Impact of oral health management by nurses and dental professionals on oral health status in inpatients eligible for the Nutrition Support Team: A longitudinal study

Author:

Suzuki Hiroyuki12ORCID,Furuya Junichi23ORCID,Nakagawa Kazuharu3,Hidaka Rena4,Yoshimi Kanako3ORCID,Shimizu Yukue5,Saito Keiko5,Hatanaka Yukiko2,Mukai Tomoko2ORCID,Itsui Yasuhiro6,Tohara Haruka3,Minakuchi Shunsuke1

Affiliation:

1. Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University (TMDU) Tokyo Japan

2. Department of Oral Function Management Graduate School of Dentistry, Showa University Tokyo Japan

3. Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University (TMDU) Tokyo Japan

4. Department of Oral Health Sciences for Community Welfare, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University (TMDU) Tokyo Japan

5. Department of Nutrition Service Tokyo Medical and Dental University Hospital Tokyo Japan

6. Medical Education Research and Development, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University (TMDU) Tokyo Japan

Abstract

AbstractObjectiveAs the participation of dental professionals in multidisciplinary care is often limited, instructions on oral health management provided by dental professionals to other professionals are important to achieve transdisciplinary oral health management; however, the effectiveness of such instructions remains unclear. In this longitudinal study, we aimed to determine the impact of oral health management provided by dental professionals and nurses instructed on oral health management by dental professionals on the oral health of inpatients eligible for a Nurition Support Team (NST).MethodsThe study participants were 117 patients (66 men and 51 women, mean age: 71.9 ± 12.5 years) who received oral health management during the NST intervention period. The participants received oral health management from nurses (Ns group) or dental professionals (D group). The nurses who conducted the oral health management received instructions from dental professionals. Oral health was assessed at the beginning and end of the NST intervention using the Oral Health Assessment Tool (OHAT).ResultThe Ns and D groups showed significant improvements in the total OHAT scores at the end of the NST intervention. Both groups showed significant improvements in the OHAT subitems of lip, tongue, gums and tissues, saliva, oral cleanliness and dental pain, while only the D group showed a significant improvement in the denture subitem.ConclusionEffective oral health management provided by dental professionals or by nurses trained by them improved the oral health status of inpatients eligible for NST at an acute‐care hospital.

Funder

Japan Society for the Promotion of Science

Publisher

Wiley

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