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居家老年脑卒中患者口腔相关健康生活质量现状与影响因素分析

Analysis of the current status of oral health-related quality of life in elderly stroke patients at home and its influencing factors
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摘要 目的本研究旨在调查居家老年脑卒中患者口腔相关健康生活质量水平,并对患者一般资料、功能独立性量表(FIM)评分和口腔健康行为等影响因素进行分析。方法2022年10月至2023年9月,对200例老年脑卒中患者,使用自行设计的一般资料问卷、口腔相关健康生活质量问卷和居家老年脑卒中患者口腔健康行为问卷进行调查,并使用SPSS 25.0统计学软件对口腔相关健康生活质量现状进行单因素和多因素分析。结果单因素分析结果显示,年龄、文化程度、家庭月平均收入、FIM评分、牙齿脱落数和居住地会影响居家老年脑卒中患者的口腔相关健康生活质量现状。Logistic回归分析结果显示,居家老年脑卒中患者口腔相关健康生活质量危险因素为年龄70~79岁、家庭月平均收入<3000元、FIM评分19~53分、文化程度≤初中、牙齿脱落数>5颗、刷牙<2次/日、未水平颤动拂刷法和牙科就诊次数≤1次/年。结论居家老年脑卒中患者口腔相关健康生活质量受年龄、文化程度、家庭月平均收入、FIM评分、牙齿脱落数和患者的口腔健康行为的影响,可以作为采取相关干预措施的依据。 Objective To investigate the level of oral health-related quality of life in elderly stroke patients living at home and analyze the influencing factors such as general information,FIM,and oral health behaviors.Methods From October 2022 to September 2023,a survey was conducted on 200 elderly stroke patients using a selfdesigned general information questionnaire,an oral health-related quality of life questionnaire,and an oral health behavior questionnaire for elderly stroke patients living at home.SPSS 25.0 statistical software was used to perform univariate and multivariate analyses of the current status of oral health-related quality of life.Results Univariate analysis showed that age,educational level,average monthly household income,FIM score,number of missing teeth,and place of residence affect the current status of oral health-related quality of life in elderly stroke patients living at home.Logistic regression analysis revealed that the risk factors for oral health-related quality of life in elderly stroke patients living at home were age 70~79 years,average monthly household income<3000 RMB,FIM score 19-53 points,education level≤junior high school,number of missing teeth>5,brushing teeth<2 times/day,not using the horizontal vibration brushing method,and dental visits≤1 time/year.Conclusion The oral health-related quality of life of elderly stroke patients living at home is influenced by age,educational level,average monthly household income,FIM score,number of missing teeth,and patients'oral health behaviors,which can serve as a basis for implementing relevant intervention measures.
作者 张见红 张桔红 张莎莎 曹静 涂碧波 ZHANG Jianhong;ZHANG Juhong;ZHANG Shasha;CAO Jing;TU Bibo(Stomalogical Hospital of Changsha,Changsha 410023)
出处 《现代口腔医学杂志》 CAS 2024年第5期356-359,共4页 Journal of Modern Stomatology
关键词 居家老年脑卒中患者 口腔相关健康生活质量 口腔自护行为 现状调查 Elderly stroke patients living at home Oral health-related quality of life Oral self-care behaviors Current status survey
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