Investigation on Oral Health Quality and Influencing Factors of 284 Elderly Patients with Non-intubation.

doi:10.13701/j.cnki.kqyxyj.2019.03.024

Abstract

Abstract: Objective: To investigate the oral health quality and influencing factors of elderly patients, and to provide reference for health education in hospitals. Methods: A total of 284 elderly patients with neurology and neurosurgery in 6 large-scale tertiary general hospitals in 6 cities of Shanxi Province were selected by convenient sampling method. The adapted WHO Oral Health Survey.5th version was used to investigate. The factors affecting the oral health quality of patients were analyzed by single factor analysis, Pearson correlation analysis, and multiple stepwise regression analysis. Results: (1) The mean score of oral health quality in elderly patients were 3.52±1.64; (2) The number of teeth, activities of daily living (ADL), and changes in patient role after admission were identified as the predictors of the oral health quality of elderly patients (P<0.05), which could explain 13.3% of the variance. Conclusion: The oral health quality of non-intubated elderly patients in this area is at a medium level, which is influenced by many factors, focusing on elderly patients with insufficient number of teeth, low self-care ability, and poor role transition after admission.

Key words: Elderly, Influencing factors, Oral health

MIAO Ji-feng, GUO Jia-ru, ZHOU Xing-yu, YANG Lin, XU Cai-cai, WANG Jing, CUI Miao, SHANG Lin-ping. Investigation on Oral Health Quality and Influencing Factors of 284 Elderly Patients with Non-intubation.[J]. Journal of Oral Science Research, 2019, 35(3): 291-295.

References

[1] 赵彩均,丁福.老年住院患者口腔健康状况调查[J].中国护理管理,2016,16(4):485-487.
[2] Müller F. Oral hygiene reduces the mortality from aspiration pneumonia in frail elders [J]. J Dent Res, 2015, 94(3):14S-16S.
[3] 刘文静,牛芳桥,胡轶,等.牙周炎对老年糖尿病患者口腔健康相关生活质量的影响[J].口腔医学研究,2016,32(6):627-630.
[4] Dai R, Lam OL, Lo EC, et al. A systematic review and meta-analysis of clinical, microbiological, and behavioural aspects of oral health among patients with stroke[J]. J Dent, 2015, 43(2):171-180.
[5] AlBaker AM, AlBaqami FF, AlHarbi TM, et al. Oral health status and oral health-related quality of life among hospitalized and nonhospitalized geriatric patients[J]. J Contemp Dent Pract, 2017, 18(3):228-234.
[6] World Health Organization.Oral health surveys:basic methods-5th edition [M]. Brazil:School of Dentistry, University of São Paulo,2013.
[7] Gibney JM, Wright C, Sharma A, et al. The oral health status of older patients in acute care on admission and Day 7 in two Australian hospitals [J]. Age Ageing, 2017,46(5):852-856.
[8] Lee PH, Mcgrath CP, Kong AY, et al. Self-reported oral health and quality of life:a latent growth curve analysis [J]. Int J Behav Med, 2014, 21 (2) :358-363.
[9] Mozafari PM, Amirchaghmaghi M, Moeintaghavi A, et al. Oral health related quality of life in a group of geriatrics [J]. J Clin Diagn Res, 2015, 9(11):ZC52-ZC55.
[10] Fávaro-Moreira NC, Krausch-Hofmann S, Matthys C, et al. Risk factors for malnutrition in older adults: a systematic review of the literature based on longitudinal data [J]. Adv Nutr, 2016, 7(3):507-522.
[11] Poisson P, Laffond T, Campos S, et al. Relationships between oral health, dysphagia and undernutrition in hospitalised elderly patients [J]. Gerodontology, 2016, 33(2):161-168.
[12] Yang SE, Park YG, Han K, et al. Association between dental pain and tooth loss with health-related quality of life: the Korea national health and nutrition examination survey: A population-based cohort study [J]. Medicine, 2016, 95(35):e4707.
[13] Silva-Junior MF, Batista MJ, de Sousa MDLR. Incidence of tooth loss in adults: a 4-year population-based prospective cohort study [J]. Int J Dent, 2017, 2017:1-7.
[14] Jaleel BF, Nagarajappa R, Mohapatra AK, et al. Risk indicators associated with tooth loss among Indian adults [J]. Oral Health Dent Manag, 2014, 13(2):170-178.
[15] Kwok C, Mcintyre A, Janzen S, et al. Oral care post stroke: a scoping review [J]. J Oral Rehabil, 2015, 42(1):65-74.
[16] 史彦,李成杰,张明正,等.龋齿及牙周病患者与健康人群口腔微生态的比较研究[J].口腔医学研究,2016,32(12):1265-1268.
[17] Quinn B, Baker DL.Comprehensive oral care helps prevent hospitalacquired nonventilator pneumonia [J]. American Nurse Today,2015,10(3):18-23.
[18] 黄欣,邵亚,李亚玲.奥瑞姆自理理论在康复期脑卒中病人的应用进展[J].护理研究,2018,32(2):186-190.