J Korean Acad Nurs.  2011 Oct;41(5):684-693. 10.4040/jkan.2011.41.5.684.

The Effects of Oral Care Education on Caregivers' Knowledge, Attitude, & Behavior toward Oral Hygiene for Elderly Residents in a Nursing Home

Affiliations
  • 1Department of Nursing Science, Sun Moon University, Asan, Korea.
  • 2College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Korea. smi@snu.ac.kr

Abstract

PURPOSE
To investigate the effects of oral care education on knowledge, attitudes & behavior of caregivers in oral care and oral hygiene for residents in nursing homes.
METHODS
In this quasi-experimental study, the intervention group (n=27) of residents received oral care from intervention group caregivers (n=28) who had received 6 weeks of oral care education. The control group (n=27) of residents received usual oral care from control group caregivers (n=26). Data on knowledge, attitude, and behavioral change in oral health care by the caregivers and plaque index & halitosis of the residents were collected. Data were analyzed using SPSS WIN 16.0.
RESULTS
1) Scores on caregivers' knowledge (p<.001) and behavior (p<.001) for oral care were higher in the intervention group 6 and 12 weeks. The caregivers' attitude (p<.001) score for oral care was higher in the intervention group 12 weeks. 2) The plaque index (p=.004) and halitosis (p=.002) of the nursing home residents were lower in the intervention group than the control group at 6 and 12 weeks.
CONCLUSION
Oral care education programs for caregivers are effective in improving the oral hygiene of elderly residents in nursing homes through enhancement of caregivers' knowledge, attitude, and behavioral change.

Keyword

Oral hygiene; Nursing homes; Aged; Education; Caregivers

MeSH Terms

Adult
Aged
Aged, 80 and over
*Attitude of Health Personnel
Caregivers/*education
Dental Care
Dental Plaque Index
Female
Health Education, Dental/*standards
*Health Knowledge, Attitudes, Practice
Humans
Male
Middle Aged
Nursing Homes
Oral Hygiene/*nursing
Program Evaluation

Reference

References

Chalmers J &., Johnson V. 2002. Evidence-based practice guideline, oral hygiene care for functionally dependent and cognitive impaired older adults. Iowa: The University of IOWA Gerontological Nursing Interventions Research Center Translation and Dissemination Core.
Choi H S. 2009. Evaluation of the health status and dietary intakes of the elderly in rural areas by dental status. Unpublished doctorial dissertation, Dankook University, Yongin.
Chung S H. 2006. The effects of an essential oil mouthrinse on oral health in the community indwelling elderly. Journal of Korean Academy of Nursing. 36:84–92.
Article
Cohen J. 1988. Statistical power analysis for the behavioral sciences. 2nd ed.New Jersey: Lawrence Erlbaum Associates.
Coleman P &., Watson N M. 2006. Oral care provided by certified nursing assistants in nursing homes. Journal of American Geriatrics Society. 54:138–143. doi:10.1111/j.1532-5415.2005.00565.
Article
Frenkel H F., Harvey I &., Newcombe R G. 2001. Improving oral health in institutionalised elderly people by educating caregivers: A randomised controlled trial. Community Dental Oral Epidemiolgy. 29:289–97. doi: 10.1034/j.1600-0528.2001.290408.
Article
Frenkel H F., Harvey I &., Needs K M. 2002. Oral health care education and its effects on caregivers’ knowledge and attitudes: A randomised controlled trial. Community Dental Oral Epidemiolgy. 30:91–100. doi: 10.1034/j.1600-0528.2002.300202.
Kim S H., Jung J A., Lee B J &., Kim D K. 2007. Comparison oral health status of the elderly people lived in nursing home with private home in Gwangju metropolitan city. Journal of Korean Academy of Dental Health. 31:366–375.
Korean Society for NeuroRehabilitation. 2005 April. Korean modifed Barthel index. Retrieved May 11 2009, from. http://www.ksnr.or.kr/popup/main_pop_02.html.
Macentee M I., Wyatt C C L., Beattie B L., Paterson B., Levy-Milne R., McCandless L. . 2007. Provision of mouth-care in long-term care facilities: An educational trial. Community Dental Oral Epidemiology. 35:25–34. doi:10.1111/j.1600-0528.2007.00318.
Article
McConnell E S., Lekan D., Hebert C &., Leatherwood L. 2007. Academic-practice partnerships to promote evidence-based practice in long-term care: Oral hygiene care practices as an exemplar. Nursing Outlook. 55(2):95–105. doi:10.1016/j.outlook.2006.12.003.
Article
Ministry for Health & Welfare 2009, April 409 Te list of long-term care institutions. Retrieved May 9, 2009 from. http://stat.mw.go.kr/stat/data/cm_data_view.jsp?menu_code=MN01020502&cont_seq=10964&page=2&search_key=&search_word=.
Mo H S., Choi K B &., Kim J S. 2008. Knowledge of oral health and its predictors in nursing staff of long-term care institutions. Journal of Korean Academy Fundamentals of Nursing. 15:428–437.
Nicol R., Sweeny M P., McHugh S &., Bagg J. 2005. Effectiveness of health care worker training on the oral health of elderly residents of nursing homes. Community Dental Oral Epidemiolgy. 33:115–124. doi:10.1111/j.1600-0528.2004.00212.
Article
O’Leary T J., Drake R B &., Naylor J E. 1972. The plaque control record. Journal of Periodontology. 43(1):38.
Article
Park M S. 2010. Te efects of oral health care education for care providers in a long-term care facility. Unpublished Doctor’s dissertation, Seoul National University, Seoul.
Park M S &., Ryu S A. 2010. Degree of dry mouth and factors influencing oral health-related quality of life for community-dwelling elder. Journal of Korean Academy of Nursing. 40:747–755. doi:10.1040/jkan.2010.40.5.747.
Paulsson G., Fridlund B., Holmén A &., Nederfors T. 1998. Evaluation of an oral health education program for nursing personnel in special housing facilities for the elderly. Special Care in Dentistry. 18:234–242.
Article
Peterson P E. 2009. Global policy for improvement of oral health in the 21st century-Implications to oral health research of world health assembly 2007, World Health Organization. Community Dental Oral Epidemiology. 37(1):1–8. doi:10.1111/j.1600-0528.2008.00448.
Petola P., Vehkalahti M M &., Simoila R. 2007. Effects of 11-month interventions on oral cleanliness among the long-term hospitalized elderly. Gerodontology. 24:14–21. doi:10.1111/j.1741-2358.2007.00147.
Reed R., Broder H L., Jenkins G., Spivak E &., Janal M. 2006. Oral health promotion among older persons and their care providers in a nursing home facility. Gerodontolgy. 23:73–78. doi:10.1111/j.1741-2358.2006.00119.
Article
Sim S., Kim H., Moon J., Zavras A I., Zdanowicz J., Jang S. . 2008. Periodontitis and the risk for non-fatal stroke in Korean adults. Journal of Periodontology. 79:1652–1658. doi:10.1902/jop.2008.080015.
Article
Simons D., Baker P., Jones B., Kidd E A M &., Beighton D. 2000. An evaluation of an oral health training programme for carers of the elderly in residential homes. British Dental Journal. 188(4):206–210.
Article
Sjogren P., Kullberg E., Hoogstraate J., Johansson O., Herbst B &., Forsell M. 2010. Evaluation of dental hygiene education for nursing home staff. Journal of Advanced Nursing. 66:345–349. doi:10.1111/j.1365-2648.2009.05181.
Sweeney M P., Williams C., Kennedy C., Macpherson L M D., Turner S &., Bagg J. 2007. Oral health care and status of elderly care home residents in Glasgow. Community Dental Health. 24:37–42.
Thean H., Wong M L &., Koh H. 2007. The dental awareness of nursing home staff in Singapore-a pilot study. Gerodontology. 24:58–63. doi:10.1111/j.1741-2358.2007.00138.
Wårdh I., Hallberg L R., Berggren U., Andersson L &., Sörensen S. 2000. Oral health care-a low priority in nursing: In-depth interviews with nursing staff. Scandinavian Journal of Caring Sciences. 14:137–142.
Article
Woo C., Kim K., Kim S., Kim J., Woo S., Yoon J. . 2003. Korean version of CERAD assessment packet. Seoul: Seoul National University Press.
Xiaojing L., Kristin M K., Lief T &., Ingar O. 2000. Systemic disease caused by oral infection. Clinical Microbiology Reviews. 13:547–558.
Yang S B., Moon H S., Han D H., Lee H Y &., Jung M G. 2008. Oral health status and treatment need of institutionalized elderly patients. Journal of Korean Academy of Prosthodontics. 46:455–468.
Article
Full Text Links
  • JKAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr