影响维持性血液透析患者口腔健康的因素及标准化护理建议:一项多中心研究。

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Quintessence international Pub Date : 2024-08-30 DOI:10.3290/j.qi.b5342511
Qinglai Zhang, Yue Zhang, Lili Lin, Fei Meng, Meng Jia
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引用次数: 0

摘要

目的:确定维持性血液透析患者的口腔健康状况,并找出影响其口腔健康的因素:确定维持性血液透析(MHD)患者的口腔健康状况,并找出影响其口腔健康的因素:这项观察性研究纳入了中国 33 家医院的 1,186 名接受血液透析治疗的慢性肾病患者。这些患者于 2023 年 4 月至 8 月期间在北京朝阳医院接受了分层抽样的问卷调查。数据收集工具包括《维持性血液透析患者一般信息调查表》、《口腔健康评估工具》、《匹兹堡睡眠质量指数》和《医院焦虑抑郁量表》。斯皮尔曼等级相关系数用于评估血液透析患者的口腔健康状况与睡眠质量和情绪状态等连续变量之间的关系。采用多元线性回归分析来探讨口腔健康与各种变量之间的关系:患者的口腔健康评分从 8 分到 22 分不等,平均分为(12.54±2.63)分。多元线性回归分析的最终模型显示拟合优度为 22.19%。影响患者口腔健康的独立因素包括吸烟、医疗费用比例、饮水量、睡眠质量和焦虑评分(均为 P <0.05)。吸烟率高、医疗费用高、睡眠质量差和焦虑评分高是口腔健康不良的风险因素(均为 P <0.05)。每日充足的饮水量是口腔健康的保护因素(P < 0.05):本研究提出了加强血液透析患者口腔健康管理和改善的针对性干预措施,旨在提供高度个性化和有效的口腔健康护理。这些干预措施有望在未来的临床实践中改善口腔健康状况。
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Factors affecting the oral health of patients on maintenance hemodialysis and recommendations for standardized nursing care: a multicenter study.

Objective: To determine the oral health status of patients on maintenance hemodialysis and to identify the factors influencing their oral health.

Method and materials: This observational study included 1,186 patients with chronic kidney disease who received maintenance hemodialysis across 33 hospitals in China. The patients were recruited for a questionnaire survey between April and August 2023 at Beijing Chaoyang Hospital using stratified sampling. Data collection tools included the General Information Questionnaire for Maintenance Hemodialysis Patients, the Oral Health Assessment Tool, the Pittsburgh Sleep Quality Index, and the Hospital Anxiety and Depression Scale. Spearman rank correlation coefficients were used to assess the relationships between the oral health of patients on maintenance hemodialysis and continuous variables such as sleep quality and emotional status. Multiple linear regression analysis was employed to explore the relationship between oral health and various variables.

Results: The oral health scores of the patients ranged from 8 to 22, with a mean score of 12.54 ± 2.63. The final model of the multiple linear regression analysis indicated a goodness of fit of 22.19%. Independent factors affecting the oral health of patients included smoking, the proportion of medical expenses, water consumption, sleep quality, and anxiety scores (all P .05). High levels of smoking, substantial medical expenses, poor sleep quality, and elevated anxiety scores were risk factors for poor oral health (all P .05). Adequate daily water intake served as a protective factor for oral health (P .05).

Conclusion: This study proposes targeted interventions to enhance the management and improvement of oral health in patients on hemodialysis, aiming to provide highly personalized and effective oral health care. These interventions are expected to improve oral health outcomes in future clinical practice.

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来源期刊
Quintessence international
Quintessence international 医学-牙科与口腔外科
CiteScore
3.30
自引率
5.30%
发文量
11
审稿时长
1 months
期刊介绍: QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.
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