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Differences in the oral health status in hospitalised stroke patients according to swallowing function: A cross-sectional study.

Publication ,  Journal Article
Tian, F; Li, J; Wu, B; Xiao, R; Liu, J; Yu, J; Liu, L; Zhu, R
Published in: Journal of clinical nursing
April 2023

Dysphagia is one of the common complications caused by stroke, leading to poor oral health. Oral health is often neglected after stroke by clinical care providers and the patients. Identifying the status of oral health in hospitalised stroke patients with swallowing disorders will facilitate the attention of clinical care providers.To investigate the differences in the oral health status between hospitalised post-stroke patients with dysphagia and non-dysphagia.A cross-sectional study.A purposive sampling method was used to recruit participants. Participants included hospitalised post-stroke patients with dysphagia and without dysphagia. Stroke patients were recruited from the Department of Neurology, Guizhou Provincial People's Hospital in China. A total of 120 stroke patients completed the survey. The data collected included their demographics, the scores on the Oral Health Assessment Tool (OHAT), Geriatric Oral Health Assessment Index (GOHAI), and the Eating Assessment Tool-10 (EAT-10). The study was compliant with the STROBE checklist.The average age of the dysphagia group was 67 (64~76) vs the participants without dysphagia group 67 (65~76), (p = .610). The mean standard deviation (SD) OHAT score of participants with dysphagia was 5.28 (2.33) compared to participants without dysphagia 8.89 (3.07), (p < .05). This result indicates post-stroke dysphagia (PSD) patients had worse oral health than stroke patients without dysphagia. Binary logistic regression analysis showed that oral health status was the independent influencing factor of swallowing function (p < .01).The participants with dysphagia had worse oral health status compared to those without dysphagia, illustrating the critical importance of improving attention to oral health management in patients with post-stroke swallowing disorders.Oral health was often omitted when comparing to other functional impairments resulting from stroke. Health caregivers of post-stroke patients with dysphagia should be aware of the importance of evaluating patient's oral condition and implementing oral care.

Duke Scholars

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Published In

Journal of clinical nursing

DOI

EISSN

1365-2702

ISSN

0962-1067

Publication Date

April 2023

Volume

32

Issue

7-8

Start / End Page

1140 / 1147

Related Subject Headings

  • Stroke
  • Oral Health
  • Nursing
  • Humans
  • Deglutition Disorders
  • Deglutition
  • Cross-Sectional Studies
  • Aged
  • Administration, Oral
  • 4205 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
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Tian, F., Li, J., Wu, B., Xiao, R., Liu, J., Yu, J., … Zhu, R. (2023). Differences in the oral health status in hospitalised stroke patients according to swallowing function: A cross-sectional study. Journal of Clinical Nursing, 32(7–8), 1140–1147. https://doi.org/10.1111/jocn.16254
Tian, Fang, Juan Li, Bei Wu, Rong Xiao, Jiru Liu, Jie Yu, Lin Liu, and Rong Zhu. “Differences in the oral health status in hospitalised stroke patients according to swallowing function: A cross-sectional study.Journal of Clinical Nursing 32, no. 7–8 (April 2023): 1140–47. https://doi.org/10.1111/jocn.16254.
Tian F, Li J, Wu B, Xiao R, Liu J, Yu J, et al. Differences in the oral health status in hospitalised stroke patients according to swallowing function: A cross-sectional study. Journal of clinical nursing. 2023 Apr;32(7–8):1140–7.
Tian, Fang, et al. “Differences in the oral health status in hospitalised stroke patients according to swallowing function: A cross-sectional study.Journal of Clinical Nursing, vol. 32, no. 7–8, Apr. 2023, pp. 1140–47. Epmc, doi:10.1111/jocn.16254.
Tian F, Li J, Wu B, Xiao R, Liu J, Yu J, Liu L, Zhu R. Differences in the oral health status in hospitalised stroke patients according to swallowing function: A cross-sectional study. Journal of clinical nursing. 2023 Apr;32(7–8):1140–1147.
Journal cover image

Published In

Journal of clinical nursing

DOI

EISSN

1365-2702

ISSN

0962-1067

Publication Date

April 2023

Volume

32

Issue

7-8

Start / End Page

1140 / 1147

Related Subject Headings

  • Stroke
  • Oral Health
  • Nursing
  • Humans
  • Deglutition Disorders
  • Deglutition
  • Cross-Sectional Studies
  • Aged
  • Administration, Oral
  • 4205 Nursing