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  • 51.
    Mårtensson, Carina
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Söderfeldt, Björn
    Department of Oral Public Health, Faculty of Odontology, Malmö University.
    Axtelius, Björn
    Department of Oral Public Health, Faculty of Odontology, Malmö University.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Expectations and satisfaction with care for periodontal specialist patients2013In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 71, no 3-4, p. 799-806Article in journal (Refereed)
    Abstract [en]

    Objective. The aim of this study was to investigate expectations on and satisfaction with treatment among patients referred for comprehensive treatment to specialist clinics in periodontology and to explore factors associated with satisfaction in regression analysis.

    Materials and methods. Patients referred for comprehensive periodontal treatment were sampled for the study. The study was based on a questionnaire in a before-and-after design. The first questionnaire was sent to the patients before their first appointment at the specialist clinic. The second questionnaire was sent after  6 months. Three questions were used to measure expectations and four questions to measure satisfaction. The first questionnaire was sent to 273 patients with a response rate of 31% and the second questionnaire was sent to 85 patients with a response rate of 73%. In non-response analysis, no difference between respondents and non-respondents were detected as to age and gender.

    Results. Many of the patients viewed it as important or very important to have healthy teeth (98%) and improved well-being (93%) after periodontal treatment. More than 50% of the patients were satisfied with the relation to the caregiver. When measuring the satisfaction in general, 42% indicated the highest score on the summarized Dental Visit Satisfaction Scale. Having confidence (p ≤ 0.001) and a good relation (p = 0.001) to the caregiver indicated higher satisfaction.

    Conclusion. Having a good relation to the caregiver and having confidence in the caregiver seems to indicate satisfied patients receiving periodontal treatment at periodontal clinics.

  • 52.
    Mårtensson, Carina
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Söderfeldt, C.
    Axtelius, B.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Knowledge of periodontitis and self-perceived oral health: a survey of periodontal specialist patients2013In: Swedish Dental Journal, ISSN 0347-9994, Vol. 37, no 1, p. 49-58Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate changes in knowledge of periodontal disease among patients referred to periodontal specialist clinics. A further aim was to investigate the patients' self- perceived oral health before the treatment. Patients referred to five specialist clinics in periodontology for comprehensive periodontal treatment were consecutive sampled. The study was based on a questionnaire in a before and after design. The first questionnaire was sent to the patients before visiting the specialist clinic and the second was sent after six months. Four questions were analysed, two to measure knowledge about periodontitis and two to measure the patients self- perceived oral health. The first questionnaire was sent by post to 273 patients with a response rate of 31%. The second questionnaire was sent to 85 patients with a response rate of 73%. The results of the study showed a statistically significant improvement of correct answers on the knowledge questions after six months was found for scaling (p = 0.006), X-ray examination (p = 0.001) and increased space between the teeth (p = 0.001). The most frequent self-perceived trouble from the mouth was bleeding gum (70%) and sensitive teeth (51%). In conclusion knowledge of periodontitis improved after visiting the specialist clinic of periodontology. Many of the patients experienced some problems of the mouth.

  • 53.
    Mårtensson, Carina
    et al.
    Kristianstad University, School of Health and Society.
    Söderfelt, Björn
    Avd. för samhällsodontologi, Malmö Högskola.
    Axtelius, Björn
    Avd. för samhällsodontologi, Malmö Högskola.
    Andersson, Pia
    Kristianstad University, School of Health and Society.
    Kunskap om parodontit och självupplevd munhälsa hos patienter remitterade till specialistklinik i parodontologi2011In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 31, no 3, p. 36-Article in journal (Other academic)
  • 54.
    Pajalic, Zada
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Skog, Therese
    Kostenheten Kristianstads kommun.
    Palmquist, Eva-Lott
    Kristianstads Kommun.
    Arvidsson, Andreas
    Osby kommun.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    ”Munhälsa”: till dig som har matdistribution2013Other (Other (popular science, discussion, etc.))
  • 55.
    Paulsson, Gun
    et al.
    School of Social and Health Sciences, Halmstad University.
    Wårdh, I.
    Karolinska Institutet.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Öhrn, K.
    Department of Health and Social Sciences, Dalarna University.
    Comparison of oral health assessments between nursing staff and patients on medical wards2008In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 17, no 1, p. 49-55Article in journal (Refereed)
    Abstract [en]

    The maintenance of good oral health is essential for nutrition, recovery and well-being. This requires the involvement of the nursing staff, especially in cases where oral care and any necessary dental treatment are vital to ensure medical treatment. The aim of this study was to evaluate the validity of oral assessments performed by nursing staff using the revised oral assessment guide (ROAG), using comparisons with patients' self-assessment of oral problems. When a comparison was made of how the staff and patients assessed their oral status, a high level of agreement was found. In these assessments, with the exception of oral mucosa and teeth, the percentage agreement was >80. The kappa coefficient revealed slight to moderate agreement. When there was a disagreement, the staff assessed the oral health as being significantly poorer than the patients did. In the present study, it was shown that few oral assessments performed by the nursing staff and patient disagreed. The ROAG may therefore be useful for the nursing staff to make the patients' oral health problems visible.

  • 56.
    Rantzow, Veronica
    et al.
    Vocational Education Helsingborg.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health.
    Lindmark, Ulrika
    Jönköping University.
    Occurrence of oral health problems and planned measures in dependent older people in nursing care2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 23-24, p. 4381-4389Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVE: The aim of the study was to describe oral health problems and planned measures in older people receiving nursing care.

    BACKGROUND: Poor oral health conditions have a negative impact on the quality of life of older people. Therefore, oral care is an important task in daily nursing activities.

    METHODS: Data were obtained from the web-based Swedish national quality register Senior Alert. Data regarding oral health status and planned measures in individuals ≥65 years from one county in Sweden between July 2014 and June 2015 were included. The Revised Oral Assessment Guide - the Jönköping (ROAG-J), was used routinely by nursing staff in nursing care facilities to measure oral health status.

    RESULTS: Oral assessments were made on 2567 individuals (65.7% women). The most common oral health problem was related to "Teeth" (43.0%), which indicates deficient oral hygiene and/or broken teeth. At least one measure was planned in all the participants. The most common planned measures were "Moistening of the mouth" (16.6%), followed by "Brushing - assistance or complete help" (13.5%).

    CONCLUSION: Oral health problems were common, and planned measures did not seem to be sufficient to address the identified problems. The results indicate that greater priority should be given to the oral health care of older people in nursing care.

    RELEVANCE TO CLINICAL PRACTICE: The study highlights the importance of not only identifying oral health problems but also having knowledge and strategies for oral health care. Collaboration is needed to support nurses in caring for the oral health care of older people in nursing homes. This article is protected by copyright. All rights reserved.

  • 57.
    Rejnefelt, Ingrid
    et al.
    Kristianstad University, School of Health and Society.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Oral health status in individuals with dementia living in special facilities2006In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 4, no 2, p. 67-71Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of this review was to retrieve data describing the oral health status of individuals with dementia living in special facilities. MATERIALS AND METHODS: A literature search on the MEDLINE database (Entrez PubMed) was performed. The literature search yielded 208 papers, of which seven publications were selected for evaluation. Results: From the available studies poorer oral hygiene, decreased saliva flow rates and a higher caries incidence were reported in individuals with dementia living in special facilities when compared with healthy individuals. Oral health problems were more pronounced in the severe stage of the disease. CONCLUSIONS: There is limited scientific data describing the oral health status of individuals with dementia living in special facilities. However, available data indicate that individuals with dementia living in special facilities have more oral health problems than individuals without dementia.

  • 58.
    Särner, Barbro
    et al.
    University of Gothenburg.
    Birkhed, Dowen
    University of Gothenburg.
    Andersson, Pia
    Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research Platform for Collaboration for Health.
    Lingström, Peter
    University of Gothenburg.
    Recommendations by dental staff and use of toothpicks, dental floss and interdental brushes for approximal cleaning in an adult Swedish population2010In: Oral Health & Preventive Dentistry, ISSN 1602-1622, E-ISSN 1757-9996, Vol. 8, no 2, p. 185-194Article in journal (Refereed)
    Abstract [en]

    Purpose: The aim of the present study was to evaluate the recommendations relating to the use of approximal cleaning aids given by dental hygienists and dentists, the self-care practices in a Swedish population and the ability to remove dental plaque. Materials and Methods: A structured questionnaire was randomly distributed to 500 dental hygienists and 500 dentists and a similar questionnaire was distributed to 1000 randomly selected individuals, divided equally into the following age groups: 15 to 20, 21 to 40, 41 to 60 and > 60 years. A clinical examination evaluating the ability to remove approximal dental plaque was also carried out in a total of 60 regular users of approximal cleaning aids. Plaque was scored before and after cleaning with a toothpick, dental floss or an interdental brush. Results: The response rate was 82%, 79% and 68% for the three groups. The results reveal that dental hygienists give more detailed information about a majority of the aspects that are related to the use of approximal cleaning aids compared with dentists (P < 0.01 or P < 0.001). The majority of the dental staff give recommendations to children and adolescents firstly to prevent dental caries and to older individuals to improve periodontal health. The use of different approximal cleaning aids on a daily basis varied with respect to age group (2% to 42%); dental floss dominated in the younger age groups and interdental brushes in the two oldest groups. In the clinical study, the largest plaque reduction was produced by the interdental brush (83%), followed by toothpicks (74%) and dental floss (73%). Conclusions: The present study indicated the importance of individual recommendations related to the use of approximal cleaning aids

  • 59.
    Westergren, Albert
    et al.
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health.
    Att äta och dricka2017In: Omvårdnad & äldre / [ed] Kerstin Blomqvist, Anna-Karin Edberg, Marie Ernsth Bravell, Helle Wijk, Lund: Studentlitteratur, 2017, p. 253-271Chapter in book (Other academic)
  • 60.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön PRO-CARE.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Johanssen, A.
    Strategier för tobaksavvänjning - det osynliga munhälsoarbetet2011Conference paper (Refereed)
  • 61.
    Westergren, Albert
    et al.
    Kristianstad University, Department of Health Sciences.
    Karlsson, Siv
    Department for Rehabilitation Medicine, Central Hospital Kristianstad, Northeast Skåne Healthcare District.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Ohlsson, Ola
    Department of Internal Medicine, Central Hospital Kristianstad, Northeast Skåne Healthcare District.
    Hallberg, Ingalill
    Department of Nursing, Faculty of Medicine, Lund University.
    Eating difficulties, need for assisted eating, nutritional status and pressure ulcers in patients admitted for geriatric stroke rehabilitation2001In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 10, no 2, p. 257-269Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe the types and extent of eating difficulties, the need for assistance when eating, the nutritional status and pressure ulcers in consecutive patients (n = 162) admitted for stroke rehabilitation over a period of 1 year. Structured observations and assessments of eating, nutritional status (subjective global assessment of nutritional status), pressure ulcers and activities in daily living (Katz ADL-index) were performed by a nurse who also trained the staff to perform these assessments. Difficulties in eating were found in 80%, and 52.5% were unable to eat without assistance. Eating difficulties were: 'eats three-quarters or less of served food' (60%), difficulties in 'manipulating food on the plate' (56%), 'transportation of food to the mouth' (46%), 'sitting position' (29%), 'aberrant eating speed' (slow or forced) (26%), 'manipulating food in the mouth' (leakage, hoarding, chewing difficulties) (24%), 'swallowing difficulties' (18%), 'opening and/or closing the mouth' (16%), and 'alertness' (9%). Thirty-two percent were undernourished (49% of patients needing assisted eating and 13% of those not needing assistance, P < 0.0005). Among patients who were dependent in one or more functions according to the Katz ADL-index, 15% had pressure ulcers. The strongest eating variables for predicting nutritional status were 'alertness', 'swallowing difficulties', 'eats three-quarters or less of served food', and 'aberrant eating speed'. Nutritional status could in turn significantly predict pressure ulcers. Eating difficulties among patients with stroke are complex and the patient's situation before stroke adds to this complexity, especially among those dependent on assisted eating. As difficulties occur both among patients needing and not needing assisted eating, all patients with stroke admitted for rehabilitation need to be systematically assessed for eating difficulties and action needs to be taken to facilitate eating, especially as patients with eating difficulties risk becoming undernourished and in turn developing pressure ulcers.

  • 62.
    Östberg, Anna-Lena
    et al.
    Karlstad University.
    Andersson, Pia
    Kristianstad University, School of Health and Society.
    Hakeberg, Magnus
    Jönköping University.
    Cross-cultural adaptation and validation of the Oral Impacts on Daily Performances OIDP) in Swedish2008In: Swedish Dental Journal, ISSN 0347-9994, Vol. 32, no 4, p. 187-195Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: The aim was to assess the validity and reliability of a Swedish version of the Oral impacts on Daily Performance (OIDP) index measuring oral health-related quality of life. MATERIAL AND METHODS: After translation and cultural adaptation, a 3-site sample of 204 adults (20-86 years) was interviewed using the OIDP. Moreover, the study included a self-administered questionnaire and a clinical examination. RESULTS: A total of 39.7% reported at least one oral impact on daily life. The most common performances affected were eating and cleaning teeth (both 20.6%). Oral effects on psychological performances caused the highest impacts. No gender or age differences were demonstrated with respect to having at least one impact. However, among those affected, women, old and young subjects scored higher than men and other ages, respectively, on the OIDP. The face and content validity were deemed good in pilot interviews with laypersons and dental professionals. The construct validity was confirmed, as the OIDP score was consistently associated with self-perceived oral health OR 2.13 (95% CI 1.10-4.10) and other self-rated variables, e.g. satisfaction with oral health OR 2.43 (CI 1.34-4.41), also when accounting for age, gender and socioeconomic differences. Associations were estimated using logistic regression. Lacking 10 or more teeth was associated with a higher OIDP score, which supports the criterion validity of the instrument. In a test-retest analysis Cohen's kappa was 0.77. CONCLUSIONS: The Swedish version of the OIDP appears to be a valid and reliable measure for assessing oral impacts on daily performances.

  • 63.
    Östberg, Anna-Lena
    et al.
    Karlstad University.
    Andersson, Pia
    Kristianstad University, School of Health and Society.
    Hakeberg, Magnus
    Jönköping University.
    Oral impacts on daily performances: associations with self-reported general health and medication2009In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 67, no 6, p. 370-376Article in journal (Refereed)
    Abstract [en]

    Objective. The aim of the present study was to examine the impact of general diseases and medication on oral health-related quality of life (OHRQoL) in a Swedish adult population using the Swedish version of Oral Impacts on Daily Performances (OIDP). Material and methods. A three-site sample of 200 adults (20-86 years; participation rate 70%) was interviewed using the OIDP, and a medical anamnesis was performed in 2006-7. A self-reported questionnaire provided complementary socio-economic data. Results. The burden of medical diagnoses and medications was greatest among the older participants in the study. The mean number of medicines in regular users was: ≥60 years, 3.6 (SD 2.6); 40-59 years, 1.9 (SD 1.5); and 20-40 years, 1.9 (SD 1.8) (p =0.013). There were no gender differences in general health or medication variables. Self-reported health, medical diagnoses and medication were significantly and consistently associated with the OIDP score: subjects with ≥1 diagnosis, OR 2.22 (95% CI 1.19-4.14) and subjects with ≥1 medicines, OR 1.85 (95% CI 1.01-3.40) versus those without diagnoses or medication. However, there was a clear gradient: OIDP scores increased with increasing numbers of diagnoses and medicines. Conclusion. The Swedish version of the OIDP was found useful for measuring impacts of general health and medication on OHRQoL. Dental care should pay special attention to patients with medical conditions or who are on medication, because these patients are more likely to experience oral impacts on daily performances.

12 51 - 63 of 63
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