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老年人的口腔健康与相关生活质量:一项系统评价与荟萃分析

Oral Health and Related Quality of Life in Older People: A Systematic Review and Meta-Analysis.

作者信息

Azami-Aghdash Saber, Pournaghi-Azar Fatemeh, Moosavi Ahmad, Mohseni Mohammad, Derakhshani Naser, Kalajahi Riaz Alaei

机构信息

Research Center for Evidence Based Medicine (RCEBM), Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Health and Community Medicine, Dezful University of Medical Sciences, Dezful, Iran.

出版信息

Iran J Public Health. 2021 Apr;50(4):689-700. doi: 10.18502/ijph.v50i4.5993.

Abstract

BACKGROUND

Of the most important implications and complaints in the elderly group of the population, is oral and dental health problems. This study aimed to assess oral health- related quality of life in older people.

METHODS

To data collection, databases were searched including PubMed, EMBASE, Scopus, SID, MagIran, Cochrane Central Register of Controlled Trials and scholar google The keywords were "older adults", "Geriatric" Elderly", "Older", "Aged", "Ageing", "Oral health", "Oral hygiene" and "Quality of life", "QOL. For manual searching, several specialized journals of related scope as well as the finalized articles' reference list were searched. Studies from 1st Jan 2000 to 30 Jan 2017 were included. Studies were subjected to meta-analysis to calculate indexes, using CMA:2 (Comprehensive Meta-Analysis) software.

RESULTS

Totally, 3707 articles were searched that 48 of them were subjected to the oral and dental health-related quality of life in 59 groups of the elderly population with the mean age of 73.57+6.62 in the 26 countries. The obtained percentage values of dental and oral health were 80.2% (0-60), 14.8% (0-12), 16.4% (0-70), 22% (0-14 or 0-59) and 19.2% (0-196) for GOHAI with the additive method, GOHAI with Simple Count Method, OHIP-14 with the additive method, OHIP-14 with Simple Count method and OHIP-49 with additive method indexes, respectively.

CONCLUSION

The elderly group of the population had no proper oral health-related quality of life. Regarding the importance and necessity of oral and dental health and its effect on general health care in the target group, it is recommended to improve dental hygiene in the mentioned group of population.

摘要

背景

在老年人群体最重要的影响因素和问题中,口腔和牙齿健康问题位列其中。本研究旨在评估老年人与口腔健康相关的生活质量。

方法

为进行数据收集,检索了多个数据库,包括PubMed、EMBASE、Scopus、SID、MagIran、Cochrane对照试验中央注册库以及谷歌学术。关键词为“老年人”“老年医学”“老年人”“年长的”“老龄的”“老龄化”“口腔健康”“口腔卫生”以及“生活质量”“QOL”。通过手动检索,还查阅了多个相关领域的专业期刊以及最终入选文章的参考文献列表。纳入了2000年1月1日至2017年1月30日期间的研究。使用CMA:2(综合荟萃分析)软件对研究进行荟萃分析以计算各项指标。

结果

总共检索到3707篇文章,其中48篇涉及26个国家59组老年人群体与口腔和牙齿健康相关的生活质量,这些老年人群体的平均年龄为73.57±6.62岁。对于采用相加法的GOHAI、采用简单计数法的GOHAI、采用相加法的OHIP - 14、采用简单计数法的OHIP - 14以及采用相加法指标的OHIP - 49,所获得的口腔和牙齿健康的百分比值分别为80.2%(0 - 60)、14.8%(0 - 12)、16.4%(0 - 70)、22%(0 - 14或0 - 59)和19.2%(0 - 196)。

结论

老年人群体没有良好的与口腔健康相关的生活质量。鉴于口腔和牙齿健康的重要性和必要性及其对目标群体总体医疗保健的影响,建议改善上述人群的口腔卫生状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7d8/8219627/a1100418c60b/IJPH-50-689-g001.jpg

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