Effectiveness of oral care program for hospitalized older patients in the intermediate care ward, Health promoting hospital, Regional health promotion center 9 Nakhon Ratchasima
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Abstract
This pilot study aimed to assess the effectiveness of oral care programs in improving oral hygiene among hospitalized older patients in the intermediate care (IMC) ward from July 2020 to January 2021. A total of 25 hospitalized patients aged 60 years and older, with Barthel Activities of Daily Living (ADL) scores below 12. The patients received an individualized oral health care program that included daily oral care by nursing staff and professional oral care by dentists. Oral health status and oral hygiene were assessed using the Oral Health Assessment Tool (OHAT) and the Simplified Oral Hygiene Index (OHI-S) at baseline and after a two-week follow-up. Data were analyzed using descriptive statistics and Wilcoxon signed-rank test. After the two-week follow-up, there was a significant reduction in both OHI-S and OHAT scores (p<0.05). This oral health care program, which combined daily oral care by nurses, an individual oral care plan, dental prophylaxis, and prevention services by dentists significantly improved oral health and oral hygiene status among hospitalized older patients within two weeks. To further improve the oral hygiene and oral health status of inpatients, the oral health care program should be implemented in other health facilities.
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