Vigild M
Community Dent Oral Epidemiol. 1987 Jun;15(3):128-33. doi: 10.1111/j.1600-0528.1987.tb00499.x.
The purpose of the present study was to estimate the realistic need for prosthodontic treatment among institutionalized elderly in Denmark. The study population comprised 486 elderly in nursing homes and 199 in hospital long-term care facilities. The realistic need for treatment was estimated on the basis of the normative and the perceived needs, taking into account the general mental and physical state of each individual as assessed by the charge nurses. The investigation revealed that the majority of the elderly were markedly handicapped, two-thirds were unable to care for themselves, and 15% were in poor mental condition. Among the residents of nursing homes 67% had a normative need for prosthodontic treatment, e.g. new dentures, relining and/or corrections of occlusion, as compared to 71% of the elderly in hospital long-term care facilities. However, only 19% of the nursing home residents and 32% of the elderly in long-term care facilities has a realistic treatment need. The differences between the two groups of elderly are explained by differences in age and general health status. It can be concluded that the realistic need for prosthodontic treatment among institutionalized elderly in Denmark is far from being met, and that this problem can only be solved if given higher priority by the political decision-makers.
本研究的目的是评估丹麦机构养老老年人对口腔修复治疗的实际需求。研究人群包括486名养老院老人和199名医院长期护理机构中的老人。根据规范性需求和感知需求，并考虑到责任护士评估的每个个体的一般精神和身体状况，对治疗的实际需求进行了评估。调查显示，大多数老年人有明显的残疾，三分之二的人无法自理，15%的人精神状况不佳。在养老院居民中，67%有口腔修复治疗的规范性需求，例如新假牙、重衬和/或咬合矫正，相比之下，医院长期护理机构中的老年人这一比例为71%。然而，只有19%的养老院居民和32%的长期护理机构中的老年人有实际治疗需求。两组老年人之间的差异可以用年龄和一般健康状况的差异来解释。可以得出结论，丹麦机构养老老年人对口腔修复治疗的实际需求远未得到满足，只有政治决策者给予更高的优先级，这个问题才能得到解决。
