Wang Tze-Fang, Fang Chun-Han, Hsiao Kai-Jong, Chou Chyuan
School of Nursing School of Dentistry, National Yang Ming University Excellent Dental Center, Taipei, Taiwan.
Medicine (Baltimore). 2018 Feb;97(5):e9749. doi: 10.1097/MD.0000000000009749.
A comprehensive plan for periodontal disease (PD) care in Taiwan provides non-surgical and supportive periodontal treatment. The aim of this study was to determine whether the care plan could improve the oral health-related quality of life of patients with PD.This study was conducted by purposive sampling and a quasi-experimental design. Patients with PD were assigned to either comprehensive periodontal treatment (n = 32) or a simple cleaning regimen (n = 32). Their oral health-related quality of life (OHRQoL) was measured using the Taiwanese version of the Brief World Health Organization Quality of Life (WHOQOL-BREF) scale (general QoL) and the Oral Health Impact Profile (OHIP-14) (OHRQoL). Both scales were completed 14, 28, and 90 days after the initial assessment. The extent of PD in the experimental group was determined again at the end of the study.On the 28-item WHOQOL-BREF scale, the scores of the experimental group were higher than those of the control group on 5 items and the environmental domain at 14 days. There was a significant improvement in the experimental group on 2 items at 28 days and at 90 days after periodontal treatment (both P < .05). No difference was found between the 2 groups in score on the OHIP-14; however, there was a significant improvement in the experimental group in total score at 28 and 90 days after periodontal treatment (both P < .05). The number of teeth with probing depth ≥5 mm and the percentage of dental plaque were both significantly reduced after the intervention (both P < .001).Patients with a comprehensive plan for PD care showed some improvement in QoL, including in the environmental domain, and on the total score for OHRQoL. Comprehensive periodontal treatment also alleviated periodontal symptoms.
台湾地区的一项牙周病(PD)护理综合计划提供了非手术和支持性牙周治疗。本研究的目的是确定该护理计划是否能改善牙周病患者的口腔健康相关生活质量。本研究采用目的抽样和准实验设计。将牙周病患者分为综合牙周治疗组(n = 32)和简单清洁方案组(n = 32)。使用台湾版世界卫生组织简明生活质量量表(WHOQOL - BREF)(总体生活质量)和口腔健康影响程度量表(OHIP - 14)(口腔健康相关生活质量)测量他们的口腔健康相关生活质量。这两个量表均在初次评估后的第14天、28天和90天完成。在研究结束时再次确定实验组的牙周病程度。在28项WHOQOL - BREF量表上,实验组在第14天的5个项目和环境领域的得分高于对照组。在牙周治疗后的第28天和90天,实验组在2个项目上有显著改善(均P < 0.05)。两组在OHIP - 14量表得分上无差异;然而,在牙周治疗后的第28天和90天,实验组的总分有显著改善(均P < 0.05)。干预后,探诊深度≥5mm的牙齿数量和牙菌斑百分比均显著降低(均P < 0.001)。接受牙周病护理综合计划的患者在生活质量方面有一些改善,包括环境领域以及口腔健康相关生活质量的总分。综合牙周治疗也减轻了牙周症状。