Prevalence and associations of orofacial pain and oral health factors in nursing home residents with and without dementia
Prevalence and associations of orofacial pain and oral health factors in nursing home residents with and without dementia
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DOI：
10.1093/ageing/afz169
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发表时间：
2020-05-01
期刊：
影响因子：
6.7
通讯作者：
Sampson, Elizabeth L.
中科院分区：
文献类型：
--
作者：
van de Rijt, Liza Jm;Feast, Alexandra R.;Sampson, Elizabeth L.
目的：确定和比较患有和不患有痴呆症的老年疗养院居民的口面部疼痛患病率，并探讨口面部疼痛与健康因素之间的关联。方法：在四家英国疗养院进行横断面研究。我们使用非语言个体口面部疼痛量表 (OPS-NVI) 来识别痴呆症居民的口面部疼痛。能够表达自我报告的口面部疼痛的居民。进行了简短的口试。收集了有关人口统计、临床痴呆评级、查尔森合并症指数、科恩曼斯菲尔德躁动量表、巴塞尔指数、5 级 Euroqol 5 维度、口腔健康影响概况 14、迷你营养评估简表和药物的信息。卡方检验、独立样本 t 检验和曼-惠特尼 U 检验用于比较组间结果。使用多变量逻辑回归来评估口面部疼痛的预测因素。结果：通过 OPS-NVI 评估，48.8%（95% 置信区间 [C.I.] 36.1-50.7）的痴呆居民存在口面部疼痛。 37.8% (95% C.I. 20.4-53.7) 的痴呆居民和 14.8% (95% C.I. 0.5-30.4) 的非痴呆居民自述有口面部疼痛。患有痴呆症的居民比没有痴呆症的居民更容易出现口面部疼痛（OPS-NVI；P = 0.002，自我报告；P = 0.04）。有齿居民的饮食清淡、口干、有齿、口腔卫生不良是痴呆居民口面部疼痛的显着预测因素。结论：口面部疼痛在痴呆居民中更为普遍。口腔保健应成为居民（尤其是痴呆症患者）日常护理的一部分，以改善口腔健康并降低发生口面部疼痛的风险。
Objectives: determine and compare the prevalence of orofacial pain in older nursing home residents with and without dementia and explore the association between orofacial pain and health factors.Methods: cross-sectional study conducted in four UK nursing homes. We used the Orofacial-Pain Scale for Non-Verbal Individuals (OPS-NVI) to identify orofacial pain in residents with dementia. Residents who were able to communicate self-reported orofacial pain. A brief oral examination was conducted. Information on demographics, Clinical Dementia Rating, Charlson Comorbidity Index, Cohen Mansfield Agitation Inventory, Barthel Index, 5-level Euroqol 5 Dimension, Oral Health Impact Profile 14, Mini Nutritional Assessment Short Form and medication was collected. Chi-squared tests, independent sample t-tests andMann-Whitney U-tests were used to compare outcomes between groups. Multivariable logistic regression was used to evaluate predictors of orofacial pain.Results: orofacial pain, assessed with the OPS-NVI, was present in 48.8% (95% confidence interval [C.I.] 36.1-50.7) of residents with dementia. Self-reported orofacial pain was present in 37.8% (95% C.I. 20.4-53.7) of residents with dementia and in 14.8% (95% C.I. 0.5-30.4) residents without dementia. Orofacial pain was significantly more prevalent in residents with dementia than those without (OPS-NVI; P = 0.002, self-report; P = 0.04). Having a soft diet, xerostomia, being dentate, and poor oral hygiene in dentate residents were significant predictors of orofacial pain in residents with dementia.Conclusion: orofacial pain was more prevalent in residents with dementia. Oral health care should be part of routine care for residents, especially for those with dementia, to improve oral health and decrease the risk of developing orofacial pain.