Although some studies had suggested a bidirectional relationship between diabetes and periodontal disease, there were no appropriate tools for nurses to evaluate oral status and oral health behaviors in patients with ...Although some studies had suggested a bidirectional relationship between diabetes and periodontal disease, there were no appropriate tools for nurses to evaluate oral status and oral health behaviors in patients with diabetes. Therefore, the Diabetes Oral Health Assessment Tool (DiO-HAT ?) was developed with items contributed by health care professionals (diabetologists, periodontal specialists, a preventive dentist, a Certified Nurse in Diabetes Nursing, a national registered dietitian, registered nurses, a dental hygienist, and nursing researchers) who were involved in the medical care of patients with diabetes. Subsequently, a survey of 700 Diabetes Nurse Specialists (DNS) was conducted to determine their score of recognition and implementation of the DiOHAT ?, however, 304 participants (43.4%) responded. Constructive concept validation and the Cronbach’s alpha coefficient for all assessment items were 0.931, indicating high reliability: Factor 1, Patient’s oral health status (α = 0.831);Factor 2, Implementation of oral health behaviors (α = 0.890);Factor 3, Information transmission regarding dental visits (α = 0.862);and Factor 4, Perceptions and knowledge of oral health behaviors (α = 0.793). Although the mean score of recognition of DiOHAT ? was 3.5 ± 0.4 points, the mean value of the implementation score was 1.5 ± 0.5 points (obtained using a 4-grade scale). The implementation scores were significantly lower than the recognition scores for all items (p < 0.001). The findings suggested that the DNS were not inclined to implement all items of DiOHAT ?, despite recognizing their importance.展开更多
Objective:To investigate the oral health related quality of life in elderly diabetic patients and analyze its influencing factors.Methods:Convenience sampling was used to select 190 elderly patients with diabetes unde...Objective:To investigate the oral health related quality of life in elderly diabetic patients and analyze its influencing factors.Methods:Convenience sampling was used to select 190 elderly patients with diabetes under the Department of Endocrinology and Department of Integrated Traditional Chinese and Western Medicine in the Affiliated Hospital of Hebei University as the research subjects.The Chinese version of the Oral Health Influence Scale(OHIP-14)was used to conduct a questionnaire survey,and univariate analysis and multiple stepwise regression analysis were used to analyze the influencing factors of oral health related quality of life in elderly diabetic patients.Results:The elderly diabetic patients'oral health related quality of life score was 34.48±3.23,which is in the middle-lower range.The findings of multivariate stepwise regression analysis revealed that the course of disease,regular visits to the dentist,sleep quality,oral health knowledge,and oral health attitude together explained 58.9%of the total variance in elderly diabetic patients in terms of their oral health related quality of life(p<0.05).Conclusion:The oral health related quality of life of elderly diabetic patients is generally low,and is affected by the duration of diabetes,sleep quality,and oral health knowledge,attitude,and behavior(regular visits to the dentist).Improving patientsJ attention to oral health problems by improving sleep as well as their own oral health knowledge,attitude,and behavior is an effective way to enhance oral health related quality of life.展开更多
Objective: To investigate the current situation of knowledge, attitude, and practice (KAP) of oral health among rehabilitation nursing patients, and provide some reference for implementing oral health intervention mea...Objective: To investigate the current situation of knowledge, attitude, and practice (KAP) of oral health among rehabilitation nursing patients, and provide some reference for implementing oral health intervention measures for rehabilitation nursing patients. Method: A total of 231 nursing patients in the rehabilitation department of a tertiary hospital in this city from January 2023 to October 2023 were selected as the research subjects. Their oral health knowledge, attitudes, and behaviors were investigated, and the oral health behavior habits of patients with different genders, education levels, and disease situations were compared. Result: The total awareness rate of oral health knowledge among patients was 73.16%, and the average score of oral health knowledge was 6.58 ± 1.25 points. The overall positive rate of oral health attitude among patients is 55.70%, and the average score of oral health attitude is 5.01 ± 1.04 points. The average score for oral health behavior is 16.87 ± 5.23 points. Only 8.48%, 3.3%, 1.3%, 2.6%, and 0.87% of patients seek timely medical treatment for bleeding tooth roots, gum swelling and pain, gum bleeding, tooth pain, and dental calculus, respectively;Only 5.19% of people change their toothbrush every 3 months, and only 10.39% use the vertical brush method to brush their teeth. The scores of oral health knowledge, attitudes, and behaviors of patients are related to age, educational level, disease type, and smoking situation. The oral health knowledge and attitude scores of elderly patients were lower than those of younger patients, and the difference was statistically significant (P P P P P < 0.05). Conclusion: The oral health status of rehabilitation nursing patients is not optimistic, with a moderate level of oral health knowledge, weak awareness of oral health, and a low qualification rate of oral health behaviors. Strengthening oral health education for rehabilitation nursing patients and incorporating oral health care procedures into rehabilitation nursing procedures is of great significance.展开更多
To understand the influence of seasonal periodicity and environmental heterogeneity on the transmission dynamics of an infectious disease, we consider asymptotic periodicity in the fecally-orally epidemic model in a h...To understand the influence of seasonal periodicity and environmental heterogeneity on the transmission dynamics of an infectious disease, we consider asymptotic periodicity in the fecally-orally epidemic model in a heterogeneous environment. By using the next generation operator and the related eigenvalue problems, the basic reproduction number is introduced and shows that it plays an important role in the existence and non-existence of a positive T-periodic solution. The sufficient conditions for the existence and non-existence of a positive T-periodic solution are provided by applying upper and lower solutions method. Our results showed that the fecally-orally epidemic model in a heterogeneous environment admits at least one positive T-periodic solution if the basic reproduction number is greater than one, while no T-periodic solution exists if the basic reproduction number is less than or equal to one. By means of monotone iterative schemes, we construct the true positive solutions. The asymptotic behavior of periodic solutions is presented. To illustrate our theoretical results, some numerical simulations are given. The paper ends with some conclusions and future considerations.展开更多
目的探讨移动健康平台结合回授法宣教模式对佩戴可摘局部义齿老年患者的应用效果。方法采用连续性抽样法,选取2023年1月至12月在河北医科大学口腔医院就诊的佩戴可摘局部义齿老年患者60例,随机分为对照组和干预组,每组30例。对照组接受...目的探讨移动健康平台结合回授法宣教模式对佩戴可摘局部义齿老年患者的应用效果。方法采用连续性抽样法,选取2023年1月至12月在河北医科大学口腔医院就诊的佩戴可摘局部义齿老年患者60例,随机分为对照组和干预组,每组30例。对照组接受常规健康教育,干预组接受移动健康平台结合回授法健康教育干预,2周/次,连续3个月。比较干预前后两组受试者的口腔保健行为量表评分、口腔健康影响程度量表(oral health impact prole,OHIP-14)评分,干预后可摘局部义齿调改率。结果干预前两组口腔保健行为量表评分、OHIP-14评分比较,差异无统计学意义(P>0.05)。干预3个月后,干预组口腔保健行为量表评分显著高于对照组[(21.9±2.0)分vs(16.8±2.1)分,P<0.05];OHIP-14评分、可摘局部义齿调改率显著低于对照组[(20.8±5.9)分vs(29.5±7.6)分,10.0%vs 33.3%,P<0.05]。结论该干预模式能有效改善老年患者的口腔健康行为,提高口腔健康程度,提高生活质量。展开更多
文摘Although some studies had suggested a bidirectional relationship between diabetes and periodontal disease, there were no appropriate tools for nurses to evaluate oral status and oral health behaviors in patients with diabetes. Therefore, the Diabetes Oral Health Assessment Tool (DiO-HAT ?) was developed with items contributed by health care professionals (diabetologists, periodontal specialists, a preventive dentist, a Certified Nurse in Diabetes Nursing, a national registered dietitian, registered nurses, a dental hygienist, and nursing researchers) who were involved in the medical care of patients with diabetes. Subsequently, a survey of 700 Diabetes Nurse Specialists (DNS) was conducted to determine their score of recognition and implementation of the DiOHAT ?, however, 304 participants (43.4%) responded. Constructive concept validation and the Cronbach’s alpha coefficient for all assessment items were 0.931, indicating high reliability: Factor 1, Patient’s oral health status (α = 0.831);Factor 2, Implementation of oral health behaviors (α = 0.890);Factor 3, Information transmission regarding dental visits (α = 0.862);and Factor 4, Perceptions and knowledge of oral health behaviors (α = 0.793). Although the mean score of recognition of DiOHAT ? was 3.5 ± 0.4 points, the mean value of the implementation score was 1.5 ± 0.5 points (obtained using a 4-grade scale). The implementation scores were significantly lower than the recognition scores for all items (p < 0.001). The findings suggested that the DNS were not inclined to implement all items of DiOHAT ?, despite recognizing their importance.
基金Research Project of Traditional Chinese Medicine in Bureau of Hebei Provincial Traditional Chinese Medicine Administration in 2019(Project Number:2019178)。
文摘Objective:To investigate the oral health related quality of life in elderly diabetic patients and analyze its influencing factors.Methods:Convenience sampling was used to select 190 elderly patients with diabetes under the Department of Endocrinology and Department of Integrated Traditional Chinese and Western Medicine in the Affiliated Hospital of Hebei University as the research subjects.The Chinese version of the Oral Health Influence Scale(OHIP-14)was used to conduct a questionnaire survey,and univariate analysis and multiple stepwise regression analysis were used to analyze the influencing factors of oral health related quality of life in elderly diabetic patients.Results:The elderly diabetic patients'oral health related quality of life score was 34.48±3.23,which is in the middle-lower range.The findings of multivariate stepwise regression analysis revealed that the course of disease,regular visits to the dentist,sleep quality,oral health knowledge,and oral health attitude together explained 58.9%of the total variance in elderly diabetic patients in terms of their oral health related quality of life(p<0.05).Conclusion:The oral health related quality of life of elderly diabetic patients is generally low,and is affected by the duration of diabetes,sleep quality,and oral health knowledge,attitude,and behavior(regular visits to the dentist).Improving patientsJ attention to oral health problems by improving sleep as well as their own oral health knowledge,attitude,and behavior is an effective way to enhance oral health related quality of life.
文摘Objective: To investigate the current situation of knowledge, attitude, and practice (KAP) of oral health among rehabilitation nursing patients, and provide some reference for implementing oral health intervention measures for rehabilitation nursing patients. Method: A total of 231 nursing patients in the rehabilitation department of a tertiary hospital in this city from January 2023 to October 2023 were selected as the research subjects. Their oral health knowledge, attitudes, and behaviors were investigated, and the oral health behavior habits of patients with different genders, education levels, and disease situations were compared. Result: The total awareness rate of oral health knowledge among patients was 73.16%, and the average score of oral health knowledge was 6.58 ± 1.25 points. The overall positive rate of oral health attitude among patients is 55.70%, and the average score of oral health attitude is 5.01 ± 1.04 points. The average score for oral health behavior is 16.87 ± 5.23 points. Only 8.48%, 3.3%, 1.3%, 2.6%, and 0.87% of patients seek timely medical treatment for bleeding tooth roots, gum swelling and pain, gum bleeding, tooth pain, and dental calculus, respectively;Only 5.19% of people change their toothbrush every 3 months, and only 10.39% use the vertical brush method to brush their teeth. The scores of oral health knowledge, attitudes, and behaviors of patients are related to age, educational level, disease type, and smoking situation. The oral health knowledge and attitude scores of elderly patients were lower than those of younger patients, and the difference was statistically significant (P P P P P < 0.05). Conclusion: The oral health status of rehabilitation nursing patients is not optimistic, with a moderate level of oral health knowledge, weak awareness of oral health, and a low qualification rate of oral health behaviors. Strengthening oral health education for rehabilitation nursing patients and incorporating oral health care procedures into rehabilitation nursing procedures is of great significance.
文摘To understand the influence of seasonal periodicity and environmental heterogeneity on the transmission dynamics of an infectious disease, we consider asymptotic periodicity in the fecally-orally epidemic model in a heterogeneous environment. By using the next generation operator and the related eigenvalue problems, the basic reproduction number is introduced and shows that it plays an important role in the existence and non-existence of a positive T-periodic solution. The sufficient conditions for the existence and non-existence of a positive T-periodic solution are provided by applying upper and lower solutions method. Our results showed that the fecally-orally epidemic model in a heterogeneous environment admits at least one positive T-periodic solution if the basic reproduction number is greater than one, while no T-periodic solution exists if the basic reproduction number is less than or equal to one. By means of monotone iterative schemes, we construct the true positive solutions. The asymptotic behavior of periodic solutions is presented. To illustrate our theoretical results, some numerical simulations are given. The paper ends with some conclusions and future considerations.
文摘目的探讨移动健康平台结合回授法宣教模式对佩戴可摘局部义齿老年患者的应用效果。方法采用连续性抽样法,选取2023年1月至12月在河北医科大学口腔医院就诊的佩戴可摘局部义齿老年患者60例,随机分为对照组和干预组,每组30例。对照组接受常规健康教育,干预组接受移动健康平台结合回授法健康教育干预,2周/次,连续3个月。比较干预前后两组受试者的口腔保健行为量表评分、口腔健康影响程度量表(oral health impact prole,OHIP-14)评分,干预后可摘局部义齿调改率。结果干预前两组口腔保健行为量表评分、OHIP-14评分比较,差异无统计学意义(P>0.05)。干预3个月后,干预组口腔保健行为量表评分显著高于对照组[(21.9±2.0)分vs(16.8±2.1)分,P<0.05];OHIP-14评分、可摘局部义齿调改率显著低于对照组[(20.8±5.9)分vs(29.5±7.6)分,10.0%vs 33.3%,P<0.05]。结论该干预模式能有效改善老年患者的口腔健康行为,提高口腔健康程度,提高生活质量。
