Summary of the best evidence for oral health management in dementia patients
10.3760/cma.j.cn115682-20240204-00710
- VernacularTitle:痴呆患者口腔健康管理的最佳证据总结
- Author:
Yinyun WANG
1
;
Yiwen ZHOU
;
Xu CHEN
;
Lirong ZHAO
;
Jingjing BAO
Author Information
1. 复旦大学附属华东医院呼吸与危重症医学科，上海 200040
- Keywords:
Dementia;
Cognitive dysfunction;
Oral health;
Summary of evidence;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2024;30(34):4715-4722
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To select and obtain evidence on oral health management for dementia patients, and summarize the best evidence.Methods:The best clinical practices, guidelines, expert consensus, evidence summary, recommended practices, and systematic reviews on oral health management for patients with dementia and cognitive impairment were electronically retrieved from British Medical Journal Best Practice, Australia Joanna Briggs Institute Evidence-Based Health Care Center Database, Agency for Healthcare Research and Quality, and National Institute for Health and Clinical Excellence, Cochrane Library, PubMed, Alzheimer's Association, China Biomedical Database, China National Knowledge Infrastructure, WanFang Data and VIP and so on. The search period was from database establishment to October 31, 2023. Two to four researchers evaluated the quality of the included literature and extracted evidence from the literature that met the quality standards.Results:A total of 11 articles were included, including two guidelines, five evidence summaries, one recommended practice, and three systematic reviews. A total of 31 best pieces of evidence were summarized from eight aspects, including team work, personnel training, oral assessment, oral cleaning procedures, denture management, communication and behavior management, interventions for special oral problems, and health education.Conclusions:The oral health management of dementia patients has its particularity and the incidence of oral complications is high. It is necessary to strengthen the awareness and training of medical and nursing staff, pay attention to oral assessment, oral care, and communication skills, actively prevent and handle special oral problems, so as to improve the oral health of patients. In addition, it is recommended to evaluate patient cultural differences, clinical environment of the medical institution, patient willingness and so on before applying evidence in clinical practice, and then implement targeted evidence measures.
