特別養護老人ホームにおける訪問歯科診療について [in Japanese] Home-Visit Dental Treatment in a Special Nursing Home for the Elderly [in Japanese]
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我々は, 要介護高齢者の口腔の実態を把握するため, 1998年大田区に開設された特別養護老人ホーム入所者の口腔内実態調査を行った.その後, ホームの依頼により行った訪問歯科診療の概要は以下のようであった.1.歯科診療を希望した対象者は27名で, 全入所者のほぼ1/3に相当し, その中でも比較的若年のグループに属する人達であった.2.対象者の全てが基礎疾患を持っており, 入所者全体と比べると循環器疾患がやや多く, 脳神経系疾患が少ない傾向がみられた.3.受診理由は, 義歯に関連するものが多かった.義歯の不調を訴えた患者の中には, いわゆる難症例もあり, 20回以上の受診を数えたケースもあった.4.訪問診療で可能な範囲の処置として, 義歯の調整や修理, 投薬, 口腔衛生指導などを行った.訪問診療では対応しきれない全身的な管理の必要な処置や, 難症例の新義歯作製などは, 歯科病院を受診してもらい治療を行った.
We carried out a survey for residents to learn the oral health condition of dependent elderly in a special nursing home opened at Ohta-ku, Tokyo, in 1998. Since then, we have conducted a home-visit dental treatment at the request of the nursing home.<BR>The summary is as follows.<BR>1. Twenty-seven residents, about a third of all residents, received dental treatment. They were a slightly younger group than the average resident.<BR>2. All subjects had basic diseases. Circulatory diseases were more frequent, and degenerative brain diseases were found at a lower frequency in the subjects when compared with all residents.<BR>3. Most common reasons for the treatment were related to dentures. Two cases that complained of ill-fitting dentures were treated more than 20 time because they were too difficult to treat in the nursing home.<BR>4. The contents of our home-visit dental treatment mainly consisted of the adjustment and repair of dentures, medication, and oral hygiene instruction. Some cases, in which it was necessary to monitor vital signs or to make new dentures, were treated in our dental hospital because of the difficulty of managing or treating : them in the nursing home.
- The Journal of Showa University Dental Society
The Journal of Showa University Dental Society 20(2), 252-258, 2000-06-30
Showa University Dental Society