ID | 109829 |
タイトルヨミ | トクシマ ダイガク ビョウイン セイシンカ シンケイカ ニュウイン カンジャ ニ タイスル コウクウ ケア ノ イギ
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タイトル別表記 | Significance of Oral Care for Inpatients with Psychiatric Diseases in the Tokushima University Hospital
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著者 |
大守, 真由子
徳島大学大学院ヘルスバイオサイエンス研究部口腔内科学分野
山田, 佑子
徳島大学大学院ヘルスバイオサイエンス研究部口腔内科学分野
茂木, 勝美
徳島大学大学院ヘルスバイオサイエンス研究部口腔内科学分野
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キーワード | 専門的口腔ケア
精神疾患
口腔衛生状態
誤嚥性肺炎
発熱日数
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資料タイプ |
学術雑誌論文
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抄録 | For patients with mental diseases, safe food-intake and the maintenance of good oral hygiene become difficult due to a decline in the ability of daily livings. In addition, a majority of patients suffer from the lack of reflection of both deglutition and cough as well as clinical silent aspiration, resulting from the extrapyramidal symptom (EPS) caused by antipsychotics.
In this clinical study, we evaluated the oral environment in 10 inpatients with psychiatry neurology, and examined the usefulness of professional oral care. They were divided into 2 groups: the physical restriction group (restriction group) and the non-physical restriction group (control group), followed by the estimation of the conditions of oral hygiene and the days accompanied by fever, one of the symptoms of aspiration-related pneumonia, before and after professional oral care intervention. As a result, restriction group had poor oral hygiene condition as compared to the control group. After professional oral care intervention, oral hygiene condition was significantly improved in the restriction group, and reached to the same levels as in the control group. The days with fever were 7.3 and 5.0 days per month in the restriction group before and after the intervention, respectively. In the control group, those were 0.6 and 0 day per month before and after intervention, respectively. The cause of the difference in days with fever between 2 groups was considered to be the effect of clinical silent aspiration by EPS induced by antipsychotics. The professional oral care contributed to the improvement of the oral hygiene in inpatients with psychiatry neurology, resulting in the reduction of aspiration-related pneumonia. Therefore, the role of dentistry in the field of psychiatry neurology would be inevitable in the future. |
掲載誌名 |
四国歯学会雑誌
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ISSN | 09146091
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cat書誌ID | AN10050046
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出版者 | 四国歯学会
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巻 | 25
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号 | 2
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開始ページ | 55
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終了ページ | 60
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並び順 | 55
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発行日 | 2013-01-31
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備考 | P.55著者英語表記を Kani, Kouiti から Kani, Koichi、
Motegi, Katumi から Motegi, Katsumi、 Matumoto, Fumihiro から Matsumoto, Fumihiro へ書き換えた。 |
EDB ID | |
フルテキストファイル | |
言語 |
jpn
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著者版フラグ |
出版社版
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部局 |
病院
歯学系
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