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Inter-rater reliability of an oral assessment guide för elderly patients residing in a rehabilitation ward
Kristianstad University, Department of Health Sciences.ORCID iD: 0000-0003-0269-730X
Department of Nursing, Medical Faculty, Lund University.
Kristianstad University, Department of Health Sciences.ORCID iD: 0000-0003-0992-2362
2002 (English)In: Special Care in Dentistry, ISSN 0275-1879, Vol. 22, no 5, p. 181-186Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to test the inter-rater reliability of a revised oral assessment guide (ROAG) for patients residing in a geriatric rehabilitation ward. A consecutive sample of 140 patients was recruited for the study. Oral assessments were performed for 133 newly admitted patients by one registered nurse (RN) during a period of six months. A dental hygienist (DH) carried out 103 oral assessments during the same half-year. For 66 patients, the RN and the DH performed independent assessments. There was an agreement between the RN and the DH in the majority of the independent assessments, except for tongue and teeth/dentures. The percentage agreement exceeded 80 percent. Inter-rater agreement measured by Cohen's Kappa coefficient ranged from moderate to very good and percentage agreement had a range of 58 to 91 percent. The agreement was highest in assessment of voice and swallowing (91%). Assessments of teeth and dentures seemed to be most difficult for the RN to evaluate. ROAG was found to be a clinically useful assessment tool. Additional education and training is needed to improve the reliability of the oral assessments and should include continuous support from a dental hygienist as well as a pictorial manual on how to use the ROAG.

Place, publisher, year, edition, pages
2002. Vol. 22, no 5, p. 181-186
Keywords [en]
lnter-rater reliability, elderly, oral health, oral assessment guide, nursing care
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-5239DOI: 10.1111/j.1754-4505.2002.tb00268.xPubMedID: 12580356OAI: oai:DiVA.org:hkr-5239DiVA, id: diva2:275438
Available from: 2009-11-05 Created: 2009-11-05 Last updated: 2014-06-17Bibliographically approved
In thesis
1. Evaluation of oral health status using an oral assessment guide in geriatric rehabilitation patients and in patients with haematological malignancies
Open this publication in new window or tab >>Evaluation of oral health status using an oral assessment guide in geriatric rehabilitation patients and in patients with haematological malignancies
2002 (English)Licentiate thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Malmö: Malmö högskola, 2002. p. 62
Series
Malmö University odontological dissertations, ISSN 1650-6065
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-5292 (URN)91-631-2600-1 (ISBN)
Presentation
(English)
Opponent
Supervisors
Available from: 2009-12-10 Created: 2009-11-11 Last updated: 2014-06-17Bibliographically approved
2. Assessments of oral health status in frail patients in hospital
Open this publication in new window or tab >>Assessments of oral health status in frail patients in hospital
2004 (English)Doctoral thesis, comprehensive summary (Other academic)
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.

Place, publisher, year, edition, pages
Malmö: Malmö högskola, 2004. p. 68
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-5307 (URN)91-628-6019-4 (ISBN)
Public defence
(English)
Available from: 2009-12-10 Created: 2009-11-13 Last updated: 2014-06-17Bibliographically approved

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Andersson, PiaRenvert, Stefan

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