Impact of comprehensive health education on oral care knowledge, attitude and practice in the elderly in long-term care institutions

doi:10.19439/j.sjos.2018.02.013

Abstract

Abstract: PURPOSE: To assess the impact of comprehensive health education on oral care knowledge, attitude and practice(KAP) of the elderly in the long-term care institutions and to provide references for oral health education among the elder people. METHODS: Elder people from 2 nursing centers in Wuhan were selected. The follow-up period was 6 months. Questionnaires were used to collect social-demographic characteristics and oral care KAP data at baseline, the third month and the sixth month, respectively. Comprehensive health education, toothpaste and toothbrushes were provided at baseline and the third month. The changes of oral care KAP were observed before and after interventions. SPSS21.0 software package was used for statistical analysis. RESULTS: A total of 144 subjects with a mean age of (72.43±9.41) years completed the study after 6 months. At baseline, the KAP scores were (28.57±19.19), (70.66±21.99) and (39.86±24.18), respectively. At the sixth month, the KAP scores were (91.06±9.55), (95.31±10.23) and (90.00±13.38), respectively and significant improvements were observed (F=913.714, P<0.001; F=114.042, P<0.001; F=349.887, P<0.001). Oral care knowledge and attitude, knowledge and practice, attitude and practice were positively correlated（β=0.173, P=0.038; β=0.269, P=0.001; β=0.197, P=0.018）. Social-demographic characteristics had no significant effect on KAP scores (P>0.05). CONCLUSIONS: Long-term care institutions should strengthen oral health education and improve oral care KAP, oral health status and oral health-related quality of life of the elder people.

Key words: Elder people, Health education, Oral care, Knowledge, attitude and practice

CLC Number:

R787

LI Xiao-li, LIU Ming-yu, CHENG Liang, ZHU Hong-fei, SHANG Shu-huan, CUI Dan. Impact of comprehensive health education on oral care knowledge, attitude and practice in the elderly in long-term care institutions[J]. Shanghai Journal of Stomatology, 2018, 27(2): 181-184.

References

[1] 邹路琦, 尹迪, 郭斌. 我国人口老龄化对卫生服务的影响[J]. 医学与社会, 2014, 27(9): 36-38.
[2] 卞金有. 预防口腔医学 [M]. 北京: 北京大学医学出版社, 2006: 23.
[3] 张力, 朱浩. 老年冠心病患者口腔牙周现况及外周血, 龈沟液炎性标志指标对照分析[J]. 中国老年保健医学, 2014, 12(2): 11-13.
[4] 李艳玲. 老年糖尿病患者口腔健康研究进展[J]. 中国老年学, 2012, 32(1): 205-207.
[5] Iwasaki M, Yoshihara A, Kimura Y, et al.Longitudinal relationship of severe periodontitis with cognitive decline in older Japanese[J]. J Periodontal Res, 2016, 51(5): 681-688.
[6] 杨柯君. 中国人口腔健康状况[J]. 上海医药, 2012, 33(14): 16.
[7] 李红梅, 李亚男, 宫琪玮. 健康教育提高老年患者对牙周病认知与行为的影响[J].中华老年口腔医学杂志, 2010, 8(3): 140-142.
[8] 王庆武, 李晓瑜. 口腔健康教育及必要措施干预对老年人口腔保健 KAP 的影响[J]. 延安大学学报: 医学科学版, 2011, 9(3): 59-60.
[9] 王颖, 高月平, 王涛, 等. 老年2型糖尿病患者口腔健康知识及行为调查[J]. 护理学杂志, 2014, 29(17): 34-36.
[10] 李霞, 李宏呜, 孙德文. 佛山市165位老年人口腔健康知识调查[J]. 现代预防医学, 2011, 38(6): 1055-1056.
[11] 黎海芪. 实用儿童保健学[M]. 北京: 人民卫生出版社, 2016: 207-220.
[12] Saengtipbovorn S, Taneepanichskul S.Lifestyle change plus dental care (LCDC) program improves knowledge, attitude, and practice (KAP) toward oral health and diabetes mellitus among the elderly with type 2 diabetes[J]. J Med Assoc Thai, 2015, 98(3): 279-290.
[13] Amerine C, Boyd L, Bowen DM, et al.Oral health champions in long-term care facilities-a pilot study[J]. Spec Care Dentist, 2014, 34(4): 164-170.
[14] MacEntee MI. Quality of life as an indicator of oral health in older people[J]. J Am Dent Assoc, 2007, 138(Suppl): S47-S52.
[15] Glynn LG, MacFarlane A, Kelly M, et al. Helping each other to learn-a process evaluation of peer assisted learning[J]. BMC Med Educ, 2006, 6(1): 18.