Guzeldemir Esra, Toygar Hilal Uslu, Tasdelen Bahar, Torun Dilek
Department of Periodontology, Faculty of Dentistry, Baskent University, Ankara, Turkey.
J Am Dent Assoc. 2009 Oct;140(10):1283-93. doi: 10.14219/jada.archive.2009.0052.
Health-related quality of life (HRQOL) is a multidimensional concept regarding quality of life (QOL) as it relates specifically to health and disease. The effect of ongoing hemodialysis on a person's oral health can be determined by clinical variables, but these do not reflect the person's perception of health versus illness. The authors conducted a study to determine the periodontal status, attitude toward oral health and self-perceived oral health in patients undergoing hemodialysis, as well as to evaluate the effect of oral health on QOL within this group.
Patients undergoing hemodialysis were evaluated for socio-demographic and periodontal variables. The authors evaluated oral health-related quality of life (OHRQOL) by means of the short-form Oral Health Impact Profile (OHIP-14) and the General Oral Health Assessment Index (GOHAI). They measured perceived oral health by asking a single question.
The study involved 47 patients undergoing hemodialysis. Plaque index score, gingival index score, probing depth and bleeding-on-probing status were 2.21 +/- 0.66, 1.24 +/- 0.77, 2.17 millimeters +/- 0.53 mm and 33.51 percent +/- 24.58 percent, respectively. Participants reported being uncomfortable when eating or swallowing. Participants reported being sensitive to hot or cold (69.8 percent), having a worse sense of taste (90.8 percent) and having painful aching in the mouth (72.1 percent). The mean OHIP-14 and GOHAI scores were 19.40 +/- 7.74 and 15.72 +/- 8.68, respectively.
The self-perceived health of 72.7 percent of participants undergoing hemodialysis was fair or poor, and the impact of OHRQOL was moderate, which means that oral health was not a major concern. These results underscore the importance of using subjective and self-reported oral assessments to determine more convenient and satisfying treatment approaches for each patient.
Clinicians should use oral health assessment tools to determine individual treatment and approaches to promote the oral health of patients undergoing hemodialysis and improve their QOL.
健康相关生活质量（HRQOL）是一个与生活质量（QOL）相关的多维概念，因为它特别涉及健康和疾病。持续进行血液透析对一个人口腔健康的影响可以通过临床变量来确定，但这些变量并不能反映该人对健康与疾病的认知。作者开展了一项研究，以确定接受血液透析患者的牙周状况、对口腔健康的态度和自我感知的口腔健康情况，并评估口腔健康对该组患者生活质量的影响。
对接受血液透析的患者进行社会人口统计学和牙周变量评估。作者通过简化版口腔健康影响程度量表（OHIP - 14）和综合口腔健康评估指数（GOHAI）评估与口腔健康相关的生活质量（OHRQOL）。他们通过询问一个单一问题来测量自我感知的口腔健康状况。
该研究纳入了47例接受血液透析的患者。菌斑指数评分、牙龈指数评分、探诊深度和探诊出血状况分别为2.21±0.66、1.24±0.77、2.17毫米±0.53毫米和33.51%±24.58%。参与者报告在进食或吞咽时感到不适。参与者报告对热或冷敏感（69.8%）、味觉变差（90.8%）以及口腔疼痛（72.1%）。OHIP - 14和GOHAI的平均得分分别为19.40±7.74和15.72±8.68。
72.7%接受血液透析的参与者自我感知的健康状况为中等或较差，OHRQOL的影响为中等，这意味着口腔健康并非主要关注点。这些结果强调了使用主观和自我报告的口腔评估来确定更方便且令人满意的个体治疗方法的重要性。
临床医生应使用口腔健康评估工具来确定个体治疗方案和方法，以促进接受血液透析患者的口腔健康并改善其生活质量。
