Oral health in patients taking psychotropic medications: Results from a pharmacy-based pilot study.
Oral health in patients taking psychotropic medications: Results from a pharmacy-based pilot study.
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DOI：
10.1016/j.japh.2016.03.009
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发表时间：
2016-07
期刊：
影响因子：
--
通讯作者：
Downing DF
中科院分区：
文献类型：
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作者：
Heaton LJ;Swigart K;McNelis G;Milgrom P;Downing DF
与没有精神疾病的人相比，患有精神疾病的人面临口腔疾病的风险增加。本研究的目的是检查自我报告的口腔健康和牙科访问的个人提交精神药物处方;并确定药房患者是否会选择与药剂师谈论他们的口腔健康，如果有这样做的选择。当地连锁店内6家社区药房的药房确定并调查了填写精神药物处方的成年患者。调查内容包括口腔健康、口干和牙科保健利用率等问题。六个社区药房。成年人（18岁以上）填写精神药物处方。不适用因自我报告的口腔健康，牙科使用，与药剂师讨论口腔健康的愿望。填写处方的参与者（N=178）大多数（65.9%）为女性，平均年龄为48.2岁（s.d.= 14.3;范围19-82岁）。四分之一（24.9%）的人说他们的嘴“总是”或“经常”感到干燥;这些人最后一次看牙医是为了紧急（而不是常规）治疗（p<0.01），并且认为他们的口腔健康比那些“从不”或“偶尔”感到干燥的参与者更糟糕（p<0.001）。一小部分人（5.7%）要求与药剂师谈论口腔健康;他们报告的口腔健康状况比那些选择不与药剂师交谈的人差（p<0.05）。四分之一的患者报告有口干，口干患者的口腔健康明显比无口干患者差。虽然口干和口腔健康状况不佳在服用精神药物的个体样本中很常见，但这并不总是转化为寻求有关口腔健康的信息。未来的研究将集中在药剂师发起的口腔健康干预与高危患者。
Individuals with mental illness face an increased risk of oral disease compared to those without mental illness. The goals of this study were to examine the self-reported oral health and dental access of individuals filing psychotropic medication prescriptions; and to determine whether pharmacy patients would choose to speak with a pharmacist about their oral health if given the option to do so. Pharmacists across 6 community pharmacies within a local chain identified and surveyed adult patients filling prescriptions for psychotropic medications. Surveys included questions about oral health, dry mouth, and dental care utilization. Six community pharmacy locations. Adults (18+ years) filling prescriptions for psychotropic medications. Not applicable. Self-reported oral health, dental utilization, desire to discuss oral health with a pharmacist. Participants (N=178) filling prescriptions were mostly (65.9%) female with a mean age of 48.2 years (s.d.=14.3; range 19–82 years). One in four (24.9%) said their mouths “always” or “frequently” felt dry; these individuals were significantly more likely to have last seen a dentist for emergency (rather than routine) treatment (p<0.01) and rated their oral health as significantly worse (p<0.001) than participants whose mouths “never” or “occasionally” feel dry. A small percentage (5.7%) requested to speak with pharmacists about oral health; they reported poorer oral health than those who opted not to speak with a pharmacist (p<0.05). One in four patients reported having dry mouth, and those with dry mouth reported significantly worse oral health than patients without dry mouth. While dry mouth and poor oral health were common in this sample of individuals taking psychotropic medications, this did not consistently translate into information seeking regarding oral health. Future research will focus on pharmacist-initiated oral health interventions with high-risk patients.