口腔治疗对老年人的生存质量和日常生活活动能力的影响

目的探讨口腔治疗对老年人的生存质量和日常生活活动能力的影响。方法纳入40例老年人为受试者,均分为两组（干预组和对照组）各20例,年龄平均（78.2±7.3）岁,分别于2012年11月和2013年1月采集两组老年人生存质量（QOL）和日常生活活动能力（ADL）的数据。初次采集数据后,根据干预组受试者的口腔情况进行相应口腔治疗,对照组不进行口腔治疗。QOL和ADL将使用老年口腔健康评价指数（GOHAI）和功能独立自主量表（FIM）进行评估。结果接受口腔治疗的干预组在基准线和8周后之间的GOHAI分值和FIM的表达项目数值差异存在统计学意义（均P〈0.05）。排除混杂因素干扰后模型显示口腔治疗导致GOHAI数值的升高和FIM的表达项目数值的升高（均P〈0.05）。结论口腔治疗将提高口腔健康相关的QOL和ADL中的表达能力。因此在日常的护理工作中增加口腔医疗服务可能对于老年人QOL值的维持有益。

Effect of dental treatment on the quality of life and activities of daily living in the elderly. ZHENG Hong.

Objective To investigate the effects of dental treatment on the quality of life （QOL） and activi- ties of daily living （ADL） in the elderly. Methods A controlled study was conducted from November 2012 and Janu- ary 2013 to determine the effects of dental treatments on the QOL and ADL in 40 elderly adults, who were allocated in- to two groups： the intervention group （n=20） and the control group （n=20）. Their mean age was （78.2~7.3） years. The elderly adults from the intervention group were treated by dental treatment according to the oral health. Outcome data were collected 8 weeks after baseline in both groups. QOL and ADL were assessed using General Oral Health Assess- ment Index （GOHAI） and Functional Independence Measure （FIM）. Results The intervention group, which had re- ceived dental treatment, showed statistically significant difference in GOHAI scores and the expression function scores of FIM between baseline and 8 weeks after baseline （both P〈0.05）. Data showed that dental treatments signifi- cantly increased the GOHAI scores and the expression function scores of FIM after considering the confounding fac- tors （both P〈0.05）. Conclusion Dental treatments increase the oral health-related QOL and the expression function in the ADL. Promoting dental care service at nursing facilities may be beneficial for maintaining the residents＇ QOL.