老年住院患者口腔卫生状况及其影响因素

目的 调查老年住院患者口腔卫生状况并分析其影响因素。方法 将2021年1月至2022年6月中部战区总医院收治的312例老年患者纳为研究对象。调查患者一般人口学资料，采用汉化版Kayser-Jones简明口腔健康检查(BOHSE)量表调查其口腔卫生状况，采用自制量表调查患者住院期间口腔卫生行为，采用日常生活能力量表评估患者生活自主活动能力。采用SPSS 20.0软件进行数据分析。根据数据类型，组间比较分别采用t检验、方差分析及χ²检验。采用多元线性回归模型分析影响老年住院患者口腔卫生状况的相关因素。结果 老年住院患者BOHSE量表总得分为(7.91±1.27)分，其中口腔卫生状况维度得分最高，为(1.46±0.26)分，其次是天然牙状况及牙齿周围和(或)义齿覆盖的牙龈维度。单因素分析提示，性别、吸烟、饮酒、受教育程度、住院期间刷牙频率、住院期间是否获得口腔护理帮助、是否获得口腔检查、患者日常生活活动能力、是否长期卧床等因素均影响老年住院患者口腔健康检查量表得分(P<0.05)。多元线性回归分析提示，性别、吸烟、饮酒、住院期间刷牙频率、获得口腔护理帮助、口腔检查...

Oral hygiene status of elderly inpatients and its influencing factors

Objective To investigate the oral hygiene status of elderly inpatients and analyze its influencing factors. Methods Totally 312 elderly patients admitted between January 2021 and June 2022 in General Hospital of Central Theater Command were enrolled as the research subjects. Kayser-Jones brief oral health status examination (BOHSE) was used to investigate the oral hygiene status (10 items including lymph node, lips, tongue, mucosa of cheek/floor of mouth and maxilla, gingiva around the teeth and (or) covered by dentures, salivary secretion and its effect on tissues, natural teeth status, denture status, dental occlusion status at masticatory position, oral hygiene status). SPSS statistics 20.0 was used for statistical analysis. Data comparison between two groups was perfomed using t test, analysis of variance or χ² test depending on data type. Multivariate linear regression analysis was used to analyze the related influencing factors of oral hygiene status of elderly inpatients. Results Investigation showed that the total score of BOHSE scale in elderly inpatients was (7.91±1.27) points, and the score of oral hygiene status dimension was the highest at (1.46±0.26) points, followed by the natural teeth status and gingiva around the teeth and (or) covered by dentures. Univariate analysis showed that gender, smoking, drinking, education level, frequency of teeth brushing during hospitalization, access to oral care assistance during hospitalization, oral examination, previous oral hygiene behaviors, activities of daily living and long-term bed rest were related factors affecting the oral hygiene status of elderly inpatients (P<0.05). Multivariate linear regression analysis suggested that gender, smoking, drinking, frequency of teeth brushing during hospitalization, access to oral care assistance, oral examination, previous oral hygiene behaviors, activities of daily living and long-term bed rest were related factors affecting the oral hygiene status of elderly inpatients(β =-3.784,1.757,1.123, -0.892, -0.971, -1.343, 1.834,2.156,4.254; P<0.05). Conclusion The overall oral hygiene status of elderly inpatients is not good. It is necessary to pay clinical attention to the oral hygiene status of patients with low activities of daily living and long-term bed rest. It is of certain significance to improve the oral hygiene status of elderly inpatients by persuading patients to quit smoking and drinking, providing more oral care assistance and strengthening oral examination.