Relationship between the state of tongue hygiene and the number of residual teeth in convalescent-ward inpatients, cross- sectional study
Relationship between the state of tongue hygiene and the number of residual teeth in convalescent-ward inpatients, cross- sectional study
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DOI：
10.1186/s12903-019-0869-3
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发表时间：
2019-08-06
期刊：
影响因子：
2.9
通讯作者：
Akifusa, Sumio
中科院分区：
文献类型：
--
作者：
Hayashi, Kanako;Izumi, Maya;Akifusa, Sumio
背景由于日本人口老龄化的增加，疾病格局发生了变化，导致康复期住院患者增加，这使得他们的口腔护理需求变得更加重要。然而，这些住院患者的口腔状况的信息是稀缺的。我们评估了这些住院患者的残牙数量与舌卫生状况之间的相关性。方法采用横断面研究方法，对34-100岁的住院疗养患者进行调查。该研究于2017年4月至2018年3月在日本北九州市进行。收集患者年龄、性别、残牙数、牙科治疗需求、口腔药物副作用及住院原因等资料。使用口腔健康评估工具（OHAT）评估口腔卫生水平。用Pearson相关分析法分析OHAT各元素与残牙数的相关性。使用二项逻辑回归分析来分析显著舌状态的风险。结果OHAT量表舌、唾液、义齿各分量表与残牙数之间存在相关性。有≥ 20颗牙齿的住院患者比例显著较高。(78.6%与57.7%，p = 0.047）。在调整潜在混杂因素后，在牙齿≥ 20颗的住院患者中，显著的唾液状态显著增加了10.49倍（95%置信区间= 2.86-38.51）的显著舌状态的风险。结论疗养院住院患者舌卫生状况较差，与患者的牙数及唾液状态有关。住院患者
Background The changed disease landscape in Japan because of an increasing aging population has contributed to an increase in convalescent inpatients, warranting important considerations of their oral care needs. However, information on the oral state of these inpatients is scarce. We evaluated the correlation between the number of residual teeth and tongue hygiene state in these inpatients. Methods This cross-sectional study included convalescent-ward inpatients, aged 34-100 years. The study was conducted between April 2017 and March 2018 in Kitakyushu, Japan. Data regarding age, sex, number of residual teeth, odontotherapy requirement, medications with oral side effects, and the reason for hospitalization, were collected. Oral hygiene level was assessed using the Oral Health Assessment Tool (OHAT). The correlation between each element of OHAT and the number of residual teeth was analyzed using Pearson's correlation analysis. The risk of a remarkable tongue state was analyzed using binominal logistic regression analysis. Results Correlations were observed between the number of residual teeth and OHAT subscales, including tongue, saliva, and dentures. A significantly higher percentage of inpatients with = 20 teeth. (78.6% vs 57.7%, p = 0.047). In inpatients with >= 20 teeth, the remarkable saliva state significantly increased the risk of the remarkable tongue state by 10.49-fold (95% confidence interval = 2.86-38.51), after adjusting for potential confounders. Conclusion Poor tongue hygiene is associated with the number of teeth and salivary state in convalescent-ward inpatients. Inpatients with