Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry · 2025
A Visual Metaphor for Oral Health Education in Hemodialysis Patients: A Pilot Study.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Schmalz Gerhard, Friedrich Jonas, Stoeffler Albert, Patschan Daniel, Büchi Stefan, Ebert Thomas, Kreher Deborah, de Fallois Jonathan
Аннотация
AIMS: The aim of this study was the comparison of PRISM (Pictorial Representation of Illness and Self-Measure) with an interview-based oral health education during a 4-week follow-up.
METHODS AND RESULTS: Patients under chronic hemodialysis (HD) were recruited and randomly assigned either to PRISM or a control group. At baseline, after the first intervention (T1), after 2 weeks (second intervention, T2) and after 4 weeks (third intervention, T3), three parameters were evaluated: gingival inflammation by papilla bleeding index (PBI), patient perspective (specific questionnaire), Oral health impact profile (OHIP-G5). Fifteen patients each group finished the follow-up. In PRISM group, neither after two (T2, p = 0.23) nor after 4 weeks (T3, p = 0.63), significant differences in PBI were found. In the Control, PBI values significantly increased between baseline and T3 (0.71 ± 0.52 vs. 0.95 ± 0.54, p = 0.02). Mainly non-significant changes in the specific questionnaire were observed. The sum score of OHIP-G5 did not differ between time points. Regarding the question whether the taste has worsened, a decrease was found in the control between T0 and T2 (p = 0.04). In the PRISM group, this decrease was apparent between T0 and T2 (p = 0.04) as well as between T0 and T3 (p = 0.04).
CONCLUSION: Oral health education in HD patients appears challenging and offers a need for novel patient-centered approaches.
METHODS AND RESULTS: Patients under chronic hemodialysis (HD) were recruited and randomly assigned either to PRISM or a control group. At baseline, after the first intervention (T1), after 2 weeks (second intervention, T2) and after 4 weeks (third intervention, T3), three parameters were evaluated: gingival inflammation by papilla bleeding index (PBI), patient perspective (specific questionnaire), Oral health impact profile (OHIP-G5). Fifteen patients each group finished the follow-up. In PRISM group, neither after two (T2, p = 0.23) nor after 4 weeks (T3, p = 0.63), significant differences in PBI were found. In the Control, PBI values significantly increased between baseline and T3 (0.71 ± 0.52 vs. 0.95 ± 0.54, p = 0.02). Mainly non-significant changes in the specific questionnaire were observed. The sum score of OHIP-G5 did not differ between time points. Regarding the question whether the taste has worsened, a decrease was found in the control between T0 and T2 (p = 0.04). In the PRISM group, this decrease was apparent between T0 and T2 (p = 0.04) as well as between T0 and T3 (p = 0.04).
CONCLUSION: Oral health education in HD patients appears challenging and offers a need for novel patient-centered approaches.