活动义齿患者口腔健康相关生活质量

Jutta Pistorius, Jan G Horn, Alexander Pistorius, Joachim Kraft
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摘要

本研究的目的是确定影响活动义齿(RD)患者口腔健康相关生活质量(oral Health Related quality of life = OHRQoL)的因素。采用老年口腔健康评估指数(GOHAI)评价生活质量。我们分析了250例患者的资料,年龄63±11.6岁。排除缺乏相关分析资料的患者后,243例患者仍在研究中,其中男性129例,女性114例。良好OHRQoL的相关参数为:患者对RD满意度(r = -0.317)、年龄越大(r = 0.222)、剩余牙数越多(r = 0.357)、收入越高(r = 0.175)、就诊频率越高(r = -0.212)、戒烟情况(r = -0.181)、居住在农村地区(r = -0.420)。此外,婚姻状况对OHRQoL也有影响。丧偶和已婚患者最高,未婚患者最低。调查中经常提到的问题是:患者对牙齿进一步脱落的恐惧,对咀嚼效率下降等功能方面的担忧以及对义齿美观的不满。结果表明,OHRQoL显然不仅受到牙科因素的影响,还受到社会心理和经济因素的影响,其相关性有待在进一步的研究中证明。
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Oral health-related quality of life in patients with removable dentures.

The purpose of this study was to determine factors that affected oral health-related quality of life (Oral Health Related Quality of Life = OHRQoL) in patients with removable dentures (RD). Quality of life was evaluated by using the Geriatric Oral Health Assessment Index (GOHAI). We analysed data of 250 patients aged 63 ± 11.6 years. After excluding patients lacking relevant analysis data, 243 patients remained in the study, including 129 males and 114 females. Relevant parameters for good OHRQoL were: patient satisfaction with their RD (r = -0.317), higher age (r = 0.222), greater number of remaining teeth (r = 0.357), higher income (r = 0.175), higher frequency of dental visits (r = -0.212), tobacco abstinence (r = -0.181), and residence in a rural area (r = -0.420). Also, marital status had an impact on OHRQoL. Widowed and married patients showed the highest values and unmarried patients the lowest. Frequently mentioned problem areas considered within the survey were: the patient's fear of further tooth loss, concerns about functional aspects such as the decrease in chewing efficiency and dissatisfaction with the aesthetics of the dental prostheses. The results showed that the OHRQoL is apparently not only influenced by dental factors, but also by psychosocial and economic factors, the relevance of which would have to be shown in further studies.

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