Research on pneumonia episode incidence decreases and contribution to the need of nursing care level progression control by oral care interventions

Research Project

Project/Area Number	24659939
Research Category	Grant-in-Aid for Challenging Exploratory Research
Allocation Type	Multi-year Fund
Research Field	Social dentistry
Research Institution	The Lion Foundation for Dental Health
Principal Investigator	TAKEI Noriko 公益財団法人ライオン歯科衛生研究所(研究部研究開発室), その他部局等, 研究員 (50556537)
Co-Investigator(Kenkyū-buntansha)	石井孝典公益財団法人ライオン歯科衛生研究所(研究部研究開発室), その他部局等, その他 (40597291) 石川正夫公益財団法人ライオン歯科衛生研究所(研究部研究開発室), その他部局等, 研究員 (50597250) 別所和久京都大学, 医学(系)研究科(研究院), 教授 (90229138) 高橋克京都大学, 医学(系)研究科(研究院), 准教授 (90314202) 家森正志京都大学, 医学(系)研究科(研究院), 助教 (90402916) 浅井啓太京都大学, 医学(系)研究科(研究院), 助教 (10646376)
Project Period (FY)	2012-04-01 – 2015-03-31
Project Status	Completed (Fiscal Year 2014)
Budget Amount *help	¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000) Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000) Fiscal Year 2013: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000) Fiscal Year 2012: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords	オーラルケアマネジメント / 口腔内微生物 / 要介護度 / 肺炎 / 入院日数 / オーラルケアﾏﾈｼﾞﾒﾝﾄ / オーラルケア / 口腔微生物
Outline of Final Research Achievements	The pneumonia prevention of the elderly requiring nursing care is an important problem in super-aging society. Then, we developed the oral care management program for the pneumonia prevention and evaluated the effect of the program practicing in some health care facility for the elderly. As a result, we had some effect on improving the score of Candida test and the swallowing function by food test for elderly at a nursing home. However, we could not confirm the decreasing of incidence on pneumonia, significantly. In the second year, we developed the sampling method for oral bacterial assessment and started the intervention study at the other nursing home. In the third year, we examined the effect of the oral care management program for elderly at the nursing home that had high incidence of pneumonia recently, and then we confirmed the tendency of pneumonia decrease after 3 months later. Furthermore we will determine the long-term effect of the oral care management program for them.