Research and Investigation of Knowledge, Attitude and Practices on Oral Health for Elder and Nursing assistant in the long term care facility

Autor: Wan-Jung Tsai, 蔡宛容
Rok vydání: 2009
Druh dokumentu: 學位論文 ; thesis
Popis: 97
The aim of this study was to investigate the knowledge, attitude and behavior on oral hygiene for elder and nursing assistant (NA) and their relationship with oral health status in the long term care facility. One hundred sixty-three elders and 68 nursing assistants were reunited from five long-term care facilities in Taipei. All data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s Correlation, stepwise regression and linear mixed model. Study results showed elder’s oral hygiene knowledge was statistically having significant negative correlation with age, it was also having a significant positive correlation with MMSE, and the higher education level of the elder would obtain the higher score on oral hygiene knowledge. Elder’s oral hygiene attitude was significantly positive correlated with MMSE, activates of daily living (ADL) and the number of diagnosis. For the elder who had the higher education level, no smoking history, normal on finger-nose-finger (FNF) test had scored better on oral hygiene attitude scale. Elder’s oral hygiene behavior had statistically significant positive correlation with MMSE, and ADL. For female, higher education level, normal on FNF test and brush debris on the tooth mold test had higher scores on oral hygiene behavior scale. There were significantly positive correlation between their knowledge, attitude and behavior on oral hygiene. Stepwise regression showed that MMSE and education level were significant predictors for oral hygiene knowledge. Smoking history and oral hygiene knowledge were significant predictors for oral hygiene attitude. Female, education level, oral hygiene knowledge and oral hygiene attitude were also significant predictors for oral hygiene behavior. Oral hygiene behavior were also significant predictors for oral health. For NAs, study results showed oral hygiene knowledge had a significant positive correlation with age. NAs had better oral hygiene attitude if had already attended any oral health training class. NAs’ oral hygiene behavior had statistically significant negative correlation with their age and had statistically significant positive correlation with their education level. The oral hygiene behavior of NAs was a significant predictor for oral health status of functionally dependent elders who they cared. In order to protect and ensure the oral health of residents in long-term care facility, it is suggested that to enhance oral hygiene care training for NAs, to propagate about oral health education for elders, strictly watch over nutrition status with loss-teethed elders. Politically, increase the motivation for long-term care facility to treat it seriously with oral hygiene and increasing relevant evaluate index with oral care to protect oral health.
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