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Oral health and nutritional status in a group of geriatric rehabilitation patients
Högskolan Kristianstad, Institutionen för hälsovetenskaper.ORCID-id: 0000-0003-0269-730X
Department of Nursing, Medical Faculty, Lund University.ORCID-id: 0000-0003-4820-6203
North-east Skåne Health Care District, Central Hospital, Kristianstad.
Department of Nursing, Medical Faculty, Lund University.
Vise andre og tillknytning
2002 (engelsk)Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, nr 3, s. 311-318Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The aims of this study were to evaluate the oral health status and nutritional status in a group of geriatric rehabilitation patients, and to analyse the relationship between these two parameters. Nurses at the ward performed structured assessments of oral and nutritional status using the Revised Oral Assessment Guide and the Subjective Global Assessment form in 223 newly admitted patients. Most oral health problems were found among patients who stayed longer at the hospital and were more dependent on help as compared with the healthier patients. Thirty-four per cent of the patients were either severely undernourished, at risk or suspected to be undernourished (UN). Oral health problems were more common among UN patients (p < 0.0005) compared with well-nourished patients. The most frequent oral health problem was found on teeth or dentures (48%). Problems related to the tongue and lips were also common among UN patients (56 and 44%, respectively). Oral health status was correlated (r = 0.32) to nutritional status. Problems with swallowing had the strongest association to the nutritional status (OR 6.05; 95% CI 2.41-15.18). This study demonstrated that poor oral health status was related to undernourishment.

sted, utgiver, år, opplag, sider
2002. Vol. 16, nr 3, s. 311-318
Emneord [en]
geriatric rehabilitation patients, nutritional status, oral assessment guide, oral health status, undernourishment
HSV kategori
Identifikatorer
URN: urn:nbn:se:hkr:diva-5238DOI: 10.1046/j.1471-6712.2002.00086.xISI: 000177832200015PubMedID: 12191044OAI: oai:DiVA.org:hkr-5238DiVA, id: diva2:275433
Tilgjengelig fra: 2009-11-05 Laget: 2009-11-05 Sist oppdatert: 2017-12-12bibliografisk kontrollert
Inngår i avhandling
1. Evaluation of oral health status using an oral assessment guide in geriatric rehabilitation patients and in patients with haematological malignancies
Åpne denne publikasjonen i ny fane eller vindu >>Evaluation of oral health status using an oral assessment guide in geriatric rehabilitation patients and in patients with haematological malignancies
2002 (engelsk)Licentiatavhandling, med artikler (Annet vitenskapelig)
sted, utgiver, år, opplag, sider
Malmö: Malmö högskola, 2002. s. 62
Serie
Malmö University odontological dissertations, ISSN 1650-6065
HSV kategori
Identifikatorer
urn:nbn:se:hkr:diva-5292 (URN)91-631-2600-1 (ISBN)
Presentation
(engelsk)
Opponent
Veileder
Tilgjengelig fra: 2009-12-10 Laget: 2009-11-11 Sist oppdatert: 2014-06-17bibliografisk kontrollert
2. Assessments of oral health status in frail patients in hospital
Åpne denne publikasjonen i ny fane eller vindu >>Assessments of oral health status in frail patients in hospital
2004 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

The general aims of this thesis were to evaluate the usefulness of an oral assess¬ment guide and to determine the oral health status among frail patients in hospital settings. A further aim was to analyze possible factors that may be associated with oral health status, with special focus on the relationship between oral health and nutritional status among elderly rehabilitation patients. The Oral Assessment Guide (OAG) was used in patients with haematological malignancies undergoing chemotherapy. In further studies a Revised Oral Assessment Guide (ROAG) was used among geriatric rehabilitation patients. The inter-rater reliability of the OAG between registered nurses at the ward and a dental hygienist (DH) was good, as well as between a registered nurse and a DH using ROAG. Problems in the oral cavity were detected in all patients with haematological malignancies undergoing chemotherapy. Problems related to mucous membranes, teeth and/or dentures were most frequent. Oral health problems were also a frequent finding among the geriatric rehabilitation patients. The frequency of oral health problems was significantly lower at discharge compared to admission. Oral health problems were more often found among patients that stayed for longer periods at the hospital, were more dependent on help with daily activities and suffered for dysphagia, than among the healthier patients. Oral health problems were more common among the patients being at risk of undernourishment, suspected to be or severely undernourished (UN), than among the well-nourished patients. Problems in oral health status were significantly associated with the occurrence of respiratory diseases, living in special accommodation, being UN and being a woman. The highest Odds Ratio (OR) was found in problems with gums in relation to the occurrence of respiratory diseases (OR 8.9; 95 % CI 2.8-27.8). OAG as well as ROAG were found to be useful for assessing oral health status in frail patients at hospital. Oral health problems were a frequent finding among the patients. The use of an oral assessment tool on a routine basis may facilitate the detection of problems which otherwise can be hidden, and can serve as a guide for initiating individualised oral health procedures.

sted, utgiver, år, opplag, sider
Malmö: Malmö högskola, 2004. s. 68
HSV kategori
Identifikatorer
urn:nbn:se:hkr:diva-5307 (URN)91-628-6019-4 (ISBN)
Disputas
(engelsk)
Tilgjengelig fra: 2009-12-10 Laget: 2009-11-13 Sist oppdatert: 2014-06-17bibliografisk kontrollert

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