School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden.
Int J Dent Hyg. 2020 May;18(2):163-172. doi: 10.1111/idh.12424. Epub 2019 Dec 18.
It is well known that oral health status is associated with oral health-related quality of life (OHRQoL) in the general population. The aim of this study was to describe and analyse OHRQoL among older people in short-term care and its associated factors.
This cross-sectional study included 391 older people in 36 short-term care units. Data were collected via clinical oral assessments, questions about self-perceived oral and general health, Katz Index of Activities of Daily Living (Katz-ADL) and the Revised Oral Assessment Guide (ROAG). OHRQoL was measured using the Oral Health Impact Profile (OHIP-14). Multivariate logistic regression models were applied in the analysis.
Poor OHRQoL was reported by 34% of the older people. Associated factors were swallowing problems according to ROAG; quite poor/poor self-perceived physical, psychological and oral health; and being a woman.
There is an association between OHRQoL and older people's self-perceived health according to the OHIP-14. This indicates the importance of early detection of oral health problems in frail older people and to assess both oral health and swallowing problems among older people in short-term care.
众所周知，口腔健康状况与一般人群的口腔健康相关生活质量（OHRQoL）有关。本研究旨在描述和分析短期护理中老年人的 OHRQoL 及其相关因素。
这是一项横断面研究，共纳入 36 个短期护理单元的 391 名老年人。通过临床口腔评估、自我感知的口腔和一般健康问题、Katz 日常生活活动能力指数（Katz-ADL）和修订后的口腔评估指南（ROAG）收集数据。使用口腔健康影响简表（OHIP-14）测量 OHRQoL。在分析中应用了多变量逻辑回归模型。
34%的老年人报告 OHRQoL 较差。相关因素为 ROAG 中的吞咽问题；自我感知的身体、心理和口腔健康较差/差；以及女性。
根据 OHIP-14，OHRQoL 与老年人的自我感知健康之间存在关联。这表明在虚弱的老年人中早期发现口腔健康问题以及评估短期护理中老年人的口腔健康和吞咽问题的重要性。
