Research on effectiveness of oral care on QOL of family caregivers.

口腔护理对家庭照顾者生活质量的影响研究。

• 批准号: 15390656
• 负责人: YONEMITSU Masami
• 金额: $ 9.28万
• 依托单位: Iwate Medical University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2005
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15390656/
• 关键词: oral care; visiting oral care; family caregiver; elderly in need of nursing; QOL; tongue coat; dental hygienist; self-esteem; 定量的PCR; 口臭; 主たる介護者; 介護負担感; SF-36; 高齢者; 揮発性硫化物質; 口腔清掃指標; 歯周病原性細菌; 齲蝕病原性細菌

As the preliminary ewsearch, we carried out following studies.1.We researched the distribution of microorganisms relating dental diseases in the tongue coat among elderly people. As the result, the possibility was shown that the tongue coat was both reservoir and receiver of microorganisms to/from the other site of oral cavity.2.We assessed the relationship between strength of oral malodor and subjective healthy condition in elderly people without remarkable disability epidemiologically. As the result, volatile sulfur compound (VSC) level over threshold could not impair the subjective healthy condition.3.We assessed microbiological effectiveness of oral care in the patients of rehabilitation hospital. As the results, usage of tongue coat volume in combination with H_2S concentration in mouth air could be a better indicator of bacterial change than the single use.4.We investigated the prevalence of QOL among family care givers using self-administered questionnaire. As the results, QOL levels of family caregivers were significantly lower than the common people in the similar age.Subsequently, visiting oral care was performed actually for three months with 20 families and following results were obtained.1.After the period of visiting oral care by the dental hygienist, clinical indicators (CPI, tongue coat score, CH_3SH levels in mouth air) were improved significantly.2.Role-emotion of the caregiver was significantly improved after visiting oral care. In addition, social functioning and caregiver burden tended to be better.From the results above, visiting oral care could contribute not only the improvement the oral condition of the elderly in need of nursing but also well-being of the family caregiver. Furthermore, the dental hygienist participated in this project could find significance of themselves for both elderly people and the family caregiver from the text analysis of their reports.

作为初步研究，我们进行了以下几方面的研究：1.研究老年人舌苔中与口腔疾病相关的微生物的分布。结果表明，舌苔可能是口腔其他部位微生物的储存器和接收器。2.对无明显残疾的老年人口腔恶臭强度与主观健康状况的关系进行了流行病学评估。结果表明，挥发性硫化物（VSC）水平超过阈值不会对患者的主观健康状况造成损害。3.对康复医院口腔护理的微生物学效果进行评价。结果表明，舌苔体积的使用与口腔空气中H_2S浓度的联合使用比单独使用更能反映细菌的变化。4.采用自填式问卷调查家庭照顾者的生活质量。结果表明，家庭照料者的生活质量明显低于同龄普通人群，并对20个家庭进行了为期3个月的口腔健康访视，结果表明：1.口腔健康专家对20个家庭进行口腔健康访视后，其临床指标与对照组相比，差异有统计学意义（P < 0. 05（2）口腔护理人员在上门护理后的角色情绪得到了显著改善。此外，社会功能及照顾者负担亦有较佳之趋势，因此，上门口腔护理不仅有助于改善需要护理老人的口腔状况，也有助于家庭照顾者的幸福感。此外，参与本计画的牙科医师，也能从他们报告的文字分析中，发现自己对老人与家庭照顾者的意义。

项目成果

85歳における口腔内気体のVSCおよびその関連口腔内所見とADLおよびQOLの測定指標との関連について

85岁时口腔气体VSC与相关口腔检查结果以及ADL和QOL测量指标的关系

• 发表时间: 2005
• 期刊: 口腔衛生会誌 55(3)
• 作者: 森谷俊樹;高橋雅洋;佐藤保;米満正美
• 通讯作者: 米満正美

Relationship between the SF-36 questionnaire and patient's satisfaction following halitosis therapy

SF-36问卷与口臭治疗后患者满意度的关系

• 发表时间: 2005
• 期刊: Oral Diseases 11
• 作者: Mitsuo Kishi;Akiko Abe;Masami Yonemitsu
• 通讯作者: Masami Yonemitsu

Relationship between dental pathogenic bacteria in tongue coat and clinical oral status

舌苔中牙科致病菌与临床口腔状况的关系

• 发表时间: 2005
• 期刊: Journal of Dental Health 56(in print)
• 作者: Masahiro Takahashi;Mitsuo Kishi
• 通讯作者: Mitsuo Kishi

高橋雅洋, 他: "85歳高齢者における舌苔中のPorphyromonas gingivalisと残存歯の関連"口腔衛生学会誌. 53(4). 412 (2003)

Masahiro Takahashi 等：“85 岁老人舌苔中牙龈卟啉单胞菌与剩余牙齿的关系”，口腔卫生学会杂志 53(4) 412 (2003)。

Survey of 85-year-old subjects in Iwate prefecture -Relationship between volatile sulfur compounds in mouth air and oral health status-

对岩手县85岁受试者的调查-口腔空气中挥发性硫化合物与口腔健康状况的关系-

• 发表时间: 2003
• 期刊: Journal of Dental Health 53
• 作者: Toshiki Moriya;Masahiro Takahashi;Yoshiko Someya;Akiko Abe;Mitsuo Kishi;Daisuke Inaba;Tamotsu Sato;Masami Yonemitsu
• 通讯作者: Masami Yonemitsu