徳島大学病院栄養サポートチームにおける専門的口腔ケアの取り組み  [in Japanese] Professional Oral Care of Inpatients by Members of the Nutrition Support Team in Tokushima University Medical and Dental Hospital  [in Japanese]

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Author(s)

    • 吉岡 昌美 YOSHIOKA Masami
    • 徳島大学医学部・歯学部附属病院歯科衛生室:徳島大学医学部・歯学部附属病院食と健康増進センター Dental Hygiene Section, Tokushima University Medical and Dental Hospital:Center for Food and Health Promotion, Tokushima University Medical and Dental Hospital
    • 藤井 裕美 FUJII Hiromi
    • 徳島大学医学部・歯学部附属病院診療支援部 Division of Medical Technology, Tokushima University Medical and Dental Hospital
    • 廣瀬 薫 [他] HIROSE Kaoru
    • 徳島大学医学部・歯学部附属病院診療支援部 Division of Medical Technology, Tokushima University Medical and Dental Hospital
    • 坂本 治美 SAKAMOTO Harumi
    • 徳島大学医学部・歯学部附属病院診療支援部 Division of Medical Technology, Tokushima University Medical and Dental Hospital
    • 十川 悠香 SOGAWA Yuka
    • 徳島大学医学部・歯学部附属病院診療支援部 Division of Medical Technology, Tokushima University Medical and Dental Hospital
    • 佐藤 晶子 SATO Akiko
    • 徳島大学医学部・歯学部附属病院診療支援部 Division of Medical Technology, Tokushima University Medical and Dental Hospital
    • 福井 誠 FUKUI Makoto
    • 徳島大学医学部・歯学部附属病院歯科衛生室 Dental Hygiene Section, Tokushima University Medical and Dental Hospital
    • 横山 正明 YOKOYAMA Masaaki
    • 徳島大学医学部・歯学部附属病院歯科衛生室 Dental Hygiene Section, Tokushima University Medical and Dental Hospital
    • 日野出 大輔 HINODE Daisuke
    • 徳島大学医学部・歯学部附属病院食と健康増進センター Center for Food and Health Promotion, Tokushima University Medical and Dental Hospital

Abstract

われわれは徳島大学医学部・歯学部附属病院の栄養サポートチーム(NST)の一員として,入院患者の専門的口腔ケアに取り組んできた.NSTの一員として,患者の病態や栄養摂取状況を把握したうえでベッドサイドの専門的口腔ケアを開始したことにより,病棟スタッフとの緊密な連携や,日常看護で行う口腔ケアの改善にもつながった.これまでに介入した43症例について「初診時に認められた口腔内の問題点」を集計した結果,「舌苔」「食渣・歯垢・歯石」「喀痰」「口腔乾燥」「口臭」が高い割合で認められることがわかった.これらの症状の多くは全身の病態と関連するものと考えられるが,専門的口腔ケアの介入後,症例の50%以上で症状の軽減が認められた.以上の結果から,NST活動を通した専門的口腔ケアは個々の症例における口腔衛生状態を改善するだけでなく,病院内の多職種連携の強化に役立つことが示された.

As members of the Nutrition Support Team (NST) at Tokushima University Medical and Dental Hospital, we have worked on professional oral care (POC) with our inpatients. Also, we started bedside POC with inpatients after studying their health and nutrient intake. This led us to have a closer working relation with ward staff and improve the oral care provided by nurses during their routine work. The results of the first oral examination of 43 inpatients we have included so far showed that the percentage of oral problems such as tongue coating, debris, dental plaque, calculus, expectoration, dry mouth, and bad breath were considerably high. Many of these oral conditions were thought to be related to the patients' physical conditions. After POC, however, improvements in patients' oral conditions were noted in more than 50 percent of the cases. Consequently, it can be said that the POC provided by the NST has not only improved the oral hygiene condition of patients but also nurtured closer working relations among departmental staff in the hospital.

Journal

  • JOURNAL OF DENTAL HEALTH

    JOURNAL OF DENTAL HEALTH 56(3), 309-317, 2006

    Japanese Society for Oral Health

References:  11

Cited by:  2

Codes

  • NII Article ID (NAID)
    110004815020
  • NII NACSIS-CAT ID (NCID)
    AN00081407
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0023-2831
  • NDL Article ID
    8057123
  • NDL Source Classification
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL Call No.
    Z19-144
  • Data Source
    CJP  CJPref  NDL  NII-ELS  J-STAGE 
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