Percorrer por autor "Pombo-Lopes, Joana"
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- Health professionals’ perceptions, barriers and knowledge towards oral health care of dependent people in nursing homes : a systematic reviewPublication . Pombo-Lopes, Joana; Rodrigues, Inês; Costa, Joana; Gomes, Ana Catarina; Fonseca, Jorge; Grillo-Evangelista, JoséIntroduction: This review aimed to evaluate the perceived barriers, knowledge, and training, of different health care professionals in relation to the oral health of dependent people in nursing homes and access, as well, how this data was evaluated. Methods: Three electronic databases—PubMed/MEDLINE, Web of Science, and LILACS—were searched independently by two researchers for relevant studies published up to December 2023. Articles were selected according to the established inclusion and exclusion criteria, and a total of 35 studies were included. Results: Findings from the Nursing Dental Coping Belief Scale studies revealed disparities between training and daily oral health care, with experienced nurses experiencing challenges. Barriers described were categorized and included resident-related issues, organizational challenges, and caregiver-related difficulties. Most caregivers reported inadequate training, often informal or experiential, although they are involved in the hygiene of the older adult, with tooth brushing and denture cleaning being the most common practices. Low oral health literacy coexisted with recognition of the importance of oral health care. Conclusion: The findings advocate for targeted interventions, standardized training, and improved support systems to improve oral health care for the older adult in diverse health care settings.
- Health professionals’ perceptions, barriers and knowledge towards oral health care of dependent people in nursing homes : a systematic reviewPublication . Pombo-Lopes, Joana; Rodrigues, Inês; Costa, Joana; Gomes, Ana Catarina; Fonseca, Jorge; Grillo-Evangelista, JoséIntroduction: This review aimed to evaluate the perceived barriers, knowledge, and training, of different health care professionals in relation to the oral health of dependent people in nursing homes and access, as well, how this data was evaluated. Methods: Three electronic databases—PubMed/MEDLINE, Web of Science, and LILACS—were searched independently by two researchers for relevant studies published up to December 2023. Articles were selected according to the established inclusion and exclusion criteria, and a total of 35 studies were included. Results: Findings from the Nursing Dental Coping Belief Scale studies revealed disparities between training and daily oral health care, with experienced nurses experiencing challenges. Barriers described were categorized and included resident-related issues, organizational challenges, and caregiver-related difficulties. Most caregivers reported inadequate training, often informal or experiential, although they are involved in the hygiene of the older adult, with tooth brushing and denture cleaning being the most common practices. Low oral health literacy coexisted with recognition of the importance of oral health care. Conclusion: The findings advocate for targeted interventions, standardized training, and improved support systems to improve oral health care for the older adult in diverse health care settings.
- Oral health, polypharmacy and nutritional status in institutionalized dementia patients : a multicenter cross-sectional studyPublication . Pombo-Lopes, Joana; Sousa-Catita, Diogo; Mascarenhas, Paulo; Fonseca, Jorge; Grillo-Evangelista, JoséBackground: As the population ages, dementia poses a critical public health challenge. This study examined the oral health and nutritional status of institutionalized Portuguese adults with dementia, exploring their interrelated predictors. Methods: This multicenter, cross-sectional study assessed institutionalized patients using the Decayed, Missing, and Filled Teeth (DMFT) index, posterior functional units (PFUs), plaque (PI) and gingival (GI) indices, the Short Xerostomia Inventory (SXI-5), and the Mini Nutritional Assessment (MNA). DMFT was modeled using multivariable ordinary least squares (OLS) regression for demographic and clinical predictors and separate negative binomial models for medication-related predictors. Other outcomes were analyzed using outcome-specific multivariable models. Results: The study included 71 participants (mean age: 82.5 ± 6.9 years). A high dental disease burden (mean DMFT score of 24.3 ± 7.5) was observed, independently predicted by advanced age (β = 0.48, p = 0.002) and residence in public long-term care units (LTCUs) (β = 6.65, p = 0.001). Total edentulism affected 28.2% of the sample. Polypharmacy emerged as a significant predictor of tooth loss; each additional medication was associated with an 18% decrease in the likelihood of retaining natural teeth (OR = 0.82, p = 0.008). Higher cognitive decline (GDS) was associated with increased plaque (p = 0.043), and modified-texture diets were associated with lower plaque levels (β = −0.64, p = 0.021). The mean MNA score (16.9 ± 3.8) indicated a high risk of malnutrition, with a trend toward lower gingival inflammation with better nutritional status (p = 0.061). Conclusions: Institutionalized dementia patients face severe oral and nutritional risks associated with age, polypharmacy and institutional environment. This emphasizes the need for multidisciplinary protocols and caregiver training.