权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Influence of denture wearing of elderly with dementia on the state of dementia, general health, and QOL

痴呆老人佩戴假牙对痴呆状况、一般健康状况和生活质量的影响

基本信息

批准号：
16390617
负责人：
SADAMORI Shinsuke
金额：
$ 5.93万
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：
2004
资助国家：
日本
起止时间：
2004 至 2007
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-16390617/
关键词：
Dementia Elderly Oral status ADL State of dementia Wearing of denture Eichner index Longitudinal study 痴呆痴呆の程度

项目摘要

Subjects in this study are from several facilities, and are elderly with mild, moderate, and severe dementia. These subjects have been examined for oral state, oral care, state of dementia, physical and mental state, diet type, and nutritional state (Body Mass index, and serum albumin, etc.) for several years.Japan is rapidly becoming an aged society, and problems of the elderly with dementia now attract attention. Elderly with dementia need help from other people for daily life. Therefore, not only the elderly person, but also the family and others are greatly affected. It can be expected that Dentistry is a large support for the situation in an aged society, to clarify the relation regarding physical, mental, and oral state for such elderly with dementia.Dementia becomes a more severe condition with age. In the case of the elderly with mild and moderate dementia, if the elderly lacked occlusal support by present molar teeth, they tended to wear dentures. Elderly with moderate and severe dementia, without occlusal support by present molar teeth, tended to wear no dentures. Wearing dentures did not relate to the physical and mental state (N-ADL and NM scale). However, it was clear that caregivers thought about oral care in consideration of the subject's overall status. This indicated that oral care is very important for the overall care of elderly with dementia. On the other hand, in the case of elderly with moderate and severe dementia, the rate of wearing dentures was lower. Nutritional status was a concern, but it became clear that not wearing dentures did not have a large influence on nutritional status if diet type was addressed, and dietary care was performed adequately.To maintain good nutritional status of elderly with dementia, these results indicate that cooperation with the dentist and dental staff is necessary.

这项研究的受试者来自几个机构，他们是患有轻度、中度和重度痴呆症的老年人。这些受试者接受了口腔状态、口腔护理、痴呆症状态、身体和精神状态、饮食类型和营养状态(体重指数和血清白蛋白等)的检查。几年来。日本正在迅速进入老龄化社会，老年痴呆症患者的问题现在引起了人们的关注。患有痴呆症的老年人在日常生活中需要他人的帮助。因此，不仅是老年人，家庭和其他人也受到很大影响。可以预见，牙科对老年社会的情况是一个很大的支持，澄清了这些患有痴呆症的老年人的身体、心理和口腔状态的关系。随着年龄的增长，痴呆症变得更加严重。对于患有轻度和中度痴呆症的老年人，如果他们现在的磨牙缺乏咬合支持，他们倾向于戴假牙。中重度痴呆的老年人，没有现有磨牙的咬合支持，倾向于不戴义齿。戴义齿与患者的身心状况(N-ADL和NM量表)无关。然而，很明显，护理人员在考虑受试者的整体状况时会考虑口腔护理。这说明口腔护理对老年痴呆患者的整体护理非常重要。另一方面，在患有中重度痴呆症的老年人中，戴假牙的比例较低。营养状况是一个令人担忧的问题，但很明显，如果解决饮食类型，并进行适当的饮食护理，不戴假牙对营养状况没有太大影响。这些结果表明，为了保持老年痴呆症患者的良好营养状况，与牙医和牙科工作人员合作是必要的。