IMPROVING ORAL CARE PROVIDED BY NURSING ASSISTANTS

改善护理助理提供的口腔护理

• 批准号: 6887177
• 负责人: RITA A JABLONSKI
• 金额: $ 14.5万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-15 至 2006-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6887177
• 关键词: behavioral /social science research tag; clinical research; cognition disorders; data collection methodology /evaluation; dental plaque; dental survey; dentistry education; dentures; disease /disorder proneness /risk; education evaluation /planning; experience; frail elderly; functional ability; geographic difference; geriatric nursing; health care personnel performance; human subject; nursing care quality; nursing homes; oral health

DESCRIPTION (provided by applicant): The purpose of this research is to measure the effect of an educational intervention for certified nursing assistants (CNAs) on the oral care of frail and functionally dependent nursing home (NH) elders. The specific aims of the study are: 1) Collect and analyze data surrounding the knowledge, opinions, and practices of CNAs providing oral hygiene care to frail and functionally dependent elders; 2) Develop an oral care educational program to address deficits in the knowledge, opinions, and practices of CNAs who provide oral care for cognitively impaired NH residents; and 3) Pilot test the educational program in two facilities that differ in ownership, geographic location, and resident demographics. All of the CNAs in 2 NHs will be surveyed in order to meet specific aim #1. A sample of 39 NH residents residing on the Alzheimer's Units of both NHs will be recruited for the study. Denture and dental plaque, functional status, resistance to care, and cognitive impairment will be measured and recorded. The quantity and quality of the oral care provided by a sample of 48 CNAs from both Alzheimer's Units will be measured. The CNAs will receive a 1-hour training session on providing oral care to cognitively impaired and care resistant elders followed by an hour of oneon- one structured support during their usual working hours, where the investigator or research assistant will help the CNAs apply the strategies they learned to real-life patient care situations. The effectiveness of the intervention will be measured by the amount of plaque on the teeth and dentures at 4 weeks, 8 weeks, and 12 weeks post-intervention. Repeated measures ANOVA will be examined to determine the impact of the educational intervention on the plaque scores of the NH elders. Terms in the model will include the nursing facility and time. A decrease in plaque scores from the baseline measurement to week 4 will be interpreted as an immediate measure of efficacy regarding the educational intervention. A sustained effect will be measured by the plaque scores measured at weeks 8 and 12.

描述（由申请人提供）：这项研究的目的是衡量认证护理助理（CNAS）对脆弱和功能依赖的疗养院（NH）长老的教育干预措施的影响。该研究的具体目的是：1）收集和分析围绕CNA知识，观点和实践的数据，从而提供口腔卫生护理以脆弱和功能依赖的长者； 2）制定一项口腔护理教育计划，以解决为NH居民提供口腔护理的CNA知识，观点和实践的赤字； 3）试点在所有权，地理位置和居民人口统计学不同的两个设施中测试教育计划。为了满足特定目标＃1，将对2 NHS中的所有CNA进行调查。将招募居住在阿尔茨海默氏症单位上的39名NH居民的样本进行研究。义齿和牙齿斑块，功能状态，对护理的抵抗力以及认知障碍将被测量和记录。将测量由两个阿尔茨海默氏症单元的48个CNA样品提供的口腔护理的数量和质量。 CNA将获得1小时的培训课程，以提供口腔护理，以在通常的工作时间内为认知受损和耐心的长者提供一个小时的一个结构化支持，调查人员或研究助理将帮助CNA应用他们学会的策略，以应用他们在现实生活中的患者护理情况。干预措施的有效性将通过干预后4周，8周和12周的牙齿和假牙上的牙菌斑量来衡量。将检查重复的方差分析，以确定教育干预对NH长老牙菌斑评分的影响。模型中的条款将包括护理设施和时间。从基线测量到第4周的斑块得分的下降将被解释为对教育干预措施的疗效的立即度量。持续作用将通过在第8和第12周测得的斑块得分来衡量。