口腔黏膜下纤维性变对口腔健康相关生活质量的影响：一种特定于疾病的 OHROoL-OSF 工具分析。
Impact of oral submucous fibrosis on oral health-related quality of life: A condition-specific OHRQoL-OSF instrument analysis.
机构信息
Department of Oral Medicine & Radiology, Government Dental College & Hospital, Nagpur, Maharashtra, India.
Department of Oral Medicine & Radiology, Sharad Pawar Dental College & Hospital, Wardha, Maharashtra, India.
出版信息
Oral Dis. 2018 Nov;24(8):1442-1448. doi: 10.1111/odi.12921. Epub 2018 Jul 10.
OBJECTIVE
Oral submucous fibrosis (OSF) could have a significant impact on daily life activities of affected individuals. The objective of this study was to investigate the impacts of OSF on oral health-related quality of life (OHRQoL).
MATERIALS AND METHODS
A total of 206 clinically diagnosed OSF patients were recruited and subjected to the condition-specific OHRQoL-OSF instrument and global self-ratings of oral health and overall well-being.
RESULTS
"Discomfort and functional impairment" dimension was highly prevalent among patients with all stages (p < 0.001). OSF also has impacts on other domains, namely "psychological wellness" (82.35%) and "social wellness" (61.16%). Stage IV OSF (25.94 ± 4.05) patients reported higher OHRQoL-OSF scores as compared to stage III (16.20 ± 2.58) and stage II OSF (7.26 ± 1.70) patients. However, stage I OSF patients reported significantly better OHRQoL (p < 0.001). A significant trend demonstrating overall OHRQoL-OSF scores increasing with advancing stages of OSF was observed. The majority of the participants rated their overall oral health status "fair" (34.95%) to "very poor" (26.21%), whereas overall well-being was rated as moderate (33.00%) to good (31.55%).
CONCLUSION
OSF has a significant impact on OHRQoL. Increasing severity of OSF is associated with the worsening QoL.
目的
口腔黏膜下纤维性变（OSF）可能会对受影响个体的日常生活活动产生重大影响。本研究的目的是调查 OSF 对口腔健康相关生活质量（OHRQoL）的影响。
材料与方法
共招募了 206 例临床诊断为 OSF 的患者，他们接受了特定于 OSF 的 OHRQoL-OSF 量表和口腔健康和整体健康的总体自我评估。
结果
“不适和功能障碍”维度在所有阶段的患者中都很常见（p<0.001）。OSF 还对其他领域产生影响，即“心理健康”（82.35%）和“社会健康”（61.16%）。与 III 期（16.20±2.58）和 II 期 OSF（7.26±1.70）患者相比，IV 期 OSF（25.94±4.05）患者报告的 OHRQoL-OSF 评分更高。然而，I 期 OSF 患者报告的 OHRQoL 明显更好（p<0.001）。观察到随着 OSF 阶段的进展，总体 OHRQoL-OSF 评分呈显著增加趋势。大多数参与者将其总体口腔健康状况评为“一般”（34.95%）至“很差”（26.21%），而总体健康状况评为“中等”（33.00%）至“良好”（31.55%）。
结论
OSF 对 OHRQoL 有重大影响。OSF 严重程度的增加与生活质量的恶化相关。
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