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新冠疫情期间的老年群体——社会支持与口腔健康相关生活质量

Older Seniors during the COVID-19 Pandemic-Social Support and Oral Health-Related Quality of Life.

作者信息

Weber Sophia, Hahnel Sebastian, Nitschke Ina, Schierz Oliver, Rauch Angelika

机构信息

Department of Prosthetic Dentistry and Materials Science, University of Leipzig, 04103 Leipzig, Germany.

Clinic of General, Special Care and Geriatric Dentistry, University of Zurich, 8032 Zurich, Switzerland.

出版信息

Healthcare (Basel). 2021 Sep 7;9(9):1177. doi: 10.3390/healthcare9091177.

Abstract

The coronavirus disease (COVID-19) has greatly affected all parts of private life and led to social distancing and self-isolation. Limited social support for older or frail people might have led to decreased oral health and its related quality of life. The current study aimed to investigate the social support of older seniors and self-perceived oral health-related quality of life (OHRQoL) over the course of the COVID-19 pandemic. Questionnaires were sent to all patients of the Dental Clinic of the University of Leipzig (Germany) aged 75, 80, or 85 years ( = 1228) at the end of February 2021. Besides demographic characteristics and care level, an adapted German version of the ENRICHD Social Support Inventory (ESSI-D) and the German Oral Health Impact Profile-14 (OHIP-14) were included. The response rate was 35.7% ( = 439). Twelve replies were not included in the data analysis as participants had either no interest, were cognitively impaired, or did not match the required age group. Analysis of ESSI-D revealed low social support for 13.2% ( = 53/403) of the seniors. No statistically significant impact of assigned care level on low social support was identified. Seniors with an assigned care level (CL) presented higher OHIP-14 sum scores (CL/CL 6.43/10.12; < 0.001). This was also true for six of the seven OHIP-14 domains, except for functional limitation. Regarding seniors with an assigned care level, a weak positive correlation was identified for sum scores of the ESSI-D and the OHIP-14 ( = 0.29). Despite the COVID-19 pandemic, older seniors reported high self-perceived social support. As seniors with an assigned care level revealed more impaired OHRQoL and a correlation with lower social support, special attention should be given to this vulnerable and frail group in times of a pandemic. When restrictions may minimize access to dental treatment and might negatively influence the oral health of older seniors, health care programs should offer more individual options for dental/medical appointments.

摘要

冠状病毒病(COVID-19)对个人生活的各个方面都产生了重大影响,并导致社交距离和自我隔离。对老年人或体弱人群的社会支持有限,可能导致口腔健康及其相关生活质量下降。当前的研究旨在调查在COVID-19大流行期间老年人的社会支持情况以及自我感知的口腔健康相关生活质量(OHRQoL)。2021年2月底,向德国莱比锡大学牙科诊所所有年龄在75岁、80岁或85岁(n = 1228)的患者发放了问卷。除了人口统计学特征和护理级别外,还纳入了经过改编的德文版ENRICHD社会支持量表(ESSI-D)和德国口腔健康影响量表-14(OHIP-14)。回复率为35.7%(n = 439)。有12份回复未纳入数据分析,因为参与者要么没有兴趣,存在认知障碍,要么不符合所需年龄组。对ESSI-D的分析显示,13.2%(n = 53/403)的老年人社会支持较低。未发现指定护理级别对低社会支持有统计学上的显著影响。指定护理级别的老年人OHIP-14总分更高(CL1/CL2 6.43/10.12;p < 0.001)。OHIP-14的七个领域中有六个领域也是如此,功能受限领域除外。对于指定护理级别的老年人,ESSI-D和OHIP-14的总分之间存在弱正相关(r = 0.29)。尽管处于COVID-19大流行期间,但老年人报告的自我感知社会支持较高。由于指定护理级别的老年人显示出OHRQoL受损更严重,且与较低的社会支持相关,在大流行期间应特别关注这一脆弱体弱群体。当限制措施可能会减少获得牙科治疗的机会,并可能对老年人的口腔健康产生负面影响时,医疗保健计划应提供更多个性化的牙科/医疗预约选项。

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