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

YOSHIOKA Masami, FUJII Hiromi, HIROSE Kaoru, SAKAMOTO Harumi, SOGAWA Yuka, MATSUMOTO Naoko, HOSHINO Yumi, FUKUI Makoto, YOKOYAMA Masaaki, HINODE Daisuke

doi:10.5834/jdh.58.5_490

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.

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

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