臺灣博碩士論文加值系統

摘要 由於醫療進步，國人平均壽命增加，老年人及慢性病患比以前逐
漸增加，如何讓他們能得到良好的醫療照顧與生活品質，正 是居家照護
努力以赴的目標．　　本研究宗旨即是研擬一套簡易有效的口腔清潔方法
，不僅讓居家照護患者減低因口腔進入的感染機會，減少口腔病痛，而且
口氣清新，使主要照顧者更樂於主動照顧．實驗樣本取自於高雄市三所醫
療院所之居家照護患者，經過性別．年齡．身體機能評估．進食方式．照
顧醫院別．糖尿病罹患．有無牙齒等取樣及配對程序，歷時一個月的實驗
，由牙醫師判斷樣本實驗前後口腔黏膜．舌苔的差異，及詢間主要照顧者
有關患者口腔異昧程度的改變，並分析比較．　　樣本平均年齡63歲，其
中男性佔43.7 ％，女佔56.25％；身 　　　　　　　　體機能方面，完
全依者佔87.5％，嚴重依賴者佔12.5％；進食方面，以鼻胃管者佔87.5％
，以口進食者佔12.5% ．當詣間參與　驗意願時，實驗組明顯比對照組高
許多，表示照顧者也希望能改善患者口腔健康．實驗結果顯示，實驗前後
患者的口腔黏膜無明顯改善，大多患者維持不變；但實驗者苔分佈與口腔
異味程度則有明顯改善，對照者依舊．其表示此一清潔方法可有效去除舌
苔及口臭，值得推廣．

As a result of medical progress,the average life-span of
people in our country is longer,and the number of elderly people
and patients suffering from chronic disease is also increasing.
How to make them got a nice medical care and life quality is
just the object of home care workers to strive for it. The
aim of this study is going to draw up a set of easy and
practical oral cleaning mehtod.Not only reduce the chances of
oral infection and oral sickness of the home-care patierts,but
make them have fresh mouth odour and the maincaretakers would
be happy to look after initialively. The samples of this
experiment were got from home-care patients of 3 hospitals in
Kaohisung.We based ob sex,age,body function evaluation,the way
of food taking hospitals,suffer from D.M.or not and tooth number
to selcct samples and match them.In the one-month experimental
period,the difference of oral mucosa and coating on the tongue
before and after expe riment was judged by dentist;we also
asked the main cares about the improve lerel of oral odour,
htenanalysis ,then analysis and compare the data. The average
rate of the samples is 63 years old,including 43.8% male and
56.2% female.In the respect of body function ,the rate of total
dependent patients is 87.5% and the rate of gravely dependent
patients is 12.5%.At the side of food taking method,the rate of
patients that taking food by N-G tube is 87.5% and the rate of
those by mouth is 12.5%.When asked the wishes to attend this
experiment,the experimental group is obviously higher than the
opposite broup,that means the caretakers alos want to improve
patient''s oral health.The result shows that it''s no obvious
improvance of patient''s oral mucosa between before and after the
experiment,most of the patients remain invariable.But,the
distribution of coated tongue and the odour of mouth of the
experimental group are improved obviously,though the opposite
group remains invariable.That means the cleansing method could
remove the coating of the tongue and improve the halitosis
effectively and be wouth to popularize it.