Gerodontology最新文献_第6页

Oropharyngeal Exercise Intervention for Swallowing Function in Older Adults: A Systematic Review and Meta-Analysis 口咽运动干预老年人吞咽功能：系统回顾和荟萃分析。

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology

Pub Date : 2025-08-20 DOI: 10.1111/ger.70013

Tien-Wei Hsu, Ming-Chu Feng, Chi Lin, Chih-Hsing Hung, Chih-Hung Ko

Background

Although swallowing function is crucial for older adults, the effects of oropharyngeal exercise interventions on older adults without stroke or cancer remain uncertain.

Methods

A systematic search of five major databases was conducted to identify randomised controlled trials involving oropharyngeal exercise interventions conducted on older adults. The primary outcomes investigated were the changes in maximum tongue pressure (MTP) and the results from the repetitive saliva swallowing test (RSST). The secondary outcomes examined were swallowing pressure and oral motor coordination (oral diadochokinesis, DDK). A subgroup analysis was conducted to compare outcomes between dementia and non-dementia populations. Data synthesis was performed by conducting a random-effects meta-analysis.

Results

Eleven randomised controlled trials were included (n = 622). The oropharyngeal exercise intervention groups exhibited greater improvements in MTP (k = 11, standard mean difference [SMD] = 0.74, 95% confidence interval [CI] = 0.31–1.17) and RSST results (k = 4, SMD = 0.63, 95% CI = 0.28–0.98) than the control group. Positive outcomes were reported in both dementia and non-dementia subgroups. Oropharyngeal exercise interventions also led to increased efficacy for swallowing pressure (k = 4, SMD = 0.71, 95% CI = 0.20–1.22) and oral DDK (k = 3, syllable/pa/, SMD = 1.00, 95% CI = 0.34–1.67; syllable/ta/, SMD = 0.72, 95% CI = 0.02–1.43; syllable/ka/, SMD = 0.83, 95% CI = 0.16–1.42).

Conclusion

Our findings suggested that oropharyngeal exercise intervention is beneficial as a rehabilitative measure for patients with dysphagia and as a preventive measure for healthy older adults.

背景：虽然吞咽功能对老年人至关重要，但口咽运动干预对没有中风或癌症的老年人的影响仍不确定。方法：对五个主要数据库进行系统检索，以确定对老年人进行口咽运动干预的随机对照试验。研究的主要结果是最大舌压（MTP）的变化和重复唾液吞咽试验（RSST）的结果。次要结果是吞咽压力和口腔运动协调（口腔运动失调，DDK）。进行亚组分析以比较痴呆和非痴呆人群的结果。通过随机效应荟萃分析进行数据综合。结果：纳入11项随机对照试验（n = 622）。口咽运动干预组在MTP （k = 11，标准平均差[SMD] = 0.74, 95%可信区间[CI] = 0.31-1.17）和RSST结果（k = 4, SMD = 0.63, 95% CI = 0.28-0.98）方面均较对照组有较大改善。在痴呆和非痴呆亚组中均报告了积极的结果。口咽运动干预也导致吞咽压力（k = 4, SMD = 0.71, 95% CI = 0.20-1.22）和口服DDK （k = 3，音节/pa/， SMD = 1.00, 95% CI = 0.34-1.67；音节/ta/， SMD = 0.72, 95% CI = 0.02-1.43；音节/ka/， SMD = 0.83, 95% CI = 0.16-1.42）的疗效增加。结论：我们的研究结果表明，口咽运动干预作为吞咽困难患者的康复措施和健康老年人的预防措施是有益的。

{"title":"Oropharyngeal Exercise Intervention for Swallowing Function in Older Adults: A Systematic Review and Meta-Analysis","authors":"Tien-Wei Hsu, Ming-Chu Feng, Chi Lin, Chih-Hsing Hung, Chih-Hung Ko","doi":"10.1111/ger.70013","DOIUrl":"10.1111/ger.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although swallowing function is crucial for older adults, the effects of oropharyngeal exercise interventions on older adults without stroke or cancer remain uncertain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search of five major databases was conducted to identify randomised controlled trials involving oropharyngeal exercise interventions conducted on older adults. The primary outcomes investigated were the changes in maximum tongue pressure (MTP) and the results from the repetitive saliva swallowing test (RSST). The secondary outcomes examined were swallowing pressure and oral motor coordination (oral diadochokinesis, DDK). A subgroup analysis was conducted to compare outcomes between dementia and non-dementia populations. Data synthesis was performed by conducting a random-effects meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eleven randomised controlled trials were included (<i>n</i> = 622). The oropharyngeal exercise intervention groups exhibited greater improvements in MTP (<i>k</i> = 11, standard mean difference [SMD] = 0.74, 95% confidence interval [CI] = 0.31–1.17) and RSST results (<i>k</i> = 4, SMD = 0.63, 95% CI = 0.28–0.98) than the control group. Positive outcomes were reported in both dementia and non-dementia subgroups. Oropharyngeal exercise interventions also led to increased efficacy for swallowing pressure (<i>k</i> = 4, SMD = 0.71, 95% CI = 0.20–1.22) and oral DDK (<i>k</i> = 3, syllable/pa/, SMD = 1.00, 95% CI = 0.34–1.67; syllable/ta/, SMD = 0.72, 95% CI = 0.02–1.43; syllable/ka/, SMD = 0.83, 95% CI = 0.16–1.42).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings suggested that oropharyngeal exercise intervention is beneficial as a rehabilitative measure for patients with dysphagia and as a preventive measure for healthy older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 1","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144950623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Robin Heath Citation Award 2025 2025年罗宾·希思引文奖

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology

Pub Date : 2025-08-13 DOI: 10.1111/ger.70009

W. Murray Thomson

引用次数: 0

Applying Digital Technology to a Hollow Palatal Augmentation Prosthesis in an Older Adult Hemiglossectomy Patient: A Case Report 数字技术在老年半盲切除术患者中空腭隆假体中的应用：1例报告

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology

Pub Date : 2025-08-13 DOI: 10.1111/ger.12828

Bin Li, Mai Murase, Yuichi Yamatani, Keita Masaki, Mariko Hattori, Noriyuki Wakabayashi

Objective

To report that digital technology for palatal augmentation prosthesis in older adult hemiglossectomy patients can be fabricated with less burden and effectively improves oral function.

Background

The palatal augmentation prosthesis is a dental prosthesis featuring a thickened palatal plate, designed for patients with significant tongue movement disorders to achieve proper contact between the tongue and the palate. This prosthesis compensates for the impaired tongue function and serves to improve both dysphagia and speech disorders in patients with post-operative oral cancer, cerebrovascular disease and oral frailty.

Materials and Methods

An 81-year-old patient, who had been treated for tongue cancer since theage of 72 and who underwent hemiglossectomy, required palatal augmentation prosthesisreproduction. The existing palatal augmentation prosthesis was scanned and 3D printed. The copied palatal augmentation prosthesis was then adjusted intraorally, scanned again and used to produce a new milled palatal augmentation prosthesis with cast metal clasps.

Result

The palatal augmentation prosthesis was fabricated in four appointments using a digital workflow, successfully restoring the patient's oral function without any adjustments. An oral hypofunction test was then performed, demonstrating satisfactory recovery.

Conclusion

Digital technology enables rapid fabrication of palatal augmentation prostheses with reduced patient burden, facilitating the creation of lightweight hollow prostheses that protect remaining teeth while ensuring satisfactory functional recovery.

目的报道数字技术用于老年半盲切除患者腭隆假体的制作，减轻患者负担，有效改善患者的口腔功能。腭裂假体是一种以增厚腭板为特征的口腔假体，主要用于有明显舌运动障碍的患者，以实现舌与腭之间的适当接触。该假体可补偿舌功能受损，改善术后口腔癌、脑血管疾病和口腔虚弱患者的吞咽困难和语言障碍。材料与方法一例81岁的舌癌患者，72岁开始接受舌癌治疗，行半盲切除术，需要腭部隆胸假体再生产。对现有的腭隆假体进行扫描和3D打印。然后将复制的腭隆假体进行口内调整，再次扫描，并使用铸造金属卡环制作新的磨铣腭隆假体。结果采用数字化工作流程，4次预约制作腭裂修复体，无需任何调整即可恢复患者的口腔功能。然后进行了口腔功能减退测试，显示令人满意的恢复。结论数字技术可以快速制作腭隆假体，减轻患者负担，有利于制作轻质中空假体，在保护残牙的同时保证满意的功能恢复。

{"title":"Applying Digital Technology to a Hollow Palatal Augmentation Prosthesis in an Older Adult Hemiglossectomy Patient: A Case Report","authors":"Bin Li, Mai Murase, Yuichi Yamatani, Keita Masaki, Mariko Hattori, Noriyuki Wakabayashi","doi":"10.1111/ger.12828","DOIUrl":"https://doi.org/10.1111/ger.12828","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To report that digital technology for palatal augmentation prosthesis in older adult hemiglossectomy patients can be fabricated with less burden and effectively improves oral function.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The palatal augmentation prosthesis is a dental prosthesis featuring a thickened palatal plate, designed for patients with significant tongue movement disorders to achieve proper contact between the tongue and the palate. This prosthesis compensates for the impaired tongue function and serves to improve both dysphagia and speech disorders in patients with post-operative oral cancer, cerebrovascular disease and oral frailty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>An 81-year-old patient, who had been treated for tongue cancer since theage of 72 and who underwent hemiglossectomy, required palatal augmentation prosthesisreproduction. The existing palatal augmentation prosthesis was scanned and 3D printed. The copied palatal augmentation prosthesis was then adjusted intraorally, scanned again and used to produce a new milled palatal augmentation prosthesis with cast metal clasps.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>The palatal augmentation prosthesis was fabricated in four appointments using a digital workflow, successfully restoring the patient's oral function without any adjustments. An oral hypofunction test was then performed, demonstrating satisfactory recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Digital technology enables rapid fabrication of palatal augmentation prostheses with reduced patient burden, facilitating the creation of lightweight hollow prostheses that protect remaining teeth while ensuring satisfactory functional recovery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 3","pages":"429-433"},"PeriodicalIF":1.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144832554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diary Dates 日记的日期

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology

Pub Date : 2025-08-13 DOI: 10.1111/ger.70010

引用次数: 0

Effects of Oral Care in Terminal Cancer Patients Shortly Before Death 临终前口腔护理对晚期癌症患者的影响。

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology

Pub Date : 2025-08-12 DOI: 10.1111/ger.70008

Mieko Okamoto, Hiroko Tanaka, Shigeru Tamura, Daisuke Kanamori, Miyuki Yokoi, Masanobu Usui, Mitsuyoshi Yoshida

Objective

We aimed to examine the effects of oral care in patients with terminal cancer approaching death.

Background

Patients with terminal-stage cancer often experience symptoms like oral dryness and candidiasis. Previous studies showed that without professional dental care, oral hygiene significantly worsens within 3 weeks before death. Therefore, oral management is essential for patients with terminal cancer. However, the specific effects of oral hygiene in these patients remain unclear.

Material and Methods

Twenty patients were admitted to two palliative care units at our institution between June 2022 and May 2023 and received oral care multiple times before death. Oral hygiene was assessed using the Oral Health Assessment Tool (OHAT), and oral dryness was evaluated with an oral moisture checker. The Face Rating Scale (FRS) was assessed before and after professional oral care.

Results

During the week of death, the number of people who were able to speak and follow instructions decreased, while the number who used sedatives and oxygen increased. There was no significant difference in the degree of oral dryness before oral care between the time of hospitalisation and the week of death. However, oral dryness improved significantly after oral care at admission (before: 21.0 ± 8.3, after: 26.7 ± 3.2) and the week of death (before: 16.8 ± 8.4, after: 25.8 ± 3.7). There was no difference in the time taken for oral care or FRS scores at admission and the week of death.

Conclusion

Continuous oral care in patients with terminal cancer can prevent worsening oral hygiene and maintain moisture.

目的：探讨口腔护理对临近死亡的晚期癌症患者的影响。背景：晚期癌症患者经常出现口腔干燥和念珠菌病等症状。以前的研究表明，如果没有专业的牙科护理，口腔卫生在死亡前3周内明显恶化。因此，对于晚期癌症患者来说，口服治疗是必不可少的。然而，口腔卫生对这些患者的具体影响尚不清楚。材料和方法：20例患者于2022年6月至2023年5月入住我们机构的两个姑息治疗病房，并在死亡前多次接受口腔护理。使用口腔健康评估工具（OHAT）评估口腔卫生，使用口腔水分测试仪评估口腔干燥。面部评定量表（FRS）在专业口腔护理前后进行评估。结果：在死亡一周内，能够说话和遵循指示的人数减少，而使用镇静剂和氧气的人数增加。在住院时间和死亡周之间，口腔护理前的口腔干燥程度无显著差异。然而，入院时口腔护理（入院前：21.0±8.3，入院后：26.7±3.2）和死亡一周（入院前：16.8±8.4，死亡后：25.8±3.7）后，口腔干燥明显改善。入院时的口腔护理时间和死亡周的FRS评分没有差异。结论：癌症晚期患者持续口腔护理可预防口腔卫生恶化，保持口腔水分。

{"title":"Effects of Oral Care in Terminal Cancer Patients Shortly Before Death","authors":"Mieko Okamoto, Hiroko Tanaka, Shigeru Tamura, Daisuke Kanamori, Miyuki Yokoi, Masanobu Usui, Mitsuyoshi Yoshida","doi":"10.1111/ger.70008","DOIUrl":"10.1111/ger.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>We aimed to examine the effects of oral care in patients with terminal cancer approaching death.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Patients with terminal-stage cancer often experience symptoms like oral dryness and candidiasis. Previous studies showed that without professional dental care, oral hygiene significantly worsens within 3 weeks before death. Therefore, oral management is essential for patients with terminal cancer. However, the specific effects of oral hygiene in these patients remain unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>Twenty patients were admitted to two palliative care units at our institution between June 2022 and May 2023 and received oral care multiple times before death. Oral hygiene was assessed using the Oral Health Assessment Tool (OHAT), and oral dryness was evaluated with an oral moisture checker. The Face Rating Scale (FRS) was assessed before and after professional oral care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>During the week of death, the number of people who were able to speak and follow instructions decreased, while the number who used sedatives and oxygen increased. There was no significant difference in the degree of oral dryness before oral care between the time of hospitalisation and the week of death. However, oral dryness improved significantly after oral care at admission (before: 21.0 ± 8.3, after: 26.7 ± 3.2) and the week of death (before: 16.8 ± 8.4, after: 25.8 ± 3.7). There was no difference in the time taken for oral care or FRS scores at admission and the week of death.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Continuous oral care in patients with terminal cancer can prevent worsening oral hygiene and maintain moisture.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 1","pages":"21-26"},"PeriodicalIF":1.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using Role Substitution to Improve Oral Health in Care Homes: A Process Evaluation 使用角色替代改善养老院的口腔健康：一个过程评价。

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology

Pub Date : 2025-08-07 DOI: 10.1111/ger.70012

Annie Hendry, Sarah R. Baker, Gerry McKenna, Georgios Tsakos, Ivor Chestnutt, Craig Smith, Ciaran O'Neill, Alison Jenkins, Rachel Evans, Saif Sayeed Syed, Michelle Harvey, Anup Karki, Kirstie Moons, Fiona Sandom, Michael Donaldson, Caroline Lappin, Karen Shepherd, Lorraine Morgan, Paul R. Brocklehurst

Background

The oral health of many older adults residing in care homes is poor and service provision is limited. Role substitution has been suggested as a potential model to improve service provision in this context and describes the reallocation of tasks from a dentist to other members of the dental team.

Objectives

To undertake a theoretically informed process evaluation alongside a pragmatic cluster-randomised controlled trial to determine whether the use of Dental Therapists and Dental Nurses could improve the oral health of dependent older adults in care homes in the UK.

Materials and Methods

Semistructured interviews were held with 17 key stakeholders responsible for intervention delivery. Parallel observations were utilised during the intervention delivery phase in 22 homes. Both were conducted inductively using the main themes from the Promoting Action on Research Implementation in Health Services (PARIHS) framework to focus on intervention delivery and implementation.

Results

Stakeholders were receptive to the potential of using role substitution in this setting and saw this as a viable alternative to current practice. Partnership working was considered key, but was not always observed, and some care staff did not see oral health as their responsibility. The physical environment of the care home setting created a number of challenges, and sugary food and drinks were ubiquitous and formed an important part of the day-to-day structure within the home.

Conclusion

Although role substitution has the potential to meet the needs of dependent older people, a number of challenges exist in promoting oral health and delivering service provision.

背景：许多居住在养老院的老年人的口腔健康状况较差，服务提供有限。在这种情况下，角色替代被认为是一种潜在的改善服务提供的模式，它描述了任务从牙医到牙科团队其他成员的重新分配。目的：进行一项理论知情的过程评估，同时进行一项实用的集群随机对照试验，以确定牙科治疗师和牙科护士的使用是否可以改善英国养老院中依赖老年人的口腔健康。材料和方法：与17个负责干预交付的关键利益相关者进行半结构化访谈。在22个家庭的干预交付阶段采用了平行观察。这两项研究都是利用卫生服务研究实施促进行动（PARIHS）框架的主题进行归纳的，重点是干预措施的提供和实施。结果：利益相关者接受在这种情况下使用角色替代的潜力，并将其视为当前实践的可行替代方案。伙伴关系工作被认为是关键，但并不总是得到遵守，一些护理人员不认为口腔健康是他们的责任。护理院的物理环境带来了许多挑战，含糖食物和饮料无处不在，成为家庭日常结构的重要组成部分。结论：虽然角色替代有可能满足依赖老年人的需求，但在促进口腔健康和提供服务方面存在一些挑战。

{"title":"Using Role Substitution to Improve Oral Health in Care Homes: A Process Evaluation","authors":"Annie Hendry, Sarah R. Baker, Gerry McKenna, Georgios Tsakos, Ivor Chestnutt, Craig Smith, Ciaran O'Neill, Alison Jenkins, Rachel Evans, Saif Sayeed Syed, Michelle Harvey, Anup Karki, Kirstie Moons, Fiona Sandom, Michael Donaldson, Caroline Lappin, Karen Shepherd, Lorraine Morgan, Paul R. Brocklehurst","doi":"10.1111/ger.70012","DOIUrl":"10.1111/ger.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The oral health of many older adults residing in care homes is poor and service provision is limited. Role substitution has been suggested as a potential model to improve service provision in this context and describes the reallocation of tasks from a dentist to other members of the dental team.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To undertake a theoretically informed process evaluation alongside a pragmatic cluster-randomised controlled trial to determine whether the use of Dental Therapists and Dental Nurses could improve the oral health of dependent older adults in care homes in the UK.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Semistructured interviews were held with 17 key stakeholders responsible for intervention delivery. Parallel observations were utilised during the intervention delivery phase in 22 homes. Both were conducted inductively using the main themes from the Promoting Action on Research Implementation in Health Services (PARIHS) framework to focus on intervention delivery and implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Stakeholders were receptive to the potential of using role substitution in this setting and saw this as a viable alternative to current practice. Partnership working was considered key, but was not always observed, and some care staff did not see oral health as their responsibility. The physical environment of the care home setting created a number of challenges, and sugary food and drinks were ubiquitous and formed an important part of the day-to-day structure within the home.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although role substitution has the potential to meet the needs of dependent older people, a number of challenges exist in promoting oral health and delivering service provision.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 1","pages":"36-43"},"PeriodicalIF":1.7,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12872973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of Tooth Loss With Stress and Depressive Symptoms in Korean Adults: An Analysis Using Korean National Health and Nutrition Examination Survey (KNHANES VI) (2013, 2015) 韩国成年人牙齿脱落与压力和抑郁症状的关系：基于韩国国家健康和营养调查（KNHANES VI）（2013, 2015）的分析。

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology

Pub Date : 2025-08-06 DOI: 10.1111/ger.70016

Jae-hun Koh, Eun-Jae Choi, Jung-Ah Lee, Seon-Jip Kim, Hyun-Jae Cho

Objective

To examine the association between tooth loss and depressive symptoms in the Korean population using nationally representative data.

Background

Tooth loss negatively impacts oral function, aesthetics, and overall quality of life. It can lead to systemic issues, such as nutritional deficiencies, and is associated with mental health problems, including depressive symptoms. While the relationship between tooth loss and depressive symptoms has been explored in Western populations, research focusing on Asian populations, particularly Koreans, remains limited.

Materials and Methods

This cross-sectional study utilised data from the 6th Korea National Health and Nutrition Examination Survey (KNHANES), including 9,166 adults aged 30 years and older. The primary variable was the number of remaining natural teeth, categorised as fewer than 12 or more. Stress and depressive symptoms were assessed using self-report questionnaires. Logistic regression models were used to evaluate the association between tooth loss and depressive symptoms after adjusting for sociodemographic, behavioural and health-related factors.

Results

Among the 9166 participants, 946 had fewer than 12 remaining natural teeth, and the remainder had 12 or more. Participants with fewer than 12 teeth showed significantly higher adjusted odds of experiencing depressive symptoms (aOR, adjusted odds ratio, 1.45; 95% CI, confidence interval, 1.12–1.87) and stress (aOR, 1.35; 95% CI, 1.04–1.74) than those with more teeth. These associations were particularly pronounced among women, older adults (≥ 65 years), and individuals requiring dentures.

Conclusion

This study demonstrates a significant association between having fewer remaining teeth and higher levels of stress and depressive symptoms, emphasising the importance of oral health in mental well-being. The relationship was particularly evident among women, younger adults and those with unmet prosthetic needs. These findings highlight the need to incorporate oral health considerations into public mental health strategies targeting high-risk populations.

目的：利用具有全国代表性的数据，研究韩国人群中牙齿脱落与抑郁症状之间的关系。背景：牙齿脱落会对口腔功能、美观和整体生活质量产生负面影响。它可能导致全身性问题，如营养缺乏，并与包括抑郁症状在内的精神健康问题有关。虽然在西方人群中已经探索了牙齿脱落和抑郁症状之间的关系，但针对亚洲人群，特别是韩国人的研究仍然有限。材料和方法：本横断面研究利用了第六届韩国国家健康和营养检查调查（KNHANES）的数据，包括9166名30岁及以上的成年人。主要变量是剩余天然牙齿的数量，分类为少于12颗或更多。使用自我报告问卷评估压力和抑郁症状。在调整了社会人口学、行为和健康相关因素后，使用逻辑回归模型评估牙齿脱落与抑郁症状之间的关系。结果：在9166名参与者中，946名剩余的自然牙少于12颗，其余的有12颗或更多。牙齿少于12颗的受试者出现抑郁症状的调整后几率显著高于其他受试者(aOR，调整后比值比，1.45；95% CI，可信区间，1.12-1.87)和压力(aOR, 1.35；95% CI, 1.04-1.74)。这些关联在女性、老年人（≥65岁）和需要假牙的个体中尤为明显。结论：这项研究表明，剩余牙齿较少与压力和抑郁症状水平较高之间存在显著关联，强调了口腔健康对心理健康的重要性。这种关系在女性、年轻人和那些假肢需求未得到满足的人群中尤为明显。这些发现强调了将口腔健康考虑纳入针对高危人群的公共精神卫生战略的必要性。

{"title":"Association of Tooth Loss With Stress and Depressive Symptoms in Korean Adults: An Analysis Using Korean National Health and Nutrition Examination Survey (KNHANES VI) (2013, 2015)","authors":"Jae-hun Koh, Eun-Jae Choi, Jung-Ah Lee, Seon-Jip Kim, Hyun-Jae Cho","doi":"10.1111/ger.70016","DOIUrl":"10.1111/ger.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine the association between tooth loss and depressive symptoms in the Korean population using nationally representative data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Tooth loss negatively impacts oral function, aesthetics, and overall quality of life. It can lead to systemic issues, such as nutritional deficiencies, and is associated with mental health problems, including depressive symptoms. While the relationship between tooth loss and depressive symptoms has been explored in Western populations, research focusing on Asian populations, particularly Koreans, remains limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>This cross-sectional study utilised data from the 6th Korea National Health and Nutrition Examination Survey (KNHANES), including 9,166 adults aged 30 years and older. The primary variable was the number of remaining natural teeth, categorised as fewer than 12 or more. Stress and depressive symptoms were assessed using self-report questionnaires. Logistic regression models were used to evaluate the association between tooth loss and depressive symptoms after adjusting for sociodemographic, behavioural and health-related factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 9166 participants, 946 had fewer than 12 remaining natural teeth, and the remainder had 12 or more. Participants with fewer than 12 teeth showed significantly higher adjusted odds of experiencing depressive symptoms (aOR, adjusted odds ratio, 1.45; 95% CI, confidence interval, 1.12–1.87) and stress (aOR, 1.35; 95% CI, 1.04–1.74) than those with more teeth. These associations were particularly pronounced among women, older adults (≥ 65 years), and individuals requiring dentures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrates a significant association between having fewer remaining teeth and higher levels of stress and depressive symptoms, emphasising the importance of oral health in mental well-being. The relationship was particularly evident among women, younger adults and those with unmet prosthetic needs. These findings highlight the need to incorporate oral health considerations into public mental health strategies targeting high-risk populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 1","pages":"61-68"},"PeriodicalIF":1.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12872974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oral Care for Post-Acute Inpatients: Exploring Nurses' Knowledge, Attitudes, and Practices in the Community Hospital Setting 急症后住院病人的口腔护理：探索社区医院护士的知识、态度和实践。

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology

Pub Date : 2025-08-06 DOI: 10.1111/ger.70014

Madeleine Wan Yong Tan, Adrian Ujin Yap, M. Devi, Kelvin Wee Boon Koh

Objectives

This study investigated nurses' personal oral health behaviours, oral health knowledge, and attitudes and beliefs regarding the oral care of older adult inpatients in a community hospital. It also explored the associations between the type of nursing personnel and years of work experience with oral health attitudes and beliefs.

Background

Nurses can substantially impact inpatients' general and oral health outcomes through oral health assessments and oral care.

Methods

Nurses from a community hospital in Singapore completed a survey comprising four domains: (a) demographic characteristics and personal oral health behaviours, (b) oral health knowledge, (c) oral care practices, and (d) attitudes and beliefs toward oral care. Descriptive statistics were performed, and data were analysed with the Mann–Whitney U-test (α = 0.05).

Results

The final sample consisted of 152 participants (51 nursing assistants and 101 registered nurses), of which 62 had less than 5 years' work experience and the remainder had more than 5 years' experience. Knowledge gaps were observed in oral disease identification and implications. Most nurses perceived oral care as a high priority and believed it influenced clinical outcomes. Although nursing assistants felt they received adequate training in oral care, they were more likely than registered nurses to wait until patients developed problems before consulting a dentist.

Conclusion

There are gaps in nurses' oral health knowledge and dental referral practices for managing oral health issues in a community hospital setting. The findings underscore the importance of targeted oral health education to better integrate oral care for holistic rehabilitation of older inpatients.

目的：调查某社区医院护士个人口腔健康行为、口腔健康知识及对老年住院患者口腔护理的态度和信念。它还探讨了护理人员类型和工作经验与口腔健康态度和信念之间的关系。背景：护士可以通过口腔健康评估和口腔护理实质性地影响住院患者的一般和口腔健康结果。方法：新加坡一家社区医院的护士完成了一项调查，包括四个方面：(a)人口统计学特征和个人口腔健康行为，(b)口腔健康知识，(c)口腔护理实践，以及(d)对口腔护理的态度和信念。进行描述性统计，资料采用Mann-Whitney u检验（α = 0.05）。结果：最终样本包括152名参与者（51名护理助理和101名注册护士），其中62名工作经验少于5年，其余5年以上的工作经验。在口腔疾病的识别和影响方面存在知识缺口。大多数护士认为口腔护理是重中之重，并认为它会影响临床结果。尽管护理助理认为他们在口腔护理方面接受了足够的培训，但与注册护士相比，他们更有可能等到病人出现问题才去看牙医。结论：社区医院护士的口腔健康知识和口腔转诊实践存在差距。研究结果强调了有针对性的口腔健康教育对老年住院患者整体康复的重要性。

{"title":"Oral Care for Post-Acute Inpatients: Exploring Nurses' Knowledge, Attitudes, and Practices in the Community Hospital Setting","authors":"Madeleine Wan Yong Tan, Adrian Ujin Yap, M. Devi, Kelvin Wee Boon Koh","doi":"10.1111/ger.70014","DOIUrl":"10.1111/ger.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study investigated nurses' personal oral health behaviours, oral health knowledge, and attitudes and beliefs regarding the oral care of older adult inpatients in a community hospital. It also explored the associations between the type of nursing personnel and years of work experience with oral health attitudes and beliefs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses can substantially impact inpatients' general and oral health outcomes through oral health assessments and oral care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Nurses from a community hospital in Singapore completed a survey comprising four domains: (a) demographic characteristics and personal oral health behaviours, (b) oral health knowledge, (c) oral care practices, and (d) attitudes and beliefs toward oral care. Descriptive statistics were performed, and data were analysed with the Mann–Whitney <i>U</i>-test (<i>α</i> = 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final sample consisted of 152 participants (51 nursing assistants and 101 registered nurses), of which 62 had less than 5 years' work experience and the remainder had more than 5 years' experience. Knowledge gaps were observed in oral disease identification and implications. Most nurses perceived oral care as a high priority and believed it influenced clinical outcomes. Although nursing assistants felt they received adequate training in oral care, they were more likely than registered nurses to wait until patients developed problems before consulting a dentist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There are gaps in nurses' oral health knowledge and dental referral practices for managing oral health issues in a community hospital setting. The findings underscore the importance of targeted oral health education to better integrate oral care for holistic rehabilitation of older inpatients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 1","pages":"44-53"},"PeriodicalIF":1.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acceptance of a Mobile Oral Healthcare Tool Among Nursing Home Caregivers: A Cross-Sectional Study Using the Technology Acceptance Model 接受移动口腔保健工具在养老院照顾者：使用技术接受模型的横断面研究。

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology

Pub Date : 2025-07-24 DOI: 10.1111/ger.70011

Enes Karamehmedovic, Elisabeth Lind Melbye

Background

The rapid evolution of mobile healthcare technology holds promise for enhancing efficiency and care outcomes in nursing homes. However, accepting and effectively using such technologies poses challenges for caregivers, exacerbated by limited resources and various barriers. SmartJournal represents an innovative mobile healthcare application (app) designed specifically for enhancing oral healthcare in nursing home settings.

Objective

To investigate factors associated with intentions to use SmartJournal, focusing on the contributions of variables within the Technology Acceptance Model (TAM) framework.

Materials and Methods

A cross-sectional study was conducted among 85 nursing home caregivers in Norway utilising the SmartJournal app, followed by a survey assessing predictors of technology acceptance based on extended versions of the TAM framework. Factor analysis was utilised to identify and evaluate the underlying dimensions of the measured constructs and their relationships. Multiple linear regression analysis was used to examine the factors associated with intentions for future SmartJournal usage explained by the constructs in the chosen framework.

Results

The TAM variables perceived usefulness, perceived ease of use and image were revealed as predictors of intention for future SmartJournal usage in the present study sample. Together, these variables explained 41.8% of the variance, with perceived usefulness being the most influential factor, accounting for 19.6%.

Conclusion

This study identified perceived usefulness (PU) and perceived ease of use (PEOU) as key factors associated with nursing home caregivers' intention to use SmartJournal, providing insights for future implementation of the tool.

背景：移动医疗技术的快速发展有望提高养老院的效率和护理效果。然而，接受和有效地使用这些技术给护理人员带来了挑战，资源有限和各种障碍加剧了这种挑战。SmartJournal是一款创新的移动医疗保健应用程序（app），专为增强养老院环境中的口腔保健而设计。目的：研究与使用SmartJournal意向相关的因素，重点研究技术接受模型（TAM）框架内变量的贡献。材料和方法：利用SmartJournal应用程序对挪威85名养老院护理人员进行了一项横断面研究，随后进行了一项基于TAM框架扩展版本的技术接受度评估预测因素的调查。因子分析用于识别和评估测量结构的潜在维度及其关系。使用多元线性回归分析来检查与所选框架中的结构解释的未来SmartJournal使用意图相关的因素。结果：TAM变量感知有用性、感知易用性和图像被揭示为本研究样本中未来SmartJournal使用意向的预测因子。总的来说，这些变量解释了41.8%的方差，其中感知有用性是最具影响力的因素，占19.6%。结论：本研究确定了感知有用性（PU）和感知易用性（PEOU）是与养老院护理人员使用SmartJournal意愿相关的关键因素，为该工具的未来实施提供了见解。

{"title":"Acceptance of a Mobile Oral Healthcare Tool Among Nursing Home Caregivers: A Cross-Sectional Study Using the Technology Acceptance Model","authors":"Enes Karamehmedovic, Elisabeth Lind Melbye","doi":"10.1111/ger.70011","DOIUrl":"10.1111/ger.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The rapid evolution of mobile healthcare technology holds promise for enhancing efficiency and care outcomes in nursing homes. However, accepting and effectively using such technologies poses challenges for caregivers, exacerbated by limited resources and various barriers. SmartJournal represents an innovative mobile healthcare application (app) designed specifically for enhancing oral healthcare in nursing home settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To investigate factors associated with intentions to use SmartJournal, focusing on the contributions of variables within the Technology Acceptance Model (TAM) framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted among 85 nursing home caregivers in Norway utilising the SmartJournal app, followed by a survey assessing predictors of technology acceptance based on extended versions of the TAM framework. Factor analysis was utilised to identify and evaluate the underlying dimensions of the measured constructs and their relationships. Multiple linear regression analysis was used to examine the factors associated with intentions for future SmartJournal usage explained by the constructs in the chosen framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The TAM variables perceived usefulness, perceived ease of use and image were revealed as predictors of intention for future SmartJournal usage in the present study sample. Together, these variables explained 41.8% of the variance, with perceived usefulness being the most influential factor, accounting for 19.6%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study identified perceived usefulness (PU) and perceived ease of use (PEOU) as key factors associated with nursing home caregivers' intention to use SmartJournal, providing insights for future implementation of the tool.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 1","pages":"27-35"},"PeriodicalIF":1.7,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12872972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Virtual Reality and Augmented Reality Training Modules for Geriatric Oral Care in a Residential Aged Care Facility: A Quasi-Experimental Study 虚拟实境与增强实境训练模组在住家养老机构的口腔护理效果：一项准实验研究。

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology

Pub Date : 2025-07-18 DOI: 10.1111/ger.70007

Kuei-Hsiang Huang, Pei-Chen Lin, Hsiu-Fen Hsieh, Yi-Ching Lin, Hsiao-Lin Huang, Shu-Fen Wung, Pei-Chao Lin

Objectives

This study aimed to compare the effectiveness of virtual reality (VR) and augmented reality (AR) geriatric oral care modules with traditional teaching methods for training nurses, nursing assistants (NAs), and residents in a residential aged care facility (RACF).

Background

VR/AR geriatric oral care modules have been used to enhance the knowledge, attitudes, and self-efficacy of nursing students and NAs regarding geriatric oral health.

Materials and Methods

This study employed a quasi-experimental design. The experimental group, consisting of nurses and NAs, received training through VR/AR geriatric oral care modules, whereas the control group attended a traditional 2-h lecture on oral care. The effectiveness of the training in terms of knowledge, attitudes, and self-efficacy related to geriatric oral care among nurses and NAs was analysed using generalised estimating equations.

Results

Three months after the training, the oral care attitude scores of the nurses and NAs in the experimental group (26.0 ± 1.3) were significantly higher than those in the control group (23.5 ± 2.4, β = −3.7). The two training methods showed similar effects on knowledge and self-efficacy immediately after the training and 3 months later. However, no improvement in oral function was observed in residents of either group at the three-month follow-up.

Conclusion

Training with VR/AR modules for geriatric oral care can significantly enhance the attitudes of nurses and NAs 3 months after training in an RACF. It is recommended that such training be conducted regularly for nurses and NAs to further evaluate its effectiveness.

目的：本研究旨在比较虚拟现实（VR）和增强现实（AR）老年口腔护理模块与传统教学方法在老年护理机构（RACF）中培训护士、护理助理（NAs）和住院医师的有效性。背景：利用VR/AR老年口腔护理模块提高护生和护士对老年口腔健康的知识、态度和自我效能感。材料与方法：本研究采用准实验设计。实验组由护士和护士组成，通过VR/AR老年口腔护理模块进行培训，而对照组则参加传统的2小时口腔护理讲座。采用广义估计方程分析护士和执业护士在老年口腔护理知识、态度和自我效能方面的培训效果。结果：培训3个月后，实验组护士和NAs的口腔护理态度得分（26.0±1.3）分显著高于对照组（23.5±2.4,β = -3.7）分。两种训练方法在训练后即刻和3个月后对知识和自我效能感的影响相似。然而，在三个月的随访中，两组居民的口腔功能均未见改善。结论：采用VR/AR模块进行老年口腔护理培训，可显著提高护士和护士在培训后3个月的态度。建议定期对护士和护士进行此类培训，以进一步评估其有效性。

{"title":"Effectiveness of Virtual Reality and Augmented Reality Training Modules for Geriatric Oral Care in a Residential Aged Care Facility: A Quasi-Experimental Study","authors":"Kuei-Hsiang Huang, Pei-Chen Lin, Hsiu-Fen Hsieh, Yi-Ching Lin, Hsiao-Lin Huang, Shu-Fen Wung, Pei-Chao Lin","doi":"10.1111/ger.70007","DOIUrl":"10.1111/ger.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to compare the effectiveness of virtual reality (VR) and augmented reality (AR) geriatric oral care modules with traditional teaching methods for training nurses, nursing assistants (NAs), and residents in a residential aged care facility (RACF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>VR/AR geriatric oral care modules have been used to enhance the knowledge, attitudes, and self-efficacy of nursing students and NAs regarding geriatric oral health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>This study employed a quasi-experimental design. The experimental group, consisting of nurses and NAs, received training through VR/AR geriatric oral care modules, whereas the control group attended a traditional 2-h lecture on oral care. The effectiveness of the training in terms of knowledge, attitudes, and self-efficacy related to geriatric oral care among nurses and NAs was analysed using generalised estimating equations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three months after the training, the oral care attitude scores of the nurses and NAs in the experimental group (26.0 ± 1.3) were significantly higher than those in the control group (23.5 ± 2.4, <i>β</i> = −3.7). The two training methods showed similar effects on knowledge and self-efficacy immediately after the training and 3 months later. However, no improvement in oral function was observed in residents of either group at the three-month follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Training with VR/AR modules for geriatric oral care can significantly enhance the attitudes of nurses and NAs 3 months after training in an RACF. It is recommended that such training be conducted regularly for nurses and NAs to further evaluate its effectiveness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 1","pages":"11-20"},"PeriodicalIF":1.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0