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影响孕妇口腔健康相关生活质量的因素。

Factors affecting oral health-related quality of life among pregnant women.

作者信息

Acharya S, Bhat P V, Acharya S

机构信息

Department of Community Dentistry, Manipal College of Dental Sciences, Manipal University, Manipal, India.

出版信息

Int J Dent Hyg. 2009 May;7(2):102-7. doi: 10.1111/j.1601-5037.2008.00351.x.

Abstract

OBJECTIVES

To assess oral health status and to describe the possible factors that could affect the oral health-related quality of life (OHRQoL) among a group of pregnant rural women in South India.

MATERIALS AND METHODS

A total of 259 pregnant women (mean age 26 +/- 5.5 years) who participated in the cross-sectional study were administered the Oral Health Impact Profile (OHIP-14) questionnaire and were clinically examined for caries and periodontal status.

RESULTS

The highest oral impact on quality of life was reported for 'painful mouth' (mean: 1.7) and 'difficulty in eating' (mean: 1.1). On comparing the mean OHIP-14 scores against the various self-reported oral problems, it was seen that the mean OHIP-14 scores were significantly higher among those who reported various oral problems than those who did not. Those with previous history of pregnancies had more severe levels of gingivitis than those who were pregnant for the first time. Also gingival index scores, community periodontal index of treatment needs scores and previous pregnancies was associated with poorer OHRQoL scores.

CONCLUSION

Increased health promotion interventions and simple educational preventive programmes on oral self-care and disease prevention during pregnancy can go a long way in improving oral health and lessening its impact on the quality of life in this important population.

摘要

目的

评估印度南部一组农村孕妇的口腔健康状况,并描述可能影响其口腔健康相关生活质量(OHRQoL)的因素。

材料与方法

共有259名参与横断面研究的孕妇(平均年龄26±5.5岁)接受了口腔健康影响程度量表(OHIP-14)问卷调查,并接受了龋齿和牙周状况的临床检查。

结果

“口腔疼痛”(平均值:1.7)和“进食困难”(平均值:1.1)对生活质量的口腔影响最大。将OHIP-14平均得分与各种自我报告的口腔问题进行比较时发现,报告有各种口腔问题的人的OHIP-14平均得分显著高于没有口腔问题的人。有过怀孕史的孕妇牙龈炎程度比首次怀孕的孕妇更严重。此外,牙龈指数得分、社区牙周治疗需求指数得分和怀孕史与较差的OHRQoL得分相关。

结论

在孕期增加健康促进干预措施以及开展关于口腔自我护理和疾病预防的简单教育预防项目,对于改善这一重要人群的口腔健康状况以及减轻其对生活质量的影响大有帮助。

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