Self-assessment of oral health, dental health care and oral health-related quality of life among Parkinson's disease patients
Self-assessment of oral health, dental health care and oral health-related quality of life among Parkinson's disease patients
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DOI：
10.1111/ger.12237
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发表时间：
2017-03-01
期刊：
影响因子：
2
通讯作者：
Noack, Michael Johannes
中科院分区：
文献类型：
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作者：
Barbe, Anna Greta;Bock, Nadine;Noack, Michael Johannes
目的：帕金森病（PD）是老年人的常见疾病，对口腔健康有不良影响。然而，口腔症状对PD患者生活质量（QoL）的主观负担在很大程度上是未知的，需要更好地理解。本研究的目的是探讨PD患者自我评估的牙科护理，包括进行口腔卫生的能力，自我评估的口干，流口水和吞咽困难问题，以及对OH相关QoL的影响。在德国，从PD支持小组招募的100名PD患者完成了问卷调查，包括牙齿护理的自我评估，OHIP-14评分、左旋多巴等效日剂量、运动障碍协会统一帕金森病评定量表II和主要OH相关症状。结果：参与者经历了口干（49%），流口水（70%）和吞咽困难（47%），并患有口腔卫生能力有限（29%）。口腔症状口干、流口水和吞咽困难损害了OH相关的QoL [OHIP总分为14.6（9.7）-16.8（11.4），而无症状的受试者为11.3（9.9）]。总的来说，91.8%的参与者有自己的牙医。只有6.1%的参与者与口干症收到的意见，关于management.Conclusion：在这项研究中，PD患者遭受OH相关的症状（口干症，流口水，吞咽困难），损害了他们的OH相关的生活质量。参与者认为，他们得到了足够的牙科保健，但是，牙科咨询管理PD相关的OH问题往往是缺乏的。
Objective: Parkinson's disease (PD) is a common condition in elderly people and can adversely affect oral health (OH). However, the subjective burden of oral symptoms on the quality of life (QoL) of patients with PD is largely unknown and needs to be better understood. The objective of this study was to explore self-assessed dental care in patients with PD, including the ability to perform oral hygiene, self-assessed xerostomia, drooling and dysphagia problems, and the impact on OH-related QoL.Materials and methods: A questionnaire was completed by 100 patients with PD in Germany recruited from PD support groups, and included self-assessment of dental care, the Oral Health Impact Profile (OHIP-14) score, the levodopa equivalent daily dose, the Movement Disorder Society Unified Parkinson's Disease Rating Scale-II and the leading OH-related symptoms.Results: Participants experienced xerostomia (49%), drooling (70%) and dysphagia (47%) and suffered from a limited ability to perform oral hygiene (29%). The oral symptoms xerostomia, drooling and dysphagia impaired the OH-related QoL [OHIP total score 14.6 (9.7)-16.8 (11.4) compared to 11.3 (9.9) in participants without symptoms]. In total, 91.8% of participants had their own dentist. Only 6.1% of participants with xerostomia received advice regarding management.Conclusion: In this study, patients with PD suffered from OH-related symptoms (xerostomia, drooling, and dysphagia) that impaired their OH-related QoL. Participants felt that they received adequate dental health care; however, dental advice regarding management of PD-related OH problems was often lacking.