Oral health care interventions for older adults living in nursing homes: An umbrella review

IF 2 Aging and health research Pub Date : 2024-04-10 DOI:10.1016/j.ahr.2024.100190

Mille Vogelius Bøtchiær , Ellen Margrethe Bugge , Palle Larsen

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Abstract

This review aims to assess the impact of oral health care interventions on the overall health enhancement and prevention of disease among older adults residing in nursing homes. A systematic search was conducted for reviews published between January 2012 and December 2022, focusing on oral health in nursing home settings. Seventeen reviews met the inclusion criteria, encompassing studies involving older adults, their families, and nursing home staff. Various databases, including PubMed, CINAHL Complete, Scopus, and others, were searched, and quality assessments were performed using established guidelines.

Findings suggest a correlation between oral health and nutritional status, with potential implications for pneumonia prevention through professional oral health care. However, recommendations for interventions remain elusive due to insufficient evidence, particularly regarding the effectiveness of oral health education for caregivers. Despite a documented low oral health-related quality of life among older nursing home residents, oral health promotion programs show promise in addressing this issue.

In conclusion, there is a pressing need to enhance oral health among older adults in nursing homes. While certain interventions demonstrate potential effectiveness, the current evidence lacks consistency and comprehensiveness. Future research efforts should prioritize collaborative approaches between practice and research to explore diverse outcomes and ensure optimal practice.

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针对住在养老院的老年人的口腔保健干预措施：综述

本综述旨在评估口腔保健干预措施对提高居住在养老院的老年人的整体健康水平和预防疾病的影响。我们对 2012 年 1 月至 2022 年 12 月间发表的以养老院口腔健康为主题的综述进行了系统检索。有 17 篇综述符合纳入标准，包括涉及老年人、其家人和养老院员工的研究。研究结果表明，口腔健康与营养状况之间存在相关性，这对通过专业口腔保健预防肺炎具有潜在意义。然而，由于证据不足，尤其是针对护理人员的口腔健康教育的有效性方面的证据不足，有关干预措施的建议仍然难以确定。总之，加强养老院老年人的口腔健康迫在眉睫。虽然某些干预措施显示出潜在的有效性，但目前的证据缺乏一致性和全面性。未来的研究工作应优先考虑实践与研究之间的合作方法，以探索不同的结果并确保最佳实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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