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Construct of bio-behavio-psycho-socio model for complete denture wearer

全口义齿佩戴者生物行为心理社会模型的构建

基本信息

批准号：
11557151
负责人：
SADAMORI Shinsuke
金额：
$ 8.19万
依托单位：
HIROSHIMA UNIVERSITY
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2002
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-11557151/
关键词：
complete denture wearer oral status activity of daily living stage of dementia occusal support Oral ADL Candida facility 義歯装着者義歯装着状況総義歯生活環境義歯の取り扱い義歯のメインテナンス三次元データ

项目摘要

As aged population grows rapidly in Japan, the denture becomes the importance more and more. However, it is not the meaning, which may fabricate the denture only considering the physical problem. It is necessary to consider all of subject it. It is desirable that the side of the bio-behavio-psycho-socio of the subject is considered. In addition, the status of the elderly is various, so these things should be considered the fabrication and maintenance of their denture.This study examined denture wearers in a mental hospital with a dementia hospitalization ward and a health care facility for elderly requiring care. The oral conditions of denture wearers in the former facility recorded the number of present, sound, and missing teeth, occlusal support, denture wearing, oral ADL (activity of daily living), and the detection of Candida. The stage of dementia was evaluated by HDS-R scale, and ADL was evaluated by N-ADL. The subjects in later facility were examined the oral conditions and oral ADL. Furthermore, the questionnaires were done for nurses and nursing staff of each facility, and examined the interest in oral care.This study indicated the relationship between the oral status and the status of the whole body health. The influence of denture wearing on the status of patients with dementia was not clear. However, from the longitudinal investigation, the function (the support of the upper lip etc.) of upper complete denture would be effective for the patients with severe dementia. The wearing of denture has given the beneficial effect of the motivation of the nurse. These results indicated it is important that the total evaluation considered by the side of the bio-behavio-psycho-socio of the subject is necessary for fabrication and maintenance of denture.

随着日本老龄人口的迅速增长，义齿变得越来越重要。然而，这并不是意义上的，只考虑到物理问题就可以制作义齿。有必要考虑它的所有主题。最好考虑受试者的生物-行为-心理-社会的一面。此外，老年人的状况多种多样，因此这些事情应该被视为他们的义齿的制造和维护。本研究调查了一家精神病院的义齿佩戴者，该精神病院有痴呆症住院病房和需要护理的老年人保健设施。记录原设施内义齿佩戴者的口腔状况，记录有牙数、无牙数、缺牙数、咬合支撑量、义齿佩戴量、口腔日常生活能力(ADL)及念珠菌的检测情况。采用HDS-R量表评定痴呆分期，N-ADL评定日常生活能力。对后期设施中的受试者进行口腔状况和口腔ADL检查。并对各机构的护士和护理人员进行问卷调查，了解他们对口腔护理的兴趣，了解口腔状况与整体健康状况的关系。义齿佩戴对痴呆患者状态的影响尚不清楚。但从纵向调查来看，功能(上唇支撑等)上颌全口义齿修复对重度痴呆患者是有效的。义齿的佩戴起到了激励护士的积极作用。这些结果表明，从受试者的生物-行为-心理-社会的角度考虑整体评价对于义齿的制作和维护是必要的。