Objective: To investigate the current situation of knowledge, attitude, and practice (KAP) of oral health among rehabilitation nursing patients, and provide some reference for implementing oral health intervention measures for rehabilitation nursing patients. Method: A total of 231 nursing patients in the rehabilitation department of a tertiary hospital in this city from January 2023 to October 2023 were selected as the research subjects. Their oral health knowledge, attitudes, and behaviors were investigated, and the oral health behavior habits of patients with different genders, education levels, and disease situations were compared. Result: The total awareness rate of oral health knowledge among patients was 73.16%, and the average score of oral health knowledge was 6.58 ± 1.25 points. The overall positive rate of oral health attitude among patients is 55.70%, and the average score of oral health attitude is 5.01 ± 1.04 points. The average score for oral health behavior is 16.87 ± 5.23 points. Only 8.48%, 3.3%, 1.3%, 2.6%, and 0.87% of patients seek timely medical treatment for bleeding tooth roots, gum swelling and pain, gum bleeding, tooth pain, and dental calculus, respectively; Only 5.19% of people change their toothbrush every 3 months, and only 10.39% use the vertical brush method to brush their teeth. The scores of oral health knowledge, attitudes, and behaviors of patients are related to age, educational level, disease type, and smoking situation. The oral health knowledge and attitude scores of elderly patients were lower than those of younger patients, and the difference was statistically significant (P < 0.001 or P < 0.05). The oral health knowledge and behavior scores of patients with low education levels were lower than those of patients with high education levels, and the difference was statistically significant (P < 0.001). The oral health attitude score of medical insurance-paying patients is higher than that of self-funded patients, and the difference is statistically significant (P < 0.05). The oral health knowledge score of patients with cerebrovascular disease is lower than that of patients with other diseases, and the difference is statistically significant (P < 0.05). Conclusion: The oral health status of rehabilitation nursing patients is not optimistic, with a moderate level of oral health knowledge, weak awareness of oral health, and a low qualification rate of oral health behaviors. Strengthening oral health education for rehabilitation nursing patients and incorporating oral
References
[1]
Jain, N., Dutt, U., Radenkov, I., et al. (2024) WHO’s Global Oral Health Status Report 2022: Actions, Discussion and Implementation. Oral Diseases, 30, 73-79. https://doi.org/10.1111/odi.14516
[2]
Wong, F.M.F., Ng, Y.T.Y. and Leung, W.K. (2019) Oral Health and Its Associated Factors among Older Institutionalized Residents—A Systematic Review. International Journal of Environmental Research and Public Health, 16, Article 4132. https://doi.org/10.3390/ijerph16214132
[3]
Zhang, Z., Wang, D., Zhao, J., et al. (2023) Assessment of Oral Health Status and Related Factors in Adolescents Aged 12-15 Years in the Gansu Province of China: A Cross-Sectional Survey. BMC Oral Health, 23, Article 42. https://doi.org/10.1186/s12903-023-02748-y
[4]
Baniasadi, K., Armoon, B., Higgs, P., et al. (2021) The Association of Oral Health Status and Socio-Economic Determinants with Oral Health-Related Quality of Life among the Elderly: A Systematic Review and Meta-Analysis. International Journal of Dental Hygiene, 19, 153-165. https://doi.org/10.1111/idh.12489
[5]
Watt, R.G. (2012) Social Determinants of Oral Health Inequalities: Implications for Action. Community Dentistry and Oral Epidemiology, 40, 44-48. https://doi.org/10.1111/j.1600-0528.2012.00719.x
[6]
Woelber, J.P., Al-Ahmad, A. and Alt, K.W. (2022) On the Pathogenicity of the Oral Biofilm: A Critical Review from a Biological, Evolutionary, and Nutritional Point of View. Nutrients, 14, Article 2174. https://doi.org/10.3390/nu14102174
[7]
Capewell, S., Kearns, C.E., Glantz, S.A., et al. (2015) Sugar Industry Influence on the Scientific Agenda of the National Institute of Dental Research’s 1971 National Caries Program: A Historical Analysis of Internal Documents. PLOS Medicine, 12, e1001798. https://doi.org/10.1371/journal.pmed.1001798
[8]
de Albuquerque, L.S., de Queiroz, R.G., Abanto, J., et al. (2023) Dental Caries, Tooth Loss and Quality of Life of Individuals Exposed to Social Risk Factors in Northeast Brazil. International Journal of Environmental Research and Public Health, 20, Article 6661. https://doi.org/10.3390/ijerph20176661
[9]
Veiga, N., Pereira, C., Ferreira, P., et al. (2014) Oral Health Behaviors in a Sample of Portuguese Adolescents: An Educational Issue. Health, 6, 1749-1759. https://doi.org/10.4236/health.2014.614207
[10]
Moldvai, J., Orsós, M., Herczeg, E., et al. (2022) Oral Health Status and Its Associated Factors among Post-Stroke Inpatients: A Cross-Sectional Study in Hungary. BMC Oral Health, 22, Article No. 234. https://doi.org/10.1186/s12903-022-02259-2
[11]
Lyons, M., Smith, C., Boaden, E., et al. (2018) Oral Care after Stroke: Where Are We Now? European Stroke Journal, 3, 347-354. https://doi.org/10.1177/2396987318775206
[12]
Ren, Y., Liang, J., Li, X., et al. (2023) Association between Oral Microbial Dysbiosis and Poor Functional Outcomes in Stroke-Associated Pneumonia Patients. BMC Microbiology, 23, Article No. 305. https://doi.org/10.1186/s12866-023-03057-8
[13]
Wu, C., Huang, H., Xu, W., et al. (2023) Influencing Factors Associated with Oral Health among Older Hospitalized Patients with Ischemic Stroke: A Cross-Sectional Survey. International Journal of Nursing Sciences, 10, 302-308. https://doi.org/10.1016/j.ijnss.2023.06.011
[14]
Wong, F.M.F. (2021) First Data in the Process of Validating a Tool to Evaluate Knowledge, Attitude, and Practice of Healthcare Providers in Oral Care of Institutionalized Elderly Residents: Content Validity, Reliability and Pilot Study. International Journal of Environmental Research and Public Health, 18, Article 4145. https://doi.org/10.3390/ijerph18084145
[15]
Surme, K. and Akman, H. (2023) Evaluation of Self-Reported Oral Health Attitudes and Behavior of Dental Students in Antalya, Türkiye. Cureus, 15, e44387. https://doi.org/10.7759/cureus.44387
[16]
Konstantinova, D.A., Dimitorov, L.G., Angelova, A.N., et al. (2023) Components of Oral Health Related to Motor Impairment in Children with Neuropsychiatric Disorders. Cureus, 15, e46093. https://doi.org/10.7759/cureus.46093
[17]
Paszynska, E., Hernik, A., Rangé, H., et al. (2023) Diet Traps during Eating Disorders among Dentate Patients at an Oral Health Glance. Nutrients, 15, Article 4414. https://doi.org/10.3390/nu15204414
[18]
Wu, C.-Z., Yuan, Y.-H., Liu, H.-H., et al. (2020) Epidemiologic Relationship between Periodontitis and Type 2 Diabetes Mellitus. BMC Oral Health, 20, Article No. 204. https://doi.org/10.1186/s12903-020-01180-w
[19]
Siddiqi, T.J., Guo, X., Li, X., et al. (2023) Periodontal Disease and Subsequent Risk of Cardiovascular Outcome and All-Cause Mortality: A Meta-Analysis of Prospective Studies. PLOS ONE, 18, e0290545. https://doi.org/10.1371/journal.pone.0290545
[20]
Jiang, R., Yu, J., Islam, R., et al. (2023) Dental Caries Prevention Knowledge, Attitudes, and Practice among Patients at a University Hospital in Guangzhou, China. Medicina, 59, Article 1559. https://doi.org/10.3390/medicina59091559
[21]
Breda, J., Jewell, J. and Keller, A. (2019) The Importance of the World Health Organization Sugar Guidelines for Dental Health and Obesity Prevention. Caries Research, 53, 149-152. https://doi.org/10.1159/000491556
[22]
World Health Organization. (2015) Guideline: Sugars Intake for Adults and Children.
[23]
Tonetti, M.S., Deng, K., Christiansen, A., et al. (2020) Self-Reported Bleeding on Brushing as a Predictor of Bleeding on Probing: Early Observations from the Deployment of an Internet of Things Network of Intelligent Power-Driven Toothbrushes in a Supportive Periodontal Care Population. Journal of Clinical Periodontology, 47, 1219-1226. https://doi.org/10.1111/jcpe.13351
[24]
Deng, K., Pelekos, G., Jin, L., et al. (2021) Gingival Bleeding on Brushing as a Sentinel Sign of Gingival Inflammation: A Diagnostic Accuracy Trial for the Discrimination of Periodontal Health and Disease. Journal of Clinical Periodontology, 48, 1537-1548. https://doi.org/10.1111/jcpe.13545
[25]
Fleming, E.B., Nguyen, D., Afful, J., et al. (2018) Prevalence of Daily Flossing among Adults by Selected Risk Factors for Periodontal Disease—United States, 2011-2014. Journal of Periodontology, 89, 933-939. https://doi.org/10.1002/JPER.17-0572
[26]
Mohapatra, S., Rajpurohit, L., Mohandas, R., et al. (2023) Comparing the Effectiveness of Water Floss and Dental Floss in Plaque Reduction among Adults: A Systematic Review. Journal of Indian Society of Periodontology, 27, 559-567. https://doi.org/10.4103/jisp.jisp_597_22
[27]
Silveira, E.R., Cademartori, M.G., Schuch, H.S., et al. (2021) Estimated Prevalence of Dental Fear in Adults: A Systematic Review and Meta-Analysis. Journal of Dentistry, 108, Article 103632. https://doi.org/10.1016/j.jdent.2021.103632
[28]
Silva, H. (2021) Tobacco Use and Periodontal Disease—The Role of Microvascular Dysfunction. Biology, 10, Article 441. https://doi.org/10.3390/biology10050441
[29]
Haque, T., Nabhan, A. B., Akhter, F., et al. (2023) The Analysis of Periodontal Diseases and Squamous Cell Esophageal Cancer: A Retrospective Study. The Saudi Dental Journal, 35, 714-719. https://doi.org/10.1016/j.sdentj.2023.05.030
[30]
Arima, H., Calliope, A.S., Fukuda, H., et al. (2022) Oral Cleaning Habits and the Copy Number of Periodontal Bacteria in Pregnant Women and Its Correlation with Birth Outcomes: An Epidemiological Study in Mibilizi, Rwanda. BMC Oral Health, 22, Article No. 428. https://doi.org/10.1186/s12903-022-02443-4
[31]
Wan, M.C., Jiao, K., Zhu, Y.N., et al. (2024) Bacteria-Mediated Resistance of Neutrophil Extracellular Traps to Enzymatic Degradation Drives the Formation of Dental Calculi. Nature Biomedical Engineering. https://doi.org/10.1038/s41551-024-01203-9
[32]
Jiang, Z., Liu, X. and Lü, Y. (2022) Unhealthy Oral Status Contributes to the Older Patients with Cognitive Frailty: An Analysis Based on a 5-Year Database. BMC Geriatrics, 22, Article No. 980. https://doi.org/10.1186/s12877-022-03673-5
[33]
de Moura, W.V.B., , Costa, I.d.C.C., , de Andrade, F.B., dos Santos Ferreira, T.L., de Aguiar, A.S.W., de Sousa Furtado, G.E. and de Almeida, M.E.L. (2014) Oral Health and Self-Perception in the Elderly. Health, 6, 3045-3053. https://doi.org/10.4236/health.2014.621343
[34]
Doi, T., Fukui, M., Yoshioka, M., et al. (2023) The Relationship between Subjective Oral Frailty and Adverse Health Outcomes or Medical and Dental Expenditures in the Latter-Stage Older Adult: A 6-Year Longitudinal Study. Clinical and Experimental Dental Research, 9, 349-357. https://doi.org/10.1002/cre2.717
