应用国际居民评估工具研究老年人口腔健康与生活质量的关系
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摘要
目的:通过对北京东城区部分社区老年人应用Inter RAI-HC(internaitonal resident assessment instrument-home care)国际居民评估工具-居家量表评估数据进行二次数据分析,探讨口腔健康状况与老年人生活质量相关指标之间的关系。方法:依据Inter RAI-HC量表对192位社区老年人进行全面信息采集,得到与生活质量相关指标:ADL(Activities of daily life)日常生活活动能力、IADL(instrumental activities of daily life)工具性日常生活活动能力、DRS(depression rating scale)抑郁等级和营养摄入方式的评分,将其与口腔健康状况、年龄和性别进行相关性分析,采用卡方检验及二元非条件logistic回归分析进行统计分析。结果:单因素分析显示:老年口干人群中抑郁状态的比例高于无口干组,咀嚼困难组营养摄入方式受损的比例高于无咀嚼困难组。多因素分析同样显示:在较正研究对象的口腔健康状况、年龄、性别等因素后,患有口干的老年人的抑郁风险是没有口干的老年人的3.230倍(95%CI:1.729-6.034),患有咀嚼困难的老年人无法正常摄入营养的风险是无咀嚼困难老年人的39.006倍(95%CI:7.914-192.259)。结论:老年人的口腔健康状况与老年人抑郁等级及营养摄入方式等密切相关,进而影响到老年人的生活质量。
Objective:The relationship between oral health status and quality of life(QOL)of elderly people in Dongcheng district of Beijing was analyzed by using Inter RAI-HC(internaitonal resident assessment instrument-home care-home)scale.Methods:192residents were assessed by inter RAI.Age,sexual and the oral health related parameters(removable denture,not intact natural teeth,dry mouth,chewing difficulties)were analyzed with the following indicators related with Quality of life:Activities of daily life(ADL),instrumental activities of daily life(IADL),depression rating scale(DRS),and mode of nutritional intake.The data were analyzed using Chi-square test and Binary Logistic Regression.Results:Dry mouth is significantly correlated with DRS(P<0.01),(OR:3.230,95%CI:1.729-6.034).Also chewing ability is significantly correlated with the mode of nutritional intake(P<0.01),(OR:39.006,95%CI:7.914-192.259).Conclusion:The oral health status of the elderly is closely related to the level of depression and the way of nutrition intake,which affects the quality of life of the elderly.
Objective:The relationship between oral health status and quality of life(QOL)of elderly people in Dongcheng district of Beijing was analyzed by using Inter RAI-HC(internaitonal resident assessment instrument-home care-home)scale.Methods:192residents were assessed by inter RAI.Age,sexual and the oral health related parameters(removable denture,not intact natural teeth,dry mouth,chewing difficulties)were analyzed with the following indicators related with Quality of life:Activities of daily life(ADL),instrumental activities of daily life(IADL),depression rating scale(DRS),and mode of nutritional intake.The data were analyzed using Chi-square test and Binary Logistic Regression.Results:Dry mouth is significantly correlated with DRS(P<0.01),(OR:3.230,95%CI:1.729-6.034).Also chewing ability is significantly correlated with the mode of nutritional intake(P<0.01),(OR:39.006,95%CI:7.914-192.259).Conclusion:The oral health status of the elderly is closely related to the level of depression and the way of nutrition intake,which affects the quality of life of the elderly.
引文
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[3]朱宏伟,赖小星,霍晓鹏,等.Inter RAI综合评估及干预对老年住院患者营养状况的影响[J].中华现代护理杂志,2017,23(1):29-33
[4]Krausch-Hofmann S,Bogaerts K,Hofmann M,et al.Missing Oral Health-Related Data in the inter RAI-HC-Associations with Selected Variables of General Health and the Effect of Multiple Imputation on the Relationship between Oral and General Health[J].Plos One,2015,10(12):e0146065
[5]段海燕,张蕴惠.抑郁症与口腔疾病[J].口腔疾病防治,2003,11(1):72-74
[6]Krausch-Hofmann S,Declerck D,Declercq A,et al.Associating oral and general health using the inter RAI[C]IADRGeneral Session and Exhibition.2014
[7]Furuta M,Komiya-Nonaka M,Akifusa S,et al.Interrelationship of oral health status,swallowing function,nutritional status,and cognitive ability with activities of daily living in Japanese elderly people receiving home care services due to physical disabilities[J].Community Dentistry&Oral Epidemiology,2013,41(2):173-81
[8]Kimura Y,Ogawa H,Yoshihara A,et al.Evaluation of chewing ability and its relationship with activities of daily living,depression,cognitive status and food intake in the community-dwelling elderly[J].Geriatrics&Gerontology International,2013,13(3):718-725
[9]程兴群,徐欣,周学东.口腔微生物与肠道微生物的关系[J].华西口腔医学杂志,2017,35(3):322-327