Oral health and cardiovascular care: Perceptions of people with cardiovascular disease
The aim of this study was to explore the perception of patients with cardiovascular disease towards oral health and the potential for cardiac care clinicians to promote oral health. A needs assessment was undertaken with twelve patients with cardiovascular disease attending cardiac rehabilitation be...
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| Veröffentlicht in: | PloS one 2017-07, Vol.12 (7), p.e0181189-e0181189 |
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| creator | Sanchez, Paula Everett, Bronwyn Salamonson, Yenna Ajwani, Shilpi Bhole, Sameer Bishop, Joshua Lintern, Karen Nolan, Samantha Rajaratnam, Rohan Redfern, Julie Sheehan, Maria Skarligos, Fiona Spencer, Lissa Srinivas, Ravi George, Ajesh |
| description | The aim of this study was to explore the perception of patients with cardiovascular disease towards oral health and the potential for cardiac care clinicians to promote oral health.
A needs assessment was undertaken with twelve patients with cardiovascular disease attending cardiac rehabilitation between 2015 and 2016, in three metropolitan hospitals in Sydney, Australia. These patients participated in face-to-face semi-structured interviews. Data was analysed using thematic analysis.
Results suggested that while oral health was considered relevant there was high prevalence of poor oral health among participants, especially those from socioeconomic disadvantaged background. Awareness regarding the importance of oral health care its impact on cardiovascular outcomes was poor among participants. Oral health issues were rarely discussed in the cardiac setting. Main barriers deterring participants from seeking oral health care included lack of awareness, high cost of dental care and difficulties in accessing the public dental service. Findings also revealed that participants were interested in receiving further information about oral health and suggested various mediums for information delivery. The concept of cardiac care clinicians, especially nurses providing education, assessment and referrals to ongoing dental care was well received by participants who felt the post-acute period was the most appropriate time to receive oral health care advice. The issues of oral health training for non-dental clinicians and how to address existing barriers were highlighted by participants.
The lack of oral health education being provided to patients with cardiovascular disease offers an opportunity to improve care and potentially, outcomes. In view of the evidence linking poor oral health with cardiovascular disease, cardiac care clinicians, especially nurses, should be appropriately trained to promote oral health in their practice. Affordable and accessible dental care services for people with cardiovascular disease should be considered and offered by health services in Australia. |
| doi_str_mv | 10.1371/journal.pone.0181189 |
| format | Article |
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A needs assessment was undertaken with twelve patients with cardiovascular disease attending cardiac rehabilitation between 2015 and 2016, in three metropolitan hospitals in Sydney, Australia. These patients participated in face-to-face semi-structured interviews. Data was analysed using thematic analysis.
Results suggested that while oral health was considered relevant there was high prevalence of poor oral health among participants, especially those from socioeconomic disadvantaged background. Awareness regarding the importance of oral health care its impact on cardiovascular outcomes was poor among participants. Oral health issues were rarely discussed in the cardiac setting. Main barriers deterring participants from seeking oral health care included lack of awareness, high cost of dental care and difficulties in accessing the public dental service. Findings also revealed that participants were interested in receiving further information about oral health and suggested various mediums for information delivery. The concept of cardiac care clinicians, especially nurses providing education, assessment and referrals to ongoing dental care was well received by participants who felt the post-acute period was the most appropriate time to receive oral health care advice. The issues of oral health training for non-dental clinicians and how to address existing barriers were highlighted by participants.
The lack of oral health education being provided to patients with cardiovascular disease offers an opportunity to improve care and potentially, outcomes. In view of the evidence linking poor oral health with cardiovascular disease, cardiac care clinicians, especially nurses, should be appropriately trained to promote oral health in their practice. Affordable and accessible dental care services for people with cardiovascular disease should be considered and offered by health services in Australia.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0181189</identifier><identifier>PMID: 28727751</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accessibility ; Adult ; Aged ; Analysis ; Angina pectoris ; Biology and Life Sciences ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - psychology ; Care and treatment ; Collaboration ; Coronary artery disease ; Data processing ; Dentistry ; Disease prevention ; Education ; Female ; Gum disease ; Health aspects ; Health care ; Health education ; Health Knowledge, Attitudes, Practice ; Health services ; Heart diseases ; Hospitals ; Humans ; Influence ; Male ; Medical personnel ; Medical research ; Medicine and Health Sciences ; Middle Aged ; Midwifery ; Needs Assessment ; Nurses ; Nursing schools ; Oral Health ; Oral hygiene ; Patient outcomes ; Patients ; People and Places ; Rehabilitation ; Risk factors ; Socio-economic aspects ; Socioeconomic Factors ; Training ; Womens health</subject><ispartof>PloS one, 2017-07, Vol.12 (7), p.e0181189-e0181189</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Sanchez et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Sanchez et al 2017 Sanchez et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-8126585040db9a2c4987f65bb0188d92c6719c3b631b23c7cf0d268c57dd302b3</citedby><cites>FETCH-LOGICAL-c692t-8126585040db9a2c4987f65bb0188d92c6719c3b631b23c7cf0d268c57dd302b3</cites><orcidid>0000-0002-0326-4365</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5519046/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5519046/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28727751$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sanchez, Paula</creatorcontrib><creatorcontrib>Everett, Bronwyn</creatorcontrib><creatorcontrib>Salamonson, Yenna</creatorcontrib><creatorcontrib>Ajwani, Shilpi</creatorcontrib><creatorcontrib>Bhole, Sameer</creatorcontrib><creatorcontrib>Bishop, Joshua</creatorcontrib><creatorcontrib>Lintern, Karen</creatorcontrib><creatorcontrib>Nolan, Samantha</creatorcontrib><creatorcontrib>Rajaratnam, Rohan</creatorcontrib><creatorcontrib>Redfern, Julie</creatorcontrib><creatorcontrib>Sheehan, Maria</creatorcontrib><creatorcontrib>Skarligos, Fiona</creatorcontrib><creatorcontrib>Spencer, Lissa</creatorcontrib><creatorcontrib>Srinivas, Ravi</creatorcontrib><creatorcontrib>George, Ajesh</creatorcontrib><title>Oral health and cardiovascular care: Perceptions of people with cardiovascular disease</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The aim of this study was to explore the perception of patients with cardiovascular disease towards oral health and the potential for cardiac care clinicians to promote oral health.
A needs assessment was undertaken with twelve patients with cardiovascular disease attending cardiac rehabilitation between 2015 and 2016, in three metropolitan hospitals in Sydney, Australia. These patients participated in face-to-face semi-structured interviews. Data was analysed using thematic analysis.
Results suggested that while oral health was considered relevant there was high prevalence of poor oral health among participants, especially those from socioeconomic disadvantaged background. Awareness regarding the importance of oral health care its impact on cardiovascular outcomes was poor among participants. Oral health issues were rarely discussed in the cardiac setting. Main barriers deterring participants from seeking oral health care included lack of awareness, high cost of dental care and difficulties in accessing the public dental service. Findings also revealed that participants were interested in receiving further information about oral health and suggested various mediums for information delivery. The concept of cardiac care clinicians, especially nurses providing education, assessment and referrals to ongoing dental care was well received by participants who felt the post-acute period was the most appropriate time to receive oral health care advice. The issues of oral health training for non-dental clinicians and how to address existing barriers were highlighted by participants.
The lack of oral health education being provided to patients with cardiovascular disease offers an opportunity to improve care and potentially, outcomes. In view of the evidence linking poor oral health with cardiovascular disease, cardiac care clinicians, especially nurses, should be appropriately trained to promote oral health in their practice. Affordable and accessible dental care services for people with cardiovascular disease should be considered and offered by health services in Australia.</description><subject>Accessibility</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Angina pectoris</subject><subject>Biology and Life Sciences</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - psychology</subject><subject>Care and treatment</subject><subject>Collaboration</subject><subject>Coronary artery disease</subject><subject>Data processing</subject><subject>Dentistry</subject><subject>Disease prevention</subject><subject>Education</subject><subject>Female</subject><subject>Gum disease</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health education</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health services</subject><subject>Heart diseases</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Influence</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Midwifery</subject><subject>Needs Assessment</subject><subject>Nurses</subject><subject>Nursing schools</subject><subject>Oral Health</subject><subject>Oral hygiene</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>People and Places</subject><subject>Rehabilitation</subject><subject>Risk factors</subject><subject>Socio-economic aspects</subject><subject>Socioeconomic Factors</subject><subject>Training</subject><subject>Womens 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Fiona</au><au>Spencer, Lissa</au><au>Srinivas, Ravi</au><au>George, Ajesh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oral health and cardiovascular care: Perceptions of people with cardiovascular disease</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-07-20</date><risdate>2017</risdate><volume>12</volume><issue>7</issue><spage>e0181189</spage><epage>e0181189</epage><pages>e0181189-e0181189</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The aim of this study was to explore the perception of patients with cardiovascular disease towards oral health and the potential for cardiac care clinicians to promote oral health.
A needs assessment was undertaken with twelve patients with cardiovascular disease attending cardiac rehabilitation between 2015 and 2016, in three metropolitan hospitals in Sydney, Australia. These patients participated in face-to-face semi-structured interviews. Data was analysed using thematic analysis.
Results suggested that while oral health was considered relevant there was high prevalence of poor oral health among participants, especially those from socioeconomic disadvantaged background. Awareness regarding the importance of oral health care its impact on cardiovascular outcomes was poor among participants. Oral health issues were rarely discussed in the cardiac setting. Main barriers deterring participants from seeking oral health care included lack of awareness, high cost of dental care and difficulties in accessing the public dental service. Findings also revealed that participants were interested in receiving further information about oral health and suggested various mediums for information delivery. The concept of cardiac care clinicians, especially nurses providing education, assessment and referrals to ongoing dental care was well received by participants who felt the post-acute period was the most appropriate time to receive oral health care advice. The issues of oral health training for non-dental clinicians and how to address existing barriers were highlighted by participants.
The lack of oral health education being provided to patients with cardiovascular disease offers an opportunity to improve care and potentially, outcomes. In view of the evidence linking poor oral health with cardiovascular disease, cardiac care clinicians, especially nurses, should be appropriately trained to promote oral health in their practice. Affordable and accessible dental care services for people with cardiovascular disease should be considered and offered by health services in Australia.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28727751</pmid><doi>10.1371/journal.pone.0181189</doi><tpages>e0181189</tpages><orcidid>https://orcid.org/0000-0002-0326-4365</orcidid><oa>free_for_read</oa></addata></record> |
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| issn | 1932-6203 1932-6203 |
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| recordid | cdi_plos_journals_1921147486 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Accessibility Adult Aged Analysis Angina pectoris Biology and Life Sciences Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - psychology Care and treatment Collaboration Coronary artery disease Data processing Dentistry Disease prevention Education Female Gum disease Health aspects Health care Health education Health Knowledge, Attitudes, Practice Health services Heart diseases Hospitals Humans Influence Male Medical personnel Medical research Medicine and Health Sciences Middle Aged Midwifery Needs Assessment Nurses Nursing schools Oral Health Oral hygiene Patient outcomes Patients People and Places Rehabilitation Risk factors Socio-economic aspects Socioeconomic Factors Training Womens health |
| title | Oral health and cardiovascular care: Perceptions of people with cardiovascular disease |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T23%3A07%3A15IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Oral%20health%20and%20cardiovascular%20care:%20Perceptions%20of%20people%20with%20cardiovascular%20disease&rft.jtitle=PloS%20one&rft.au=Sanchez,%20Paula&rft.date=2017-07-20&rft.volume=12&rft.issue=7&rft.spage=e0181189&rft.epage=e0181189&rft.pages=e0181189-e0181189&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0181189&rft_dat=%3Cgale_plos_%3EA498922594%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1921147486&rft_id=info:pmid/28727751&rft_galeid=A498922594&rft_doaj_id=oai_doaj_org_article_2e7c6206a8e442eaa199b0e638446952&rfr_iscdi=true |