| 汪亚男,顾艳荭,谢传桃.老年住院患者口腔健康相关生活质量的影响因素和路径分析[J].上海护理,2022,22(12): |
| 老年住院患者口腔健康相关生活质量的影响因素和路径分析 |
| Path Analysis of Influencing Factors of Oral Health-Related Quality of Life in Hospitalized Elderly PatientsWANG Yan-an, GU Yan-hong, XIE Chuan-tao. |
| DOI： |
| 中文关键词: 老年人 住院患者 口腔健康相关生活质量 影响因素 路径分析 |
| 英文关键词:Elderly Inpatient Oral health-related quality Influencing factors Path analysis |
| 基金项目:上海市卫生和计划生育委员会(201840195)；闵行区自然科学研究课题(2019MHZ103)；复旦大学附属上海市第五人民医院曙光青年人才培养计划(2020WYRCSG08)；复旦大学附属上海市第五人民医院院级医学重点专科建设计划(2020WYZDZK10) |
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| 中文摘要: |
| 目的 探讨老年住院患者口腔健康相关生活质量的影响因素并进行路径分析。方法 采用便利抽样方法，于2020年10-12月选取60岁以上老年住院患者526名为研究对象，采用一般情况调查问卷、简易智力状态检查量表（MMSE）、口腔健康评估表（OHAT）和口腔健康影响程度量表（OHIP-14）对其进行调查。结果 老年住院患者口腔健康相关生活质量OHIP-14均分为14（5, 23）分，口腔健康状况OHAT均分为0~16分，平均得分3（1, 7），两者之前呈正相关（r=0.547，P<0.001）；多重线性回归分析结果显示：吸烟状况、饮酒状况、慢性病种数、牙齿缺失数目、认知功能和口腔健康状况是口腔健康相关生活质量的影响因素（P＜0.05）；路径分析结果显示：吸烟状况（0.173）、饮酒状况（0.318）、慢性病种数（0.278）、牙齿缺失数目（0.379）、认知功能（-0.200）和口腔健康状况（0.306）可通过直接和间接路径影响口腔健康相关生活质量（P＜0.05）。结论 老年住院患者口腔健康相关生活质量有待进一步提高，其生活质量受多种因素影响，且影响路径复杂，临床护理人员应制定有效的综合性口腔护理循证实践方案，提高老年人的口腔健康相关生活质量。 |
| 英文摘要: |
| Objective To explore the influencing factors and path analysis of oral health related quality of life in elderly inpatients. Methods A total of 526 elderly inpatients aged 60 or above were selected by convenience sampling from October to December 2020, and the self-designed questionnaire, mini mental state examination, oral health assessment tool and oral health impact profile were used for survey and measurement. Results The OHIP-14 score of oral health-related quality of life in elderly inpatients was 14 (5, 23), and the OHAT score of oral health status was 0-16, with an average score of 3 (1, 7). There was a positive correlation between OHIP-14 and OHAT (r=0.547, P< 0.001). Multiple linear regression showed that the influencing factors of oral health-related quality were smoking, drinking、number of chronic diseases, number of tooth loss, cognitive function and oral health status. Path analysis showed that smoking (0.173), drinking (0.318)、number of chronic diseases (0.278), number of tooth loss (0.379), cognitive function (-0.200) and oral health status (0.306) could affect oral health-related quality through direct and indirect paths. Conclusion The oral health-related quality of life in elderly inpatients needs to be further improved. There were many factors influencing oral health-related quality of life, and the influencing paths was complex. Clinical nurses should develop an effective comprehensive oral care evidence-based practice program to improve the oral health-related quality of life of the elderly. |
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