Care-resistant behaviour during oral examination in Dutch nursing home residents with dementia

Objective: To assess the occurrence and associations of verbal and non-verbal care-resistant behaviour (CRB) during oral examination by a dental hygienist in nursing home residents with dementia. Background: CRB is a barrier to providing professional oral care and daily oral hygiene care. Understanding the predictors of CRB might help care professionals in learning to anticipate this behaviour. Methods: In this multicentre cross-sectional study signs of verbal and non-verbal CRB were reported during the oral examination. Data collection occurred in the psychogeriatrics wards of 14 different nu... Mehr ...

Verfasser: Willems, Malou S.
Hollaar, Vanessa R.Y.
van der Maarel-Wierink, Claar D.
van der Putten, Gert Jan
Satink, Ton
Dokumenttyp: Artikel
Erscheinungsdatum: 2023
Reihe/Periodikum: Willems , M S , Hollaar , V R Y , van der Maarel-Wierink , C D , van der Putten , G J & Satink , T 2023 , ' Care-resistant behaviour during oral examination in Dutch nursing home residents with dementia ' , Gerodontology , vol. 40 , no. 3 , pp. 299-307 . https://doi.org/10.1111/ger.12654
Schlagwörter: care-resistant behaviour / dementia / nursing home / oral examination
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29046795
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://research.vu.nl/en/publications/916722ba-3a25-4ea3-8fc9-dd11ab71dac7

Objective: To assess the occurrence and associations of verbal and non-verbal care-resistant behaviour (CRB) during oral examination by a dental hygienist in nursing home residents with dementia. Background: CRB is a barrier to providing professional oral care and daily oral hygiene care. Understanding the predictors of CRB might help care professionals in learning to anticipate this behaviour. Methods: In this multicentre cross-sectional study signs of verbal and non-verbal CRB were reported during the oral examination. Data collection occurred in the psychogeriatrics wards of 14 different nursing homes in the Netherlands (N = 367). Results: A total of 367 residents were included. CRB was evident in 82 residents (22.3%), of whom 45 (55%) showed verbal and 37 (45%) non-verbal CRB. Associated with CRB were age >85 years, duration of residential stay longer than 2 years, and having Korsakov dementia. Other factors associated with CRB were duration of residential stay (categories “>2 and ≤4 years” or “>4 years”) and having a natural dentition (P =.043-.005, OR = 1.20-1.33, 95% CI = 1.00-8.48). Significant associations for verbal and non-verbal CRB were age between 76 and 85 years, vascular dementia and Korsakov dementia (P =.031-.006, OR =.020-1.49, 95% CI = 0.43-2.15). Conclusion: The occurrence of CRB was 22.3% and was associated with older age and longer duration of residential stay, Vascular and Korsakov dementia and natural dentition.