Basic survey for the prevention of intraoral residual medication in older adults: A pilot study
Basic survey for the prevention of intraoral residual medication in older adults: A pilot study
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预防老年人口内残留药物的基础调查：一项试点研究
DOI：
10.1111/ger.12441
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发表时间：
2019
期刊：
影响因子：
2
通讯作者：
Kishimoto Hiromitsu
中科院分区：
文献类型：
--
作者：
Hasegawa Yoko;Sakuramoto-Sadakane Ayumi;Yoshida Mitsuyoshi;Yoshikawa Mineka;Nozaki Sonoko;Hikasa Shinichi;Horii Nobuhide;Sugita Hideyuki;Ono Takahiro;Shinmura Ken;Kishimoto Hiromitsu
本研究旨在评估老年人口腔卫生/口颌功能和残留口内药物之间的关系，并确定与残留口腔药物相关的口腔因素。MethodsThe研究包括309名老年人（77名男性，232名女性，平均年龄：74.1 ± 7.4岁），他们定期服用药物。对以下调查项目进行评估：总体身体状况、口内状况和口腔功能。将口服药物处方的参与者分为口腔中有和没有残留药物的组。使用单变量分析进行统计分析，每个因素的存在下残留medication.ResultsOnly 1.9%的所有患者有残留药物，这表明，在这项调查中，老年人有一个低风险的残留口腔内用药。然而，应更多地关注接受长期护理的老年人的残留口腔内药物。粉末状口服药物更可能残留在口腔中。有残留药物的老年人有咬合支持减少、舌头卫生差和舌头运动差的趋势。口腔功能，特别是功能，是密切相关的吞咽，是显着较低的残留口内给药组相比，没有残留口内medication.ConclusionsReduced口腔功能和动力药物与更大的残留口内给药在这个样本中的老年日本成年人。
ObjectiveThis study aimed to assess the relationship between oral hygiene/stomatognathic function and residual intraoral medication in older adults and to identify the oral factors associated with residual oral medication.MethodsThe study included 309 older adults (77 men, 232 women, mean age: 74.1 ± 7.4 years) who were prescribed medications at regular intervals. The following survey items were assessed: overall physical condition, intraoral condition and oral function. Participants prescribed oral medication were classified into groups with and without residual medication in the oral cavity. Statistical analysis was performed using univariate analysis for each of the factors contributing to the presence of residual medication.ResultsOnly 1.9% of all patients had residual medication, which suggests that older adults in this survey had a low risk of residual intraoral medication. However, greater attention should be given to residual intraoral medication in older adults receiving long‐term care. Powdered‐form oral medications were more likely to remain in the oral cavity. Older adults with residual medication had a tendency to have less occlusal support, poor tongue hygiene and poor tongue movement. Oral function, particularly functions that are closely related to swallowing, was significantly lower in the residual intraoral medication group when compared to those of the group without residual intraoral medication.ConclusionsReduced oral function and powered medication were associated with greater residual intraoral medication in this sample of older Japanese adults.