J Korean Acad Nurs. 2011 Oct;41(5):684-693. Korean.
Published online Oct 31, 2011.
© 2011 Korean Society of Nursing Science
Original Article

The Effects of Oral Care Education on Caregivers' Knowledge, Attitude, & Behavior toward Oral Hygiene for Elderly Residents in a Nursing Home

Myung Sook Park,1 and Smi Choi-Kwon2
    • 1Assistant professor, Department of Nursing Science, Sun Moon University, Asan, Korea.
    • 2Professor, College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
Received February 01, 2011; Accepted October 24, 2011.

Abstract

Purpose

To investigate the effects of oral care education on knowledge, attitudes & behavior of caregivers in oral care and oral hygiene for residents in nursing homes.

Methods

In this quasi-experimental study, the intervention group (n=27) of residents received oral care from intervention group caregivers (n=28) who had received 6 weeks of oral care education. The control group (n=27) of residents received usual oral care from control group caregivers (n=26). Data on knowledge, attitude, and behavioral change in oral health care by the caregivers and plaque index & halitosis of the residents were collected. Data were analyzed using SPSS WIN 16.0.

Results

1) Scores on caregivers' knowledge (p<.001) and behavior (p<.001) for oral care were higher in the intervention group 6 and 12 weeks. The caregivers' attitude (p<.001) score for oral care was higher in the intervention group 12 weeks. 2) The plaque index (p=.004) and halitosis (p=.002) of the nursing home residents were lower in the intervention group than the control group at 6 and 12 weeks.

Conclusion

Oral care education programs for caregivers are effective in improving the oral hygiene of elderly residents in nursing homes through enhancement of caregivers' knowledge, attitude, and behavioral change.

Keywords
Oral hygiene; Nursing homes; Aged; Education; Caregivers

Tables

Table 1
Oral Health Care Education Program for Caregivers in this Study

Table 2
Homogeneity Test of General Characteristics of Caregivers

Table 3
Homogeneity Test of General Characteristics of Nursing Home Residents

Table 4
Knowledge, Attitude & Behavior Score for Oral Health Care in Caregivers

Table 5
Plaque Index & Halitosis of Nursing Home Residents

Notes

This article is based on a part of the first author's doctorial thesis from Seoul National University.

References

    1. Chalmers J, Johnson V. In: Evidence-based practice guideline, oral hygiene care for functionally dependent and cognitive impaired older adults. Iowa: The University of IOWA Gerontological Nursing Interventions Research Center Translation and Dissemination Core; 2002.
    1. Choi HS. In: Evaluation of the health status and dietary intakes of the elderly in rural areas by dental status. Yongin: Dankook University; 2009.
      Unpublished doctorial dissertation.
    1. Chung SH. The effects of an essential oil mouthrinse on oral health in the community indwelling elderly. Journal of Korean Academy of Nursing 2006;36:84–92.
    1. Cohen J. In: Statistical power analysis for the behavioral sciences. 2nd ed. New Jersey: Lawrence Erlbaum Associates; 1988.
    1. Coleman P, Watson NM. Oral care provided by certified nursing assistants in nursing homes. Journal of the American Geriatrics Society 2006;54:138–143.
    1. Frenkel H, Harvey I, Newcombe RG. Improving oral health in institutionalised elderly people by educating caregivers: A randomised controlled trial. Community Dentistry and Oral Epidemiology 2001;29:289–297.
    1. Frenkel H, Harvey I, Needs KM. Oral health care education and its effects on caregivers' knowledge and attitudes: A randomised controlled trial. Community Dentistry and Oral Epidemiology 2002;30:91–100.
    1. Kim SH, Jung JA, Lee BJ, Kim DK. Comparison oral health status of the elderly people lived in nursing home with private home in Gwangju metropolitan city. Journal of the Korean Academy of Dental Health 2007;31:366–375.
    1. Korean modified Barthel index. Korean Society for NeuroRehabilitation. 2005 Apr [Retrieved May 11, 2009].
    1. MacEntee MI, Wyatt CCL, Beattie BL, Paterson B, Levy-Milne R, McCandless L, et al. Provision of mouth-care in long-term care facilities: An educational trial. Community Dentistry and Oral Epidemiology 2007;35:25–34.
    1. McConnell ES, Lekan D, Hebert C, Leatherwood L. Academic-practice partnerships to promote evidence-based practice in long-term care: Oral hygiene care practices as an exemplar. Nursing Outlook 2007;55(2):95–105.
    1. 09 The list of long-term care institutions. Ministry for Health & Welfare. 2009 Apr 04 [Retrieved May 9, 2009].
    1. Mo HS, Choi KB, Kim JS. Knowledge of oral health and its predictors in nursing staff of long-term care institutions. Journal of Korean Academy of Fundamentals of Nursing 2008;15:428–437.
    1. Nicol R, Sweeny MP, McHugh S, Bagg J. Effectiveness of health care worker training on the oral health of elderly residents of nursing homes. Community Dentistry and Oral Epidemiology 2005;33:115–124.
    1. O'Leary TJ, Drake RB, Naylor JE. The plaque control record. Journal of Periodontology 1972;43(1):38.
    1. Park MS. In: The effects of oral health care education for care providers in a long-term care facility. Seoul: Seoul National University; 2010.
      Unpublished Doctor's dissertation.
    1. Park MS, Ryu SA. Degree of dry mouth and factors influencing oral health-related quality of life for community-dwelling elder. Journal of Korean Academy of Nursing 2010;40:747–755.
    1. Paulsson G, Fridlund B, Holmén A, Nederfors T. Evaluation of an oral health education program for nursing personnel in special housing facilities for the elderly. Special Care in Dentistry 1998;18:234–242.
    1. Petersen PE. Global policy for improvement of oral health in the 21st century-Implications to oral health research of world health assembly 2007, World Health Organization. Community Dentistry and Oral Epidemiology 2009;37(1):1–8.
    1. Peltola P, Vehkalahti MM, Simoila R. Effects of 11-month interventions on oral cleanliness among the long-term hospitalized elderly. Gerodontology 2007;24:14–21.
    1. Reed R, Broder HL, Jenkins G, Spivak E, Janal M. Oral health promotion among older persons and their care providers in a nursing home facility. Gerodontology 2006;23:73–78.
    1. Sim S, Kim H, Moon J, Zavras AI, Zdanowicz J, Jang S, et al. Periodontitis and the risk for non-fatal stroke in Korean adults. Journal of Periodontology 2008;79:1652–1658.
    1. Simons D, Baker P, Jones B, Kidd EAM, Beighton D. An evaluation of an oral health training programme for carers of the elderly in residential homes. British Dental Journal 2000;188(4):206–210.
    1. Sjogren P, Kullberg E, Hoogstraate J, Johansson O, Herbst B, Forsell M. Evaluation of dental hygiene education for nursing home staff. Journal of Advanced Nursing 2010;66:345–349.
    1. Sweeney MP, Williams C, Kennedy C, Macpherson LMD, Turner S, Bagg J. Oral health care and status of elderly care home residents in Glasgow. Community Dental Health 2007;24:37–42.
    1. Thean H, Wong ML, Koh H. The dental awareness of nursing home staff in Singapore-a pilot study. Gerodontology 2007;24:58–63.
    1. Wårdh I, Hallbrg LR, Berggren U, Andersson L, Sörensen S. Oral health care-a low priority in nursing: In-depth interviews with nursing staff. Scandinavian Journal of Caring Sciences 2000;14:137–142.
    1. Woo C, Kim K, Kim S, Kim J, Woo S, Yoon J, et al. In: Korean version of CERAD assessment packet. Seoul: Seoul National University Press; 2003.
    1. Li X, Kolltveit KM, Tronstad L, Olsen I. Systemic disease caused by oral infection. Clinical Microbiology Reviews 2000;13:547–558.
    1. Yang SB, Moon HS, Han DH, Lee HY, Jung MG. Oral health status and treatment need of institutionalized elderly patients. The Journal of Korean Academy of Prosthodontics 2008;46:455–469.

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