ABSTRACT
Objective: To find out the effectiveness of specially made brushes with special grips for use by groups of ischemic stroke sufferers for oral hygiene. Material and Methods: A sample of 30 stroke patients were taken at the Makassar Stroke Center, Indonesia, with criteria for extreme hemisphere ischemic stroke patients and willing to participate in the study and fill out informed consent. Brush making with a special grip design (modified brush) with Clay mixed material. The oral hygiene assessment procedure of the sample using a modified toothbrush was done in 3 stages before the brush, after brush and on the seventh day. Oral and oral hygiene was measured using the index of Oral Hygiene Index Simplified (OHI-S). The oral hygiene assessment procedure was done in 3 stages before the brush, after brush and on the seventh day. To find out the difference in effectiveness before and after the intervention was analyzed using the paired t test. The level of significance was set at 5%. Results: The highest percentage of stroke patients were female (53.3%), aged 40-60 years (66.7%) with an education level below junior high school (56.7%). There is a difference in the average OHIS score before and after using a special grip toothbrush (p<0.01). Conclusion: A special grip toothbrush that is used for Stroke sufferers can help to clean his teeth and mouth.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Oral Hygiene , Toothbrushing/methods , Efficacy/methods , Stroke/pathology , Indonesia , Oral Hygiene Index , Data Interpretation, Statistical , Home Nursing/historyABSTRACT
Se realizó un estudio descriptivo, longitudinal y retrospectivo sobre el ingreso domiciliario en la provincia de Santiago de Cuba durante el 2007 para emitir algunas consideraciones sobre el procedimiento médico-asistencial en el período 1998-2006 y ofrecer elementos cuantitativos y cualitativos del 2007. Se concluyó que en el sistema de atención primaria de salud se han logrado impactos socioéticos, culturales y económicos positivos, tales como: servicio gratuito, oferta y control de los recursos, así como cercanía del equipo de trabajo al paciente, la familia y la comunidad, entre otros grandes beneficios. Se recomienda perfeccionar el proceso para el ingreso domiciliario, sobre la base de la enseñanza y aplicación de principios bioéticos desde las universidades médicas en su etapa de pregrado.
A descriptive, longitudinal and retrospective study on the home care was carried out in Santiago de Cuba city during 2007 to give some considerations on the medical care procedure in the period 1998-2006 and to offer quantitative and qualitative elements of 2007. It was concluded that in the health primary care system positive social, ethical, cultural and economic impacts have been achieved, such as: free service, supply and control of resources, as well as proximity of the work team to the patient, the family and the community, among other great benefits. It is recommended to improve the process for the home care, on the basis of teaching and applying bioethical principles from the medical universities in their pre-degree stage.