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Effect of an Oral Health Programme on Oral Health, Oral Intake, and Nutrition in Patients with Stroke and Dysphagia in Taiwan: A Randomised Controlled Trial

Author

Listed:
  • Hsiao-Jung Chen

    (Graduate Institute of Clinical Medical Sciences, Nursing, Chang Gung University, Taoyuan City 33378 Taiwan)

  • Jean-Lon Chen

    (Department of Physical Medicine & Rehabilitation, Taoyuan Chang Gung Memorial Hospital, Taoyuan City 33378, Taiwan
    Department of Medicine, College of Medicine, Chang Gung University, Taoyuan City 33378, Taiwan)

  • Chung-Yao Chen

    (Department of Medicine, College of Medicine, Chang Gung University, Taoyuan City 33378, Taiwan
    Department of Physical Medicine & Rehabilitation, Chang Gung Memorial Hospital, Keelung, Keelung City 20401, Taiwan)

  • Megan Lee

    (Department of Biochemistry, University of Washington, Seattle, WA 98134, USA)

  • Wei-Han Chang

    (Department of Physical Medicine & Rehabilitation, Taoyuan Chang Gung Memorial Hospital, Taoyuan City 33378, Taiwan)

  • Tzu-Ting Huang

    (School of Nursing, Healthy Aging Research Center School of Nursing, College of Medicine, Chang Gung University, Taoyuan City 33378, Taiwan
    Department of Dementia Center, Chang Gung Memorial Hospital Linkou Medical Center, Taoyuan City 33378, Taiwan)

Abstract

No previous studies have evaluated an oral health programme, before swallowing therapy, in patients with stroke and dysphagia in Taiwan. This randomised controlled trial evaluated the effect of an oral health programme (i.e., sputum assessment, Bass method-based tooth brushing, and tooth coating with fluoride toothpaste) before swallowing therapy. Sixty-six patients with stroke (23 female, 43 male) in our rehabilitation ward, who underwent nasogastric tube insertion, were assigned randomly to an oral care group ( n = 33) and a control group ( n = 33). Demographic data, oral health assessment, Functional Oral Intake Scale (FOIS) scores, Mini-Nutritional Assessment-Short Form (MNA-SF) scores, and nasogastric tube removal rates were compared between groups. We evaluated outcomes using generalised estimating equation analysis. Three weeks post-implementation, the oral care group had significant oral health improvements relative to the control group (95% CI =−2.69 to −1.25, Wald χ 2 = 29.02, p < 0.001). There was no difference in the FOIS (95% CI = −0.16 to 0.89, Wald χ 2 = 1.86, p > 0.05), MNA-SF (95% CI =−0.35 to 0.53, Wald χ 2 =−0.17, p > 0.05), and nasogastric tube removal ( p > 0.05) between groups. The oral care group had a higher, but non-significant FOIS score (3.94 vs 3.52) ( p > 0.05). Routine oral health programmes implemented during stroke rehabilitation in patients with dysphagia may promote oral health and maintain oral intake.

Suggested Citation

  • Hsiao-Jung Chen & Jean-Lon Chen & Chung-Yao Chen & Megan Lee & Wei-Han Chang & Tzu-Ting Huang, 2019. "Effect of an Oral Health Programme on Oral Health, Oral Intake, and Nutrition in Patients with Stroke and Dysphagia in Taiwan: A Randomised Controlled Trial," IJERPH, MDPI, vol. 16(12), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:12:p:2228-:d:242572
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    References listed on IDEAS

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    1. Kathryn Salamone & Elaine Yacoub & Anne-Marie Mahoney & Karen-leigh Edward, 2013. "Oral Care of Hospitalised Older Patients in the Acute Medical Setting," Nursing Research and Practice, Hindawi, vol. 2013, pages 1-4, May.
    2. Toshie Manabe & Shinji Teramoto & Nanako Tamiya & Jiro Okochi & Nobuyuki Hizawa, 2015. "Risk Factors for Aspiration Pneumonia in Older Adults," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-12, October.
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    Cited by:

    1. Kyoko Takahashi & Katsuaki Amemiya & Masahiro Nakatsuka & Kei Nakamura & Mari Kasai & Kenichi Meguro, 2019. "Impaired Eating and Swallowing Function in Older Adults in the Community: The Kurihara Project," IJERPH, MDPI, vol. 16(20), pages 1-8, October.

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