Oral Health Problems Among Flemish and Dutch Nursing Home Residents Assessed by Nondental Caregivers Using the Novel Oral Health Section for Inclusion in interRAI.

Autor:	Schoebrechts E; Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Leuven, Belgium., de Almeida Mello J; Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Leuven, Belgium.; LUCAS, Center for Care Research and Consultancy, KU Leuven, Leuven, Belgium., Vandenbulcke PAI; Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Leuven, Belgium., Palmers EE; Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Leuven, Belgium., van Hout HPJ; Departments of General Practice and Medicine for Older People, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Amsterdam Public Health Research Institute - Aging & Later Life Program, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., De Lepeleire J; Department of Public Health and Primary Care, Academic Center for General Practice, KU Leuven, Leuven, Belgium., Declercq A; LUCAS, Center for Care Research and Consultancy, KU Leuven, Leuven, Belgium.; CESO, Center for Sociological Research, Faculty of Social Sciences, KU Leuven, Leuven, Belgium., Declerck D; Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Leuven, Belgium., Duyck J; Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Leuven, Belgium.
Jazyk:	angličtina
Zdroj:	Innovation in aging [Innov Aging] 2024 Sep 20; Vol. 8 (10), pp. igae090. Date of Electronic Publication: 2024 Sep 20 (Print Publication: 2024).
DOI:	10.1093/geroni/igae090
Abstrakt:	Background and Objectives: Oral health of older adults in nursing homes is poor, which can negatively affect general health and well-being. Most oral health problems are preventable with good oral hygiene and regular dental check-ups. Caregivers can help improve residents' oral health through regular oral health assessments. The interRAI instrument used in Long-Term Care Facilities to evaluate older adults' health and well-being, has the potential to integrate oral care into general care planning. The recently optimized Oral Health Section for inclusion in the interRAI instruments (OHS-interRAI) enables nondental caregivers to identify residents requiring help with oral hygiene and/or a dental referral. This study reports the first data obtained using the OHS-interRAI, describing the oral health situation of older adults in Flemish and Dutch nursing homes. Research Design and Methods: In this cross-sectional study, interRAI Long-Term Care Facilities data, including OHS-interRAI data, were collected from October 2020 to January 2023 and analyzed from 417 and 795 persons aged 65 years or older in Flemish and Dutch nursing homes, respectively. Results: Most common oral health problems were poor oral hygiene and compromised teeth. Differences in oral health were found between Flemish and Dutch residents. Flemish residents had significantly more problems with chewing, dry mouth, oral and denture hygiene, and tongue condition than their Dutch counterparts. They also had a higher need for help with oral hygiene (19.4% vs 14.0%), and a dental referral (36.8% vs 20.9%). Older adults in Flemish nursing homes (20.3%) had significantly fewer dental check-ups than those in Dutch nursing homes (73.5%). Discussion and Implications: The use of the OHS-interRAI by nondental caregivers identified at least one-third of the residents requiring help with oral hygiene and/or a dental referral. By means of trigger algorithms (Collaborative Action Points), the OHS-interRAI enables the integration of oral care into general care planning. Competing Interests: None. (© The Author(s) 2024. Published by Oxford University Press on behalf of The Gerontological Society of America.)
Databáze:	MEDLINE
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