The association between education received and working hours of nurses with knowledge, attitude, and practice regarding the oral health of elderly in retirement homes
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Abstract
Introduction and Aims: Elderly people living in retirement homes are at higher risk of oral and maxillofacial diseases. Evidence has shown a clear relationship between poor oral health and possibility of aspiration pneumonia and gastrointestinal bleeding in old patients. Aim: The aim of this study was to determine the association between education received and working hours of nurses with their knowledge, attitude, and practice regarding the oral health of elderly in retirement homes. Materials and Methods: In this analytical study conducted in 2021 in Tehran, nurses working in retirement homes were invited to complete a questionnaire including demographics, knowledge (8 questions), attitude (7 questions), practice (10 questions) and barriers (1 question). The results were analyzed with SPSS-25 using linear regression. Results: The mean age of the participants (n=78) was 40.28±8.9 years and 53.8% were female. Lack of cooperation among elders (56.4%) as well as lack of time (41.0%) were the most important barriers to oral health maintenance. Receiving education as a nurse/caregiver had positive relationship with the scores of knowledge, attitude, and practice. Age, frequency of regular dental visits and working time per week were significantly associated with practice. Conclusion: Education received as a nurse/caregiver was an important predictor of oral health knowledge, attitude, and practice of nurses regarding elders. Due to the importance of oral health in general health of elderly, planning is needed to provide continuing education for nurses to oral health care and maintenance in older people.
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19. Unfer B, Braun KO, de Oliveira Ferreira AC, Ruat GR, Batista AK. Challenges and barriers to quality oral care as perceived by caregivers in long‐stay institutions in Brazil. Gerodontology. 2012;29(2):e324-e30. [DOI: 10.1111/j.1741-2358.2011.00554.x]
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21. 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. International journal of dental hygiene. 2011;9(3):199-203. [DOI: 10.1111/j.1601-5037.2010.00477.x
2. Plouffe L, Kalache A. Towards global age-friendly cities: determining urban features that promote active aging. Journal of urban health. 2010;87(5):733-9. [DOI: 10.1007/s11524-010-9466-0]
3. Petersen PE, Kandelman D, Arpin S, Ogawa H. Global oral health of older people--call for public health action. Community Dent Health. 2010;27(4 Suppl 2):257-67. [PMID: 21313969]
4. Porter J, Ntouva A, Read A, Murdoch M, Ola D, Tsakos G. The impact of oral health on the quality of life of nursing home residents. Health Qual Life Outcomes. 2015;13:102. [DOI: 10.1186/s12955-015-0300-y]
5. Han JH, et al. Loss of Functional Dentition is Associated with Cognitive Impairment. J Alzheimers Dis. 2020;73(4):1313-1320. [DOI: 10.3233/JAD-190971]
6. Mojon P, Bourbeau J. Respiratory infection: how important is oral health? Current opinion in pulmonary medicine. 2003;9(3):166-70. [DOI: 10.1097/00063198-200305000-00002]
7. Mojon P, Budtz-Jørgensen E, Rapin C-H. Relationship between oral health and nutrition in very old people. Age and ageing. 1999;28(5):463-8. [DOI: 10.1093/ageing/28.5.463]
8. Scannapieco FA. Role of oral bacteria in respiratory infection. Journal of periodontology. 1999;70(7):793-802. [DOI: 10.1902/jop.1999.70.7.793]
9. Taylor G. Periodontal health and systemic disorders. J Can Dent Assoc. 2002;68(3):188-92. [DOI: 10.1902/jop.1999.70.7.793]
10. Kato H, et al. Tooth Loss-associated Cognitive Impairment in the Elderly: A Community-based Study in Japan. Intern Med. 2019;58(10):1411-1416. [DOI: 10.2169/internalmedicine.1896-18]
11. Southerland JH, Taylor GW, Moss K, Beck JD, Offenbacher S. Commonality in chronic inflammatory diseases: periodontitis, diabetes, and coronary artery disease. Periodontology 2000. 2006;40(1):130-43. [DOI: 10.1111/j.1600-0757.2005.00138.x]
12. Portella FF, Rocha AW, Haddad DC, Fortes CB, Hugo FN, Padilha DM, et al. Oral hygiene caregivers’ educational programme improves oral health conditions in institutionalized independent and functional elderly. Gerodontology. 2015;32(1):28-34. [DOI: 10.1111/j.1600-0757.2005.00138.x]
13. Holm‐Pedersen P, Vigild M, Nitschke I, Berkey DB. Dental care for aging populations in Denmark, Sweden, Norway, United Kingdom, and Germany. Journal of dental education. 2005;69(9):987-97. [PMID: 16141084]
14. Thean H, Wong ML, Koh H. The dental awareness of nursing home staff in Singapore–a pilot study. Gerodontology. 2007;24(1):58-63. [DOI: 10.1111/j.1741-2358.2007.00138.x]
15. Stančić I, Petrović M, Popovac A, Vasović M, Despotović N. Caregivers' attitudes, knowledge and practices of oral care at nursing homes in Serbia. Vojnosanitetski pregled. 2016;73(7):668-73. [DOI: 10.2298/VSP141001065S]
16. Sumi Y, Nakamura Y, Nagaosa S, Michiwaki Y, Nagaya M. Attitudes to oral care among caregivers in Japanese nursing homes. Gerodontology. 2001;18(1):2-6. [DOI: 10.1111/j.1741-2358.2001.00002.x]
17. Chebib N, Waldburger TC, Boire S, Prendki V, Maniewicz S, Philippe M, et al. Oral care knowledge, attitude and practice: Caregivers’ survey and observation. Gerodontology. 2021;38(1):95-103. [DOI: 10.1111/ger.12502]
18. Willumsen T, Karlsen L, Næss R, Bjørntvedt S. Are the barriers to good oral hygiene in nursing homes within the nurses or the patients? Gerodontology. 2012;29(2):e748-e55. [DOI: 10.1111/j.1741-2358.2011.00554.x]
19. Unfer B, Braun KO, de Oliveira Ferreira AC, Ruat GR, Batista AK. Challenges and barriers to quality oral care as perceived by caregivers in long‐stay institutions in Brazil. Gerodontology. 2012;29(2):e324-e30. [DOI: 10.1111/j.1741-2358.2011.00554.x]
20. Wårdh I, Hallberg LRM, Berggren U, Andersson L, Sörensen S. Oral health care—a low priority in nursing: In‐depth interviews with nursing staff. Scandinavian journal of caring sciences. 2000;14(2):137-42. [PMID: 12035277]
21. 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. International journal of dental hygiene. 2011;9(3):199-203. [DOI: 10.1111/j.1601-5037.2010.00477.x
| Files | ||
| Issue | Vol 8, No 4 (Autumn 2021) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v8i4.11075 | |
| Keywords | ||
| Attitude Elderly Knowledge Oral health Practice | ||
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How to Cite
1.
Yoosefi S, Sargeran K, Rahimi M. The association between education received and working hours of nurses with knowledge, attitude, and practice regarding the oral health of elderly in retirement homes. J Craniomaxillofac Res. 2022;8(4):210-219.
