The impact of oral health on the quality of life of nursing home residents
The impact of oral health on the quality of life of nursing home residents
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DOI：
10.1186/s12955-015-0300-y
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发表时间：
2015-07-15
影响因子：
3.6
通讯作者：
Tsakos, Georgios
中科院分区：
文献类型：
--
作者：
Porter, Jessie;Ntouva, Antiopi;Tsakos, Georgios
背景：疗养院老年居民良好的口腔健康对整体健康和生活质量至关重要。很少有研究评估口腔症状如何影响居民的生活质量。目的：评估伦敦伊斯灵顿疗养院老年人的临床和主观口腔健康状况，包括口腔健康相关生活质量（OHRQoL），以及口腔症状与OHRQoL的关系。方法：总体而言，325名居民从9个疗养院进行了临床检查，180名居民进行了采访，以评估他们的口腔症状和他们的OHRQoL使用OIDP措施。结果：近三分之二的样本（64.5%）是齿状的。61.3%的有牙居民和50.9%的无牙居民报告了诸如口干、嘴唇干裂疼痛、牙齿断裂和牙痛以及假牙不合适等问题。口腔健康对居民的OHRQoL有相当大的影响; 20.2%的有牙者和30.9%的无牙者报告在过去6个月内至少有一次口腔影响。敏感的牙齿，牙痛，牙龈出血，口干和松散的天然牙齿之间的牙齿和松散或不合适的假牙之间的缺齿与口腔影响的患病率较高，即使调整人口和社会经济因素后，和牙齿的数量（牙齿）。结论：口腔条件的负担是相当大的。口腔症状非常常见，与居民的OHRQoL较差密切相关。健康促进计划对帮助居民保持可接受的口腔健康和功能水平很重要。
Background: Good oral health in older residents of nursing homes is important for general health and quality of life. Very few studies have assessed how oral symptoms affect residents' quality of life.Objective: To assess the clinical and subjective oral health, including oral health related quality of life (OHRQoL), and the association of oral symptoms with OHRQoL in older people residing in nursing homes in Islington, London.Method: Overall, 325 residents from nine nursing homes were clinically examined and 180 residents were interviewed to assess their oral symptoms and their OHRQoL using the OIDP measure. Managers and carers working in the homes were also interviewed.Results: Almost two thirds of the sample were dentate (64.5 %). 61.3 % of dentate and 50.9 % of edentate residents reported problems such as dry mouth, sore cracked lips, broken teeth and toothache and ill-fitting dentures. Oral health impacted considerably upon resident's OHRQoL; 20.2 % of dentate and 30.9 % of edentate reported at least one oral impact in the past 6 months. Sensitive teeth, toothache, bleeding gums, dry mouth and loose natural teeth among the dentate and loose or ill-fitting dentures among the edentate were strongly associated with higher prevalence of oral impacts even after adjusting for demographic and socio economic factors, and for the number of teeth (dentate only).Conclusion: The burden of oral conditions was considerable. Oral symptoms were very common and were strongly associated with residents' worse OHRQoL. Health promotion programmes are important to help residents maintain an acceptable level of oral health and function.