Translating Evidence into Clinical Care---Oral Hygiene for Patients Diagnosed with Chronic Kidney Disease

The oral health condition in CKD patients is a ignore but important issue of clinical care. This 3 years projects includes longitudinal follow-up, RCT, and clinical application of evidence-based practice. It focus on the oral care of CKD patients. We selected CKD patients, healthy adults, and nurses as samples, then analyzed and compared the relationships among the oral condition, inflammation, PAOD and health literacy of the CKD patients and healthy adults. Also, we verify the effectiveness of providing the strategies of oral care to the patients and the oral care protocol to the nurses. The first year is a cross-sectional design, we collect and compare the oral health condition, inflammation, PAOD, and health literacy of the CKD patients and healthy adults. The second year is an RCT design. We selected the subjects with the best or worst oral conditions and distributed them into the experimental (receiving oral care strategies) and control (receiving routine care) groups randomly. Then, we collect each indicator every 6 months. Research design in the third year is one group pre-post test. The subjects included CKD patients and nurses. From the responses of CKD patients, both satisfaction with nursing care and each indicator, the effectiveness of enhancement of nursing ability to conduct oral care was verified. For nurses, we measure the change of KAP related to oral care after we provide inservice education of the oral care protocol. Descriptive analysis, mean, SD, %, was selected to describe the basic conditions of each variable. In first year, t-test and Chi-square test were selected to verify the relationship between CKD patients and healthy adults. Same statistic tests are selected to verify the relationship between the experimental and control groups in second year. Also, GEE was performed to verify the changes of each indicator during this period. In the third year, paired t-test tests were selected to verify the changes for the CKD patients and nurses respectively. Also, GEE and ANOCOVA was conducted to identify the proposed associated factors. The results can establish an oral health screening and oral health strategy that can be conducted by nurses. Also, nursing ability can be improved by implementing the evidenced based protocol. Thus, patients can receive holistic and high quality of care.

Project ID:PC10207-0430
External Project ID:NSC102-2314-B182-005