İlhan Betül, Çal Ebru, Dündar Nesrin, Güneri Pelin, Dağhan Şafak
Department of Oral Diagnosis and Radiology, School of Dentistry, Ege University, Bornova-Izmir, Turkey.
Department of Prosthodontics, School of Dentistry, Ege University, Bornova-Izmir, Turkey.
Geriatr Gerontol Int. 2015 Oct;15(10):1151-7. doi: 10.1111/ggi.12413. Epub 2014 Nov 19.
The aim of the present study was to determine the changes in oral health-related quality of life before and 3 months after dental rehabilitation among geriatric patients residing in a state-owned nursing home, using the General Oral Health Assessment Index (GOHAI).
Data from 40 patients were collected through the administration of a structured questionnaire, as well as from medical records and intraoral examinations. Sociodemographic and behavioral variables, and denture use/length of use were recorded. The GOHAI questionnaire was completed before and 3 months after dental rehabilitation by the same examiner. Normality of the GOHAI scores was examined with the Kolmogorov-Smirnov test. Data were analyzed using descriptive statistics, t-tests, one-way ancova and ancova (P < 0.05).
The study sample included 32 men (80%) and eight women (20%) with a mean age of 72.75 years. Mean GOHAI scores increased from 41.275 (low) to 53.100 (moderate) 3 months after dental rehabilitation (t = 1.42, P < 0.001, r = 0.86). Patients with poor oral hygiene (P = 0.000), those who had been using dentures (P = 0.000) and patients younger than 70 years-of-age (P = 0.03) provided higher GOHAI scores after dental rehabilitation. GOHAI scores before and after dental rehabilitation were not influenced by sociodemographic and behavioral variables (P > 0.05). The after treatment GOHAI scores, which were corrected according to gender and age, showed no significant differences regarding the education level, income, behavioral variables, use of dentures, oral hygiene status and presence of systemic diseases (F = 0.62, P = 0.69).
Dental rehabilitation of institutionalized geriatric patients resulted in a significant improvement in GOHAI scores, indicating an improvement in oral health-related quality of life after receiving proper dental care.
本研究旨在使用一般口腔健康评估指数（GOHAI），确定国有养老院中老年患者在牙齿修复前及修复后3个月口腔健康相关生活质量的变化。
通过发放结构化问卷、查阅病历和进行口腔检查，收集40例患者的数据。记录社会人口统计学和行为变量，以及假牙使用情况/使用时长。GOHAI问卷由同一名检查者在牙齿修复前及修复后3个月完成。使用Kolmogorov-Smirnov检验检查GOHAI分数的正态性。采用描述性统计、t检验、单因素协方差分析和协方差分析对数据进行分析（P < 0.05）。
研究样本包括32名男性（80%）和8名女性（20%），平均年龄为72.75岁。牙齿修复后3个月，GOHAI平均分数从41.275（低）提高到53.100（中等）（t = 1.42，P < 0.001，r = 0.86）。口腔卫生差的患者（P = 0.000）、使用假牙的患者（P = 0.000）和70岁以下的患者（P = 0.03）在牙齿修复后GOHAI分数更高。牙齿修复前后的GOHAI分数不受社会人口统计学和行为变量的影响（P > 0.05）。根据性别和年龄校正后的治疗后GOHAI分数在教育水平、收入、行为变量、假牙使用、口腔卫生状况和全身疾病存在情况方面无显著差异（F = 0.62，P = 0.69）。
机构养老老年患者的牙齿修复使GOHAI分数显著提高，表明接受适当的牙齿护理后口腔健康相关生活质量得到改善。
