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

开发以老年人口腔护理为核心的社区健康促进模式

• 批准号: 21390602
• 负责人: SAKASHITA Reiko
• 金额: $ 11.07万
• 依托单位: University of Hyogo
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2009
• 资助国家: 日本
• 起止时间: 2009 至 2011
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-21390602/
• 关键词: 高齢者; 摂食機能; 口腔保健; 保健行動; ヘルスプロモーション; 変化ステージモデル

[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.

[目的]探讨老年人口腔健康自我管理的健康促进方案。[方法]采用团体研究和个人咨询相结合的干预方案，为期3个月。小组研究包括1）监测口腔状况和进行口腔自我护理，2）监测口腔功能和进行口腔锻炼，3）小组讨论继续口腔自我护理。在研究开始、结束和研究后3个月，通过1）口腔自我护理、2）口腔状况（龋齿、CPI、牙菌斑和牙垢沉积）、3）口腔功能（RSST，口腔蠕动）、4）QOL（SF-8 v2^<TM>，GOHAI）、5）认知功能（MMSE-J）评分评价结局。[结果]男19例，女131例，年龄60-94岁，平均（73.6±7.3）岁。在口腔保健方面，受试者比以前更经常清洁牙齿，使用牙线的次数也明显增加（p&lt;0.001）。牙周病评分、牙菌斑、牙垢均较治疗前明显降低（P&lt;0.01-0.001）。口腔功能也明显改善（p&lt;0.05-0.01）。口腔生活质量和认知功能评分明显改善（P&lt;0.05-0.01）。[结论]该项目不仅促进了老年人口腔自我保健，改善了老年人的口腔健康状况，而且改善了老年人的认知功能。【伦理考量】获得所有受试者的知情同意书，本研究获得兵库大学研究伦理委员会的批准。

项目成果

Can symptom awareness of the elderly be a clue to find oral diseases and promote oral health behaviors? In : Interface Oral Health Science 2009

老年人的症状认知能否成为发现口腔疾病、促进口腔健康行为的线索？

• 发表时间: 2010
• 作者: Sakashita R;Miyashiba T;Otsuka K;Sato T;Kamide M;Watanabe Km Takimoto N;Kawaguchi M;Nishihira;T
• 通讯作者: T

感染根管内細菌叢のpyrosequencing 法によるメタゲノム解析

使用焦磷酸测序方法对受感染的根管微生物群进行宏基因组分析

• 发表时间: 2011
• 作者: 岩田幸一;他編、杉本久美子分担執筆;Sato T,Ohshima T,Miyakawa H,Hamada N;杉本久美子(共著);松山順子;杉本久美子(共著);安彦友希;杉本久美子(共著);杉本久美子(共著);佐藤拓一,河村好章,八巻惠子,島内英俊,高橋信博
• 通讯作者: 佐藤拓一,河村好章,八巻惠子,島内英俊,高橋信博

Responses of infected dental pulp to αTCP containing antimicrobials in rat molars.

大鼠磨牙中受感染牙髓对含有抗菌剂的 αTCP 的反应。

• 发表时间: 2015
• 期刊: Arch Histol Cytol
• 作者: Sato T;Kenmotsu S;Nakakura-Ohshima K;Takahashi N;Ohshima H.
• 通讯作者: Ohshima H.

Subgingival plaque biofilm microflora of elderly subjects : quantitative analysis of Porphyromonas gingivalis and genotyping of its virulence-associated fimA

老年受试者龈下菌斑生物膜微生物区系：牙龈卟啉单胞菌的定量分析及其毒力相关 fimA 的基因分型

• 发表时间: 2011
• 作者: Abiko Y;Sato T;Sakashita R;Takahashi N
• 通讯作者: Takahashi N

地域で生活する高齢者を対象とした「お口からはじめる健康プログラム」の検討

社区老年人“健康从口开始”的思考

• 发表时间: 2011
• 作者: 坂下玲子;太尾元美;新井香奈子;西平倫子;西谷美保
• 通讯作者: 西谷美保