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高齡臥床病人口腔保健 - 台中榮民總醫院

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全人智慧 醫療典範 愛心 品質 創新 當責

經高齡醫學科醫師檢視 臺中榮民總醫院護理部編印

高齡臥床病人口腔保健

2017.08.30 訂定 2018.07.25(1 審) 衛教編號:GER-006

(2)

良好的口腔衛生需要適當的器具輔助

用物選擇

刷毛以軟毛為主,一般以 三排較適當,建議 2 至 3 個月更換一次

牙刷

建議第一次使用者先從最 小尺寸試起,若使用頻繁 建議每週更換一次牙間刷

間刷

刷牙後可用舌苔刷輕刷舌 頭表面,建議 2 至 3 個月 更換一次

舌苔刷

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意識清楚

坐姿 80 度,頭部墊高稍微往前傾。

姿勢準備

適用口腔黏膜敏感及容易 出血,無法用一般牙刷清 潔口腔的人,用過即丟

海綿牙刷

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意識不清者

上半身抬起 30 度,病況允許下,可提高至 45-60 度。

(5)

刷牙步驟

鋪毛巾於胸前,病人頭臉部側向一邊,

以牙刷或海綿牙刷沾取牙膏清潔牙齒及 口腔

步驟

(6)

2

牙縫較大的地方可用牙間刷做清潔 步驟

使用海綿牙刷沾漱口水,由後往前擦拭 口腔左、右頰黏膜、牙齦、舌頭、上腭 黏膜、口底黏膜及嘴唇

步驟

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正確的口腔清潔方式及運用清潔器具,能減少口 腔細菌,有效維持口腔的健康。

結論

使用空針抽取漱口水或開水輕輕沖洗口 腔,同時搭配抽吸設備,一邊清潔一邊 將水吸出

步驟

(8)

吳侑庭,余權航 (2015)‧到宅牙醫醫療與居家口腔照護‧ 期照護雜誌,19(1), 25-31‧doi:

10.6317/LTC.19.25。

Ahire, M., Dani, N., & Muttha, R. (2012). Dental health education through the brushing ROBOTUTOR_ A new learning experience. Journal of Indian Society of

Periodontology, 16(3), 417-420.

Prendergast, V., Kleiman, C., & King, M. (2013). The Bedside Oral Exam and the Barrow Oral Care Protocol:

translating evidence-based oral care into practice.

Intensive Crit Care Nurs, 29(5), 282-290. doi:

10.1016/j.iccn.2013.04.001

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