摘要
目的探讨老年灼口综合征(burning mouth syndrome,BMS)患者口腔健康相关生活质量的影响因素。方法选取2022年12月至2023年11月期间于桂林医学院附属口腔医院和上海交通大学医学院附属新华医院就诊的85例老年BMS患者做横断面研究,采用口腔健康影响程度量表(oral health impact profile-14,OHIP-14)评价患者口腔健康相关生活质量,采用病例记录表收集患者的一般人口学信息,并分析疼痛、焦虑、抑郁、睡眠障碍与口腔健康相关生活质量的相关性,经多元线性回归分析筛选影响患者口腔健康相关生活质量的危险因素。结果85例BMS患者的OHIP-14评分为10.36±6.58分。有全身伴随症状患者的OHIP-14评分高于无伴随症状者,差异具有统计学意义(P<0.05)。Pearson相关分析显示,口腔健康相关生活质量与疼痛、焦虑、抑郁、睡眠障碍呈正相关(P<0.05)。多元线性回归分析显示,疼痛(B,0.975;95%CI,0.380-1.570)、焦虑(B,0.314;95%CI,0.072-0.557)、睡眠障碍(B,0.359;95%CI,0.075-0.643)为BMS患者口腔健康相关生活质量的影响因素(P<0.05),R^(2)=0.664表明共解释口腔健康相关生活质量66.4%的变异,调整后R^(2)=0.643表明调整后共解释疾病相关知识水平64.3%的变异。结论疼痛、焦虑和睡眠障碍可能是老年BMS患者口腔健康相关生活质量的危险因素。需明确BMS患者的疼痛、心理和睡眠障碍的类型与程度,据此制定多学科综合治疗方案改善患者的口腔健康相关生活质量。
Objective To investigate the influencing factors affecting oral health-related quality of life in elderly patients with burning mouth syndrome(BMS).Methods A cross-sectional study was conducted on 85 elderly patients with BMS admitted to the Affiliated Stomatological Hospital of Guilin Medical University and Xinhua Hospital,Shanghai Jiao Tong University School of Medicine from December 2022 to November 2023,.oral health impact profile-14(OHIP-14)was used to evaluate the oral health-related quality of life in patients.The general demographic information of the patients was collected using the case record table,and the correlation between pain,anxiety,depression,sleep disorders and oral health-related quality of life was analyzed.The risk factors affecting oral health-related quality of life of patients were screened by multiple linear regression analysis.Results The average OHIP-14 score of 85 BMS patients was 10.36±6.58.The OHIP-14 score of patients with systemic concomitant symptoms was higher than that of patients without concomitant symptoms,and the difference was statistically significant(P<0.05).Pearson analysis showed that pain,anxiety,depression,and sleep disorder and oral health-related quality of life were positively correlated(P<0.05).Multiple linear regression analysis showed that pain(B,0.975;95%CI,0.380-1.570),anxiety(B,0.314;95%CI,0.072-0.557),and sleep disorder(B,0.359;95%CI,0.075-0.643)were the influencing factors of oral health-related quality of life in patients with BMS(P<0.05),R^(2)=0.664,indicating that a total of 66.4%of the variance in the oral health-related quality of life was explained,and R^(2)=0.643 after adjustment,indicating that a total of 64.3%of the variance in disease-related knowledge was explained after adjustment.Conclusion Pain,anxiety,and sleep disorder may be risk factors of oral health-related quality of life in elderly patient with BMS.The types and extent of pain,psychological and sleep disorders in BMS patients need to be identified to develop a multidisciplinary treat
作者
卢成辉
周璇
黄泽凡
江新香
杨成龙
唐国瑶
LU Cheng-hui;ZHOU Xuan;HUANG Ze-fan;JIANG Xin-xiang;YANG Cheng-long;TANG Guo-yao(Department of Oral Mucosal Diseases,The Affiliated Stomatological Hospital of Guilin Medical University,Guilin 541004,China)
出处
《中华老年口腔医学杂志》
2024年第3期157-162,共6页
Chinese Journal of Geriatric Dentistry
基金
上海交通大学医学院高水平地方高校创新团队项目(SHSMU-ZLCX20212401)
广西高校中青年教师科研基础能力提升项目(2021KY0514)。
关键词
灼口综合征
口腔健康相关生活质量
疼痛
焦虑
抑郁
睡眠障碍
影响因素
Burning mouth syndrome
Oral health-related quality of life
Pain
Anxiety
Depression
Sleep disorder
Influencing factors
