Development of Community health promotion model focused on oral care for elderly

[目的]为促进老年人口腔健康自我管理，对老年健康促进计划进行评价。[方法]干预方案包括小组研究和私人咨询，为期3个月。小组研究包括1)监测口腔状况和练习口腔自我护理，2)监测口腔功能和练习口腔锻炼，3)小组讨论持续口腔自我护理。在调查开始时、结束时和调查结束后3个月，根据1)口腔自我护理，2)口腔状况(龋齿、CPI、菌斑和牙垢沉积)，3)口腔功能(RSST，口腔自主)，4)生活质量(SF-8 v2^&lt；TM&gt；，GOHAI)，5)认知功能(MMSE-J)的评分对结果进行评估。在口腔保健方面，受试者比以前更频繁地清洁牙齿，牙线的使用数量显著增加(p&lt；0.001)。干预后牙周评分、菌斑、牙垢均显著降低(P&lt；0.01~0.001)。口腔功能也有明显改善(p&lt；0.05~0.01)。口腔生活质量和认知功能得分显著改善(P&lt；0.05-0.01)。[结论]这些结果表明，该项目不仅促进了口腔自我保健，从而改善了老年人的口腔健康状况，而且还改善了老年人的认知功能。[伦理考量]所有受试者都得到了知情同意，这项研究得到了兵库大学研究伦理委员会的批准。

[Purpose] This study aimed to evaluate a health promotion program for the elderly to foster self-management of oral health.[Method] The intervention program consisted of the group studies and private consultations for three months. The group study included 1) monitoring the oral condition and practicing oral self-care, 2) monitoring oral function and practicing oral exercise and 3) group discussion on continuing oral self-care. Outcomes were evaluated at the beginning, at the end, and at three months after the investigation by scores for 1) oral self-care, 2) oral condition(decayed teeth, CPI, deposits of plaque and tartar), 3) oral function(RSST, Oral Diadochokinesis), 4) QOL(SF-8 v2^<TM>, GOHAI), 5) cognitive function(MMSE-J).[Results] Subjects consisted of 19 males and 131 females(average age, 73.6±7.3 years ; range, 60-94 years). On oral health care, subjects cleaned their teeth more often than before and the use of dental floss was significantly increased in number(p<0.001). Periodontal score, dental plaque and tartar were significantly lower after intervention(P<0.01-0.001). Oral function also improved significantly(p<0.05-0.01). Scores for oral QOL and cognitive function improved significantly(P<0.05-0.01).[Conclusion] These results suggest that this program promotes not only oral self-care, resulting in good oral health conditions, but also improves cognitive function in the elderly.[Ethical consideration] Informed consent was obtained from all subjects, and this study was approved by the Research Ethics Committee of University of Hyogo.