Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.000124
Revista de Odontologia da UNESP
Original Article

Assessment of the nursing staff's knowledge on periodontal disease and its associations with systemic changes

Avaliação do conhecimento da equipe de enfermagem sobre doença periodontal e suas associações com alterações sistêmicas

Elisângela RODRIGUES; Guilherme José Pimentel Lopes de OLIVEIRA; Roberta de Oliveira ALVES; Isabella Silva de ABREU; Álex Moreira HERVAL; Flávio de Freitas MATTOS; Priscilla Barbosa Ferreira SOARES

Downloads: 0
Views: 436

Abstract

Introduction: The maintenance of oral health in inpatients is essential, particularly to avoid complications arising from periodontal disease, which not only affect oral health but can also exacerbate systemic issues during hospitalization.

Objective: This study aimed to assess nursing staff’s knowledge regarding the management of periodontal disease and its association with systemic diseases.

Material and method: This cross-sectional observational study was conducted in a general referral hospital of the Brazilian National Health System (SUS). A total of 504 nursing professionals completed a self-administered 24-item questionnaire on relating to oral care procedures and the importance of oral health in hospitalized patients. Data were analyzed using descriptive analysis and the chi-squared test (α = 0.05).

Result: Most respondents (97.8%) believed that oral infections can affect a patient's general health and that oral hygiene is important during hospitalization. However, knowledge deficits were identified. The oral effect of periodontal disease was considered moderate by 49.3% of the participants, and 74.6% believed that sugar was the most common cause of periodontal disease.

Conclusion: Nursing professionals are aware of the importance of maintaining oral hygiene and the relationship between periodontal and systemic diseases. However, their dental hygiene practice knowledge is limited. A training program on oral healthcare for inpatients and the inclusion of oral hygiene topics in the curricula of nursing professionals are recommended.

Keywords

Periodontal diseases, disease, nursing staff, oral health, inpatients

Resumo

Introdução: A manutenção da saúde bucal em pacientes internados é essencial, especialmente para evitar complicações decorrentes da doença periodontal, que não apenas afetam a saúde bucal, mas também podem agravar problemas sistêmicos durante a hospitalização.

Objetivo: Este estudo teve como objetivo avaliar o conhecimento da equipe de enfermagem em relação ao manejo da doença periodontal e sua associação com doenças sistêmicas.

Material e método: Este estudo observacional transversal foi conduzido em um hospital geral de referência do Sistema Único de Saúde (SUS) do Brasil. Um total de 504 profissionais de enfermagem completaram um questionário autoaplicável com 24 questões, abordando procedimentos de cuidados bucais e a importância da saúde bucal em pacientes hospitalizados. Os dados foram analisados por meio de análise descritiva e teste qui-quadrado (α = 0,05).

Resultado: A maioria dos entrevistados (97,8%) acreditava que infecções bucais podem afetar a saúde geral do paciente e que a higiene bucal é importante durante a hospitalização. No entanto, foram identificados déficits de conhecimento. O efeito oral da doença periodontal foi considerado moderado por 49,3% dos participantes, e 74,6% acreditavam que o açúcar era a causa mais comum da doença periodontal.

Conclusão: Profissionais de enfermagem reconhecem a importância da manutenção da higiene bucal e a relação entre doença periodontal e doenças sistêmicas. No entanto, seu conhecimento prático em higiene bucal é limitado. Recomenda-se um programa de treinamento em cuidados bucais para pacientes internados e a inclusão de tópicos de higiene bucal nos currículos dos profissionais de enfermagem.

Palavras-chave

Doenças periodontais, doença, equipe de enfermagem, saúde bucal, pacientes internados

References

1 Kim Y, Ku HM, Jun MK. Knowledge evaluation of oral diseases and perception of cooperation with dental experts for oral care of nurses in intensive care units in Korea: a preliminary study. Nurs Rep. 2023 Mar;13(1):528-38. http://dx.doi.org/10.3390/nursrep13010048. PMid:36976700.

2 Philip P, Villarosa A, Gopinath A, Elizabeth C, Norman G, George A. Oral health knowledge, attitude and practices among nurses in a tertiary care hospital in Bangalore, India: a cross-sectional survey. Contemp Nurse. 2019 Apr-Jun;55(2-3):261-74. http://dx.doi.org/10.1080/10376178.2019.1647790. PMid:31340719.

3 Cianetti S, Anderini P, Pagano S, Eusebi P, Orso M, Salvato R, et al. Oral health knowledge level of nursing staff working in semi-intensive heart failure units. J Multidiscip Healthc. 2020 Feb;13:165-73. http://dx.doi.org/10.2147/JMDH.S224453. PMid:32103976.

4 Terezakis E, Needleman I, Kumar N, Moles D, Agudo E. The impact of hospitalization on oral health: a systematic review. J Clin Periodontol. 2011 Jul;38(7):628-36. http://dx.doi.org/10.1111/j.1600-051X.2011.01727.x. PMid:21470276.

5 Sousa LL, Silva Filho WL, Mendes RF, Moita JM No, Prado RR Jr. Oral health of patients under short hospitalization period: observational study. J Clin Periodontol. 2014 Jun;41(6):558-63. http://dx.doi.org/10.1111/jcpe.12250. PMid:24617503.

6 Lasserre JF, Brecx MC, Toma S. Oral microbes, biofilms and their role in periodontal and peri-implant diseases. Materials (Basel). 2018 Sep;11(10):1802. http://dx.doi.org/10.3390/ma11101802. PMid:30248991.

7 Bui FQ, Almeida-da-Silva CLC, Huynh B, Trinh A, Liu J, Woodward J, et al. Association between periodontal pathogens and systemic disease. Biomed J. 2019 Feb;42(1):27-35. http://dx.doi.org/10.1016/j.bj.2018.12.001. PMid:30987702.

8 Kramer A, Splieth C. Health promotion through structured oral hygiene and good tooth alignment. GMS Hyg Infect Control. 2022 May;17:Doc08. http://dx.doi.org/10.3205/dgkh000411. PMid:35707231.

9 Taşdemir Z, Alkan BA. Knowledge of medical doctors in Turkey about the relationship between periodontal disease and systemic health. Braz Oral Res. 2015;29:55. http://dx.doi.org/10.1590/1807-3107BOR-2015.vol29.0055. PMid:25885023.

10 Sanz M, Marco Del Castillo A, Jepsen S, Gonzalez-Juanatey JR, D’Aiuto F, Bouchard P, et al. Periodontitis and cardiovascular diseases: Consensus report. J Clin Periodontol. 2020 Mar;47(3):268-88. http://dx.doi.org/10.1111/jcpe.13189. PMid:32011025.

11 Adib-Hajbaghery M, Ansari A, Azizi-Fini I. Intensive care nurses’ opinions and practice for oral care of mechanically ventilated patients. Indian J Crit Care Med. 2013 Jan;17(1):23-7. http://dx.doi.org/10.4103/0972-5229.112154. PMid:23833472.

12 Saddki N, Mohamad Sani FE, Tin-Oo MM. Oral care for intubated patients: a survey of intensive care unit nurses. Nurs Crit Care. 2017 Mar;22(2):89-98. http://dx.doi.org/10.1111/nicc.12119. PMid:25349099.

13 Dagnew ZA, Abraham IA, Beraki GG, Mittler S, Achila OO, Tesfamariam EH. Do nurses have barriers to quality oral care practice at a generalized hospital care in Asmara, Eritrea? A cross-sectional study. BMC Oral Health. 2020 May;20(1):149. http://dx.doi.org/10.1186/s12903-020-01138-y. PMid:32434570.

14 Coker E, Ploeg J, Kaasalainen S, Carter N. Nurses’ oral hygiene care practices with hospitalised older adults in postacute settings. Int J Older People Nurs. 2017 Mar;12(1):e12124. http://dx.doi.org/10.1111/opn.12124. PMid:27353475.

15 Gibney J, Wright C, Sharma A, Naganathan V. Nurses’ knowledge, attitudes, and current practice of daily oral hygiene care to patients on acute aged care wards in two Australian hospitals. Spec Care Dentist. 2015 Nov-Dec;35(6):285-93. http://dx.doi.org/10.1111/scd.12131. PMid:26297474.

16 Herrera D, Sanz M, Shapira L, Brotons C, Chapple I, Frese T, et al. Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report of the Joint Workshop by the European Federation of Periodontology (EFP) and the European arm of the World Organization of Family Doctors (WONCA Europe). J Clin Periodontol. 2023 Jun;50(6):819-41. http://dx.doi.org/10.1111/jcpe.13807. PMid:36935200.

17 Ahsan H. Biomolecules and biomarkers in oral cavity: bioassays and immunopathology. J Immunoassay Immunochem. 2019;40(1):52-69. http://dx.doi.org/10.1080/15321819.2018.1550423. PMid:30497330.

18 Rantz MJ, Marek KD, Aud M, Tyrer HW, Skubic M, Demiris G, et al. A technology and nursing collaboration to help older adults age in place. Nurs Outlook. 2005 Jan-Feb;53(1):40-5. http://dx.doi.org/10.1016/j.outlook.2004.05.004. PMid:15761399.

19 Barnard A. Philosophy of technology and nursing. Nurs Philos. 2002 Apr;3(1):15-26. http://dx.doi.org/10.1046/j.1466-769X.2002.00078.x.

20 O’Mathúna DP. Nursing ethics education: thinking, feeling, and technology. Nurs Clin North Am. 2022 Dec;57(4):613-25. http://dx.doi.org/10.1016/j.cnur.2022.06.009. PMid:36280299.

21 Souza EFDC, Pina-Oliveira AA, Shimo AKK. Effect of a breastfeeding educational intervention: a randomized controlled trial. Rev Lat Am Enfermagem. 2020 Sep;28:e3335. http://dx.doi.org/10.1590/1518-8345.3081.3335. PMid:33027400.

22 Leite RS, Marlow NM, Fernandes JK, Hermayer K. Oral health and type 2 diabetes. Am J Med Sci. 2013 Apr;345(4):271-3. http://dx.doi.org/10.1097/MAJ.0b013e31828bdedf. PMid:23531957.

23 Andrade-Leite DB, Martins-Santos SC, Marques-Gomes SM, Oliveira IJ. Knowledge, attitudes and practices of nurses regarding oral hygiene of dependent inpatients. Enferm Clin (Engl Ed). 2023 Jan-Feb;33(1):22-9. http://dx.doi.org/10.1016/j.enfcle.2022.05.003. PMid:35680116.

24 Bhagat V, Hoang H, Crocombe LA, Goldberg LR. Australian nursing students’ perception, knowledge, and attitude towards oral healthcare of older people and associated factors: a national cross-sectional survey. BMC Nurs. 2023 Jun;22(1):190. http://dx.doi.org/10.1186/s12912-023-01366-x. PMid:37277753.

25 Duque AD, Malheiros Z, Stewart B, Romanelli HJ. Strategies for the prevention of periodontal disease and its impact on general health in Latin America. Section III: Prevention. Braz Oral Res. 2020 Apr 9;34(suppl 1):e025. https://doi.org/10.1590/1807-3107bor-2020.vol34.0025. PMid: 32294678.

26 Santonocito S, Giudice A, Polizzi A, Troiano G, Merlo EM, Sclafani R, et al. A cross-talk between diet and the oral microbiome: balance of nutrition on inflammation and immune system’s response during periodontitis. Nutrients. 2022 Jun;14(12):2426. http://dx.doi.org/10.3390/nu14122426. PMid:35745156.

27 Đorđević V, Jovanović M, Miličić B, Stefanović V, Đukić-Dejanović S. Prevalence of dental caries in hospitalized patients with schizophrenia. Vojnosanit Pregl. 2016 Dec;73(12):1102-8. http://dx.doi.org/10.2298/VSP150917111D. PMid:29341566.

28 Araújo RJ, Oliveira LC, Hanna LM, Corrêa AM, Carvalho LH, Alvares NC. Perceptions and actions of oral care performed by nursing teams in intensive care units. Rev Bras Ter Intensiva. 2009;21(1):38-44. http://dx.doi.org/10.1590/S0103-507X2009000100006. PMid:25303127.

29 Hashem IW, Gillway D, Doshi M. Dental care pathways for adult inpatients in an acute hospital: a five-year service evaluation. Br Dent J. 2020 May;228(9):687-92. http://dx.doi.org/10.1038/s41415-020-1446-5. PMid:32385463.

30 Ghauri SK, Javaeed A, Chaudhry A, Khan AS, Mustafa KJ. Knowledge and attitudes of Pakistani intensive care unit nurses regarding oral care delivery to mechanically ventilated patients. J Pak Med Assoc. 2020 Jul;70(7):1203-8. http://dx.doi.org/10.5455/JPMA.5630. PMid:32799274.
 


Submitted date:
01/22/2024

Accepted date:
02/22/2024

6616d24ea953956122658313 rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections