Department of Oral Health, National Institute of Public Health, 2-3-6 Minami, Wako-shi, Saitama 351-0197, Japan.
Arch Gerontol Geriatr. 2010 Nov-Dec;51(3):e62-5. doi: 10.1016/j.archger.2009.12.003. Epub 2009 Dec 30.
The purpose of the present study was to identify factors that influence quality of life (QoL) among frail elderly individuals residing in the community, in order to improve the level of home care related to oral health. Participants were 100 pairs comprising elderly individuals requiring care and their family caregivers. Questionnaire items for the family caregivers related to demographic variables, hours spent caregiving per day, and duration of caregiving. Questionnaire items for the elderly recipients of care concerned demographic variables, activities of daily living (ADL), and cognitive status. According to bivariate analysis, oral health-related quality of life (OHRQoL) was significantly related to basic ADL, communication ADL (CADL), dysphagia risk, and duration of caregiving. From multiple regression analysis, dysphagia risk and CADL were extracted as factors influencing OHRQoL. Assessment of OHRQoL will be useful not only to detect oral health needs but also to evaluate the effect of oral health care in the elderly.
本研究旨在确定影响社区中体弱老年人生活质量（QoL）的因素，以便提高与口腔健康相关的家庭护理水平。参与者包括 100 对需要护理的老年人及其家庭照顾者。家庭照顾者的问卷项目涉及人口统计学变量、每天照顾的时间和照顾的持续时间。接受护理的老年患者的问卷项目涉及人口统计学变量、日常生活活动（ADL）和认知状态。根据双变量分析，口腔健康相关生活质量（OHRQoL）与基本 ADL、沟通 ADL（CADL）、吞咽困难风险和照顾持续时间显著相关。从多元回归分析中，提取出吞咽困难风险和 CADL 作为影响 OHRQoL 的因素。评估 OHRQoL 不仅有助于发现口腔健康需求，还可评估口腔健康护理对老年人的效果。
