Factors affecting the oral health of inpatients with advanced cancer in palliative care

Abstract Purpose Patients with terminal cancer undergoing multidisciplinary palliative care often have oral health problems, but these details are still unclear. This cross-sectional study aimed to elucidate the oral health of patients with terminal-stage cancer who are inpatient recipients of acute-phase palliative care, and to unveil the factors affecting their oral health. Methods Participants were 121 patients with terminal-stage cancer (68 males, 53 females, mean age: 73.6 ± 11.1 years) and oral health complaints. They received palliative care at Tokyo Medical and Dental University Medical Hospital between April 2017 and August 2019. Their demographic and medical details were extracted, retrospectively, from their medical records, and their oral health status, such as the number of natural teeth, removable denture usage, Oral Health Assessment Tool (OHAT), and Dysphagia Severity Scale, were evaluated. All outcomes were assessed by a dentist from the palliative care team. Results The problems with soft tissue, saliva, and oral cleanliness were observed. The absence of posterior occlusal support was common, and the use of removable dentures was often inadequate. In contrast, swallowing function was relatively well-conserved and 46.3% of the participants were capable of nutrition intake solely by mouth. Multiple regression analysis revealed a significant association between total OHAT score and age, consciousness level, prognostic level, and method of nutritional intake. Conclusion The results revealed that the oral health of terminal cancer patients under palliative care declined despite receiving routine oral care from nurses, and suggest the importance of including dental professionals in multidisciplinary palliative care.

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Perceived Oral Health Literacy, Behaviors, and Oral Health Care among Caregivers to the Homebound Population

Home Health Care Management & Practice ◽

10.1177/10848223211008435 ◽

2021 ◽

pp. 108482232110084

Author(s):

Agata Wilk ◽

Lisa LaSpina ◽

Linda D. Boyd ◽

Jared Vineyard

Keyword(s):

Health Care ◽

Oral Health ◽

Health Literacy ◽

Oral Care ◽

Oral Health Care ◽

The Body ◽

Current Evidence ◽

Oral Health Literacy ◽

Cross Sectional Survey ◽

Cross Sectional

This study aimed to explore the level of perceived oral health literacy (OHL) among caregivers of the homebound population in the Chicago metropolitan area and how caregivers’ OHL impacts their oral care to the homebound population. The relationships between demographic characteristics, perceived OHL levels, personal oral health behaviors, and oral health care to clients were also assessed. This cross-sectional survey research examined 69 caregivers of the homebound population employed by home health agencies. The OHL was determined by the validated Health Literacy in Dentistry Scale (HeLD-14). Independent t-tests, chi-square tests set at p < .05 significance level, and logistic regressions were used for analysis. The mean age of participants was 43. The HeLD-14 scores indicated a high perceived OHL among this group. Caregivers came from diverse groups, and the majority spoke a second language at home. About 93% performed oral self-care the recommended amount of time or more, while only 57% did it for their clients. Those who cleaned clients’ mouth twice a day had a higher OHL score ( M = 23 compared to M = 19). About 43% did not check for sores in the client’s mouth, and those who checked had a higher OHL score ( M = 25 compared to M = 19). Controlling for OHL, age was a good predictor of oral care frequency to clients. These findings provide current evidence and add to the body of knowledge on OHL among homebound individuals. The results provide insights for designing a preventive approach in oral health care to the homebound population.

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Pengetahuan, Sikap dan Keterampilan Perawat tentang Oral Care pada Pasien Tidak Sadar

Jurnal Penelitian Kesehatan SUARA FORIKES (Journal of Health Research Forikes Voice) ◽

10.33846/sf11205 ◽

2020 ◽

Vol 11 (2) ◽

pp. 133

Author(s):

Endah Fitriasari ◽

Elly L. Sjattar ◽

Kusrini S. Kadar

Keyword(s):

Health Care ◽

Oral Health ◽

Oral Care ◽

Oral Health Care ◽

Google Scholar ◽

Cross Sectional ◽

Care Services ◽

Randomized Intervention ◽

Intervention Trials ◽

Unconscious Patients

Background: Providing oral care for adults who are hospitalized with dependency is a nursing responsibility and is an important component of providing nursing care services, as an effort to maintain general health. Objective: To observe nurses' knowledge, attitudes and skills about oral care in unconscious patients. Methods: Using an database to search for articles from journals that had been published through PubMed, Google Scholar, and Proquest. Results: Six articles that discussed oral health care knowledge, attitudes and skills were included in the review. There were three articles with cross-sectional designs and one article each for descriptive, non-randomized intervention trials and mixed methods. Conclusion: Efforts to renew knowledge, attitudes and improve oral health care skills can be done through training or through oral health programs. Keywords: knowledge; attitudes; nurse skills; oral care; unconscious patients ABSTRAK Latar Belakang: Memberikan oral care untuk orang dewasa yang dirawat di rumah sakit dengan ketergantungan adalah tanggung jawab keperawatan dan merupakan komponen penting dari pemberiaan layanan asuhan keperawatan, sebagai upaya menjaga kesehatan secara umum. Tujuan: Untuk melihat pengetahuan, sikap dan keterampilan perawat tentang oral care pada pasien tidak sadar. Metode: Menggunakan basis data elektronik dalam mencari artikel dari jurnal yang telah dipublikasikan melalui PubMed, Google scholar, dan Proquest. Hasil: Enam artikel yang membahas tentang pengetahuan, sikap dan keterampilan perawatan kesehatan mulut dimasukkan dalam tinjauan. Terdapat tiga artikel dengan desain cross- sectional serta masing- masing satu artikel untuk deskriptif, non-randomized intervention trial dan mixed method. Kesimpulan: Upaya memperbaharui pengetahuan, sikap dan meningkatkan keterampilan perawatan kesehatan mulut dapat dilakukan dengan pelatihan ataupun melalui program kesehatan mulut. Kata kunci: pengetahuan; sikap; keterampilan perawat; oral care; pasien tidak sadar

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Development of a spiritual pain assessment sheet for terminal cancer patients: Targeting terminal cancer patients admitted to palliative care units in Japan

Palliative & Supportive Care ◽

10.1017/s147895150606024x ◽

2006 ◽

Vol 4 (2) ◽

pp. 179-188 ◽

Cited By ~ 5

Author(s):

KEIKO TAMURA ◽

KAORI ICHIHARA ◽

EIKO MAETAKI ◽

KEIKO TAKAYAMA ◽

KUMI TANISAWA ◽

...

Keyword(s):

Palliative Care ◽

Cancer Patients ◽

Pain Assessment ◽

Assessment Tool ◽

Three Dimensions ◽

Terminal Cancer ◽

Philosophical Perspective ◽

Terminal Cancer Patients ◽

Assessment Sheet ◽

Palliative Care Units

Objective: This research explores the potential benefit of a spiritual pain assessment sheet to clinical practice. With spiritual pain defined as “pain caused by extinction of the being and meaning of the self,” the spiritual pain assessment sheet was developed by Hisayuki Murata from his conceptual framework reflecting the three dimensions of a human being as a being founded on temporality, a being in relationship, and a being with autonomy. The assessment sheet was developed from reviews of the literature and examinations from a philosophical perspective on the structure of spiritual pain.Methods: Patients admitted to palliative care units in Japan were interviewed using the assessment sheet. The responses were analyzed qualitatively. The usefulness of the assessment sheet and the burden placed on the patients by its use were also investigated.Results: The spiritual pain elucidated by the assessment sheet was the same as that revealed in the earlier research of Morita. The patients reported that they did not find the use of the assessment sheet a burden, and more than half reported that it was useful. The burden of the assessment sheet on the subjects was thus determined to be low. Positive feedback on the assessment sheet was also received from the nurses who conducted the patient interviews, who said the assessment sheet made it easier to talk with the patients about their spiritual pain.Significance of research: The research results indicate that the spiritual pain assessment sheet provided an appropriate assessment of spiritual pain among terminal cancer patients, showing that such a sheet could be used as an assessment tool in the future.

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The Knowledge, Attitude and Practices of the Caregivers about Oral Health Care, at Centers for Intellectually Disabled, in Southern Region of Saudi Arabia

Healthcare ◽

10.3390/healthcare8040416 ◽

2020 ◽

Vol 8 (4) ◽

pp. 416

Author(s):

Shahabe Saquib Abullais ◽

Falah Mohammed Falah Al-Shahrani ◽

Khalaf Mohammed Saeed Al-Gafel ◽

Al-Harthi Abdulrahman Saeed ◽

Shouq Abdulrahman Al-Mathami ◽

...

Keyword(s):

Saudi Arabia ◽

Oral Health ◽

Health Knowledge ◽

Oral Care ◽

Vital Role ◽

Southern Region ◽

Intellectually Disabled ◽

Cross Sectional ◽

Rehabilitation Centers ◽

Knowledge And Attitude

Oral health is perhaps the most neglected aspect of healthcare for persons living in rehabilitation centers, compared to the general population. The caregivers play a vital role in administering daily oral care to residents in rehabilitation centers: The aim of the present questionnaire-based study was to evaluate the caregivers’ knowledge, attitude and practices towards oral healthcare at centers for the intellectually disabled in the Southern region of Saudi Arabia (SA). The present study was designed as a cross-sectional one-point time survey. The samples were selected by using a non-probability convenience sampling method. The self-administered closed-ended questionnaire comprised of 22 items divided into four sections, which was designed to elicit the demographic information, awareness of oral care, attitude towards oral health and practice of the oral healthcare regime among the participants. Of the164 participants, 53.0% and 47.0% were male and female, respectively. Most of the participants—54.9%—were between 30–39 years of age. Participants were almost equally distributed between educational groups, and about 87% had more than 2 years of experience. A brief overview showed a fair level of knowledge and attitude among 61.6% and 58.5% of respondents, respectively. Participants with an education level above that of high school showed good knowledge and attitude scores (p < 0.05), whereas females showed better attitude scores compared to the males (p < 0.05). Respondents mentioned the difficulties they faced while treating the subjects. The special healthcare workers generally had acceptable oral health knowledge and practices. Caregivers who had lower education levels should be advised for training programs that addressed the importance of oral health services.

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Curtailing of Myths and Misconceptions Regarding Oral Health among Indian Adult Population through Health Education and Promotion -Cross Sectional Survey

Balkan Journal of Dental Medicine ◽

10.2478/bjdm-2021-0002 ◽

2021 ◽

Vol 25 (1) ◽

pp. 34-40

Author(s):

Apoorva Basavaraj Badiger ◽

Triveni Mavinakote Gowda ◽

Usha Govindaroy Venkatesh ◽

Rucha Shah ◽

Gayathri Gunjiganuru Vemanaradhya ◽

...

Keyword(s):

Oral Health ◽

Adult Population ◽

Oral Care ◽

Compulsory Education ◽

School Curriculum ◽

Oral Diseases ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Significance Level

Summary Background/Aim: Myths related to oral diseases and oral health-related practices are very common among the population. Inadequate knowledge along with the persisting myths regarding the etiology, course and outcome of oral diseases makes it difficult to initiate health behavioural changes. Present study scrutinizes various myths and misconceptions regarding oral health among the outpatients. The aim of this study was to assess myths and misconceptions about oral health and imparting education regarding the same. Material and Methods: The calculated sample size was 200. A pre –tested closed ended questionnaire was prepared in both English and local language (Kannada). It comprised of four sections with 24 questions. The Content validity index value of 0.9 suggested a good validity. A Chi square test was applied and significance level was fixed at p< 0.05. Results: We had 100% response rate. In our study half of the participants visited dental hospital for the very first time (57.5%). About 45.2% of subjects believed 3rd molar eruption is the sign of intelligence, while 64.8% had a notion that all dental procedures are painful. Conclusions: Myths and misconceptions related to oral health are still prevalent among the population. However, small steps like compulsory education about oral health in the school curriculum, available and affordable oral care also effective use of mass media could be the steps to reduce oral health burden to the society.

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A Retrospective Cross-Sectional Analyses of Swallowing and Tongue Functions in Maxillectomy Patients

10.21203/rs.3.rs-159878/v1 ◽

2021 ◽

Author(s):

Yoichiro Ogino ◽

Natsue Fujikawa ◽

Sayuri Koga ◽

Ryoji Moroi ◽

Kiyoshi Koyano

Keyword(s):

Soft Palate ◽

Assessment Tool ◽

Correlation Coefficients ◽

Tongue Pressure ◽

Continuous Variables ◽

Swallowing Function ◽

Cross Sectional ◽

Oral Dryness ◽

History Of ◽

Oral Diadochokinesis

Abstract Purpose To investigate the profiles of swallowing and tongue functions, and to identify factors influencing swallowing in maxillectomy patients. Methods Maxillectomy patients whose swallowing function defined by Eating Assessment Tool (EAT-10) score and tongue functions (oral diadochokinesis: ODK, maximum tongue pressure: MTP) with or without maxillofacial prostheses had been evaluated were enrolled in this study. The effects of the history of radiotherapy or soft palate resection on swallowing function were evaluated. The effect of radiotherapy on oral dryness was also evaluated. To examine correlations of swallowing function with continuous variables, Spearman correlation coefficients were calculated. Results A total of 47 maxillectomy patients (23 males and 24 females, median age:71 [IQR: 63–76]) were registered. The median value of EAT-10 scores was 3 [IQR: 0–14]. Patients with the history of radiotherapy, but not with soft palate resection, showed significantly declined swallowing function. ODK and MTP of patients wearing maxillofacial prostheses were significantly improved. No significant effect of radiotherapy on oral dryness was found. A significant correlation was found between EAT-10 score and MTP (P = 0.04). Conclusions Swallowing function in maxillectomy patients was relatively impaired and the patients with the history of radiotherapy showed lower swallowing function. Maxillofacial prostheses could contribute to the improvement of MTP and ODK (/ta/). MTP may play a crucial role in swallowing in maxillectomy patients.

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Analysis of the Factors Affecting the Compliance of Internship Dentist in the Implementation of Precaution Standards at Dentis't Hospital IIK Bhakti Wiyata Kediri

JOURNAL FOR RESEARCH IN PUBLIC HEALTH ◽

10.30994/jrph.v1i1.2 ◽

2019 ◽

Vol 1 (1) ◽

Author(s):

Indra Cahyadinata ◽

Indasah Indasah ◽

Sandu Siyoto

Keyword(s):

Health Workers ◽

Dental Health ◽

Oral Care ◽

Cross Infection ◽

Cross Sectional ◽

Factors Affecting ◽

Level Of Knowledge ◽

Cross Sectional Design ◽

Materials Used ◽

Treatment Procedures

Dental health personnel in carrying out daily care can not be separated from contact with saliva and blood which can be an intermediary in the spread of cross infection. Cross infection is common in medical treatment procedures including dental and oral care. Prevention of cross infection needs to be done to avoid transmission of disease from medical procedures to patients and dental health workers. The purpose of this study was to determine the factors that influence the compliance of the dentist Koas to the application of the Precaution Standard at RSGM IIK BW Kediri. The method in this study was observational descriptive with cross-sectional design. The number of samples is 67 Koas dentists using the Slovin formula. The tools and materials used in the research are check list sheets and stationery. The data processing in this study uses the SPSS program by using a binary logistic test. The results of this study indicate that from several factors that influence the compliance of dentist councils in applying the precaution standard at RSGM IIK BW Kediri is a knowledge factor of p = 0.010 (<0.005), supervision is p = 0.003 (<0.005), and the availability of infrastructure is p = 0.006 (<0.005) with supervisory variables which are the variables that have the most individual influence compared to the other variables. Thus in drawing the conclusion that the level of knowledge, supervision and facilities and infrastructure is a factor that influences the compliance of dentists in implementing the implementation of precaution standards that have been set for prevention of cross infection.

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Decreased swallowing function in the sarcopenic elderly without clinical dysphagia: a cross-sectional study

BMC Geriatrics ◽

10.1186/s12877-020-01832-0 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Yen-Chih Chen ◽

Pei-Yun Chen ◽

Yu-Chen Wang ◽

Tyng-Guey Wang ◽

Der-Sheng Han

Keyword(s):

Assessment Tool ◽

Clinical Symptoms ◽

Handgrip Strength ◽

The Elderly ◽

Cross Sectional Study ◽

Tongue Pressure ◽

Sectional Study ◽

Swallowing Function ◽

Cross Sectional ◽

Swallowing Assessment

Abstract Background Sarcopenia and dysphagia are prevalent health issues as the elderly population continues to grow. However, whether sarcopenia, defined by either reduced handgrip strength or gait speed, would lead to pathological effects on swallowing function is still a matter of debate. Studies focusing on subclinical changes in the swallowing function in the sarcopenic elderly are lacking. This study evaluates the swallowing function in the sarcopenic elderly without dysphagia. Methods: A cross-sectional study was conducted including subjects recruited from the community. Ninety-four individuals aged 65 and older without dysphagia were divided into two groups: sarcopenia and nonsarcopenia. The swallowing assessment included tongue pressure measurement, hyoid displacement (HD), hyoid velocity (HV) measurement with submental ultrasonography, 100-ml water-swallowing test, and the 10-item Eating Assessment Tool (EAT-10). Results The average tongue pressure was 47.0 ± 13.7 and 48.6 ± 11.5 kPa in the sarcopenia and nonsarcopenia groups, respectively (p = 0.55), whereas the average HD during swallowing was 15.3 ± 4.4 and 13.0 ± 4.2 mm in the sarcopenia and nonsarcopenia groups, respectively (p < 0.05). The median of HV during swallowing was 19.5 (6.41–45.86) and 15.9 (3.7–39.7) mm/s in the sarcopenia and nonsarcopenia group (p < 0.05). The median of time needed for consuming 100 ml water was 12.43 (3.56–49.34) and 5.66 (2.07–19.13) seconds in the sarcopenia and nonsarcopenia groups, respectively (p < 0.05). The median of the EAT-10 score was 0 (0–2) and 0 (0–1) in the sarcopenia and nonsarcopenia groups, respectively (p < 0.05). Conclusions In elderly individuals, swallowing function was significantly impaired with sarcopenia before clinical symptoms become clear. However, tongue muscles exhibited resistance to sarcopenia. We observed compensative strategies in patients with sarcopenia, such as reduced swallowing speed and increased hyoid bone movement.

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Self-Assessment of Competence in Palliative Care of Medical Doctors Working in Saudi Arabia

American Journal of Hospice and Palliative Medicine® ◽

10.1177/1049909120963569 ◽

2020 ◽

pp. 104990912096356

Author(s):

Nuha Mohammed Malibari ◽

Michael Connolly ◽

Abdulaziz S. Aljohani

Keyword(s):

Palliative Care ◽

Saudi Arabia ◽

Assessment Tool ◽

Pulmonary Medicine ◽

Medical Doctors ◽

Internal Reliability ◽

Cross Sectional ◽

Attitude And Practice ◽

Validated Questionnaire ◽

Knowledge Attitude And Practice

Background: The provision of palliative care (PC) for individuals with a life-threatening condition is fundamental to the role of the physician, in order to improve quality of life; however, little research has assessed the competence of the physicians in PC in Saudi Arabia. Aim: To conduct a baseline assessment of self-assessed palliative care competences among medical physicians in Saudi Arabia. Design: A survey-based cross-sectional study was employed using a specifically designed questionnaire. Setting: The participants in the study were selected from 6 specialist medical departments (Family medicine, cardiology, internal medicine, pulmonary medicine, neurology and oncology) in 4 Saudi Arabian Hospitals, based on inclusion criteria. Results: The study was conducted using a validated questionnaire used in Ireland to evaluate the competence skills of physicians for the provision of palliative care. All categories showed internal reliability and normal distribution of the data. However, the score of the knowledge, attitude and practice among the physicians was higher than the expected. The clinical specialty of the physicians demonstrated greater influence on knowledge, attitude and practice related to the palliative care compared to medical education. This highlighted the importance of training in palliative care to the medical doctors working in a range of specialist area. Conclusion: The study provides baseline data on the level of competence of palliative care of physicians in Saudi Arabia. This study can be used as an assessment tool to further evaluate the effectiveness of palliative care in other areas as primary and secondary care settings

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Pregnancy, oral health and dental education: an overview on the northeast of Italy

Journal of Perinatal Medicine ◽

10.1515/jpm-2020-0032 ◽

2020 ◽

Vol 48 (8) ◽

pp. 829-835

Author(s):

Fulvia Costantinides ◽

Erica Vettori ◽

Martina Conte ◽

Ingrid Tonni ◽

Vanessa Nicolin ◽

...

Keyword(s):

Oral Health ◽

Oral Care ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Full Sample ◽

Anova Test ◽

Chi Square Test ◽

Level Of Knowledge ◽

Baseline Demographic

AbstractObjectivesTo evaluate the level of knowledge of pregnant women and puerpers about oral health and prevention during and after gestation.MethodsOne hundred women aged 18–49 years (mean age 33±6 years) were included in this cross-sectional study. An anonymous questionnaire with 24 items related to oral health has been administered during or just after pregnancy. Firstly, answers have been analyzed on the full population and then subdividing the sample on the base of age ranges (G1: 18–25 years, G2: 26–35 years and G3: >35 years) and number of pregnancies (FP: first pregnancy; SP: second or more pregnancies). Parametric tests have been chosen for the statistical analysis; in particular, Anova test for independent samples was used to evaluate differences of baseline demographic characteristics among subgroups G1, G2, G3 while chi-square test was used for FP and SP subgroups. Anova test was also used to intercept differences on answers given to the questionnaire among G1, G2 and G3 group; for FP and SP group was used t-test.ResultsLevel of information and knowledge of the full sample was medium-low and no significant differences have been observed between groups regarding awareness of the own level of the oral hygiene and knowledge of oral care.ConclusionsResults of this survey underline the high necessity of educational programs regarding oral care in pregnant and puerpers women. A strict collaboration between medical figures (dentist, oral hygienist, gynecologist and obstetric) is strongly encouraged to spread the concept of prevention.

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