Use of oral health care services among older home care clients in the context of an intervention study.

Autor: Tuuliainen E; Institute of Dentistry, University of Eastern Finland, Kuopio, Finland., Nihtilä A; Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.; Social and Health Services, Espoo, Finland., Komulainen K; Institute of Dentistry, University of Eastern Finland, Kuopio, Finland., Nykänen I; Kuopio Research Centre of Geriatric Care, School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.; Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland., Hartikainen S; Kuopio Research Centre of Geriatric Care, School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland., Tiihonen M; Kuopio Research Centre of Geriatric Care, School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland., Suominen AL; Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.; Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland.
Jazyk: angličtina
Zdroj: Scandinavian journal of caring sciences [Scand J Caring Sci] 2024 Jun; Vol. 38 (2), pp. 426-437. Date of Electronic Publication: 2024 Feb 22.
DOI: 10.1111/scs.13247
Abstrakt: Background: An increasing number of care-dependent older people living at home need external support to receive regular dental care.
Objectives: To investigate the use of oral health care services among old home care clients who participated in an intervention study focusing on oral self-care and nutrition.
Materials and Methods: This study employed data from the multidisciplinary Nutrition, Oral Health and Medication (NutOrMed) intervention study with a population-based sample of 245 home care clients (74% female) aged 75 or more divided in intervention (n = 140) and two control groups (n = 105). The data were collected through interviews at baseline and 6-month follow-up.
Results: At baseline, 43% of participants reported visits to oral health care within the previous year. At 6-month follow-up, this proportion was 51%. In the intervention group, the corresponding figures were 46% and 53%, and in the controls 39% and 48%. Adjusted regression analyses showed that this change was statistically significant (p = 0.008). In addition, higher education and toothache or other discomfort related to teeth or dentures at baseline were associated with increased use after the 6-month follow-up (OR = 1.1, 95% CI = 1.0-1.2; OR = 3.4, 95% CI = 1.5-7.9) but being edentulous indicated the opposite (OR = 0.2, 95% CI = 0.1-0.4). Belonging to the intervention group was not associated with increased use.
Conclusions: In older adults, any efforts to raise awareness of oral health are of great potential to increase use of services.
(© 2024 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.)
Databáze: MEDLINE
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