scholarly journals Model of Health and Mouth Health Care Services among Stroke Patients

2020 ◽  
Vol 3 (4) ◽  
pp. 525-532
Author(s):  
Wanda Nur Aida ◽  
Supriyana Supriyana ◽  
Rasipin Rasipin ◽  
Bedjo Santoso ◽  
Peni Yuliawati

Stroke is the main trigger that can cause disability in adults. Stroke patients are known to be vulnerable to oral health problems, such as periodontal disease, due to limitations in their daily activities so that dental and oral hygiene management is neglected. These dental and oral health problems can become worse when patients are treated in a stroke unit. For this reason, dental and oral health care needs to be taken in stroke patients. The study aimed to develop a model of dental and oral health care among stroke patients. Research and Development (R&D), on five research stages, namely: information gathering, product/model design, expert validation and revision, product/model trials (using quasi-experiments with pretest and posttest with control group design). The sample was divided into two groups, the dental and oral health care model in stroke patients in the intervention group and the oral health care model No.284 year 2006 in the control group. Data were tested using normality, paired t-test, post hoc LSD, Mann Whitney, and linear regression. The model of dental and oral health care in stroke patients was relevant as dental and oral health care was shown to be p <0.001. The application of dental and oral health care models in stroke patients effectively improves the skills of gargling in moderate stroke patients p <0.001, increasing the ability to brush teeth in moderate stroke patients p <0.001.  The application of dental and oral health care models in stroke patients is useful as an increase in the skills to rinse and brush teeth in moderate stroke patients

2013 ◽  
Vol 22 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Letícia de Lima Trindade ◽  
Denise Elvira Pires de Pires

This study discusses the influence of two health care models on the workloads of health professionals. This qualitative study was conducted with Family Health teams and traditional teams working in southern Brazil. Focus groups, interviews, and documentary study were used to obtain data, which were analyzed combining Thematic Content Analysis with the features of the AtlasTi software. In both models, it was evident that the problems in the organization and management of health care, excessive demand and innefective problem-solving are the main sources of increased workloads while affinity with the health care model and teamwork were mentioned as sources of workloads reduction. We conclude that the increase in workloads in Family Health model was affected by gaps between what was prescribed and performed, while in the traditional model this was due to fact that the health care model is based on biomedicine.


2016 ◽  
Vol 26 (7-8) ◽  
pp. 891-901 ◽  
Author(s):  
Shilpi Ajwani ◽  
Sumedh Jayanti ◽  
Nadia Burkolter ◽  
Craig Anderson ◽  
Sameer Bhole ◽  
...  

2017 ◽  
Vol 2 (3) ◽  
pp. 312-319 ◽  
Author(s):  
N. Ab.Malik ◽  
S. M.Yatim ◽  
O.L.T. Lam ◽  
L. Jin ◽  
C. McGrath

During a stroke, the mouth tends to become an unhealthy place and may give rise to various life-threatening conditions. To this end, there have been repeated calls to incorporate oral hygiene guidelines and practices for hospitalized stroke patients to prevent aspiration pneumonia and improve patients’ oral health. The objective of the study was to determine health care providers’ practices of oral health care among patients hospitalized after an occurrence of stroke and to determine health care providers’ background and work environment effect on these practices. A cross-sectional study was conducted among stroke care providers in 13 public hospitals in Malaysia. The questionnaires distributed were self-administered, where nursing staff provided details of their oral health care practices for stroke patients. Information on the background of health care providers and work environment was also collected. Overall, a total of 780 responses from the registered nurses were obtained. Almost half of the respondents (48.1%) reported that they recommended toothbrushing twice or more per day to stroke patients. Two-thirds (64.7%) reported that they performed daily mouthwashing on their patient, while less than half (38.8%) reported daily oral hygiene assistance. Result of the analysis revealed that oral hygiene practices were significantly associated with having working wards ( P < 0.05), level of qualification ( P < 0.05), having oral health care guidelines ( P < 0.001), specific resources ( P < 0.05), and attending previous training in oral care ( P < 0.001). Provision of oral hygiene practices for hospitalized stroke patients is important. A lack of oral health care guidelines, support from dental professionals, specific resources, training, and assistance in daily oral care for patients is evident and detrimental to oral hygiene practices. The current findings have significant implications for new initiatives to support health care providers, particularly the registered nurses performing oral health care for hospitalized stroke patients. Knowledge Transfer Statement: This study may provide a basis of information for improving the delivery of oral health care to stroke patients. Enhancement in the training and improvement in the existing guidelines and resources is pivotal for the provision of better oral health care for the potential benefits to these patients, including their improved quality of life and disease prevention.


1988 ◽  
Vol 52 (11) ◽  
pp. 637-642 ◽  
Author(s):  
TA Dolan ◽  
CR Corey ◽  
HE Freeman

2020 ◽  
Vol 4 (5) ◽  
pp. 18-22
Author(s):  
Subhathira Rajasekaran ◽  
Sham S Bhat ◽  
Vidya Bhat ◽  
Sundeep Hegde K ◽  
Neha Thilak ◽  
...  

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