社区老年人群口腔健康相关生活质量及其影响因素
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(中国人民解放军联勤保障部队第九二八医院口腔科,海口 570100)

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R780.1

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Oral health-related quality of life in community-dwelling elderly population and its influencing factors
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(Department of Stomatology, 928.Hospital of Joint Service Support Force of PLA, Haikou 570100, China)

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    摘要:

    目的 调查社区老年人群口腔健康状况及相关生活质量水平,并分析其影响因素。方法 采用多阶段随机抽样法,抽取海口市5个社区中1020例老年人作为被调查对象,按照第四次全国口腔健康流行病学调查标准,对老年人群口腔健康状况进行检查,采用口腔健康评价指数(GOHAI)评估其口腔健康相关生活质量(OH-QoL)。采用SPSS 20.0软件进行数据分析。根据数据类型,组间比较分别采用t检验、方差分析及χ2检验。以单因素分析有意义的指标作为自变量,GOHAI指数得分作为因变量,采用多元线性回归模型分析影响社区老年人群OH-QoL的相关因素。结果 本研究共发放1020份调查问卷,共回收920份(95.25%)有效问卷,老年人人群GOHAI总平均得分(53.79±11.17)分。多元线性回归分析提示,缺牙数量、缺牙修复、深牙周袋、冠龋、根龋、就医方便程度、每日刷牙次数、使用牙签或牙线以及牙医就诊习惯等9个变量可能影响老年人OH-QoL(P<0.05),该拟合模型可解释总变异的54.30%。结论 口腔健康状况是影响老年人群OH-QoL的重要因素,而良好的口腔清洁习惯可提高老年人OH-QoL。

    Abstract:

    Objective To investigate the oral health status and related quality of life in community-dwelling elderly population and analyze the related influencing factors. Methods Totally 1020 elderly people from 5 communities in Haikou City were selected as the subjects of investigation by multi-stage random sampling method. According to the standards of the Fourth National Oral Health Epidemiological survey, the oral health status of the elderly population was examined, and Geriatric Oral Health Assessment Index (GOHAI) was used to evaluate the oral health-related quality of life (OH-QoL). SPSS statistics 20.0 was used for statistical analysis. Data comparison between two groups was perfomed using t test, analysis of variance or χ2 test depending on data type. The meaningful indicators in univariate analysis were used as independent variables and the GOHAI index score was used as the dependent variable, and multivariate linear regression model analysis was applied to analyze the related factors affecting the OH-QoL in community elderly population. Results Among 1020 questionnaires distributed, 920(95.25%) valid questionnaires were collected in this study, and the total average score of GOHAI in the elderly was (53.79±11.17) points. Multivariate linear regression analysis showed that 9 variables such as the number of missing teeth, status of missing teeth deep periodontal pocket, the number of crown caries, the number of root caries, the convenience of medical treatment, the number daily teeth brushing frequency, the use of toothpick or dental floss, and the habit of dental visit might affect the OH-QoL of the elderly(P<0.05), and the fitting model could explain 54.30% of the total variation. Conclusion Oral health status is an important factor affecting OH-QoL in elderly population, and good oral hygiene habits can enhance the OH-QoL in the elderly.

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何丽艳,张海鸥,曾文雅.社区老年人群口腔健康相关生活质量及其影响因素[J].中华老年多器官疾病杂志,2023,22(10):765~769

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  • 收稿日期:2023-01-31
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  • 在线发布日期: 2023-10-24
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