题名

全身衰弱症高齡者的失落的一環:口腔照護

并列篇名

The Lost Part of the Elders with Systemic Frail: Oral Care

DOI

10.6317/LTC.21.221

作者

黃純德(Shun-Te Huang)

关键词

長期照護 ; 高齡者 ; 口腔衰弱症 ; 口腔照護 ; 吸入性肺炎 ; long-term care ; elderly ; oral frail ; oral care ; aspiration pneumonia

期刊名称

長期照護雜誌

卷期/出版年月

21卷3期(2017 / 12 / 01)

页次

191 - 201

内容语文

繁體中文

中文摘要

口腔衛生不良使口腔中積蓄大量細菌,衍生齲齒、牙周病與咀嚼障礙;衰弱的高齡長照者易因伴隨的系統性疾病而常發生吞嚥障礙。口腔中細菌隨著嗆咳、吸入物進入肺部,易罹患吸入性肺炎,嚴重影響全身健康與生活品質,更是臺灣高齡者第三大重要死因,不可不慎。然目前口腔照護尚未納入在長照2.0版本17項目中,但因臺灣高齡化指數急速上升,失能失智問題日趨嚴重,民眾對口腔照護相關知識及技巧認知的需求與日並增。如何能在高齡者失智失能以前就先做好口腔保健相關認知與技巧,積極面可藉由口腔刺激來增加他們的活力與減緩失智失能的速度,消極面可減少或減緩失智失能後對整體健康的衝擊;或對全身衰弱的高齡者能做好家屬及照護者的口腔照護訓練,使能減少口腔疾病的急速惡化導致整體健康更大的衝擊,減少吸入性肺炎的發生,最後能增進他們的健康及生活品質則是我們醫事人員的共同責任。

英文摘要

Poor oral hygiene may accumulate massive bacteria and then induce dental caries, periodontitis and mastication inability. Aspiration pneumonia is highly related with the massive bacteria in oral cavity invaded into lung tissue when dysphagia, aspiration attacked in frail elderly with systemic diseases. Aspiration pneumonia not only severely impacts general health and life of quality, but also ranks as 3rd position of cause of death in Taiwan. We should take care of oral care for frail elderly. The oral care for long-term care residents is not included in the 17 items of long-term care, version 2.0. Since the elderly index has recently been rising rapidly in Taiwan, the issues concerning people with disabilities and those with dementia have also been increasing dramatically. The general public has shown increased attention to health awareness, quality of life and oral health so, their demands for knowledge and skills of how to take care of their teeth and oral health is increasing simultaneously. So, how to educate the general public to improve their oral health related knowledge and skills before the age-related onset of disabilities and dementia is very important. Proper oral care stimulates vitality to decrease the tendency to disability and dementia. Moreover, in the event of age-related onset of disabilities and dementia, it will reduce the impact of oral disease to the general health. In addition, oral care education and training to the parents or caregivers of those with disabilities and dementia at an early stage will decrease the impact of oral diseases to the general health. This also applies to those suffering with aspiration pneumonia. Our ultimate goal and the medical professional's common responsibility is to improve the quality of life of those with disabilities and dementia.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
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被引用次数
  1. 陳美燕,郭雅雯,張儷卿,李建德(2022)。老人口腔衰弱評估與照護需求文獻回顧。志為護理-慈濟護理雜誌,21(1),75-82。
  2. 韓香英,賴秀雯,陸詩,陳瑞芳,呂美芬(2020).提升長期臥床病人口腔照護之專案.源遠護理,14(1),43-50.
  3. 簡翠薇,李采婷(2021)。運用口腔照護於一位反覆肺炎老年病人之護理經驗。榮總護理,38(3),322-329。
  4. 謝素英,劉毓馨,葉淑玲,陳郁喬,張依玲,周燕芳,李慧雯(2022)。提升社區老人口腔健康狀況之改善專案。健康科技期刊,9(1),53-64。
  5. 游秋良,陳紀雯,林瓊玉,李雅雯,李雅萍(2022)。一位衰弱症長者反覆入院導致無望感之護理經驗。新臺北護理期刊,24(2),137-146。
  6. (2024)。老人住宅之高齡者口腔健康相關生活品質的相關因素探討。長庚護理,35(1),12-31。