重症非插管老年患者入院前后口腔健康行为对比分析

doi:10.13701/j.cnki.kqyxyj.2019.03.025

口腔医学研究 ›› 2019, Vol. 35 ›› Issue (3): 296-300.DOI: 10.13701/j.cnki.kqyxyj.2019.03.025

重症非插管老年患者入院前后口腔健康行为对比分析

苗继凤¹, 郭佳茹¹, 周星宇², 杨琳¹, 许彩彩¹, 王婧¹, 崔苗¹, 商临萍^3*

1. 山西医科大学山西太原 030001;
2. 长治医学院山西长治 046000;
3. 山西医科大学第一医院山西太原 030001

收稿日期:2019-01-01 出版日期:2019-03-28 发布日期:2019-04-01
通讯作者: * 商临萍,E-mail:shanglp2002@163.com
作者简介:苗继凤(1994~ ),女,山西省大同人,硕士在读,护师,主要从事老年患者口腔健康管理的研究工作。
基金资助:
山西省重点研发计划(社会发展领域)项目(编号:201803D31113)

Comparative Analysis of Oral Health Behaviors in Severe Elderly Patients with Non-intubation before and after Admission

MIAO Ji-feng¹, GUO Jia-ru¹, ZHOU Xing-yu², YANG Lin¹, XU Cai-cai¹, WANG Jing¹, CUI Miao¹, SHANG Lin-ping^3*

1. Shanxi Medical University, Taiyuan 030001, China;
2. Changzhi Medical College, Changzhi 046000, China;
3. The First Hospital of Shanxi Medical University, Taiyuan 030001, China.

Received:2019-01-01 Online:2019-03-28 Published:2019-04-01

摘要/Abstract

摘要： 目的:调查重症非插管老年患者入院前后口腔健康行为,并分析其差异。方法:采取便利抽样法选取山西省6地市6家三级甲等综合医院神经内科、神经外科监护室外284名非插管老年患者为研究对象,采用WHO口腔健康流行病学调查方案进行问卷调查。结果:(1)入院前口腔卫生措施:刷牙、漱口每天≥2次分别为:71(26.5%)、54(19.0%),有使用木质牙签、塑料牙签、牙线习惯的分别为62(23.1%)、7(2.6%)、5(1.9%);(2)入院后口腔卫生措施:对应为:43(16.0%)、68(23.9%)、46(17.2%)、4(1.5%)、5(1.9%);(3)入院前后老年患者的刷牙、漱口液、木质牙签、塑料牙签、牙线使用频次比较差异均有统计学意义(χ²=221.741、554.928、329.044、333.995、713.991,P＜0.01 )。结论:老年患者口腔健康行为差,且住院后并没有得到改善,相反除漱口以外的其他行为明显减弱;改善患者口腔健康行为并观察其是否会改善患者的临床结局将是必要的。

关键词: 老年人, 非插管, 口腔健康行为, 口腔健康

Abstract: Objective: To investigate the oral health behaviors of severe elderly patients with non-intubation before and after admission. Methods: A total of 284 non-intubated elderly patients in neurology department and neurosurgical monitoring room of 6 third-grade general hospitals in 6 cities of Shanxi Province were selected by convenient sampling method. The WHO oral health epidemiological investigation program was used for questionnaire survey. Results: (1) Oral hygiene measures before admission: brushing and gargle were 71 (26.5%) and 54 (19.0%) ≥ 2 times per day; the use of wooden toothpicks, plastic toothpicks, and dental floss were 62 (23.1%), 7(2.6%), and 5 (1.9%), respectively; (2) Oral hygiene measures after admission: 43 (16.0%), 68 (23.9%), 46 (17.2%), 4(1.5%), and 5 (1.9%) respectively; (3) The frequencys of brushing, mouthwash, wooden toothpicks, plastic toothpicks, and dental floss in elderly patients before and after admission were statistically significant (P<0.01). Conclusion: The oral health behaviors of elderly patients are poor and are not improved after hospitalization. Conversely, behaviors other than sputum are significantly attenuated. It is necessary to improve the elderly patients’ oral health behavior and to see if they could improve the clinical outcomes.

Key words: Old age, Non-intubation, Oral health behavior, Oral health

苗继凤, 郭佳茹, 周星宇, 杨琳, 许彩彩, 王婧, 崔苗, 商临萍. 重症非插管老年患者入院前后口腔健康行为对比分析[J]. 口腔医学研究, 2019, 35(3): 296-300.

MIAO Ji-feng, GUO Jia-ru, ZHOU Xing-yu, YANG Lin, XU Cai-cai, WANG Jing, CUI Miao, SHANG Lin-ping. Comparative Analysis of Oral Health Behaviors in Severe Elderly Patients with Non-intubation before and after Admission[J]. Journal of Oral Science Research, 2019, 35(3): 296-300.

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重症非插管老年患者入院前后口腔健康行为对比分析

Comparative Analysis of Oral Health Behaviors in Severe Elderly Patients with Non-intubation before and after Admission

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