Oishi Kana, Nishioka Shinta, Okazaki Yuka, Hirakawa Kozue, Nakamura Mimoka, Ichinose Ai, Kurihara Masaki
Clinical Department, Nagasaki Rehabilitation Hospital, Nagasaki, Japan.
Nutrition Management Office, Nagasaki Rehabilitation Hospital, Nagasaki, Japan.
Jpn J Compr Rehabil Sci. 2022 May 13;13:17-25. doi: 10.11336/jjcrs.13.17. eCollection 2022.
Oishi K, Nishioka S, Okazaki Y, Hirakawa K, Nakamura M, Ichinose A, Kurihara M. Relationship between oral hygiene and function and activities of daily living at discharge in convalescent patients with stroke. Jpn J Compr Rehabil Sci 2022; 13: 17-25.
This study was designed to examine the relationship between improvement in oral hygiene and function and activities of daily living (ADLs) at discharge in patients admitted to convalescent rehabilitation wards.
Eligible criteria were patients with stroke with a score of 13 or higher (i.e., severe oral problems) on the Revised Oral Assessment Guide (ROAG) at admission. Age, gender, primary diseases, rehabilitation dose, dentist visits and denture status, Eichner classification, eating status at admission and discharge, and body mass index at admission were collected. The patients were classified into two groups: those with ROAG scores of less than 9 points at discharge (good ROAG group) and those with scores of 9 points or more (poor ROAG group), and Functional Independence Measure (FIM) gain and total FIM discharge scores were compared using univariate and multivariate analyses.
The good and poor ROAG groups comprised 126 and 366 patients, respectively. The good ROAG group had significantly higher total FIM score, FIM efficiency, and FIM gain at discharge than the poor ROAG group (112 vs. 82; < 0.001). The ROAG scores at discharge were independently associated with FIM gain (partial regression coefficient = -9.889, 95% confidence interval = -13.499 to -6.279) and total FIM score at discharge.
Improvement in oral hygiene and function in convalescent patients with stroke was associated with ADLs at hospital discharge.
大石K、西冈S、冈崎Y、平川K、中村M、市之濑A、栗原M。康复期脑卒中患者出院时口腔卫生与功能及日常生活活动的关系。日本综合康复科学杂志2022；13：17 - 25。
本研究旨在探讨康复期康复病房收治患者出院时口腔卫生改善与功能及日常生活活动（ADL）之间的关系。
纳入标准为入院时修订口腔评估指南（ROAG）评分13分及以上（即严重口腔问题）的脑卒中患者。收集患者的年龄、性别、原发性疾病、康复剂量、看牙医次数和假牙状况、艾希纳分类、入院和出院时的进食状况以及入院时的体重指数。将患者分为两组：出院时ROAG评分低于9分的患者（ROAG良好组）和评分9分及以上的患者（ROAG不良组），并使用单因素和多因素分析比较功能独立性测量（FIM）增益和FIM出院总分。
ROAG良好组和不良组分别有126例和366例患者。ROAG良好组出院时的FIM总分、FIM效率和FIM增益显著高于ROAG不良组（112对82；<0.001）。出院时的ROAG评分与FIM增益（偏回归系数 = -9.889，95%置信区间 = -13.499至 -6.279）和出院时的FIM总分独立相关。
康复期脑卒中患者口腔卫生和功能的改善与出院时的ADL相关。
