Journal of Nursing Theory and Practice

[Diabetes Mellitus and Oral Health]

TISCHLÉR Dóra1, NÉMETH Anikó2,3

MAY 03, 2024

Journal of Nursing Theory and Practice - 2024;37(2)

DOI: https://doi.org/10.55608/nover.37.0007

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[Diabetes affects the whole body, altering fundamental metabolic processes. The number of people with diabetes is gradually increasing, with a growing proportion of younger and younger people affected. While significant lifestyle changes are needed to manage diabetes, some form of medication is also essential. Often, only the importance of exercise and diet is brought to patients’ attention by professionals, overlooking the importance of oral prevention. A number of oral conditions (e.g. dry mouth, gingivitis) can occur in people with diabetes as a result of poor oral hygiene. It is important to raise awareness of these conditions and how to prevent them at all levels of healthcare.]

AFFILIATIONS

  1. Szegedi Tudományegyetem Egészségtudományi és Szociális Képzési Kar
  2. Szegedi Tudományegyetem Egészségtudományi és Szociális Képzési Kar, Egészségmagatartás és -fejlesztés Szakcsoport
  3. MESZK Csongrád-Csanád Vármegyei Területi Szervezet

Further articles in this publication

Journal of Nursing Theory and Practice

[Assessment of Life and Sleep Quality and Adherence among Individuals Living with Hypertension]

VARGA Bernadett, STROMAJER-RÁCZ Tímea , LAKI Szimonetta, PUSZTAFALVI Henriette , CSIMA Melinda

[The high blood pressure disease is one of the primary risk factors for the development of other cardiovascular diseases. The aim of the present study was to assess the medication habits, sleep quality, and quality of life of patients aged 45 and older living with hypertension.

Our study was a quantitative descriptive cross-sectional survey conducted in 2022 in the form of an online questionnaire among patients aged 45 and older suffering from hypertension (n=143). The data collection tools included the Morisky Medication Adherence Scale (8 items), the Pittsburgh Sleep Quality Index, EQ-5D-5L, and a self-designed questionnaire.

Lower age was associated with higher levels of medication adherence (R=-0.36; p=0.024). Patients who regularly visited their general practitioner showed more consistent medication intake (p=0.048). Adequate sleep quality positively influenced the quality of life (p<0.001).

Regular visits to the general practitioner not only facilitate medication adherence but also provide an excellent opportunity for patient education and health promotion. Therefore, it has paramount importance to draw the attention of hypertensive patients to the role of regular check-ups with their general practitioner, which can contribute to the prevention of complications arising from hypertension.]

Journal of Nursing Theory and Practice

[Accidental Injuries of Milk Teeth and their Treatment]

RÓZSA Barbara, NÉMETH Anikó

[Accidental injuries to milk teeth are a common occurrence in young children. Many people – if the injury does not seem serious – do not even consider it a serious injury, because „it’s just a milk tooth” and „another one will grow in its place”. Because of these misconceptions, the aim of this article is to raise awareness of the forms and possible consequences of traumatic injuries to milk teeth and to familiarise health professionals with the treatment of these injuries, thus highlighting the importance of dental care for children, even in the most mildly apparent cases, to protect the germs of the teeth to be eroded.]

Journal of Nursing Theory and Practice

[A New Perspective in Dentistry: Teledentistry in the 21st Century]

GULYÁS Judit, KIS-GYÖRGY Rita

[Technical progress in the modern age is rapidly expanding in the fields of health and medicine. Telemedicine is taking off, and global digitalisation is opening up new horizons in all segments of healthcare. Telemedicine has been evolving for decades and can provide a relevant toolkit for preventive and curative care, patient monitoring, and interactions between professionals. Its role is essential for the prevention and better management of common dental diseases. However, in addition to its many advantages, it also has limitations that challenge both professionals and patients visiting the care system.]

Journal of Nursing Theory and Practice

[Modern Wound Treatment Options in General Practice – Treatment of Sacral Decubitus]

BRANDNERNÉ BUDAI Mónika

[ ]

Journal of Nursing Theory and Practice

[The Role of the Podiatrist in the Care of the Diabetic Foot]

BIRINÉ MIKA Borbála

[ ]

All articles in the issue

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Journal of Nursing Theory and Practice

[Education of Healthcare Professionals about Stomato-oncology Screening Tests]

HEGYI Virág, FRITSCHEK Nóra Anna, NÉMETH Anikó

[In Europe Hungary has the highest prevalence of oral cancer and mortality. That aforementioned case draws attention to the importance of oral screening tests because these types of tumors can be cured easily if we catch them in time. Stomato-oncology screening tests are one of the most painless and easiest examinations considering that it can be effectively done by non-professionals and healthcare workers outside of dentistry. This gives us the opportunity to filter out tumors in early states. This summary publication demonstrates the steps of extra- and intraoral examination and escalates to noticing periodontal deseases and oral cancer.]

Journal of Nursing Theory and Practice

[Assessing the Effectiveness of Patient Education Among Periodontal Patients Conducted by Clinical Dental Hygienist ]

KIS Mónika

[To objectify the positive effect of individualized oral hygiene patient education on the condition of patients suffering from periodontal disease. Also to draw attention to the effectiveness and necessity of patient education in order to motivate the nurse and dental hygienist colleagues to implement individual patient education in practice.

Instrumental measurement-based impact assessment within a focus group with periodontal disease, observing the differences between the condition of patients who received patient education (n=108) and patients who did not received patient education (n=113).

Individual patient education is effective, individual patient compliance is higher and periodontal disease status shows a significantly greater improvement in patients who participated in individual patient education.

 The education carried out by clinical dental hygienists can effectively improve the oral health of periodontal patients, thus reducing the disease burden and decreasing the periodontal disease risk effect on the development of other disease affecting the entire human body.]

Journal of Nursing Theory and Practice

[Effects of Illegal Drugs on Oral Health]

HALÁSZ Henrietta , NÉMETH Anikó

[Drug use is still on the rise today, with designer drugs being particularly dangerous. In addition to the general effects on the body, we must also mention the negative effects on the oral cavity. Many people do not realise that oral health can also be at risk, although oral lesions can develop as a result of poor oral hygiene, infections or neurological symptoms caused by the way in which the drug is used, or even by the way in which it is taken. In addition to dental caries, it is important to mention oral infections, tooth wear, or even Kaposi’s sarcoma due to possible HIV infection. Recognition of these oral lesions and of illegal drug use is not only a task for dental professionals, but also for the whole health care system.]

Journal of Nursing Theory and Practice

[Examining the Impact of Smoking on Oral Health-Related Quality of Life among Young Adults]

TOROK Anna, NÉMETH Anikó

[The purpose of the study is to investigate the quality of life of young adults in relation to oral health and how smoking affects this. The aim is to explore the differences in oral health-related quality of life between smokers, non-smokers, and quitters in a given age group.

The survey was conducted using a self-designed online questionnaire that included the Oral Health Impact Profile (OHIP-14) questionnaire. The survey was conducted from May 01 to June 30, 2023, using a nonrandom sampling method that relied on easily accessible subjects. Data were processed and analysed using IBM SPSS 20.0 statistical software, descriptive statistics, Kruskal-Wallis test, and Spearman’s rank correlation analysis (p<0.05). 

Based on the 317 assessable responses, smokers had a higher average OHIP-14 total score than non-smokers and quitters, but there were no significant differences in oral health-related quality of life between the groups (p=0.540). Four self-reported questions were added to the OHIP-14 questionnaire: dissatisfied with the colour of their teeth; afraid of communicating with others without seeing their teeth being seen; afraid of having a serious oral problem; afraid of losing their teeth. These issues are highly correlated with the OHIP-14 questionnaire and fear of oral lesions appears to be present among smokers.

Young adults do not yet show a significant deterioration in oral quality of life due to smoking, but additional questions are worth considering to assess the quality of life in smokers.]

Clinical Neuroscience

A case study of acute oropharyngeal palsy concomitant with diabetic ketoacidosis

LANTOS Judit , BARTA Zsanett , NAGY Albert , VINCZE Rita , FÜLE Kálmán , BIHARI Katalin

Acute oropharyngeal palsy is a rare variant of Guillain-Barré syndrome. In our study we present the case of a 63-year-old man with general symptoms who was diagnosed with diabetic ketoacidosis and prescribed insulin therapy. Two weeks later, the patient complained of paraesthesia of the perioral region and the tip of the tongue, dysphagia, and dysarthria. These symptoms were initially thought to be complications of the patient’s type-1 diabetes. Due to rapidly developing paraparesis, the patient became bedridden. Clinical symptoms, cerebrospinal fluid analysis and a nerve conduction study resulted in a diagnosis of acute oropharyngeal palsy, a variant of Guillain-Barré syndrome. After five consecutive days of intravenous immunoglobulin treatment, neurological symptoms improved and the need for insulin ceased. One year later, the patient’s only remaining neurological symptom was loss of tendon reflexes in the lower extremities. Furthermore, the patient’s blood glucose level was normal without the use of medications or a special diet. Here, we report that oropharyngeal palsy can co-occur with diabetic ketoacidosis, and that immuntherapy is effective in treating both oropharyngeal palsy and type-1 diabetes. To our knowledge, this is the first description of a patient presenting with acut oropharyngeal palsy concomitant with diabetic ketoacidosis.