Dumitrescu Alexandrina Lizica, Gârneaţă Liliana, Guzun Olga
Institute of Clinical Dentistry, University of Tromsø, Norway.
Rom J Intern Med. 2009;47(2):161-8.
OBJECTIVES. Our aim was to examine the self-reported anxiety, stress and depression, oral health status and behaviors among Romanian adults individuals on renal dialysis.
A cross-sectional study design was used. The sample consisted of 161 Romanian adults (mean age 53.9 years; 44% women; 66% married). The questionnaire included information about socio-demographic factors, behavioral factors, self-reported oral health status, anxiety, stress and depression.
99.4% of the participants reported to have current non-treated caries, 94.4% were not satisfied by appearance of own teeth, 97.5% presented extracted teeth and 64.6% of them reported to have gum bleeding. 34.5% of the individuals brushed once a day or less, 92.5% of them never used dental floss and 78.3% never used mouthrinse. Only 13% of participants were regular users of the dental-care system (i.e. they had at least one dental visit in the last year) and 89.4% had seen the dentist only when treatment is needed or when in pain. The reasons for not visiting the dentist were in 51.6% of the participants the dental anxiety and in 37.3% the financial problems. A high percentage of dialysis patients presented anxiety (85.1%), stress (60.9%) and depression in everyday life (61.5%). No influence of duration of hemodialysis was noted among the study variables.
The results support the view that there is an increased risk for anxiety, stress, depression and impaired dental/gingival health and behaviours among individuals on renal dialysis. Early dental treatment and psychological interventions should be intensified in these subjects, and are of interdisciplinary importance.
目的。我们的目的是调查罗马尼亚接受肾脏透析的成年个体自我报告的焦虑、压力和抑郁情况、口腔健康状况及行为。
采用横断面研究设计。样本包括161名罗马尼亚成年人（平均年龄53.9岁；44%为女性；66%已婚）。问卷包含社会人口学因素、行为因素、自我报告的口腔健康状况、焦虑、压力和抑郁等信息。
99.4%的参与者报告有未经治疗的龋齿，94.4%对自己牙齿的外观不满意，97.5%有拔牙史，其中64.6%报告有牙龈出血。34.5%的个体每天刷牙一次或更少，92.5%从不使用牙线，78.3%从不使用漱口水。只有13%的参与者是牙科护理系统的常规使用者（即他们在过去一年至少看了一次牙医），89.4%的人只有在需要治疗或疼痛时才看牙医。51.6%的参与者不看牙医的原因是牙科焦虑，37.3%是经济问题。高比例的透析患者在日常生活中存在焦虑（85.1%）、压力（60.9%）和抑郁（61.5%）。在研究变量中未发现血液透析时长有影响。
结果支持这样一种观点，即接受肾脏透析的个体出现焦虑、压力、抑郁以及牙齿/牙龈健康和行为受损的风险增加。应加强对这些受试者的早期牙科治疗和心理干预，且具有跨学科重要性。
