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Evaluation of oral health status using an oral assessment guide in geriatric rehabilitation patients and in patients with haematological malignancies
Kristianstad University, Department of Health Sciences.ORCID iD: 0000-0003-0269-730X
2002 (English)Licentiate thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Malmö: Malmö högskola , 2002. , 62 p.
Series
Malmö University odontological dissertations, ISSN 1650-6065
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-5292ISBN: 91-631-2600-1 (print)OAI: oai:DiVA.org:hkr-5292DiVA: diva2:276741
Presentation
(English)
Opponent
Supervisors
Available from: 2009-12-10 Created: 2009-11-11 Last updated: 2014-06-17Bibliographically approved
List of papers
1. Testing an oral assessment guide during chemotherapy treatmen in a Swedish care setting: a pilot study
Open this publication in new window or tab >>Testing an oral assessment guide during chemotherapy treatmen in a Swedish care setting: a pilot study
1999 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 8, no 2, 150-158 p.Article in journal (Refereed) Published
Abstract [en]

Oral complications are common in patients with haematological malignancies who undergo chemotherapy treatment. A pilot study including 16 haematological patients was carried out to evaluate the oral status using an Oral Assessment Guide (OAG) and to test the reliability of the OAG. The oral assessments were made daily by registered nurses at a Department of Internal Medicine in Sweden. Once a week a dental hygienist made the oral assessments independent of the registered nurses in order to provide data for calculations of inter-rater reliability. All patients had varying degrees of alterations in the oral cavity, especially in the mucous membranes, teeth/dentures and gums. The inter-rater agreement between the nurses and the dental hygienist was good for saliva and swallow, and moderate for voice and gums. Assessments to detect alterations in the oral cavity afford the opportunity for early and individualized interventions and may decrease the risk of oral infections. It is necessary to train the nurses to ensure high levels of reliability in the oral assessments. The OAG seems to be a reliable and clinical useful tool for assessing the oral cavity status and determining changes.

Keyword
acute leukaemia, chemotherapy, Hodgkin's disease, myeloma, non-Hodgkin's lymphoma, nursing care, oral assessment guide, oral health
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-5237 (URN)10.1046/j.1365-2702.1999.00237.x (DOI)000082095800005 ()10401348 (PubMedID)
Available from: 2009-11-05 Created: 2009-11-05 Last updated: 2014-06-17Bibliographically approved
2. Inter-rater reliability of an oral assessment guide för elderly patients residing in a rehabilitation ward
Open this publication in new window or tab >>Inter-rater reliability of an oral assessment guide för elderly patients residing in a rehabilitation ward
2002 (English)In: Special Care in Dentistry, ISSN 0275-1879, Vol. 22, no 5, 181-186 p.Article 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.

Keyword
lnter-rater reliability, elderly, oral health, oral assessment guide, nursing care
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-5239 (URN)10.1111/j.1754-4505.2002.tb00268.x (DOI)12580356 (PubMedID)
Available from: 2009-11-05 Created: 2009-11-05 Last updated: 2014-06-17Bibliographically approved
3. Oral health and nutritional status in a group of geriatric rehabilitation patients
Open this publication in new window or tab >>Oral health and nutritional status in a group of geriatric rehabilitation patients
Show others...
2002 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, no 3, 311-318 p.Article in journal (Refereed) 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.

Keyword
geriatric rehabilitation patients, nutritional status, oral assessment guide, oral health status, undernourishment
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-5238 (URN)10.1046/j.1471-6712.2002.00086.x (DOI)000177832200015 ()12191044 (PubMedID)
Available from: 2009-11-05 Created: 2009-11-05 Last updated: 2014-06-17Bibliographically approved

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