title: Hearts and mouths: perceptions of oral hygiene by at-risk heart surgery patients.
abstract: OBJECTIVE
  To assess and use the attitudes of patients who are placed at risk after valvular heart surgery due to the connection between poor oral hygiene, valvular heart disease/surgery and the risk of developing infective endocarditis.
  
  
  METHODS
  A qualitative (focus group) design based study carried out on subjects three months post heart surgery.
  
  
  METHODS
  There were five focus groups of five participants each convened by an experienced moderator.
  
  
  RESULTS
  These portrayed an apparent pressing desire by most patients to talk about their experiences. However, patients did not accept the link between their oral health and their general health. Oral hygiene practices were not necessarily oral health related.
  
  
  CONCLUSIONS
  The importance of the study in understanding the reasons for a patient's behaviour is evident when there is a clear need to modify the behaviour patterns of the patients effectively. Clinical trials can now be developed based on these results.
authors.affiliation: Dental School, Framlington Place, Newcastle upon Tyne, United Kingdom, NE2 4BW. r.j.lowry@ncl.ac.uk
authors.forename: R J
authors.initials: RJ
authors.lastname: Lowry
authors.forename: P
authors.initials: P
authors.lastname: Maunder
authors.forename: J G
authors.initials: JG
authors.lastname: Steele
authors.forename: J
authors.initials: J
authors.lastname: Colligan
authors.forename: C A
authors.initials: CA
authors.lastname: Beard
authors.forename: J
authors.initials: J
authors.lastname: Harvey
authors.forename: G
authors.initials: G
authors.lastname: Erdos
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D004697:Endocarditis, Bacterial / Q000523:psychology* / Q000601:surgery; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009910:Oral Hygiene / Q000523:psychology*; D036301:Qualitative Research