Oral Health Knowledge and Practice of Caregivers of Institutionalized Elders
DOI:
https://doi.org/10.21270/archi.v11i3.5273Keywords:
Caregivers, Dental Care for Aged, Oral Health, Oral HygieneAbstract
Background: Caregivers play an important role in maintaining adequate oral health of elders. Objective: The aim of this study was to evaluate the oral health knowledge and practice of caregivers of institutionalized elders in Brazil. Methods: This was a cross-sectional study with a sample of 27 caregivers from a long-term care institution in the city of Vitória, State of Espírito Santo, Brazil, between July and October, 2016. A form was used to assess the following characteristics of caregivers: profile, training, knowledge, practice and prevention related to oral health. All data were analyzed by descriptive statistics. Results: The predominant profile of the caregivers was: female (63%) and 81.5% were trained to work with elders. Although most of them knew the necessity of tooth brushing at least three times a day to prevent dental caries and periodontal disease (88.9%); 44.5% said that the caregivers performed oral hygiene for the elderly under supervision only once a day. Regarding the hygiene of dentures, only one caregiver mentioned the use of a specific chemical agent; 40.7% declared themselves unaware of any oral care protocol at the institution; 85% believed in a correlation between general health and the presence of oral diseases; 70% declared they did not know about oral diseases that could affect elders with dentures in function, and 59.3% answered that the type of food may influence oral health. Conclusions: Caregivers acknowledged and recognized the importance of oral health, but their practice was not consistent with their declared knowledge.
Downloads
References
Kalache A, Veras RP, Ramos LR. O envelhecimento da população mundial: um desafio novo. Rev Saúde Pública.1987;21: 200-10.
Visschere LMJ De, Putten G Van Der, Vanobbergen JNO, Schols JMGA, Baat C De. An oral health care guideline for institutionalised older people. Gerontology. 2011;28:307-10.
Klotz A, Hassel AJ, Schröder J, Rammelsberg P, Zenthöfer A. Oral health-related quality of life and prosthetic status of nursing home residents with or without dementia. Clin Interv Aging. 2017;12: 659-65.
Landeiro G, Pedrozo R, Cristina C, José M, De ER, Gomes MJ. Revisão sistemática dos estudos sobre qualidade de vida indexados na base de dados Scielo. Cienc saúde colet. 2011;16:4257-66.
Paredes-Rodríguez VM, Torrijos-Gómez G, González-Serrano J, López-Pintor-Muñoz RM, López-Bermejo MA. Quality of life and oral health in elderly. J Clin Exp Dent. 2016;8:590-96.
Côrte-Real IS, Figueiral MH, Campos JCR. As doenças orais no idoso – Considerações gerais. Rev Port Estomatol Med Dent Cir Maxilofac. 2011;52:175-80.
Rosa L, Zuccolotto M, Bataglion C, Coronatto E. Odontogeriatria – a saúde bucal na terceira idade. RFO. 2008;13: 82-6.
Mello ALSF De, Moysés SJ, Castro RG. Cuidado dirigido à saúde bucal: significados atribuídos por cuidadores de idosos. Ciência, Cuid e Saúde. 2009;8:27-33.
Pretty IA, Ellwood RP, Lo ECM, MacEntee MI, Müller F, Rooney E et al. The Seattle Care Pathway for securing oral health in older patients. Gerodontology. 2014;31:77-87.
Alves VM, Tomo S, Simonato LE, Pereira AM, Lima DP, Boer NP et al. Avaliação do conhecimento de cuidadores sobre a higiene bucal de pacientes idosos institucionalizados. Arch Heathl Invest. 2014;3(5):9-15.
Cornejo-Ovalle M, Costa-de-Lima K, Pérez G, Borrell C, Casals-Peidro E. Oral health care activities performed by caregivers for institutionalized elderly in Barcelona-Spain. Med Oral Patol Oral Cir Bucal. 2013;18(4):e-641-49.
Vieira JC, Freitas CHSDM, Marinho FB, Costa CHM Da. Um olhar sobre os cuidadores de idosos de instituições geriátricas de João pessoa, Paraíba: perfil e cuidados com a saúde bucal dos idosos. Rev baiana saúde pública. 2011;35:604-18.
Catteau C, Piaton S, Nicolas E, Hennequin M, Lassauzay C. Assessment of the oral health knowledge of healthcare providers in geriatric nursing homes: additional training needs required. Gerodontology. 2016;33:11-9.
Janssens B, De Visschere L, Van Der Putten GJ, De Lugt-Lustig K, Schols JMGA, Vanobbergen J. Effect of an oral healthcare protocol in nursing homes on care staffs’ knowledge and attitude towards oral health care a cluster-randomised controlled trial. Gerodontology. 2016;33:275-86.
Lopes RA, Mitre NCD, Coelho MAGM, De Queiroz BZ. Perfil dos cuidadores das instituições de longa permanência para idosos de Itaúna – MG. ConScientiae Saúde. 2012;11:338-44.
Nakatani AYK, Souto C do CS, Paulette LM, Melo TS de, Souza MM de. Perfil dos cuidadores informais de idosos com déficit de autocuidado atendidos pelo programa de saúde da família. Rev Eletrônica Enfem. 2003;5:15-20.
Furtado FIGCA, Oriá Filho HF, Sampaio JRF, Araujo TLC, Amaral R. Avaliação do conhecimento em saúde bucal dos cuidadores de idosos institucionalizados - Juazeiro do Norte – CE. Rev Interfaces.2015;3:1-5.
Colomé IC dos S, Marqui ABT de M, Jahn ADC, Resta DG, Carli R De, Winck MT, Nora TTD. Cuidar de idosos institucionalizados: características e dificuldades dos cuidadores. Rev Eletrônica Enferm. 2011;13:306-12.
Lolli MCG dos S, Trindade JP, Silva C de O, Michida SM de A, Lolli LF. Perfil Profissional, Percepção e Atuação de Cuidadores em relação à Saúde Bucal de Idosos Institucionalizados. BJSCR. 2013;2:19-25.
Forsell M, Sjögren P, Kullberg E, Johansson O, Wedel P, Herbst B, Hoogstraate J. Attitudes and perceptions towards oral hygiene tasks among geriatric nursing home staff. Int J Dent Hyg. 2011;9:199-203.
Almeida LGCB, Costa PAM, Monteiro CSPA, Lima EMCX. Avaliação do conhecimento dos cuidadores sobre a higiene bucal de pacientes idosos institucionalizados. Int J Dent. 2011;10(3):137-42.
Thomson WM. Epidemiology of oral health conditions in older people. Gerontology. 2014;31:9-16.
Sjogren P, Kullberg E, Hoogstraate J, Johansson O, Herbst B, Forsell M. Evaluation of dental hygiene education for nursing home staff. J Adv Nurs. 2010;66(2):345-49.
Reed R, Broder HL, Jenkins G, Spivack E, Janal MN. Oral health promotion among older persons and their care providers in a nursing home facility. Gerodontology. 2006;23:73-8.
Dundar N, Kal BI. Oral mucosal conditions and risk factors among elderly in a Turkish school of dentistry. Gerontology. 2007;53:165-72.
Mubarak S, Hmud A, Chandrasekharan S, Ali AA. Prevalence of denture - related oral lesions among patients attending College of Dentistry , University of Dammam: a clinico - pathological study. J Int Soc Prev Community Dent. 2015;5:506-12.
Castro AL de, Furuse, Adhemar T, Gaetti-Jardim Júnior E, Castro EVFL de, Jardim P de TC, Paro ML de C, Of USE. Estomatite Protética Induzida Pelo Mau Uso De Prótese Total : Caso Clínico. Rev Odontol Araçatuba 2006;27:87-90.
Cakan U, Yuzbasioglu E, Kurt H, Kara HB, Turunç R, Akbulut A, Aydin KC. Assessment of hygiene habits and attitudes among removable partial denture wearers in a university hospital. Niger J Clin Pract. 2015;18:511-15.
Peracini A, Andrade IM De, Paranhos HDF, Silva CHL da, Souza RF De. Behaviors and Hygiene Habits of Complete Denture Wearers. Braz Dent J. 2010;21:247-52.
Kazuo SD, Ferreira UCS, Justo KD, Rye OE, Shigueyuki UE. Higienização Em Prótese Parcial Removível. Rev Odontol Univ Cid São Paulo. 2008;20(2):168-74.
Henshaw MM, Calabrese JM. Oral Health and Nutrition in the Elderly. Nutr Clin Care. 2001;4:34-42.
Junges R, Portella FF, Hugo FN, Padilha DMP, Samuel SMW. Caregivers ’ attitudes regarding oral health in a long-term care institution in Brazil. Gerontology. 2014;31:178-83.
Mello ALSF de, Padilha DMP. Instituiçöes Geriátricas e Negligência Odontológica. Rev Fac Odontol Porto Alegre. 2000;41:44-8.
Putten G Van Der, Baat C De, Visschere L De, Schols J. Poor oral health, a potential new geriatric syndrome. Gerontology.2014;31:17-24.
Samson H, Berven L, Strand V. Long-term effect of an oral healthcare programme on oral hygiene in a nursing home. Eur J Oral Sci. 2009;117:575-79.
Portella FF, Rocha AW, Haddad DC, Fortes CBB, Hugo FN, Padilha DMP, Samuel SMW. Oral hygiene caregivers ’ educational programme improves oral health conditions in institutionalised independent and functional elderly. Geriatr Gerontol. 2015;32:28-34.