摘要
目的 调查维持性血液透析(MHD)患者口腔衰弱现状,探讨其口腔衰弱与口腔干燥的关系。方法 采用便利抽样方法选取2023年12月至2024年3月海口市某三甲医院收治的MHD患者182例作为研究对象,使用一般资料调查表、口腔衰弱指数量表、简化版口腔干燥量表进行调查,通过二元logistic回归分析口腔衰弱的影响因素,以及口腔衰弱与口腔干燥的相关性。共发放问卷182份,回收有效问卷180份,无效问卷2份,有效问卷回收率为98.9%。结果 180例患者中发生口腔衰弱93例(51.7%),且均发生程度不同的口腔干燥。口腔干燥程度、年龄是口腔衰弱的危险因素(优势比=32.977、10.145,95%可信区间6.813~159.610、1.754~58.659),文化程度是保护因素(优势比=0.272,95%可信区间0.081~0.916)。口腔衰弱与口腔干燥明显相关,简化版口腔干燥量表总分每提高1分口腔衰弱发生增加32.977倍。结论 MHD患者口腔衰弱发生率较高,年龄、文化水平是其影响因素,口腔干燥与口腔衰弱呈强相关,应加强对MHD患者口腔衰弱的关注度,积极干预患者口腔干燥的发生情况,加强对患者的健康宣教,提高其认知水平,尤其是老年患者,从而达到预防患者发生口腔衰弱的风险。
Objective To investigate the status of oral frailty in maintenance hemodialysis(MHD)patients,and to explore the relationship between oral frailty and oral dryness.Methods A total of 182 MHD patients admitted to a tertiary hospital in Haikou city from December 2023 to March 2024 were selected by convenient sampling method.The general information questionnaire,oral frailty index scale and simplified oral dryness scale were used to investigate.The influencing factors of oral frailty and the correlation between oral frailty and oral dryness were analyzed by binary logistic regression.A total of 182 questionnaires were distributed,180 valid questionnaires were collected,two invalid questionnaires were collected,and the effective questionnaire recovery rate was 98.9%.Results Among 180 patients,oral frailty occurred in 93 cases(51.7%),and all of them had different degrees of oral dryness.The degree of oral dryness(OR=32.977,95%CI 6.813-159.610)and age(OR=10.145,95%CI 1.754-58.659)were risk factors for oral frailty,and educational level was a protective factor(OR=0.272,95%CI 0.081-0.916).Oral frailty was significantly related to oral dryness.For every one point increase in the total score of the simplified oral dryness scale,the incidence of oral frailty increases by 32.977 times.Conclusion The incidence of oral frailty in MHD patients is high,and age and education level are the influencing factors.Oral dryness is strongly correlated with oral frailty.Attention should be paid to oral frailty in MHD patients,and the occurrence of oral dryness should be actively intervened.Strengthen the health education of patients and improve their cognitive level,especially elderly patients,so as to prevent the risk of oral frailty in patients.
作者
王心语
蔡小霞
陈莉
叶丽香
王晓闪
WANG Xinyu;CAI Xiaoxia;CHEN Li;YE Lixiang;WANG Xiaoshan(Hainan Medical University,Haikou,Hainan 571199,China)
出处
《现代医药卫生》
2025年第12期2864-2869,共6页
Journal of Modern Medicine & Health
