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生活质量与口腔健康不佳:绝经后女性的比较

Quality of Life and Poor Oral Health: A Comparison of Postmenopausal Women.

作者信息

Williams Kristin A, Shamia Hebba, DeBaz Christine, Palomo Leena

机构信息

Department of Community Dentistry, School of Dental Medicine, Case Western Reserve University, 2124 Cornell Road, Cleveland, OH 44106, USA.

Department of Periodontics, School of Dental Medicine, Case Western Reserve University, 2124 Cornell Road, Cleveland, OH 44106, USA.

出版信息

Dent J (Basel). 2016 Nov 24;4(4):44. doi: 10.3390/dj4040044.

Abstract

Inter-relationships between traditional dental variables are becoming more evident in far reaching aspects of life, such as psychosocial interaction, self-esteem, overall health and even occupational performance. This study compares quality of life (QoL) in postmenopausal women (PMW) with poor oral health (POH) with QoL in PMW with good oral health. A total of 200 randomly recruited PMW received a dental evaluation and completed the Utian Quality of Life Survey. The participants were divided into POH and healthy groups based on a dental exam. Mean scores were calculated for each QoL item, domain and the overall summary score. For each of the four parameters for periodontitis diagnosis, periodontitis b s patients' QoL outcomes were compared to those of healthy patients using a T-test with a threshold of significance at < 0.05. QoL in all fields measured was significantly poorer in the POH patients compared to the healthy patients: occupational score (19.95 ± 5.35 vs. 27.56 ± 6.13), health score (18.02 ± 8.23 vs. 26.59 ± 6.45), emotional score (15.68 ± 10.22 vs. 21.15 ± 9.15), sexual score (6.2 ± 5.98 vs. 10.02 ± 5.35), and total score (60.21 ± 25.85 vs. 84.26 ± 22.35). This study finds that PMW with POH report significantly poorer quality of life. Clinicians caring for PMW should be aware that oral health impacts QoL and make appropriate referral decisions for patients' dental care.

摘要

传统牙科变量之间的相互关系在生活的诸多深远方面正变得愈发明显,比如心理社会互动、自尊、整体健康乃至职业表现。本研究比较了口腔健康状况较差的绝经后女性(PMW)与口腔健康状况良好的PMW的生活质量(QoL)。总共200名随机招募的PMW接受了牙科评估并完成了乌田生活质量调查。根据牙科检查将参与者分为口腔健康状况较差组和健康组。计算每个生活质量项目、领域及总体汇总得分的平均分。对于牙周炎诊断的四个参数中的每一个,使用显著性阈值<0.05的t检验,将牙周炎患者的生活质量结果与健康患者的进行比较。与健康患者相比,口腔健康状况较差的患者在所有测量领域的生活质量均显著更差:职业得分(19.95±5.35对27.56±6.13)、健康得分(18.02±8.23对26.59±6.45)、情感得分(15.68±10.22对21.15±9.15)、性得分(6.2±5.98对10.02±5.35)以及总分(60.21±25.85对84.26±22.35)。本研究发现,口腔健康状况较差的PMW报告的生活质量显著更差。照顾PMW的临床医生应意识到口腔健康会影响生活质量,并为患者的牙科护理做出适当的转诊决定。

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Is Dental Utilization Associated with Oral Health Literacy?牙科利用情况与口腔健康素养有关联吗?
J Dent Res. 2016 Feb;95(2):160-6. doi: 10.1177/0022034515617457. Epub 2015 Nov 13.
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Periodontitis impacts quality of life in postmenopausal women.
Climacteric. 2015;18(4):637-42. doi: 10.3109/13697137.2014.996124. Epub 2015 Feb 10.
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Menopause and oral health.更年期与口腔健康。
J Midlife Health. 2014 Jul;5(3):115-20. doi: 10.4103/0976-7800.141187.

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