The Effect of Oral Care Education and Reminder Cards on Patients Receiving Hemodialysis Treatment: A Quasi-experimental Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 82
- 试验地点
- 1
- 主要终点
- Oral Assessment Guide
研究概览
简要总结
Preserving dental health in patients undergoing hemodialysis is crucial for enhancing quality of life. Nonetheless, interventions pertaining to oral health have not been adequately studied. The impact of a simultaneous intervention comprising oral health education and reminder cards remains ambiguous. The findings help to examine the effect of oral health interventions on the levels of oral health and chronic disease adherence in patients receiving hemodialysis treatment. The use of oral care education, reminder cards, and checklists related to oral health can prevent the neglect of oral care.
详细描述
Preserving dental health in patients undergoing hemodialysis is crucial for enhancing quality of life. Nonetheless, interventions pertaining to oral health have not been adequately studied. The aim is to investigate the impact of oral care education and reminder cards concerning oral health on the oral health and illness adaptation of persons undergoing hemodialysis. The study employed a quasi-experimental design with a single group, utilising pre-test and post-test measurements. The study included 82 individuals (aged ≥ 18 years) receiving treatment in the hemodialysis units of two different hospitals in Turkey. Sociodemographic and clinical information was obtained from medical records. The "Adaptation to Chronic Illness Scale" and the "Oral Assessment Guide" were employed to assess oral health and illness adaptation. A one-week intervention was conducted, using daily oral health reminder cards following oral care teaching. A significant difference was found between the mean oral health and illness adaptation levels in the pre-test (15.51±2.67; 84.37±9.14, respectively) and post-test (12.61±3.83; 86.26±9.66, respectively) scores (p=0.00). Oral health and treatment adherence were better after the use of oral care education and reminder cards (p=0.00). Daily tooth brushing frequency was a common factor influencing oral health and chronic disease adherence levels (p<0.05). The mean scores for oral health and illness adaptation were moderately and negatively correlated before and after the intervention (sırasıyla r=-0.46, r=-0.52; p<0.01). The findings help to examine the effect of oral health interventions on the levels of oral health and chronic disease adherence in patients receiving hemodialysis treatment. The use of oral care education, reminder cards, and checklists related to oral health can prevent the neglect of oral care.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Other
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •being 18 years of age or older,
- •receiving HD treatment three or four times a week for at least 6 months,
- •having no hearing, visual, or speech impairment,
- •having no diagnosis of malignancy,
- •performing self-oral care,
排除标准
- •Patients who refused to participate in the study,
- •did not meet the inclusion criteria,
- •did not consent to an oral examination,
研究组 & 干预措施
experimental group
Experimental: arm description experimental Arm Description: The socio-demographic and descriptive characteristics and disease adaptation levels included in the survey form were answered through face-to-face interviews. Participants' oral health was assessed. Oral care education was provided. Disease adaptation levels and oral health were assessed one week after the education.
干预措施: Oral health education (Other)
结局指标
主要结局
Oral Assessment Guide
时间窗: one weeks
The guide allows for the assessment of voice, swallowing, lips, tongue, saliva, mucous membrane, gums, and teeth/dentures. The OAG supports the creation of an oral care protocol for patients with impaired oral mucous membranes. Each change related to oral health is scored between 1 and 3 points, and these scores are summed to obtain the total score. Scores obtainable from the OAG range from 8 to 24. A score between 8 and 14 indicates a "risk of impairment in the oral mucous membrane," while a score between 14 and 24 indicates "impairment in the oral mucous membrane." According to the OAG, a low score indicates good oral health, whereas high scores suggest poor oral health. A light source and a tongue depressor for each participant were used when evaluating oral health.
Oral Health Reminder Card
时间窗: one weeks
The card contains a total of 10 items regarding what should be paid attention to in daily oral health and was prepared based on the literature. The reminder cards were 10x15 cm in size, and participants were asked to place these cards somewhere visible in their homes. The reminder cards were not taken back.
Oral Health Checklist
时间窗: one weeks
This form contains the items listed on the Oral Health Reminder Card. Participants were asked to implement the items on the checklist and mark them as applied. Participants had the opportunity to evaluate whether they performed the oral health items every day over a one-week period.
Adaptation to Chronic Illness Scale
时间窗: one weeks
The scale comprises 25 items across three subdomains, including physical, social, and psychological adjustment. The scale is designed as a 5-point Likert scale (with 1 = Strongly Disagree and 5 = Completely Agree). Items 5, 6, 12, 17, 19, 20, 24, and 25 are reverse scored. Maximum score that can be obtained from the scale is 125. Higher scores from the subdomains or the entire scale are indicative of the fact that the patients' level of adaptation to the disease is also high. The Cronbach's Alpha value of the scale is 0.88 for the entire scale.
次要结局
未报告次要终点
研究者
Sevda Ateş
Associate Professor
Çanakkale Onsekiz Mart University