Stavovi, znanje i praksa negovatelja u održavanju oralnog zdravlja korisnika domova za stara lica u Srbiji

  • Ivica Stančić Department of Prosthodontics, Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia
  • Miloš Petrović Department of Prosthodontics, Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia
  • Aleksandra Popovac Department of Prosthodontics, Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia
  • Miroslav Vasović Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
  • Nebojša Despotović Gerontology Department, Clinical Center Zvezdara, Belgrade, Serbia
Ključne reči: old age assistance||, ||stare osobe, pomoć, homes for the aged||, ||starački domovi, oral hygiene||, ||usta, higijena, comprehensive dental care||, ||zubi, nega i lečenje, serbia||, ||srbija,

Sažetak


Uvod/Cilj. U grupi starijih osoba, stanovnika domova za stara lica, postoji povećani rizik od nastanka karijesa, periodontalne bolesti i gubitka zuba. Pomoć u održavanju dobre oralne higijene, pored toga, može uticati i na opšte zdravstveno stanje i kvalitet života stanovnika domova za stara lica. Cilj ovog istraživanja bio je da se ispitaju stavovi i znanje negovatelja o oralnom zdravlju, kao i praksa koju primjenjuju u domovima za stara lica u Srbiji. Metode. Istraživanje je sprovedeno u ustanovi Gerontološki Centar Beograd, koji se sastoji od četiri doma za stara lica, locirana u urbanom području. U istraživanju je učestvovalo 58 negovatelja, s kojima smo kontaktirali radnim danima, u svim radnim smenama, tokom januara, februara i marta 2013. godine. Oni su zamoljeni da samostalno ispune upitnik sastavljen od 26 pitanja zatvorenog tipa. Rezultati. Negovatelji uglavnom smatraju da je veoma važno brinuti se o oralnom zdravlju korisnika domova, ali 69% je odgovorilo da je nivo oralnog zdravlja korisnika nizak ili vrlo nizak. Za glavnu prepreku u održavanju oralne higijene korisnika domova, negovatelji su označili nedostatak vremena. Njegovatelji su imali više znanja o parodontalnim bolestima, nego o glavnom uzročniku karijesa i njegovoj prevenciji. Formalno medicinsko obrazovanje imalo je uticaj na njihovo znanje o oralnim bolestima. Čišćenje proteza i pranje zuba su najčešće primenjivani postupci negovatelja u održavanju oralne higijene korisnika domova. Zaključak. Negovatelji su svesni ograničenja u svakodnevnom održavanju oralnog zdravlja korisnika domova za stara lica u Srbiji, kao i da rešavanje tih problema zahteva uključivanje celokupnog javnog zdravstvenog sektora.

Reference

Urrutia CG, Ormazábal FR, Santander IE, Salvo DM. Oral health practices and beliefs among caregivers of the dependent elderly. Gerodontology 2011; 29(2): 742−7.

Yoon MN, Steele CM. Health care professionals’ perspectives on oral care for long-term care residents: Nursing staff, speech-language pathologists and dental hygienists. Gerodontology 2012; 29(2): 525−35.

Rabbo MA, Mitov G, Gebhart F, Pospiech P. Dental care and treatment needs of elderly in nursing homes in Saarland: per-ceptions of the homes managers. Gerodontology 2011; 29(2): 57−62.

Locker D, Gibson B. Discrepancies between self-ratings of and satisfaction with oral health in two older adult populations. Comm Dent Oral Epidemiol 2005; 33(4): 280−8.

Thean H, Wong ML, Koh H. The dental awareness of nursing home staff in Singapore - a pilot study. Gerodontology 2007; 24(1): 58−63.

Fiske J, Griffiths J, Jamieson R, Manger D. Guidelines for oral health care for long-stay patients and residents. Gerodontology 2000; 17(1): 55−64.

Ettinger RL, Beck JD, Miller JA, Jakobsen J. Dental service use by older people living in long-term care facilities. Spec Care Dent 1988; 8(4): 178−83.

Wardh I, Andersson L, Sorensen S. Staff attitudes to oral health care. A comparative study of registered nurses, nursing assis-tants and home care aides. Gerodontology 1997; 14(1): 28−32.

Gift HC, Cherry-Peppers G, Oldakowski RJ. Oral health care in US nursing homes, 1995. Spec Care Dent 1998; 18(6): 226−33.

Sumi Y, Nakamura Y, Nagaosa S, Michiwaki Y, Nagaya M. Atti-tudes to oral care among caregivers in Japanese nursing homes. Gerodontology 2001; 18(1): 2−6.

Frenkel H, Harvey I, Needs K. Oral health care education and its effect on caregivers' knowledge and attitudes: a randomised controlled trial. Comm Dent Oral Epidemiol 2002; 30(2): 91−100.

Penner A, Timmons V. Seniors' attitudes: oral health and quality of life. Int J Dent Hyg 2004; 2(1): 2−7.

Reed R, Broder HL, Jenkins G, Spivack E, Janal MN. Oral health promotion among older persons and their care providers in a nursing home facility. Gerodontology 2006; 23(2): 73−8.

Reis SC, Marcelo VC, da Silva ET, Leles CR. Oral health of institutionalised elderly: a qualitative study of health caregivers' perceptions in Brazil. Gerodontology 2011; 28(1): 69−75.

White R. Nurse assessment of oral health: a review of practice and education. Br J Nurs 2000; 9(5): 260−6.

Costello T, Coyne I. Nurses' knowledge of mouth care practices. Br J Nurs 2008; 17(4): 264−8.

Willumsen T, Karlsen L, Naess R, Bjørntvedt S. Are the barriers to good oral hygiene in nursing homes within the nurses or the patients. Gerodontology 2011; 29(2): 748−55.

Forsell M, Sjögren P, Kullberg E, Johansson O, Wedel P, Herbst B, et al. Attitudes and perceptions towards oral hygiene tasks among geriatric nursing home staff. Int J Dental Hygiene 2011; 9(3): 199–203.

Frenkel HF. Behind the screens: care staff observations on de-livery of oral health care in nursing homes. Gerodontology 1999; 16(2): 75−80.

Strand GV, Wolden H, Rykkje L, Gjellestad A, Stenerud G. Oral care in the last stages of life. Tidsskr Nor Laegeforen 2005; 125(11): 1494−6. (Norwegian)

Coleman P. Opportunities for nursing-dental collaboration: Addressing oral health needs among the elderly. Nurs Outlook 2005; 53(1): 33−9.

Charteris P, Kinsella T. The Oral Care Link Nurse: a facilitator and educator for maintaining oral health for patients at the Royal Hospital for neuro-disability. Spec Care Dent 2001; 21(2): 68−71.

Herriman G, Kerschbaum W. Oral hygiene care and education needs in long-term care facilities in Michigan. Dent Hyg 1990; 174: 196−8.

Paulsson G, Fridlund B, Holmén A, Nederfors T. Evaluation of an oral health education program for nursing personnel in special housing facilities for the elderly. Spec Care Dent 1998; 18(6): 234−42.

Sonde L, Emami A, Kiljunen H, Nordenram G. Care providers' perceptions of the importance of oral care and its performance within everyday caregiving for nursing home residents with dementia. Scand J Caring Sci 2011; 25(1): 92−9.

Gonzalez EE, Nathe CN, Logothetis DD, Pizanis VG, Sanchez-Dils E. Training caregivers: disabilities and dental hygiene. Int J Dent Hyg 2013; 11(4): 293−7.

Paulsson G, Söderfeldt B, Nederfors T, Fridlund B. Nursing personnel's views on oral health from a health promotion perspective: a grounded theory analysis. Acta Odontol Scand 2002; 60(1): 42−9.

Paulsson G, Söderfeldt B, Fridlund B, Nederfors T. Recall of an oral health education programme by nursing personnel in special housing facilities for the elderly. Gerodontology 2001; 18(1): 7−14.

Wårdh I, Berggren U, Hallberg LR, Andersson L, Sörensen S. Dental auscultation for nursing personnel as a model of oral health care education: development, baseline, and 6-month follow-up assessments. Acta Odontol Scand 2002; 60(1): 13−9.

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