北京市老年脑卒中患者口腔相关行为的研究

doi:10.13701/j.cnki.kqyxyj.2019.03.022

口腔医学研究 ›› 2019, Vol. 35 ›› Issue (3): 282-285.DOI: 10.13701/j.cnki.kqyxyj.2019.03.022

北京市老年脑卒中患者口腔相关行为的研究

刘铮¹, 王月^1*, 袁冬^1*, 郭翠¹, 陈曦², 张倩倩¹, 宋丹丹¹

1. 首都医科大学附属北京口腔医院老年口腔病科北京 100050;
2. 爱荷华大学口腔医学院预防和社会牙科系美国爱荷华 52242

收稿日期:2018-09-09 出版日期:2019-03-28 发布日期:2019-04-01
通讯作者: * 王月,E-mail:queni@126.com袁冬,E-mail:yuand_y@126.com
作者简介:刘铮(1982~ ),女,北京人,学士,主治医师,主要从事老年患者的牙体疾病及外科治疗工作。
基金资助:
首都临床特色应用研究与成果推广项目(编号:Z151100004015041)

Study on Dental Related Behaviors among Elderly Stroke Patients

LIU Zheng¹, WANG Yue^1*, YUAN Dong^1*, GUO Cui¹, CHEN Xi², ZHANG Qian-qian¹, SONG Dan-dan

1. Department of Geriatric Dentistry, Beijing Stomatological Hospital, Capital University of Medical Science, School of Stomatology, Beijing 100050, China;
2. Department of Preventive and Community Dentistry, University of Iowa, Iowa City, Iowa 52242, USA.

Received:2018-09-09 Online:2019-03-28 Published:2019-04-01

摘要/Abstract

摘要： 目的:了解老年脑卒中患者口腔护理和就诊行为,并探究其与全身功能状况的相关性。方法:通过问卷调查对老年脑卒中患者的口腔护理和就诊行为等信息进行采集。应用Montreal认知功能量、Katz日常生活能力量表和Lawton工具性日常生活能力量表对参与者的全身功能状况进行评估。结果:纳入老年脑卒中患者207人,每日刷牙两次的比例为49.8%,1年以内有过口腔就诊的比例为29.0%。调整干扰变量后,每日刷牙2次与MoCA评分≥20(OR=3.417,95%CI:1.848-6.320)和Lawton评分≥13(OR=3.049,95%CI:1.665-5.584)相关。结论:老年脑卒中患者口腔护理和就诊行为普遍较差,口腔护理行为随着全身功能状况下降而变差。对老年脑卒中患者及其照料者进行口腔健康教育,为全身功能状况较差的患者及时提供口腔护理帮助和口腔筛查十分重要。

关键词: 脑卒中, 口腔健康, 认知功能, 日常生活能力

Abstract: Objective: To understand the behaviors of oral care and dental attendance among elderly stroke patients, and to explore their correlation with general function status. Methods: Participants' oral care and dental attendance behaviors etc. were collected through questionnaires. Montreal Cognitive Assessment (MoCA), Katz activities of daily living scale and Lawton instrumental activities of daily living scale were used to assess the overall functional status of the participants. Results: A total of 207 elderly stroke patients were included. The proportion of teeth brushing two times a day was 49.8%. The proportion of dental attendance within one year was 29%. After adjusting the covariables, it was found that teeth brushing two times a day was related to MoCA score ≥ 20(OR=3.417; 95%CI: 1.848-6.320) and Lawton score ≥ 13 (OR=3.049; 95%CI: 1.665-5.584). Conclusion: Oral care and dental attendance behaviors in elderly stroke patients are generally poor, and oral care behaviors become worse with general functional decline. In order to improve the oral care and dental attendance behaviors, oral health education should be given to elderly stroke patients and their caregivers. For patients with poor general function, oral care help and oral screening should be provided.

Key words: Stroke, Oral health, Cognitive function, Activities of daily living

刘铮, 王月, 袁冬, 郭翠, 陈曦, 张倩倩, 宋丹丹. 北京市老年脑卒中患者口腔相关行为的研究[J]. 口腔医学研究, 2019, 35(3): 282-285.

LIU Zheng, WANG Yue, YUAN Dong, GUO Cui, CHEN Xi, ZHANG Qian-qian, SONG Dan-dan. Study on Dental Related Behaviors among Elderly Stroke Patients[J]. Journal of Oral Science Research, 2019, 35(3): 282-285.

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北京市老年脑卒中患者口腔相关行为的研究

Study on Dental Related Behaviors among Elderly Stroke Patients

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