Lasting effect of an oral hygiene care program for patients with stroke during in-hospital rehabilitation: a randomized single-center clinical trial
Autor: | Sung-Ho Jang, Eun-Young Park, Youn-Hee Choi, Hee-Kyung Lee, Eun-Kyong Kim, Jung-Whan Sa Gong |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Oral Health Single Center Oral hygiene Tooth brushing 03 medical and health sciences 0302 clinical medicine Medicine Humans Dental Care Stroke Aged Rehabilitation business.industry Dental Plaque Index Stroke Rehabilitation 030206 dentistry Middle Aged medicine.disease Oral Hygiene Clinical trial Hospitalization stomatognathic diseases Physical therapy Female business Care program 030217 neurology & neurosurgery |
Zdroj: | Disability and rehabilitation. 39(22) |
ISSN: | 1464-5165 |
Popis: | Because the oral hygiene is poorly prioritized in the immediate post-stroke period, we implemented an oral hygiene care program (OHCP) for stroke in-patients and evaluated its persistence after discharge.In all, 62 patients with stroke who were admitted to the rehabilitation ward were randomly assigned to two groups: 33 patients to the intervention group and 29 to the control group. The OHCP, including tooth brushing education and professional tooth cleaning, was administered to the intervention group twice a week six times during in-hospital rehabilitation. Oral health status was examined both at baseline and three months after discharge from the hospital. Oral hygiene status was examined at three- to four-day intervals five times during the hospitalization period.After OHCP, oral hygiene status including the plaque index, calculus index, and O'Leary plaque index improved significantly in the intervention group, compared to the control group (p 0.05). In the intervention group, after administration of the OHCP for the fourth time, the O'Leary index improved significantly, and remained high when checked three months after discharge (p 0.001).An OHCP conducted during in-hospital rehabilitation was effective in improving oral health and plaque control performance among patients with stroke, with effects still seen three months after discharge from the hospital. Implications for Rehabilitation Initial oral hygiene status and plaque control performance were poor in stroke patients who were in rehabilitation center. An oral hygiene care program during in-hospital rehabilitation was effective in improving oral hygiene status and plaque control performance among stroke patients at three months after discharge. Repeated tooth brushing education and professional tooth cleaning were necessary to improve plaque control performance of stroke patients. |
Databáze: | OpenAIRE |
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