Older People Living in Nursing Homes: An Oral Health Screening Survey in Florence, Italy
Older People Living in Nursing Homes: An Oral Health Screening Survey in Florence, Italy
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DOI：
10.3390/ijerph16183492
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发表时间：
2019-09-02
影响因子：
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通讯作者：
Bonaccorsi, Guglielmo
中科院分区：
文献类型：
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作者：
Chiesi, Fabrizio;Grazzini, Maddalena;Bonaccorsi, Guglielmo
口腔健康状况在老年人虚弱的概念中扮演着重要的角色，因为住院老年人容易患上糟糕的口腔状况。本研究的目的是评估养老院老年居民的口腔健康状况，并测量其与认知状态、功能自主性程度和营养不良风险的潜在关联。方法：我们从佛罗伦萨5家养老院的292名住院医生中招募176名受试者。对于每个受试者，我们执行了营养不良通用筛查工具、Pfeiffer测试、最小数据集-长表、牙科检查和老年口腔健康评估指数问卷。结果显示，口腔状况差的占43.8%，中等的占38.1%，良的占18.2%。口腔健康状况越差，认知状况越差，日常生活活动的依赖度越高(p<；0.05)。老年人的营养不良评分与口腔健康状况无关(p=0.128)。可以得出的结论是，老年机构受试者的口腔健康状况对公共医疗系统来说是一个公开的挑战，因为保持足够的良好的口腔健康是良好的身体以及认知和心理健康的基本要素。
The oral health state plays an important role in the concept of elderly frailty', since institutionalized older people are prone to suffering from bad oral conditions. The aim of this study is to assess the state of oral health in the older residents of nursing homes and to measure its potential association with the cognitive state, the degree of functional autonomy, and the malnutrition risk. Methods: We enrolled 176 subjects from 292 residents in five nursing homes in Florence. For each subject, we performed the Malnutrition Universal Screening Tool, the Pfeiffer test, the Minimum Data Set-Long Form, a dental examination, and the Geriatric Oral Health Assessment Index questionnaire. The results show that the oral condition was poor in 43.8% of cases, medium in 38.1%, and good in 18.2%. A worse oral health state was significantly associated (p < 0.05) with a worse cognitive state and with a higher dependency in daily living activities. The malnutrition score among the older people was unrelated to the oral health condition (p = 0.128). It can be concluded that the oral health condition in older institutionalized subjects is an open challenge for the public healthcare system, since the maintenance of adequate good oral health is an essential element of good physical as well as cognitive and psychological health.