血液透析患者口腔健康相关生命质量的调查分析  

A study on oral health-related quality of life in end-stage renal disease patients undergoing hemodialysis

作　　者：张静[1] 崔敬洋 韩昕彤[2] 奚莉[1] 路妍妍[3] 

机构地区：[1]吉林大学第一医院口腔科,长春130000 [2]吉林大学第一医院透析中心,长春130000 [3]吉林大学第一医院妇产科,长春130000 [4]吉林省肿瘤医院放疗研究室

出　　处：《中国实用护理杂志》2018年第2期93-98,共6页Chinese Journal of Practical Nursing

摘　　要：目的了解血液透析患者口腔健康相关生命质量状况，并探究其影响因素。方法采用便利抽样法，选取吉林大学第一医院和中日联谊医院2所三级甲等医院185例血液透析患者，使用口腔健康影响程度量表评估患者口腔健康相关生命质量，一般人口学资料和口腔健康行为纳入可能对血液透析患者口腔健康相关生命质量产生影响的因素，进行单因素和多元线性逐步回归分析。结果185例血液透析患者口腔健康影响程度得分（19．14±10．66）分，明显高于国内普通人群（11．84±9．88）分，差异有统计学意义（t=9-314，P〈0．05），年龄、透析龄、吸烟状况、刷牙频率、刷牙时长、漱口水使用状况及口腔检查频率是血液透析患者口腔健康相关生命质量的影响因素（β=-0．156-0．164，均P〈0．05）。结论血液透析患者口腔健康相关生命质量差，有待改善，医疗工作者应重点关注年龄与透析龄较大、口腔健康行为差的患者，并采取有效的干预措施提高患者口腔健康相关生命质量。Objective To investigate oral health-related quality of Life （OHRQoL）in end-stage renal disease Patients undergoing hemodialysis（HD） and its influencing factors. Methods Through convenient sampling, totally 185 HD patients in two first-class tertiary hospitals in Changchun were investigated with the Oral Health Impact Profile-14（OHIP-14） . Influencing factors of oral health-related quality of life of patients were extracted from patients＇ general information and oral health behavior questionnaire. Single factor analysis and multivariate linear stepwise regression analysis were used for statistical analysis. Results The scores of oral health-related quality of life in hemodialysis patients were Significantly higher than those of the normal population in China （P〈0.05）and age, duration of hemodialysis, status of smoking, frequency of brushing, brush teeth time, status of using mouth wash, and frequency of oral examination were influencing factors for oral health-related quality of life of HD patients, （β=-0.156-0.164, all P〈0.05）. Conclusions Oral health-related quality of life in HD patients is poor. Medical workers should pay attention to older patients with longer duration of hemodialysis and poor oral health behavior, take effective interventions to improve oral health-related quality of life of HD patients.

关 键 词：肾透析 口腔健康相关生命质量 影响因素 

分 类 号：R473.5[医药卫生—护理学]