Oral and Mucosal Complaints among Institutionalized Care Seniors in Malopolska Voivodeship-The Utility of the Mirror Sliding Test in an Assessment of Dry Mouth.

Oral and Mucosal Complaints among Institutionalized Care Seniors in Malopolska Voivodeship-The Utility of the Mirror Sliding Test in an Assessment of Dry Mouth.
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DOI:
10.3390/ijerph192113776
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发表时间:
2022-10-23
影响因子:
--
通讯作者:
Zarzecka, Joanna
Zarzecka, Joanna
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Michalak, Piotr;Polak-Szlosarczyk, Paulina;Dyduch-Dudek, Wioletta;Kesek, Barbara;Zarzecka-Francica, Elzbieta;Styrna, Maria;Czekaj, Lukasz;Zarzecka, Joanna

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本文的目的是评估报告的口腔和粘膜投诉老年人居住在制度化的24小时护理的市中心老年人和受抚养人(MHCOD)和3个月的康复计划的日常医疗护理之家(DMCH)。本研究旨在探讨牙镜滑动试验评估老年人口干的可行性。患者接受了问卷调查和临床检查。采用视觉疼痛量表(VAS)评定疼痛,Fox问卷和Challacombe量表结合临床口腔干燥评分评定口腔干燥程度,牙镜滑动试验评定颊粘膜阻力。干燥,粘膜燃烧,味觉受损,食物摄入是与老年人相关的症状,其频率不取决于护理类型。粘膜灼伤(Mdn = 4.0,IQR = 4.75,p = 0.032)和使用假牙困难(Mdn = 3.0,IQR = 4.00,p = 0.010)的发生率随着在MHCOD的住院时间增加而增加。老年人面临多种药物副作用的风险,这会导致干燥(p = 0.036)、抱怨缺乏唾液(p = 0.009)和味觉障碍(p = 0.041)。口干程度较高的老年人更容易表现出粘膜烧灼感(p = 0.026)和进食困难(p = 0.037)。应讨论在老年检查的初级保健范围内实施牙镜滑动试验。
The purpose of this article was to evaluate reported oral and mucosal complaints among seniors residing in institutionalized 24-h care of the Municipal Center for Older and Dependent People (MHCOD) and the 3-month rehabilitation program of the Daily Medical Care House (DMCH). We evaluated the feasibility of using the dental mirror slidding test to assess dry mouth of seniors. Patients underwent a questionnaire, and clinical examination. The Visual Analogue Scale (VAS) was used to assess pain, Fox’s questionnaire and Challacombe’s scale with Clinical Oral Dryness Score to assess dryness of the mouth, dental mirror slidding test to assess buccal mucosal resistance. Dryness, mucosal burning, impaired taste, food intake are symptoms associated with seniors, and their frequency does not depend on the type of care. The incidence of mucosal burning (Mdn = 4.0, IQR = 4.75, p = 0.032) and difficulty in using dental prosthetics (Mdn = 3.0, IQR = 4.00, p = 0.010) increase with the length of stay at MHCOD. Seniors are at risk of side effects of polypharmacy, which cause dryness (p = 0.036), complaints of lack of saliva (p = 0.009) and taste disorders (p = 0.041. Seniors with higher levels of dry mouth are more likely to exhibit mucosal burning (p = 0.026) and difficulty in taking food (p = 0.037). The implementation of the dental mirror slidding test in the scope of the primary care of geriatric examination should be discussed.
DOI: 10.3390/ijerph19094994
发表时间: 2022-04-20
影响因子: --
作者:
Michalak, Piotr;Polak-Szlosarczyk, Paulina;Dyduch-Dudek, Wioletta;Zarzecka-Francica, Elzbieta;Styrna, Maria;Czekaj, Lukasz;Zarzecka, Joanna
通讯作者: Zarzecka, Joanna
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影响因子: 6.3
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