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The association of frailty with oral cleaning habits and oral hygiene among elderly home care clients.
Scand J Caring Sci. 2019 Dec 17 [Online ahead of print]SJ

Abstract

BACKGROUND

Increasing numbers of frail elderly people living at home but dependent on supportive care will face complex oral health challenges.

OBJECTIVES

To investigate the associations of frailty status with oral cleaning habits and oral hygiene taking into account the effects of preventive oral health intervention among home care clients aged 75 or over.

METHODS

Data were gathered by interviews and clinical oral examinations at baseline and after a 6-month follow-up. Frailty status was evaluated at baseline using the abbreviated comprehensive geriatric assessment (aCGA) scale, which consists of 15 questions from three different domains: cognitive status, functional status and depression. A total of 231 home care clients completed the aCGA at baseline and the interview and clinical oral examination both at baseline and after the follow-up.

RESULTS

Using the aCGA classification with at least one score in the ≥2 domain, 62% of clients were classified as frail at baseline. They had poorer oral cleaning habits and hygiene, and they had lost more teeth than nonfrail participants. Multivariate analysis showed that being frail at baseline was statistically significantly associated with a lower frequency of toothbrushing and denture cleaning (OR = 0.4, 95% CI = 0.1-0.9 and OR = 0.3, 95% CI = 0.1-0.8) at baseline, but not after the follow-up. Membership in the intervention group was associated with better oral cleaning at the follow-up. However, among the frail participants, toothbrushing frequency was still significantly lower and oral hygiene poorer than among the nonfrail group.

CONCLUSIONS

Oral cleaning habits of frail elderly people were slightly improved as a result of external support, which had a positive effect on oral hygiene. Individual preventive actions in the context of oral health and hygiene should be integrated into the daily care plan of home care clients with the first signs of frailty.

Authors+Show Affiliations

Public Health Center, Oral Health Care Services, Kuopio, Finland. Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.Institute of Dentistry, University of Eastern Finland, Kuopio, Finland. Chief Dentist, Social and Health Services, Espoo, Finland.Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.Kuopio Research Centre of Geriatric Care, School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.Kuopio Research Centre of Geriatric Care, School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.Institute of Dentistry, Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31845365

Citation

Tuuliainen, Eveliina, et al. "The Association of Frailty With Oral Cleaning Habits and Oral Hygiene Among Elderly Home Care Clients." Scandinavian Journal of Caring Sciences, 2019.
Tuuliainen E, Nihtilä A, Komulainen K, et al. The association of frailty with oral cleaning habits and oral hygiene among elderly home care clients. Scand J Caring Sci. 2019.
Tuuliainen, E., Nihtilä, A., Komulainen, K., Nykänen, I., Hartikainen, S., Tiihonen, M., & Suominen, A. L. (2019). The association of frailty with oral cleaning habits and oral hygiene among elderly home care clients. Scandinavian Journal of Caring Sciences. https://doi.org/10.1111/scs.12801
Tuuliainen E, et al. The Association of Frailty With Oral Cleaning Habits and Oral Hygiene Among Elderly Home Care Clients. Scand J Caring Sci. 2019 Dec 17; PubMed PMID: 31845365.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association of frailty with oral cleaning habits and oral hygiene among elderly home care clients. AU - Tuuliainen,Eveliina, AU - Nihtilä,Annamari, AU - Komulainen,Kaija, AU - Nykänen,Irma, AU - Hartikainen,Sirpa, AU - Tiihonen,Miia, AU - Suominen,Anna Liisa, Y1 - 2019/12/17/ PY - 2019/05/28/received PY - 2019/11/13/accepted PY - 2019/12/18/entrez KW - frailty KW - home care KW - older people KW - oral health KW - oral hygiene JF - Scandinavian journal of caring sciences JO - Scand J Caring Sci N2 - BACKGROUND: Increasing numbers of frail elderly people living at home but dependent on supportive care will face complex oral health challenges. OBJECTIVES: To investigate the associations of frailty status with oral cleaning habits and oral hygiene taking into account the effects of preventive oral health intervention among home care clients aged 75 or over. METHODS: Data were gathered by interviews and clinical oral examinations at baseline and after a 6-month follow-up. Frailty status was evaluated at baseline using the abbreviated comprehensive geriatric assessment (aCGA) scale, which consists of 15 questions from three different domains: cognitive status, functional status and depression. A total of 231 home care clients completed the aCGA at baseline and the interview and clinical oral examination both at baseline and after the follow-up. RESULTS: Using the aCGA classification with at least one score in the ≥2 domain, 62% of clients were classified as frail at baseline. They had poorer oral cleaning habits and hygiene, and they had lost more teeth than nonfrail participants. Multivariate analysis showed that being frail at baseline was statistically significantly associated with a lower frequency of toothbrushing and denture cleaning (OR = 0.4, 95% CI = 0.1-0.9 and OR = 0.3, 95% CI = 0.1-0.8) at baseline, but not after the follow-up. Membership in the intervention group was associated with better oral cleaning at the follow-up. However, among the frail participants, toothbrushing frequency was still significantly lower and oral hygiene poorer than among the nonfrail group. CONCLUSIONS: Oral cleaning habits of frail elderly people were slightly improved as a result of external support, which had a positive effect on oral hygiene. Individual preventive actions in the context of oral health and hygiene should be integrated into the daily care plan of home care clients with the first signs of frailty. SN - 1471-6712 UR - https://www.unboundmedicine.com/medline/citation/31845365/The_association_of_frailty_with_oral_cleaning_habits_and_oral_hygiene_among_elderly_home_care_clients L2 - https://doi.org/10.1111/scs.12801 DB - PRIME DP - Unbound Medicine ER -
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