Covid-19 pandemic
training caregivers to oral health care in nursing homes
DOI:
https://doi.org/10.35699/2178-1990.2023.49381Keywords:
Saúde Bucal, COVID-19, Idoso, Assistência de Longa DuraçãoAbstract
Aim: To assess the associated factors with oral hygiene practices of functionally dependent older adults by professionals working in long-stay elderly care homes during the COVID-19 pandemic.
Methods: This was an exploratory study with a sample of 179 elderly care home professionals recruited through social media groups, applying “snowball” method. Data collection was performed using a structured questionnaire. The outcome variable was the practice of oral hygiene provided by caregivers to functionally dependent elderly individuals, including oral and denture hygiene. The independent variables included sociodemographic characteristics (sex, age group, education, race/skin color), professional performance (professional function and years of experience), training (for caregiving and oral health), elderly care home structure (availability of Personal Protective Equipment), working process (oral health protocols/guidelines), and perception of professional practices (Concerns about transmitting COVID-19 and feelings of being able to deal with cases of COVID-19, as well as the capacity to perform oral hygiene in dependent older adults). The association between the independent variables and oral hygiene practices was analyzed using Logistic Regression (p < 0.05).
Results: Of the 179 professionals, 76.0% performed oral hygiene on the functionally dependent older adults, and 42.5% reported difficulties, including a lack of cooperation from the elders, a lack of time during working hours, and a lack of material. Professionals who received caregiver training for older adults (OR = 3.27, 95% CI 1.53 – 6.98) and those who were trained to perform oral hygiene in this age group (OR = 2.19, 95% CI 1.01 – 4.79) showed higher odds of performing oral hygiene in functionally dependent older adults.
Conclusion: Oral hygiene practices were conducted in long-stay elderly care homes during the COVID-19 pandemic. Training caregivers of dependent older adults can enhance the provision of oral health care.
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References
WHO. [Internet]. Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. Available from: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
Zhang XM, Jiao J, Cao J, Huo XP, Zhu C, Wu XJ, et al. Frailty as a predictor of mortality among patients with COVID-19: a systematic review and meta-analysis. BMC Geriatr. 2021;21:186. doi:10.1186/s12877-021-02138-5
Hashan MR, Smoll N, King C, Ockenden-Muldoon H, Walker J, Wattiaux A, et al. Epidemiology and clinical features of COVID-19 outbreaks in aged care facilities: a systematic review and meta-analysis. eClinicalMedicine. 2021;33:100771. doi:10.1016/j.eclinm.2021.100771
Khadka S, Khan S, King A, Goldberg LR, Crocombe L, Bettiol S. Poor oral hygiene, oral microorganisms and aspiration pneumonia risk in older people in residential aged care: a systematic review. Age Ageing. 2021;50:81-7. doi:10.1093/ageing/afaa102
Nadim R, Tang J, Dilmohamed A, Yuan S, Wu C, Bakre AT, et al. Influence of periodontal disease on risk of dementia: a systematic literature review and a meta-analysis. Eur J Epidemiol. 2020;35:821-33. doi:10.1007/s10654-020-00648-x
Rodrigues LG, Campos FL, Alonso LS, Silva RS, Oliveira BC, Rhodes GAC, et al. Do COVID-19 control guidelines for long-term care facilities include oral healthcare orientations? J Am Geriatr Soc. 2020;68:2187-8. doi:10.1111/jgs.16744
Eysenbach G. Improving the quality of web surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2004;14:e8. doi:10.2196/jmir.6.3.e34
Brasil. Ministério da Saúde. Resolução - RDC No 283, de 26 de Setembro de 2005. [acessado 2021 june 27]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2005/res0283_26_09_2005.html
Brasil [Internet]. COVID-19. Painel Coronavírus. Disponível em: https://covid.saude.gov.br/
Catteau C, Piaton S, Nicolas E, Hennequin M, Lassauzay C. Assessment of the oral health knowledge of healthcare providers in geriatric nursing homes: Additional training needs required. Gerodontology. 2016;33:11-9. doi:10.1111/ger.12094
Hoben M, Clarke A, Huynh KT, Kobagi N, Kent A, Hu H, et al. Barriers and facilitators in providing oral care to nursing home residents, from the perspective of care aides: a systematic review and meta-analysis. Int J Nurs Stud. 2017;73:34-51. doi:10.1016/j.ijnurstu.2017.05.003
Ribeiro MTF, Ferreira RC, Magalhães CS, Moreira AN, Ferreira EF. Care process in long term care facilities: elderly caregivers’ views. Rev Bras Enferm 2009;62(6):870-5. doi:10.1590/s0034-71672009000600011
Low LF, Fletcher J, Goodenough B, Jeon YH, Etherton-Beer C, MacAndrew M, et al. A systematic review of interventions to change staff care practices in order to improve resident outcomes in nursing homes. PLoS One 2015;10:e0140711. doi:10.1371/journal.pone.0140711
Goh CE, Guay MP, Lim MY, Lim SM, Loke SY, Toh HE, et al. Correlates of attitudes and perceived behavioural control towards oral care provision among trained and untrained nursing home caregivers in Singapore. J Clin Nurs. 2016;25(11-12):1624-1633. doi:10.1111/jocn.13162.
Hiltunen K, Fogelholm N, Saarela RKT, Mäntylä P. Survey of health care personnel’s attitudes toward oral hygiene in long-term care facilities in Finland. Spec Care Dentist. 2019;39(6):557-63. doi:10.1111/scd.12424