Garg Rishabh, Mattoo Khurshid, Kumar Lakshya, Khalid Imran, Baig Fawaz, Elnager Mutassim, Faridi Mukram Ali
Department of Prosthodontics, Kalka Dental College, CCSU, Meerut 250005, India.
Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia.
Healthcare (Basel). 2021 Feb 18;9(2):226. doi: 10.3390/healthcare9020226.
Geriatric patients in various outpatient department (OPDs) have been found to agonize from elder abuse and neglect (EAN). Such suffering imposes depressive states within individuals, which in turn affects treatment compliance. The objective of this study was to evaluate the impact of sensitization (psychotherapeutic) of family caregivers (FCGs) upon two denture treatment parameters (maintenance and treatment satisfaction) among EAN patients and compare the differences in outcome with non-abused patients. A survey of completely edentulous subjects ( = 860, aged 41-80 years) provided a sampling frame of 332 EAN patients from which 150 patients (including FCGs) fulfilling the study criteria were distributed (simple random, convenient) into two groups (Group A-control, Group B-test). FCG sensitization for subjects in Group B was performed by a clinical psychologist in 2-4 short (30 min) sessions. Demographic characteristics (frequency) were measured using a self-reported questionnaire, denture maintenance was measured using a denture hygiene index (scores), and treatment satisfaction was analyzed on a 10-point visual analog scale. Relevant data were calculated for means and absolute/relative frequencies. Any difference between two groups was estimated using an unpaired -test while the level of relationship was determined by Karl Pearson's test at a -value of < 0.05. The results showed highest frequency (38.6%) for neglect, with elder neglect (EN) being most common (38.14% alone and 14% in combination). EN was found more if the FCG was a son (52%), in the age group (21-30 years), and with low education and low income (75%). Patients whose FCGs were counselled (Group B) demonstrated low denture plaque scores (mean = 1.38 ± 0.618), while demonstrating comparatively higher scores in six different parameters of treatment satisfaction. Differences between the two groups for both parameters were also found to be statistically significant. Psychotherapeutic counselling in the form of FCG sensitization brings better results of denture maintenance and treatment satisfaction.
研究发现，各个门诊部的老年患者都遭受着老年人虐待和忽视（EAN）的痛苦。这种痛苦会使个体陷入抑郁状态，进而影响治疗依从性。本研究的目的是评估对家庭照顾者（FCG）进行 sensitization（心理治疗）对EAN患者的两个义齿治疗参数（维护和治疗满意度）的影响，并比较与未受虐待患者的结果差异。对全口无牙受试者（n = 860，年龄41 - 80岁）进行的一项调查提供了332名EAN患者的抽样框架，从中选取了150名符合研究标准的患者（包括FCG）（简单随机、方便抽样）分为两组（A组 - 对照组，B组 - 试验组）。B组受试者的FCG sensitization由临床心理学家在2 - 4次简短（30分钟）的疗程中进行。使用自我报告问卷测量人口统计学特征（频率），使用义齿卫生指数（分数）测量义齿维护情况，并在10分视觉模拟量表上分析治疗满意度。计算相关数据的均值和绝对/相对频率。两组之间的任何差异使用不成对t检验进行估计，而关系水平由Karl Pearson检验确定，p值 < 0.05。结果显示，忽视的发生率最高（38.6%），其中老年人忽视（EN）最为常见（单独出现占38.14%，合并出现占14%）。如果FCG是儿子（52%）、年龄在（21 - 30岁）组、教育程度低且收入低（75%），则EN的发生率更高。接受FCG咨询的患者（B组）义齿菌斑得分较低（均值 = 1.38 ± 0.618），同时在六个不同的治疗满意度参数方面得分相对较高。两组在这两个参数上的差异也具有统计学意义。以FCG sensitization形式进行的心理治疗咨询能带来更好的义齿维护和治疗满意度结果。 （注：原文中“sensitization”未明确其准确含义，暂保留英文）
