Patterns of impaired oral health-related quality of life dimensions.
Patterns of impaired oral health-related quality of life dimensions.
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DOI：
10.1111/joor.12396
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发表时间：
2016-07
影响因子：
2.9
通讯作者：
Reissmann DR
中科院分区：
文献类型：
--
作者：
John MT;Rener-Sitar K;Baba K;Čelebić A;Larsson P;Szabo G;Norton WE;Reissmann DR
口腔健康相关生活质量（oral health-related quality of life，OHRQoL）是口腔疾病对牙科患者的影响。这一概念旨在使患者体验可衡量。OHRQoL是多维度的，口腔功能、口面疼痛、口面外观和心理社会影响被认为是其四个维度，因此需要四个评分来进行全面的OHRQoL评估。当只测量存在的尺寸的影响，受影响的OHRQoL尺寸的模式将以一种简单的方式描述口腔条件如何影响个人。通过确定口腔修复患者和普通人群受试者对OHRQoL维度（口腔功能-口面部疼痛-口面部外观-心理社会影响）的影响模式，我们旨在确定口腔疾病的功能，疼痛，美学和心理社会影响的组合。数据来自OHRQoL项目的维度，OHIP-49数据来自学习样本（N= 5，173）和验证样本（N= 5，022）中的6，349名普通人群受试者和2，999名口腔修复患者。我们假设，所有16种模式的OHRQoL尺寸应该发生在这些人谁遭受的主要是牙齿脱落，其原因和后果。当维度中至少有一个项目经常受到影响时，该维度被视为受损。在学习样本和验证样本中，在患者和一般人群受试者中发现了16种可能的OHRQoL受损模式。在由口腔功能、口面疼痛、口面外观和心理社会影响组成的四维OHRQoL模型中，口腔疾病的影响可以以OHRQoL维度的任何组合发生。
How dental patients are affected by oral conditions can be described with the concept of oral health-related quality of life (OHRQoL). This concept intends to make the patient experience measurable. OHRQoL is multidimensional and Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact were suggested as its four dimensions and consequently four scores are needed for comprehensive OHRQoL assessment. When only the presence of dimensional impact is measured, a pattern of affected OHRQoL dimensions would describe in a simple way how oral conditions’ influence the individual. By determining which patterns of impact on OHRQoL dimensions (Oral Function-Orofacial Pain-Orofacial Appearance-Psychosocial Impact) exist in prosthodontic patients and general population subjects, we aimed to identify in which combinations oral conditions’ functional, painful, aesthetical, and psychosocial impact occurs. Data came from the Dimensions of OHRQoL Project with OHIP-49 data from 6,349 general population subjects and 2,999 prosthodontic patients in the Learning Sample (N=5,173) and the Validation Sample (N=5,022). We hypothesized that all 16 patterns of OHRQoL dimensions should occur in these individuals who suffered mainly from tooth loss, its causes and consequences. A dimension was considered impaired when at least one item in the dimension was affected frequently. The 16 possible patterns of impaired OHRQoL dimensions were found in patients and general population subjects in both Learning and Validation Samples. In a four-dimensional OHRQoL model consisting of Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact, oral conditions’ impact can occur in any combination of the OHRQoL dimensions.