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Nursing students' perception of oral care for inpatients in Korea

입원환자 구강관리에 관한 간호학과 학생의 인식 조사

  • Won, Seung-Eun (Dental life science research institute, Seoul National University Dental Hospital) ;
  • Choi, Eun-Sil (Department of Dental Hygiene, The Graduate School, Yonsei University) ;
  • Han, Sun-Young (Department of Dental Hygiene, Yonsei University Wonju College of Medicine) ;
  • Jeon, Hyun-Sun (Department of Dental Hygiene, Yeoju Institute of Technology) ;
  • Mun, So-Jung
  • 원승은 (서울대학교치과병원) ;
  • 최은실 (연세대학교 일반대학원 치위생학과) ;
  • 한선영 (연세대학교 원주의과대학 치위생학과) ;
  • 전현선 (여주대학교 치위생과) ;
  • 문소정 (연세대학교 원주의과대학 치위생학과)
  • Received : 2020.08.07
  • Accepted : 2020.08.25
  • Published : 2020.08.31

Abstract

Objectives: The aim of this study was to investigate the education status, knowledge, and perception of oral care among senior nursing students from Republic of Korea who completed all four curricular courses of Introduction to Nursing, Pediatric Nursing, Adult Nursing and Gerontological Nursing in order to provide basic data for effective oral care of inpatients. Methods: A questionnaire survey was conducted for 137 senior nursing students in the Seoul and Gangwon regions who were selected by convenience sampling. The questionnaire consisted of questions about the perception of oral care. A frequency analysis was conducted to analyze education status, perception, and general characteristics of participants. In addition, independent t-test and one-way analysis of variance were conducted to assess differences in the knowledge level according to the characteristics of the students. A p-value less than 0.05 was statistically significant. Results: The study results revealed that 63.5% of the respondents received education on oral care, with 67.8% of them receiving the education during their regular curriculum. Of the responders who said they received education, 41.4% said that education was not enough. Furthermore, the majority of respondents (56.9%) considered dental hygienists to be most suitable for the administration of oral care for inpatients. Conclusion: This study revealed nursing students' positive perceptions of the importance of oral care and dental hygienists'performance of oral care for inpatients. Consideration should be given to healthcare workers in various professions for improving oral health in inpatients, as well as for further study of oral care in the curriculum.

Keywords

References

  1. 강현숙 외. (2010). 기본간호학(II). 파주:수문사.
  2. 반금옥. (2009). 중환자실 인공호흡기 관련 폐렴예방 프로그램의 개발 및 효과 평가. 한국성인간호학, 21(2), 155-166.
  3. 백종옥. 노은미. (2009). 입원환자의 구강보건행동에 관한 연구. 대한보건연구, 6(2), 49-65.
  4. 안진희. 주현옥. 강지연. (2008). 중환자실 간호사의 구강간호에 대한 인식 및 수행 실태. 중환자간호학회지, 1(1), 47-57.
  5. 윤주식. 오봉석. 류상우. 장원채. (2008). 흉부외상에 의한 인공호흡기치료 환자에서 발생한 폐렴의 임상분석. 대한흉부외과학회, 4(6), 736-741.
  6. 은영 외. (2010). 노인전문간호 총론. 서울: 현문사.
  7. 이예지. (2017). 입원환자 구강관리 제공 실태[석사학위논문]. 서울. 연세대학교 대학원.
  8. Adachi, M., Ishihara, K., Abe, S., Okuda, K. (2007). Professional oral health care by dental hygienists reduced respiratory infections in elderly persons requiring nursing care. Int J Dent Hygiene, 5(2), 69-74. https://doi.org/10.1111/j.1601-5037.2007.00233.x
  9. Ahmed, F., Rao, A., Shenoy, R., Suprabha, B.S. (2018). Knowledge, attitude, and behavior of nurses toward delivery of Primary Oral Health Care in Dakshina Kannada, India. J Indian Soc Pedod Prev Dent, 36(1), 21-25.
  10. Al Rababah, D.M., Nassani, M.Z., Baker, O.G., Alhelih, E.M., Almomani, S.A., Rastam, S. (2018). Attitudes and practices of nurses toward oral care of hospitalized patients - A cross-sectional survey in Riyadh, Saudi Arabia. J Educ Health Promot, 7, 149.
  11. Dsouza, R., Quinonez, R., Hubbell, S., Brame, J. (2019). Promoting oral health in nursing education through interprofessional collaborative practice: a quasi-experimental survey study design. Nurse Educ Today, 82, 93-8. https://doi.org/10.1016/j.nedt.2019.07.010
  12. Grap, M.J., Munro, C.L., Ashtiani, B., Bryant, S. (2003). Oral care interventions in critical care: Frequency and documentation. Am J Crit Care, 12(2), 113-8. discussion 119. https://doi.org/10.4037/ajcc2003.12.2.113
  13. Hamuro, A., Kawaguchi, H., Yamazoe, K., Honda, M., Tanaka, R. (2017). Oral Care and Prevention of Pneumonia in Hospitalized Patients With Psychiatric Disorders in Japan. Jpn Clin Med, 8, 1-4.
  14. Haresaku, S., Monji, M., Miyoshi, M., Kubota, K., Kuroki, M., Aoki, H., ..., Naito, T.(2018). Factors associated with a positive willingness to practise oral health care in the future amongst oral healthcare and nursing students. Eur J Dent Educ, 22(3), e634-e643. https://doi.org/10.1111/eje.12369
  15. Hashim, D., Sartori, S., Brennan, P., Curado, M.P., Wünsch-Filho, V., Divaris, K., ... Boffetta. P. (2016). The role of oral hygiene in head and neck cancer: Results from international head and neck cancer epidemiology (INHANCE) consortium. Ann Oncol, 27, 1619-25. https://doi.org/10.1093/annonc/mdw224
  16. Hospital Nurses Association. (2019). Survey on the status of hospital nursing staff placement [Internet]. Retrieved from https://khna.or.kr.
  17. Institute for Healthcare Improvement. (2012). How-to guide: Prevent ventilator-associated pneumonia[Internet]. Retrieved from www.ihi.org.
  18. Institute for Healthcare Improvement. (2012). What is a bundle?[Internet]. Retrieved from http://www.ihi.org/resources/Pages/ImprovementStories/WhatIsaBundle.aspx.
  19. James, S.R., Ashwill, J.W. (2009). Nursing Care of Children. 3th. Edited by Song JH, et al: Seoul: Hynmoonsa.
  20. Kuramoto, C., et al. (2011). Factor analysis on oral health care for acute hospitalized patients in Japan. Geriatr Gerontol Int, 11(4), 460-466. https://doi.org/10.1111/j.1447-0594.2011.00709.x
  21. Lee YJ, Noh HJ, Han SY, Jeon HS, Chung WG, Mun SJ. (2019). Oral health care provided by nurses for hospitalized patients in Korea. Int J Dent Hygiene, 17, 336-342 https://doi.org/10.1111/idh.12417
  22. Maben, J., Latter, S., Clark, J.M. (2006). The theory-practice gap: Impact of professionalbureaucratic work conflict on newly-qualified nurses. Adv Nurs, 55(4), 465-477. https://doi.org/10.1111/j.1365-2648.2006.03939.x
  23. Marjo Laitala, T.A., Syrjala, A.M., Laitala, M.L., Virtanen, J.I. (2018). Perceptions of older people's oral health care among nurses working in geriatric home care. Acta Odontologica Scandinavica, 76(6), 427-432 https://doi.org/10.1080/00016357.2018.1425900
  24. Ministry of health and welfare. (2019). health and welfare statistical year book. Sejong: Ministry of health and welfare, 16.
  25. Mori, H., et al. (2006). Oral care reduces Incidence of Ventilator-Associated Pneumonia in ICU Populations. Intensive Care Med, 32(2), 230-236. https://doi.org/10.1007/s00134-005-0014-4
  26. Munro, C.L., et al. (2006). Oral health status and development of ventilator-associated pneumonia a descriptive study. Am J Crit Care, 15(5), 453-60. https://doi.org/10.4037/ajcc2006.15.5.453
  27. Pai, M., Ribot, B., Tane, H., Murray, J. (2016). A study of periodontal disease awareness amongst third-year nursing students Contemporary Nurse. A Journal for the Australian Nursing Profession, 52(6), 686-695 https://doi.org/10.1080/10376178.2016.1222241
  28. Prendergast, V., Kleiman, C. (2015). Interprofessional practice: translating evidence-based oral care to hospital care. J Dent Hyg, 89, Suppl 1, 33-35.
  29. Rello, J., et al. (2007). Oral care practices in intensive care units: a survey of 59 European ICUs. Intensive Care Med, 33, 1066-1070. https://doi.org/10.1007/s00134-007-0605-3
  30. Richard L, et al. (2010). Gray's Anatomy for Students. 2th. Edited by Jo HJ, Kwak HH, Kim KL, Kim DJ, Kim MJ, Kim WK et al: Seoul: E, PUBLIC.
  31. Safdar, N., Dezfulian, C., Collard, H.R., Saint, S. (2005). Clinical and economic consequences of ventilator-associated pneumonia: A systematic review. Crit Care Med, 33(10), 2184-2193. https://doi.org/10.1097/01.CCM.0000181731.53912.D9
  32. Scannapieco, F.A., Stewart, E.M., Mylotte, J.M. (1992). Colonization of dental plaque by respiratory pathogens in medical intensive care patients. Crit Care Med, 20(6), 740-745. https://doi.org/10.1097/00003246-199206000-00007
  33. ShirobonNet. (2020). Japanese dental health insurance claim[Internet]. Retrieved from http://shirobon.net/
  34. Treloar, D.M., Stechmiller, J.K. (1995). Use of a clinical assessment tool for orally incubated patients. Am J Crit Care, 4(5), 355-360. https://doi.org/10.4037/ajcc1995.4.5.355
  35. Williams, K.A., Shamia, H., De Baz, C., Palomo, L. (2016). Quality of life and poor oral health: A comparison of postmenopausal women. Dent J, 4, 44. https://doi.org/10.3390/dj4040044