• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >Survey of Non-Dental Providers' Assessment and Management of Xerostomia in Patients with Mental Health Disorders.
【24h】

Survey of Non-Dental Providers' Assessment and Management of Xerostomia in Patients with Mental Health Disorders.

机译：非牙科医生对精神健康障碍患者口腔干燥症的评估和管理调查。

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction. Approximately 26% American adults suffer from a diagnosable mental disorder, and 6% of the population suffers from a severe mental illness. Individuals with mental health disorders often have poor oral health, which may be exacerbated by rich diets, heavy tobacco use, and difficulty in accessing care. In addition, medications used to treat mental health disorders have side effects that can be detrimental to the tissues of the oral cavity. Xerostomia (dry mouth) is reported to affect one-fifth of patients taking antidepressants, with presence and severity of xerostomia positively correlated with the number of medications taken. It is unclear if possible xerogenic side effects are discussed with patients by healthcare providers prior to beginning treatment in the medical care setting. The purpose of this study is to survey prescribing healthcare providers to determine what non-dental providers know about xerostomia and to examine what information about potential side effects, if any, these practitioners provide patients before beginning pharmacological treatment for mental illnesses.;Methods. Representative samples of health care providers in King County, Washington (125 primary care physicians, 50 nurse practitioners, and 75 psychiatrists) were mailed a 31-question survey. Participants were asked about their prescribing practices, knowledge about oral health side effects of medications, consideration of oral health side effects when prescribing psychotropic medications, and frequency of assessing patients' oral health. Responses were summarized in each area with regard to oral health knowledge and willingness to assess patients' oral health.;Results. The response rate to this survey was 40%: 101 total responses, with 45 primary care physicians, 20 nurse practitioners, and 36 psychiatrists responding. The average age of responders was 56.7 years, with an average of 24.6 years within their profession. The majority of providers (90%) reported they evaluated oral health by "appearance of teeth," but what specifically is evaluated is unclear because far fewer providers reported assessing missing teeth, presence of plaque or calculus, looseness of teeth, or saliva consistency. Providers were less likely to assess the oral health of their patients being treated for a mental illness than those without. In addition, while 91.6% of providers reported that they have at least some patients who report xerostomia, knowledge of recommended treatments for dry mouth symptoms appears to be lacking.;Discussion. This survey illustrates the complexities of treating patients and managing adverse medication side effects. While this survey identifies gaps in oral health treatment in the non-dental setting for patients with mental health conditions, future studies are needed about the specific barriers to providing adequate oral health recommendations to patients with mental illness, for this vulnerable population is in great need for holistic medical care, including dental care. Ultimately, improved provider management of oral needs would allow for not only an improvement of oral health (e.g. reduction in caries, periodontal disease) but also larger issues, such as improved quality of life and improved management of comorbid chronic conditions.
机译：介绍。大约26％的美国成年人患有可诊断的精神障碍，而6％的人口患有严重的精神疾病。患有精神疾病的人通常口腔健康状况较差，饮食过多，大量吸烟和难以获得护理会加剧口腔健康。另外，用于治疗精神健康疾病的药物具有可能对口腔组织有害的副作用。据报告口干症（口干）影响服用抗抑郁药的患者的五分之一，口干症的存在和严重程度与所用药物的数量呈正相关。尚不清楚在医疗机构开始治疗之前，医疗保健提供者是否与患者讨论过可能的异源性副作用。这项研究的目的是调查开处方的医疗保健提供者，以确定哪些非牙科提供者了解口腔干燥症，并检查这些从业者在开始对精神疾病进行药物治疗之前为患者提供的有关潜在副作用的信息（如果有）。华盛顿金县的卫生保健提供者的代表性样本（125名初级保健医生，50名护士和75名精神科医生）被邮寄了一个31个问题的调查问卷。询问参与者有关他们的开药习惯，有关药物对口腔健康的副作用的知识，在开精神药物时考虑口腔健康的副作用以及评估患者口腔健康的频率。总结了各个领域有关口腔健康知识和评估患者口腔健康意愿的回答。该调查的答复率为40％：总答复101例，其中45名初级保健医生，20名护士和36名精神科医生进行了答复。响应者的平均年龄为56.7岁，其专业平均年龄为24.6岁。大多数提供者（90％）报告说他们通过“牙齿的外观”评估了口腔健康，但是具体评估的内容尚不清楚，因为很少有提供者报告了评估牙齿缺失，牙菌斑或牙结石存在，牙齿松动或唾液稠度的评估。与没有接受精神疾病治疗的患者相比，提供者评估其患者口腔健康的可能性较小。此外，尽管有91.6％的提供者报告说他们至少有一些报告有口干症的患者，但似乎缺乏对口干症状的推荐治疗方法的知识。这项调查说明了治疗患者和管理不良药物副作用的复杂性。尽管这项调查发现了精神疾病患者在非牙科环境中口腔健康治疗方面的差距，但仍需要进一步研究为精神疾病患者提供充分的口腔健康建议的具体障碍，因为这一弱势群体非常需要用于整体医疗保健，包括牙科保健。最终，改善提供者对口腔需求的管理不仅可以改善口腔健康（例如减少龋齿，牙周疾病），而且可以解决更大的问题，例如改善生活质量和改善合并症的治疗。

著录项

  • 作者

    Murray, Nicole.;

  • 作者单位

    University of Washington.;

  • 授予单位 University of Washington.;
  • 学科 Health Sciences Dentistry.;Health Sciences Public Health.;Health Sciences Mental Health.
  • 学位 M.P.H.
  • 年度 2012
  • 页码 50 p.
  • 总页数 50
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号