Analyses of Oral Health Care Needs of Hospitalized Patients with Neurological Disorders

DOI Web Site 4 Citations 20 References
  • YOSHIOKA Masami
    School of Oral Health and Welfare, Faculty of Dentistry, The University of Tokushima:Dental Hygiene Section, Tokushima University Medical and Dental Hospital
  • FUJII Hiromi
    Division of Medical Technology, Tokushima University Medical and Dental Hospital
  • HIROSE Kaoru
    Division of Medical Technology, Tokushima University Medical and Dental Hospital
  • SAKAMOTO Harumi
    Division of Medical Technology, Tokushima University Medical and Dental Hospital
  • SOGAWA Yuka
    Division of Medical Technology, Tokushima University Medical and Dental Hospital
  • MATSUMOTO Naoko
    School of Oral Health and Welfare, Faculty of Dentistry, The University of Tokushima
  • HOSHINO Yumi
    School of Oral Health and Welfare, Faculty of Dentistry, The University of Tokushima
  • FUKUI Makoto
    Dental Hygiene Section, Tokushima University Medical and Dental Hospital:Department of Preventive Dentistry, Institute of Health Biosciences, The University of Tokushima Graduate School
  • YOKOYAMA Masaaki
    Dental Hygiene Section, Tokushima University Medical and Dental Hospital:Oral Health Management Center, Tokushima University Medical and Dental Hospital
  • HINODE Daisuke
    School of Oral Health and Welfare, Faculty of Dentistry, The University of Tokushima:Dental Hygiene Section, Tokushima University Medical and Dental Hospital

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Other Title
  • 急性期病院の脳神経疾患患者に対する口腔ケアニーズの分析
  • キュウセイキ ビョウイン ノ ノウ シンケイ シッカン カンジャ ニ タイスル コウクウ ケア ニーズ ノ ブンセキ

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Abstract

The purpose of the present study was to identify factors related to oral health care among inpatients with neurological disorders. For each of the 143 inpatients included in our study, the oral as well as general health (level of consciousness, feeding style, etc.) conditions were investigated using an assessment sheet at their first visit. The study revealed that 80% of the hospitalized patients showed "dysfunction of oral periphery muscle and/or tongue movement", 60% of them presented "dry mouth" and/or a "reduced level of consciousness", and 25% exhibited "constant open mouth with no intention". By logistic regression analysis of the data, it was strongly suggested that "severe debris accumulation" could be attributed to "dry mouth". Furthermore, "dry mouth" was found to be significantly correlated with several features, including "constant open mouth", "impaired mouth rinse", "dysfunction of oral periphery muscle and/or tongue movement", and "reduced level of consciousness", which are conditions often observed in patients with neurological disorders. These results suggest that inpatients with both a "reduced level of consciousness" and "constant open mouth" should receive professional oral care in order to prevent "dry mouth", and undergo a careful follow-up to promote the maintenance of good oral hygiene and functions.

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