看護分野における口腔ケア研究の動向と歯科口腔保健・医療動向との関連性の検討  [in Japanese] A Study Regarding Trends in Oral Healthcare Research in the Nursing Field and the Association between These Trends and Oral Healthcare Policies  [in Japanese]

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Abstract

<p> 本研究においては,看護分野における口腔ケア研究の動向と歯科口腔保健・医療動向との関連性を評価することを目的とした.方法は医学中央雑誌webを用いて,キーワードは「口腔ケア」,「看護師」を組み合わせ,期間は2000–2016年として検索した.調査期間の年間文献数の推移により傾向を把握した.周術期口腔機能管理加算新設と周術期口腔ケアに関する文献数の関連性の検討は<i>χ</i><sup>2</sup>検定を用いた.</p><p> 対象・研究フィールドが不明,レビューの文献等を除外した結果,308文献が分析対象となった.フィールド別では,病院での研究が大部分で,地域・在宅の研究は少なかった.入院診療費の包括評価制度や栄養管理実施加算が導入された2006年の翌年に,文献数は前年度に比べ顕著に増加していた.また,多職種連携やサポートチームによる口腔ケア実施に関連する論文が,2006,2010年で前年に比し顕著に増加し,これらの年は栄養管理実施加算や栄養サポートチーム加算が新設された.周術期口腔機能管理加算の新設時期と口腔ケアに関する文献数増加は有意に関連していた(<i>p</i><0.01).しかしながら,口腔ケアに関する文献数増加と介護診療報酬の改定や保健政策との関連性は認められなかった.</p><p> 以上より,看護分野における口腔ケア研究の動向は,口腔ケアに関連する診療報酬改定の動向と関連している可能性が示唆された.</p>

<p> The purpose of this study was to investigate oral healthcare research trends in the nursing field and assess the association between these trends and oral healthcare policies. We performed a literature search of the Ichushi-Web database from January 1, 2000 to December 31, 2016, using the search words of "oral healthcare" and "nurse." Studies for which we could not identify the types of subjects or site where the study had been performed in Abstract and review literature without study data were excluded from this analysis. The annual numbers of studies from 2000 to 2016 were counted to estimate the trends in research activities related to oral healthcare. The chi-squared test identified an association between an increase in the number of studies and the start of perioperative oral function management coverage by medical insurance. A total of 308 studies were collected for analysis. The majority of studies were conducted in hospitals, but a few studies were conducted in nursing facilities, communities, and homes. The number of studies in hospitals increased over the previous year, when the medical service fee for the flat-fee payment system, called Diagnosis Procedure Combination (DPC), and nutrition management were introduced in 2006. Similarly, the number of studies regarding collaborative oral healthcare or oral healthcare support teams for patients in hospitals increased significantly when the medical service fee for nutrition management and management by the nutrition support team were introduced in 2006 and 2010. There was a significant correlation between the introduction of medical insurance coverage of perioperative oral function management in 2012 and the increase in the number of studies on perioperative oral healthcare (<i>p</i><0.01). However, the increase in the number of studies was not associated with the revised nursing insurance programs or other oral healthcare policies.</p><p> Therefore, this study suggested that the medical insurance policies regarding oral healthcare were associated with the trends in oral healthcare research in the nursing fields.</p>

Journal

  • JOURNAL OF DENTAL HEALTH

    JOURNAL OF DENTAL HEALTH 68(1), 28-35, 2018

    Japanese Society for Oral Health

Codes

  • NII Article ID (NAID)
    130006405641
  • NII NACSIS-CAT ID (NCID)
    AN00081407
  • Text Lang
    JPN
  • ISSN
    0023-2831
  • NDL Article ID
    028838776
  • NDL Call No.
    Z19-144
  • Data Source
    NDL  J-STAGE 
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