Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
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Interventions and evaluation to improve oral health in patients with stroke: a scoping review

뇌졸중 환자의 구강건강 향상을 위한 개입과 평가: 주제범위 문헌고찰

  • Soo-Min Kim (Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University) ;
  • Eun-Bi Cho (Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University) ;
  • Sun-Young Han (Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University)
  • 김수민 (연세대학교 치위생학과) ;
  • 조은비 (연세대학교 치위생학과) ;
  • 한선영 (연세대학교 치위생학과)
  • Received : 2024.09.10
  • Accepted : 2024.10.01
  • Published : 2024.10.30
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Abstract

Objectives: This scoping review aimed to identify and analyze intervention strategies and assessment methods for oral hygiene management (OHM) and oral function management (OFM) in patients with stroke admitted to general wards, with the goal of providing directions for future research. Methods: We conducted a comprehensive literature search on studies published over the past 10 years across databases, including Cochrane, Embase, Medline, PubMed, and ProQuest. A total of 18 studies met the inclusion and exclusion criteria. Results: In the OHM studies (N=7), oral hygiene care was primarily provided by nurses, dental assistants, and nursing care aides. Oral hygiene was assessed using plaque and gingival bleeding indices with products such as electronic toothbrushes and mouth rinses. In the OFM studies (N=11), care was provided by speech-language pathologists, occupational therapists, and dental hygienists. Assessment tools included the Functional Oral Intake Scale, the Penetration-Aspiration Scale, and Video Fluoroscopic Swallowing Studies. Conclusions: Improving the oral health of patients with stroke requires both hygiene and functional management. Therefore, it is necessary to develop a method that provides specialized oral care tailored to the hospitalization environment and the specific conditions of patients with stroke.

Keywords

Acknowledgement

This research was supported by 'Regional Innovation Strategy (RIS)' through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (MOE) (2022RIS-005).

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