Oral Health Status and Oral Health-Related Quality of Life in Italian Deinstitutionalized Psychiatric Patients
Oral Health Status and Oral Health-Related Quality of Life in Italian Deinstitutionalized Psychiatric Patients
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DOI：
10.7417/ct.2017.1987
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发表时间：
2017-03-01
影响因子：
--
通讯作者：
Ottolenghi, L.
中科院分区：
文献类型：
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作者：
Corridore, D.;Guerra, F.;Ottolenghi, L.
本研究的目的是调查的口腔健康状况和口腔健康相关的生活质量（OHRQoL，OHIP 14测量）的精神病患者的协助下，独特的意大利精神卫生保健系统，根据监管法律180/78。材料和方法：从机构病历中检索人口统计学和医学变量。一般健康和口腔健康变量，口腔健康相关的行为和最后的牙齿接触记录。对每例患者进行临床评价。对于口腔健康数据收集，使用标准化的医疗表格。结果：该研究共涉及67例患者。初步诊断为精神疾病的平均年龄为29岁。每名患者的平均牙齿数量为25.45 +/-6.55。龋齿经历的总体平均值为9.1颗龋齿、缺失和/或填充的牙齿（DMFT指数）。在受累患者（60%，n= 33）中，所有年龄组的DMFT平均值为11.3（范围2-27）。本研究强调了龋齿经验和OHRQoL之间的直接线性关系。随着龋齿程度的增加，疼痛、功能和心理不适评分增加。讨论和结论：9.1 DMFT的总体龋齿经历值低于现有文献报道的值，这通常与传统住院的精神病患者有关，最重要的是，有关获得牙科护理的数据相当好。这些结果尽管来自有限样本的试点研究，但表明，如果为精神病患者制定心理社会康复计划，正如意大利的经验一样，该计划也可以确定口腔健康状况的改善。重要的是，口腔健康促进计划的制定与精神卫生服务和社会措施的合作是以病人为中心的个人的康复计划的一个组成部分。
The aim of this study is to investigate the oral health status and Oral Health-Related Quality of Life (OHRQoL, measured with OHIP14) in psychiatric patients assisted by the unique Italian mental health care system, in accordance to regulatory Law 180/78. Materials and Methods: Demographic and medical variables were retrieved from institutional medical records. General health and oral health variables, oral health-related behavior and last dental contact were recorded. Clinical evaluation was performed on each patient. For oral health data collection, a standardized medical form was used. Result: The study involved an overall number of 67 patients. Primary diagnosis of mental illness was at mean age of 29 years. The average number of teeth per patient was 25.45 +/- 6,55. The overall mean value of caries experience was 9.1 decayed, missing and/or filled teeth (DMFT Index). Among affected patients (60%, n= 33) the mean value of DMFT for all age groups was 11.3 (range 2-27). The present study highlighted a direct linear relationship between caries experience and OHRQoL. As the caries level increased, pain, functional and psychological discomfort scores increased. Discussion and Conclusion: The overall caries experience value of 9.1 DMFT was lower than that reported in existing literature, which is usually related to traditionally institutionalized psychiatric patients, and most important of all, data on access to dental care is fairly good.These results, although derived from a pilot study on a limited sample, suggest that, where a psychosocial rehabilitative program is set out for psychiatric patients, as in the case of the Italian experience, the program can also determine an improvement in oral health status. It is important that programs for oral health promotion are developed in collaboration with mental health services and social measures are patient-centered as an integral part of the individual's rehabilitation program.