摘要
目的探究不同功能状态下老年脑卒中患者的口腔健康相关生活质量(oral health-related quality of life,OHRQoL)及其影响因素,为制定有效干预措施提供理论依据。方法采用便利抽样的方法于2015年10月至2020年1月从宣武医院、天坛医院、大兴区西红门医院和北京口腔医院门诊招募符合纳入和排除标准的248例老年脑卒中患者。受试者根据改良的Rankin量表评分进行初筛并分组,无功能障碍组136例(0分或1分),有功能障碍组112例[其中再分为轻度功能障碍组41例(2分),中度功能障碍36例(3分),重度功能障碍组35例(4分或5分)]。通过调查问卷进行一般信息、口腔护理和就诊行为信息的采集,应用口腔健康影响程度量表(oral health impact profile-14,OHIP-14)、蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)、Katz日常生活能力量表和Lawton工具性日常生活能力量表对患者进行OHRQoL和全身功能的评估,并对其进行口腔检查。通过单因素分析及多因素分析不同功能状态下老年脑卒中患者的OHRQoL及其影响因素。结果无功能障碍组和有功能障碍组OHIP-14各维度评分比较,差异无统计学意义(P>0.05);轻度功能障碍组、中度功能障碍组、重度功能障碍组OHIP-14各维度评分比较,差异无统计学意义(P>0.05)。单因素分析显示,OHIP-14总分与刷牙频率、MoCA评分、余留牙数和松动牙数相关(P<0.05)。多因素分析显示,OHIP-14总分依次与松动牙数、余留牙数、Katz评分和是否有退休金相关(P<0.05)。结论老年脑卒中患者的OHRQoL与口腔健康和功能状况密切相关,因此有必要提高老年脑卒中患者的口腔健康状况从而提高其OHRQoL。
Objective To explore the oral health-related quality of life(OHRQoL)and its influencing factors in elderly stroke patients under different functional states,so as to provide a theoretical basis for formulating effective intervention measures.Methods A convenience sampling method was used to recruit 248 elderly stroke patients who met the inclusion and exclusion criteria from the outpatient clinics of Xuanwu Hospital,Temple of Heaven hospital,Daxing District Xihongmen hospital and Beijing stomatological hospital from October 2015 to January 2020.The subjects were initially screened and grouped based on the modified Rankin Scale score.There were 136 cases in the non-dysfunction group(0 or 1 point),112 cases in the dysfunction group[including 41 cases in the mild dysfunction group(2 points),36 cases in the moderate dysfunction group(3 points),and 35 cases in the severe dysfunction group(4 or 5 points)].The general information,oral care and treatment behavior information were collected through the questionnaire.The patients were assessed with oral health impact profile-14(OHIP-14),Montreal Cognitive Assessment(MoCA),Katz ability of daily living scale and Lawton instrumental ability of daily living scale for OHRQoL and general function,and their oral examinations were carried out.Objective to analyze the OHRQoL and its influencing factors of elderly stroke patients in different functional states by univariate analysis and multivariate analysis.Results There was no significant difference in the OHIP-14 scores between the non-dysfunction group and the dysfunction group(P>0.05);There was no significant difference in OHIP-14 scores among mild dysfunction group,moderate dysfunction group and severe dysfunction group(P>0.05).Univariate analysis showed that OHIP-14 total score was correlated with brushing frequency,MOCA score,number of remaining teeth and number of loose teeth(P<0.05).Multivariate analysis showed that the total score of OHIP-14 was correlated with the number of loose teeth,the number of remaining teeth,Katz score and whether there was a pension(P<0.05).Conclusion The OHRQoL of elderly stroke patients is closely related to oral health and functional status,so it is necessary to improve the oral health status of elderly stroke patients to improve their OHRQoL.
作者
王月
陈曦
袁冬
郭翠
张倩倩
宋丹丹
王楠
WANG Yue;CHEN Xi;YUAN Dong;GUO Cui;ZHANG Qian-qian;SONG Dan-dan;WANG Nan(Beijing Stomatological Hospital,Capital Medical University,Beijing 100070,China)
出处
《中华老年口腔医学杂志》
2025年第3期198-203,共6页
Chinese Journal of Geriatric Dentistry
基金
首都临床特色应用研究专项课题(Z151100004015041)。
