•邁入高齡化的台灣社會-老人口腔照顧的新趨勢•中華牙醫學會訊,230,38-44。 黃琦婷(2009)•台灣地區主要中風類型疾病率與醫療利用分析•慈濟大學公共衛生研究所碩士學位論文。 廖家祥、徐令儀、李柏堅(2009)•蘆薈修護保濕凝膠製備與使用經驗分析•中華技術學院學報,(40),441-454。 蔡恒惠(2012)•高齡者與住院病患的口腔照護•新臺北護理期刊,14(1),1-5。 蔡麗紅(編著) (2010)•舒適的需要:身體部位清潔的護理方法•載於曹麗英等編著,新編基本護理學(259-267頁)•臺北縣:新文京開發。 衛生福利部(2013,6月4日)•民國101年主要死因分析•2013年8月17日取自http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no =2747 衛生福利部(2012,12月28日)•二十大死因第三位腦血管疾病--按戶籍縣市鄉鎮別統計100•2013年11月10日取自http://www.nhi.gov.tw/webdata/webdata. aspx?menu=17&menu_id=1023&WD_ID=1043&webdata_id=4289 衛生福利部(2005,4月4日)•腦中風防禦守則•2013年8月17日取自http://health99.hpa.gov.tw/educZone/edu_detail.aspx?CatId=20058&KeyWord=%e4%b8%ad%e9%a2%a8&terms=0,0,0, ,1988/1/1,2013/12/31&kind=Search 賴志毅(譯) (2011)•牙周疾病預防醫學(原作者:鴨井久一、花田信弘、佐藤勉、野村義明)•臺北市:合記。 蘇怡娟(2007)•南區機構內老年失智症照護者口腔衛生知識、態度、行為調查(碩士論文)•取自http://www.airitilibrary.com/Publication/alDetailedMesh1?DocID=U0011-1301200821145200 英文參考文獻 Adachi, M., Ishihara, K., Abe, S., Okuda, K., & Ishikawa, T. (2002). Effect of professional oral health care on the elderly living in nursing homes. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 94(2), 191-195. Alberta Provincial Stroke Strategy(APSS) (2009, November). Inpatient care for acute stroke admissions. Retrieved August 24, 2013, from http://www.strokestrategy.ab. ca/IP%20Novl909%20Final.pdf American Stroke Association (2012, May 1). Impact of Stroke (Stroke statistics). Retrieved August 17, 2013, from http://www.strokeassociation.org/STROKEO RG/AboutStroke/Impact-of-Stroke-Stroke-statistics_UCM_310728_Article.jsp Andersson, P., Hallberg, I. R., & Renvert, S. (2002). Inter-rater reliability of an oral assessment guide for elderly patients residing in a rehabilitation ward. Special Care in Dentistry, 22(5), 181-186. Andersson, P., Hallberg, I. R., Lorefält, B., Unosson, M., & Renvert, S. (2004). Oral health problems in elderly rehabilitation patients. International journal of dental hygiene, 2(2), 70-77. Avcu, N., Ozbek, M., Kurtoglu, D., Kurtoglu, E., Kansu, O., & Kansu, H. (2005). Oral findings and health status among hospitalized patients with physical disabilities, aged 60 or above. Archives of gerontology and geriatrics, 41(1), 69-79. Azarpazhooh, A., & Leake, J. L. (2006). Systematic review of the association between respiratory diseases and oral health. Journal of periodontology, 77(9), 1465-1482. Berchier, C. E., Slot, D. E., Haps, S., & Van der Weijden, G. A. (2008). The efficacy of dental floss in addition to a toothbrush on plaque and parameters of gingival inflammation: a systematic review. International journal of dental hygiene, 6(4), 265-279. Binkley, C., Furr, L. A., Carrico, R., & McCurren, C. (2004). Survey of oral care practices in US intensive care units. American journal of infection control, 32(3), 161-169. Bissett, S., & Preshaw, P. (2011). Guide to providing mouth care for older people. Nursing Older People, 23(10), 14-21. Brady, M. C., Furlanetto, D. L., Hunter, R. V., Lewis, S. C., & Milne, V. (2007). Improving oral hygiene in patients after stroke. Stroke, 38(3), 1115-1116. Brady, M. C., Furlanetto, D. L., Hunter, R. V., Lewis, S. C., & Milne, V. (2008). Staff training improved oral hygiene in patients following stroke. Evidence-Based Dentistry, 9(3), 73-73. Brady, M. C., Furlanetto, D. L., Hunter, R. V., Lewis, S. C., & Milne, V. (2011). Oral Health Care for Patients After Stroke. Stroke, 42(12), e636-e637. Brady, M. C., Stott, D. J., Norrie, J., Chalmers, C., George, B., Sweeney, P. M., & Langhorne, P. (2011). Developing and evaluating the implementation of a complex intervention: using mixed methods to inform the design of a randomised controlled trial of an oral healthcare intervention after stroke. Trials, 12(1), 168. British Society of Gerodontology (2010, June). Guidelines for the Oral Healthcare of Stroke Survivors. Retrieved August 28, 2013, from http://www.gerodontology. com/forms/stroke_guidelines.pdf Chalmers, J. M., & Pearson, A. (2005). A systematic review of oral health assessment by nurses and carers for residents with dementia in residential care facilities. Special Care in Dentistry, 25(5), 227-233. Choo, A., Delac, D. M., & Messer, L. B. (2001). Oral hygiene measures and promotion: review and considerations. Australian Dental Journal, 46(3), 166-173. Clayton, B. (2012). Stroke, Dysphagia and Oral Care: What is best practice? Alberta RN, 68(1), 26-27. Cohen, J. (1992). A power primer. Psychological bulletin, 112(1), 155-159. Coleman, P. (2002). Improving oral health care for the frail elderly: a review of widespread problems and best practices. Geriatric Nursing, 23(4), 189-199. Costello, T., & Coyne, I. (2008). Nurses’ knowledge of mouth care practices. British Journal of Nursing, 17(4), 264-268. Deacon, S. A., Glenny, A. M., Deery, C., Robinson, P. G., Heanue, M., Walmsley, A. D., & Shaw, W. C. (2010). Different powered toothbrushes for plaque control and gingival health. The Cochrane Library. Retrieved May 19, 2015, from http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004971.pub2/abstract De Marchi, R. J., Hugo, F. N., Hilgert, J. B., & Padilha, D. M. (2008). Association between oral health status and nutritional status in south Brazilian independent-living older people. Nutrition, 24(6), 546-553. De Oliveira, C., Watt, R., & Hamer, M. (2010). Toothbrushing, inflammation, and risk of cardiovascular disease: results from Scottish Health Survey. British Medical Journal, 340, c2451. De Visschere, L. M., Grooten, L., Theuniers, G., & Vanobbergen, J. N. (2006). Oral hygiene of elderly people in long-term care institutions – a cross-sectional study. Gerodontology, 23(4), 195-204. Dharamsi, S., Jivani, K., Dean, C., & Wyatt, C. (2009). Oral care for frail elders: knowledge, attitudes, and practices of long-term care staff. Journal of dental education, 73(5), 581-588. Dickinson, H. (2012). Maintaining oral health after stroke. Nursing standard, 26(49), 35-39. Dickinson, H., Watkins, C., & Leathley, M. (2001). The development of the THROAT: The holistic and reliable oral assessment tool. Clinical Effectiveness in Nursing, 5(3), 104-110. Dörfer, C. E., Becher, H., Ziegler, C. M., Kaiser, C., Lutz, R., Jörß, D., …Grau, A. J. (2004). The association of gingivitis and periodontitis with ischemic stroke. Journal of Clinical Periodontology, 31(5), 396-401. Eilers, J., Berger, A. M., & Petersen, M. (1988). Development, testing, and application of the oral assessment guide. Oncology nursing forum, 15(3), 325-330. Frenkel, H., Harvey, I., & Newcombe, R. G. (2001). Improving oral health in institutionalised elderly people by educating caregivers: a randomised controlled trial. Community dentistry and oral epidemiology, 29(4), 289-297. Frenkel, H., Harvey, I., & Needs, K. (2002). Oral health care education and its effect on caregivers' knowledge and attitudes: a randomised controlled trial. Community dentistry and oral epidemiology, 30(2), 91-100. Gil-Montoya, J. A., de Mello, A. L. F., Cardenas, C. B., & Lopez, I. G. (2006). Oral health protocol for the dependent institutionalized elderly. Geriatric Nursing, 27(2), 95-101. Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W. B., …Turner, M. B. (2013). Heart disease and stroke statistics—2013 update: a report from the American Heart Association. Circulation, 127(1), e6-e245. Gopal, A. (2008). Stroke and oral health. Vital, 5(3), 40-42. Gosney, M., Martin, M. V., & Wright, A. E. (2006). The role of selective decontamination of the digestive tract in acute stroke. Age and ageing, 35(1), 42-47. Gotfredsen, K., & Walls, A. W. (2007). What dentition assures oral function? Clinical Oral Implants Research, 18(s3), 34-45. Grap, M. J., Munro, C. L., Ashtiani, B., & Bryant, S. (2003). Oral care interventions in critical care: frequency and documentation. American Journal of Critical Care, 12(2), 113-118. Grau, A. J., Becher, H., Ziegler, C. M., Lichy, C., Buggle, F., Kaiser, C., …Dörfer, C. E. (2004). Periodontal disease as a risk factor for ischemic stroke. Stroke, 35(2), 496-501. Griffiths, J., Jones, V., Leeman, I., Lewis, D., Patel, K., & Wilson, K. (2000). Guidelines for the development of local standards of oral health care for dependent, dysphagic, critically and terminally ill patients. British Society for Disability and Oral Health. Hanne, K., Ingelise, T., Linda, C., & Ulrich, P. P. (2012). Oral status and the need for oral health care among patients hospitalised with acute medical conditions. Journal of Clinical Nursing, 21(19pt20), 2851-2859. Holmes, S., & Mountain, E. (1993). Assessment of oral status: evaluation of three oral assessment guides. Journal of Clinical Nursing, 2(1), 35-40. Hsieh, F.-I., Lien, L.-M., Chen, S.-T., Bai, C.-H., Sun, M.-C., Tseng, H.-P., …Hsu, C. Y. (2010). Get With The Guidelines-Stroke Performance Indicators: Surveillance of Stroke Care in the Taiwan Stroke Registry: Get With The Guidelines-Stroke in Taiwan. Circulation, 122(11), 1116-1123. Humphrey, L. L., Fu, R., Buckley, D. I., Freeman, M., & Helfand, M. (2008). Periodontal disease and coronary heart disease incidence: a systematic review and meta-analysis. Journal of General Internal Medicine, 23(12), 2079-2086. Jablonski, R. A., Munro, C. L., Grap, M.J., Schubert, C. M., Ligon, M., & Spigelmyer, P. (2009). Mouth care in nursing homes: knowledge, beliefs, and practices of nursing assistants. Geriatric Nursing, 30(2), 99-107. Johnson, V. B. (2012). Oral hygiene care for functionally dependent and cognitively impaired older adults. Journal of Gerontological Nursing, 38(11), 11-19. Jönsson, B., Öhrn, K., Oscarson, N., & Lindberg, P. (2009). The effectiveness of an individually tailored oral health educational programme on oral hygiene behaviour in patients with periodontal disease: a blinded randomized-controlled clinical trial (one-year follow-up). Journal of clinical periodontology, 36(12), 1025-1034. Kim, H.-D., Sim, S.-J., Moon, J.-Y., Hong, Y.-C., & Han, D.-H. (2010). Association between periodontitis and hemorrhagic stroke among Koreans: a case-control study. Journal of periodontology, 81(5), 658-665. Kıran, M., Arpak, N., Ünsal, E., & Erdoğan, M. F. (2005). The effect of improved periodontal health on metabolic control in type 2 diabetes mellitus. Journal of clinical periodontology, 32(3), 266-272. Kuramoto, C., Watanabe, Y., Tonogi, M., Hirata, S., Sugihara, N., Ishii, T., & Yamane, G. (2011). Factor analysis on oral health care for acute hospitalized patients in Japan. Geriatrics & gerontology international, 11(4), 460-466. Lam, O. L., McMillan, A. S., Samaranayake, L. P., Li, L. S., & McGrath, C. (2013). Randomized Clinical Trial of Oral Health Promotion Interventions Among Patients Following Stroke. Archives of Physical Medicine and Rehabilitation, 94(3), 435-443. Lam, O. L., McGrath, C., Li, L. S., & Samaranayake, L. P. (2012). Effectiveness of oral hygiene interventions against oral and oropharyngeal reservoirs of aerobic and facultatively anaerobic gram-negative bacilli. American journal of infection control, 40(2), 175-182. Lee, S., Shafe, A. C., & Cowie, M. R. (2011). UK stroke incidence, mortality and cardiovascular risk management 1999-2008: time-trend analysis from the General Practice Research Database. British Medical Journal Open, 1(2), e000269. Loesche, W. J., Schork, A., Terpenning, M. S., Chen, Y.-M., Kerr, C., & Dominguez, B. L. (1998). The relationship between dental disease and cerebral vascular accident in elderly United States veterans. Annals of periodontology, 3(1), 161-174. Mahasweta, V. (2009, no date). Oral health status and treatment needs of stroke (cerebrovascular accident) survivors visiting rehabilitation centers of hospitals in bangalore. Retrieved June 5, 2013, from http://119.82.96.198:8080/jspui/handle /123456789/3182 Millns, B., Gosney, M., Jack, C. I., Martin, M. V., & Wright, A. E. (2003). Acute Stroke Predisposes to Oral Gram-Negative Bacilli – a Cause of Aspiration Pneumonia? Gerontology, 49(3), 173-176. Mojon, P., Budtz-Jørgensen, E., & Rapin, C. -H. (1999). Relationship between oral health and nutrition in very old people. Age and ageing, 28(5), 463-468. Noble, J. M., Borrell, L. N., Papapanou, P. N., Elkind, M. S., Scarmeas, N., & Wright, C. B. (2009). Periodontitis is associated with cognitive impairment among older adults: analysis of NHANES-III. Journal of Neurology, Neurosurgery & Psychiatry, 80(11), 1206-1211. Padilha, D. M., Hugo, F. N., Hilgert, J. B., & Dal Moro, R. G. (2007). Hand function and oral hygiene in older institutionalized Brazilians. Journal of the American Geriatrics Society, 55(9), 1333-1338. Prendergast, V., Jakobsson, U., Renvert, S., & Hallberg, I. R. (2012). Effects of a standard versus comprehensive oral care protocol among intubated neuroscience ICU patients: results of a randomized controlled trial. Journal of Neuroscience Nursing, 44(3), 134-146. Prendergast, V., Kleiman, C., & King, M. (2013). The Bedside Oral Exam and the Barrow Oral Care Protocol: Translating evidence-based oral care into practice. Intensive and Critical Care Nursing, 29(5), 282-290. Preston, A. J., Kearns, A., Barber, M. W., & Gosney, M. A. (2006). The knowledge of healthcare professionals regarding elderly persons' oral care. British dental journal, 201(5), 293-295. Raghunathan, S., Freeman, A., & Bhowmick, B. (2009). Mouth care after stroke. GM: Midlife and Beyond, 39(10), 582-586. Roger, V. L., Go, A. S., Lloyd-Jones, D. M., Benjamin, E. J., Berry, J. D., Borden, W. B., …Turner, M. B. (2012). Heart Disease and Stroke Statistics—2012 Update: A Report From the American Heart Association. Circulation, 125(1), e2-e220. Salamone, K., Yacoub, E., Mahoney, A., & Edward, K. (2013). Oral Care of Hospitalised Older Patients in the Acute Medical Setting. Nursing Research and Practice, 2013, Article ID 827670, 4 pages. Schillinger, T., Kluger, W., Exner, M., Mlekusch, W., Sabeti, S., Amighi, J., …Schillinger, M. (2006). Dental and Periodontal Status and Risk for Progression of Carotid Atherosclerosis: The Inflammation and Carotid Artery Risk for Atherosclerosis Study Dental Substudy. Stroke, 37(9), 2271-2276. Sfyroeras, G. S., Roussas, N., Saleptsis, V. G., Argyriou, C., & Giannoukas, A. D. (2012). Association between periodontal disease and stroke. Journal of Vascular Surgery, 55(4), 1178-1184. Simpson, T. C., Needleman, I., Wild, S. H., Moles, D. R., & Mills, E. J. (2010). Treatment of periodontal disease for glycaemic control in people with diabetes. Australian Dental Journal, 55(4), 472-474. Söder, P.-Ö., Söder, B., Nowak, J., & Jogestrand, T. (2005). Early carotid atherosclerosis in subjects with periodontal diseases. Stroke, 36(6), 1195-1200. Stein, P. S., Desrosiers, M., Donegan, S. J., Yepes, J. F., & Kryscio, R. J. (2007). Tooth loss, dementia and neuropathology in the Nun study. The Journal of the American Dental Association, 138(10), 1314-1322. Talbot, A., Brady, M., Furlanetto, D. L., Frenkel, H., & Williams, B. O. (2005). Oral care and stroke units. Gerodontology, 22(2), 77-83. Taylor, G. W., & Borgnakke, W. S. (2008). Periodontal disease: associations with diabetes, glycemic control and complications. Oral Diseases, 14(3), 191-203. Terezakis, E., Needleman, I., Kumar, N., Moles, D., & Agudo, E. (2011). The impact of hospitalization on oral health: a systematic review. Journal of clinical periodontology, 38(7), 628-636. Terpenning, M. S., Taylor, G. W., Lopatin, D. E., Kerr, C. K., Dominguez, B. L., & Loesche, W. J. (2001). Aspiration pneumonia: dental and oral risk factors in an older veteran population. Journal of the American Geriatrics Society, 49(5), 557-563. Trenter, P., & Creason, N. S. (1986). Nurse administered oral hygiene: is there a scientific basis? Journal of Advanced Nursing, 11(3), 323-331. Truelsen, T., Begg, S., & Mathers, C (2000, no date). The global burden of cerebrovascular disease. Retrieved August 17, 2013, from http:// www.who.int/healthinfo/statistics/bod_cerebrovasculardiseasestroke.pdf Tsai, C., Hayes, C., & Taylor, G. W. (2002). Glycemic control of type 2 diabetes and severe periodontal disease in the US adult population. Community dentistry and oral epidemiology, 30(3), 182-192. Van Lancker, A., Verhaeghe, S., Van Hecke, A., Vanderwee, K., Goossens, J., & Beeckman, D. (2012). The association between malnutrition and oral health status in elderly in long-term care facilities: A systematic review. International journal of nursing studies, 49(12), 1568-1581. Weening-Verbree, L., Huisman-de Waal, G., van Dusseldorp, L., van Achterberg, Y., & Schoonhoven, L. (2013). Oral health care in older people in long term care facilities: A systematic review of implementation strategies. International journal of nursing studies, 50(2013), 569-582. World Health Organization (2013, no date). STEPwise approach to stroke surveillance. Retrieved August 17, 2013, from http://www.who.int/chp/steps/stroke/en/ Yaacob, M., Worthington, H. V., Deacon, S. A., Deery, C., Walmsley, A. D., Robinson, P. G., & Glenny, A. M. (2014). Powered versus manual toothbrushing for oral health. The Cochrane Library. Retrieved May 19, 2015, from http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD002281.pub3/abstract Yoneyama, T., Yoshida, M., Ohrui, T., Mukaiyama, H., Okamoto, H., Hoshiba, K., …Members Of The Oral Care Working Group. (2002). Oral care reduces pneumonia in older patients in nursing homes. Journal of the American Geriatrics Society, 50(3), 430-433. Zhu, H., McMillan, A. S., McGrath, C., Li, L. S., & Samaranayake, L. P. (2008). Oral carriage of yeasts and coliforms in stroke sufferers: a prospective longitudinal study. Oral Diseases, 14(1), 60-66. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/4566 | - |
dc.description.abstract | 對中風後發生認知或身體功能損傷的病人來說,口腔護理是一項具有挑戰性的任務,但口腔護理卻不被視為臨床上的照護重點,使得中風病人的口腔衛生與安全暴露在高度危險之中;由於台灣急性中風病人的口腔護理多由家屬或看護協助完成,因此,本研究的目的旨在了解急性中風病人口腔照護執行者(病人本人、家屬或看護)的口腔衛生知識及態度、口腔護理執行狀況及其預測因子,了解病人的口腔衛生狀態,並探討急性中風住院病人之口腔照護執行者知識、態度、執行狀況與病人口腔衛生狀態的關係,以做為臨床護理之參考,期能協助病人或照護者執行良好的口腔護理,共同維持病人的口腔健康,減少相關合併症的產生。
本研究為描述性相關性研究,採橫斷式調查法,以結構式問卷及口腔檢查評分表進行調查,於台北市某醫學中心神經內科、神經外科、家醫科、整合醫療、及老人醫學病房進行收案,共收集有效問卷81份。所得資料以SPSS 18.0軟體建檔,並以描述性統計(平均值、標準差、次數分配、百分比)及推論性統計(獨立樣本T檢定、變異數分析及逐步迴歸分析)等方式,分析病人的人口學、臨床特性、口腔照護執行者的人口學特性、口腔衛生知識、態度及口腔護理執行狀況與病人口腔衛生狀態間的關係。 研究結果發現:(一)口腔照護執行者與病人的關係為口腔衛生知識的主要預測因子:與外籍看護相較之下,病患服務員的口腔衛生照護知識較佳;(二)口腔照護執行者與病人的關係及年齡為口腔衛生態度的主要預測因子:病患服務員的口腔衛生態度優於外籍看護,外籍看護的口腔衛生態度優於病人本身,而年齡大於等於65歲的老年口腔照護執行者的口腔衛生態度優於年齡小於45歲的青壯年照護執行者;(三)口腔照護執行者的口腔照護資歷及年齡為口腔護理執行狀況的主要預測因子:口腔照護資歷愈久,口腔照護執行者的口腔護理執行狀況愈好,而年齡大於等於65歲的老年口腔照護執行者的執行狀況優於年齡小於45歲的青壯年口腔照護執行者;(四)多變項迴歸分析結果顯示,預測個案口腔衛生狀態的三類變項因素包括:(1)口腔照護執行者方面:與病人的關係、性別、最近一年口腔衛生相關課程上課主題是病人口腔衛生狀態的預測因子,即外籍看護優於病患服務員、男性照護執行者優於女性照護執行者、最近一年曾上潔牙課程的照護執行者優於不曾上過潔牙課程者,(2)病人特性方面:沒有加重口腔衛生照護需求因子的個案,其口腔衛生狀態越好;即沒有加重口腔衛生照護需求因子的個案,其口腔衛生狀態最佳,及(3)口腔護理執行狀況,即口腔照護執行者的口腔護理執行狀況愈好,其所照顧個案的口腔衛生狀態愈好。 | zh_TW |
dc.description.abstract | 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. | en |
dc.description.provenance | Made available in DSpace on 2021-05-14T17:43:29Z (GMT). No. of bitstreams: 1 ntu-104-R99426028-1.pdf: 2482889 bytes, checksum: 24120eabb1fe3c9efb3ddac11ebdf76f (MD5) Previous issue date: 2015 | en |
dc.description.tableofcontents | 口試委員審定書…………………………………………………………………….…i
致謝…………………………………………………………………………………….ii 中文摘要…………………………………………………………………….……. …..iii Abstract………………………………………………….…………….……………… 目錄……………………………………………………………………………………. 第一章 緒論………………………………………………………………………….1 第一節 研究動機及重要性……………………………………………….……1 第二節 研究目的………………………………………………………….……3 第二章 文獻查證…………………………………………………………………….4 第一節 中風………………………………………………………………….…4 第二節 口腔的功能與結構………………………………………………..…...6 第三節 口腔衛生與口腔護理……………………………………………….....8 第四節 口腔衛生與中風的關係……………………………………………....10 第五節 中風病人的口腔問題…………………………………………………12 第六節 中風後病人口腔護理的重要性………………………………………14 第七節 照護者與中風病人口腔衛生的關係……………………………..…..17 第八節 其他影響中風病人口腔衛生的相關因素……………………………21 第九節 中風病人口腔衛生相關措施……………………………………..…..23 第三章 研究方法……………………………………………………….………..….29 第一節 研究架構………………………………………………………..…..…29 第二節 名詞界定…………………………………………………………..…..30 第三節 研究對象與研究場所……………………………………………..…..31 第四節 研究工具…………………………………………………….……..….32 第五節 研究工具信度與效度檢定………………………………………..…..36 第六節 收案流程…………………………………………………………..…..38 第七節 倫理考量……………………………………………………..……..…40 第八節 資料處理與統計分析………………………………………………….41 第四章 研究結果………………………………………………………………..…..42 第一節 個案的人口學及臨床相關特性與口腔照護執行者的人口學特性 之描述性統計分析………………………………………………….....42 第二節 個案的口腔衛生狀態與對口腔健康的主觀感受、口腔照護執行 者的口腔衛生知識、口腔衛生態度及口腔護理執行狀況之描述 性統計分析………………………………………………….………....44 第三節 各自變項與個案口腔衛生狀態之關係的雙變項分析………….…....49 第四節 口腔照護執行者口腔衛生知識、口腔衛生態度、口腔護理執行 狀況及個案口腔衛生狀態的預測因子之多變項分析……….…….....53 第五章 討論………………………………………………………………………….56 第一節 口腔照護執行者的口腔衛生知識………………………………...…..56 第二節 口腔照護執行者的口腔衛生態度………………………………….....59 第三節 口腔照護執行者的口腔護理執行狀況………………..…………...…61 第四節 影響急性中風住院病人口腔衛生狀態之相關因素………………….62 第六章 結論與建議………………………………………………………………....65 第一節 結論………………………………………………………………….....65 第二節 護理應用…………………………………………………………..…..67 第三節 研究限制及未來研究之建議……………………………………..…..69 參考文獻…………………….………………………………………………….…..…70 中文參考文獻………………………………………………………………....…70 英文參考文獻………………………………………………………………..…..72 圖目錄 圖1 概念架構圖…………………………………………………………..……...…29 圖2 研究者使用頭燈、口腔棉棒及壓舌板,進行口腔評估過程………….…....39 表目錄 表1 口腔護理執行狀況計分表…………………………………………………..…82 表2 病人基本資料統計………………………………………………….….….…...83 表3 口腔照護執行者基本資料統計………………………………………………..85 表4 床邊口腔檢查表(BOE)之單項原始得分……………………………….….….87 表5 床邊口腔檢查表(BOE)得分……………………………………….……...…...88 表6 個案對口腔健康的主觀感受之單項得分………………….………………….88 表7 個案對口腔健康的主觀感受得分………………………………………...…...88 表8 口腔照護執行者口腔衛生照護知識得分…………………………………..…89 表9 口腔衛生照護知識量表各部分答對率……………………………………..…89 表10 口腔照護執行者口腔衛生照護知識量表之單項得分…………….…..…….90 表11 口腔照護執行者口腔衛生照護態度得分………………………………..…..92 表12 口腔衛生照護態度量表各次量表(次概念)之平均得分…………………..…92 表13 口腔照護執行者口腔衛生照護態度量表之單項得分……………………....93 表14 口腔護理執行狀況量表之單項得分……………………………………..…..94 表15 口腔護理執行狀況量表總分以百分比轉換結果………………………..…..96 表16 口腔照護執行者人口學特性與其「口腔衛生知識」的關係…………..…..97 表17 口腔照護執行者人口學特性與其「口腔衛生態度」的關係………..……..98 表18 口腔照護執行者人口學特性與其「口腔護理執行狀況」的關係……..…..99 表19 口腔照護執行者人口學特性與「個案口腔衛生狀態」的關係…………...100 表20 個案人口學特性及臨床相關特性與其「口腔衛生狀態」的關係……..….101 表21 綜整各自變項與依變項的雙變項統計分析結果…………………………...103 表22 影響「口腔照護執行者口腔衛生照護知識」重要因子之逐步多變項 迴歸分析摘要表………………………………………………………….…104 表23 影響「口腔照護執行者口腔衛生照護態度」重要因子之逐步多變項 迴歸分析摘要表………………………………………………………….…105 表24 影響「口腔照護執行者口腔護理執行狀況」重要因子之逐步多變項 迴歸分析摘要表………………………………………………………….…106 表25 影響「病人的口腔衛生狀態」重要因子之逐步多變項迴歸分析摘要表..107 附錄 附錄一 研究量表使用同意書……………………………………………………...108 附錄二 專家效度名單………………………………………..……………….……110 附錄三 專家建議之問卷效度修改內容………………………………………...…111 附錄四 急性中風病人參與研究同意書……………………………………….…..116 附錄五 口腔照護執行者參與研究同意書…………………………………….…..120 附錄六 急性中風病人口腔照護執行者口腔衛生知識、態度與執行狀況問卷...123 附錄七 急性中風病人對口腔健康的主觀感受及床邊口腔檢查結果問卷……...129 附錄八 「床邊口腔檢查表」原始量表…………………………………………...132 附錄九 台大醫院研究倫理委員會審查通過函……………………………….…..133 | |
dc.language.iso | zh-TW | |
dc.title | 口腔照護執行者的口腔衛生知識、態度、執行狀況與中風病人口腔衛生之相關性探討 | zh_TW |
dc.title | The Association between the Oral Hygiene Condition of Stroke Patients and Knowledge, Attitude, and Behavior of Primary Caregivers on Oral Hygiene | en |
dc.type | Thesis | |
dc.date.schoolyear | 103-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 邱銘章,陳信銘 | |
dc.subject.keyword | 急性中風病人,口腔照護執行者,口腔衛生知識,口腔衛生態度,口腔衛生執行狀況,病人口腔衛生狀態, | zh_TW |
dc.subject.keyword | acute stroke inpatients,oral care executor,oral health knowledge,oral health attitudes,oral care behavior,oral hygiene condition, | en |
dc.relation.page | 134 | |
dc.rights.note | 同意授權(全球公開) | |
dc.date.accepted | 2015-08-07 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 護理學研究所 | zh_TW |
顯示於系所單位: | 護理學系所 |
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