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Oral Care and Prevention of Pneumonia in Hospitalized Patients With Psychiatric Disorders in Japan

机译:日本住院的精神病患者的口腔护理和肺炎的预防

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Purpose:Oral care in hospitalized patients with psychiatric disorders is important. However, some patients with psychiatric disorders cannot undergo oral care because of psychiatric symptoms and cognitive decline. The effect of a standardized oral hygiene intervention on the prevention of pneumonia in hospitalized patients with psychiatric disorders was investigated.Method:Patients were divided into 2 groups: control group (N?=?259), patients without standardized intervention who were enrolled on April 2014 as the time point of baseline, and intervention group (N?=?263), patients with standardized intervention who were enrolled on April 2015 as the time point of baseline. Two end points were evaluated: (1) pneumonia onset within 1?year after the enrollment and (2) no pneumonia for 1?year after the enrollment. The following parameters were compared between the groups: sex, age, psychiatric disorders, past history of diseases of the respiratory system, hypertension, diabetes, hyperlipidemia, heart impairment, and pneumonia.Results:No statistically significant differences were found between the 2 groups in the distributions of characteristics except pneumonia by univariate analysis. The presence of pneumonia was significantly associated with age and the absence of the standardized oral hygiene intervention by multivariate logistic regression analysis.Conclusions:The standardized oral hygiene intervention appears to be effective for preventing pneumonia in patients with psychiatric disorders.
机译:目的:住院精神病患者的口腔护理很重要。但是,一些精神病患者由于精神病症状和认知能力下降而无法接受口腔护理。方法:将患者分为两组,分别为对照组(N = 259)和4月无标准干预的患者。以2014年为基准时间点,并以干预组(N≥263)作为标准时间点,于2015年4月入组。评价了两个终点:(1)入选后1年内发生肺炎,(2)入选后1年内未发生肺炎。比较两组之间的以下参数:性别,年龄,精神疾病,呼吸系统疾病的既往病史,高血压,糖尿病,高脂血症,心脏功能障碍和肺炎。结果:两组之间在统计学上无显着差异单因素分析显示除肺炎以外的特征分布。结论:标准化的口腔卫生干预措施似乎可以有效地预防精神病患者的肺炎。肺炎的存在与年龄,没有标准化的口腔卫生干预措施密切相关。

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