老年患者口腔康复护理前后口腔健康评估指数的变化  

Changes of Oral Health Assessment Index of Elderly Patients Before and After Oral Rehabilitation Nursing

作　　者：欧阳小红 黄春珍[2] OUYANG Xiao-hong;HUANG Chun-zhen(Chinese Medicine Hospital of Yihuang County,Yihuang 344400,China;Haikou Affiliated Hospital of Central South University Xiangya School of Medical,Haikou 570208,China.)

机构地区：[1]宜黄县中医院,江西宜黄344400 [2]中南大学湘雅医学院附属海口医院,海口570208

出　　处：《江西中医药大学学报》2022年第6期49-52,共4页Journal of Jiangxi University of Chinese Medicine

摘　　要：目的:观察使用老年口腔健康评估指数(GOHAI)评估老年患者在口腔康复治疗前后口腔健康相关生活质量变化。方法:通过对40例患者进行问卷调查并收集数据,登记患者病历资料和口腔检查情况,记录患者社会人口学资料和行为变化及义齿使用年限。对口腔修复前和修复后3个月的GOHAI问卷调查分数进行K-S检测。数据分析采用描述性统计和t检验,行单因素方差分析和协方差分析。结果:入组男性患者32例(80%),女性患者8例(20%),中位年龄72.75岁,牙科康复3个月后GOHAI评分由41.275增加到53.100(P<0.001)。其中,口腔卫生差、一直使用假牙和年龄小于70岁的患者在口腔康复之后具有更高的GOHAI评分。而社会人口学资料和行为变化与口腔康复前后GOHAI评分无关(P>0.05)。治疗后GOHAI评分与性别、年龄呈正相关,与受教育程度、收入、行为变量、使用假牙、口腔卫生状况和存在的系统性疾病等差异无统计学意义(P>0.05)。结论:规范化口腔修复后老年患者GOHAI评分显著提高,表明适宜的口腔护理将使口腔健康相关生活质量获得一定提高。Objective:To observe the changes of oral health-related quality of life in elderly patients before and after oral rehabilitation treatment using the Oral Health Assessment Index(GOHAI).Methods:40 patients were investigated by questionnaire and data were collected.The medical records and oral examinations of patients were recorded,and the sociodemographic data,behavioral changes and the service life of dentures were recorded.K-S test was conducted on the scores of GOHAI questionnaire before and 3 months after dental repair.Descriptive statistics and t-test were used for data analysis,and one-way ANOVA and covariance were performed.Results:There were 32 male patients(80%)and 8 female patients(20%),with a median age of 72.75 years.The GOHAI score increased from 41.275 to 53.100 three months after dental rehabilitation(P<0.001).Among them,patients with poor oral hygiene,who have been using dentures and who are less than 70 years old have higher GOHAI scores after oral rehabilitation.However,social demographic data and behavioral changes were not related to GOHAI scores before and after oral rehabilitation(P>0.05).After treatment,GOHAI score was positively correlated with gender and age,and had no significant difference with education level,income,behavior variables,denture use,oral health status and existing systemic diseases.Conclusion:The GOHAI score of elderly patients after standardized oral repair is significantly improved,indicating that appropriate oral care will improve the quality of life related to oral health.

关 键 词：牙齿健康 老年 口腔健康评估指数 

分 类 号：R783[医药卫生—口腔医学]