General Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University, No. 37, Guoxue Lane, Chengdu, 610041, Sichuan Province, China.
BMC Oral Health. 2024 Feb 21;24(1):260. doi: 10.1186/s12903-024-03946-y.
This study aimed to investigate the current situation of oral frailty (OF) in the elderly in the community in China and analyse its influencing factors.
Using convenience sampling, 380 elderly people from three communities in our city were selected as participants in the study. The Oral Frailty Index-8, the Frailty Scale, the Oral Health Assessment Tool, the Mini-nutritional Assessment Scale and the Pittsburgh Sleep Quality Index were used to investigate and analyse OF influencing factors.
In this study, the 380 elderly participants were categorized into three groups: frailty, pre-frailty, and non-physical frailty, based on their responses to the questionnaires.The influencing factor analysis showed that age, gender, education level, frailty score, frailty stage, number of dentures, dry mouth, subjective chewing difficulty, oral health score and sleep quality were the influencing factors of OF in the elderly in the community (R = 0.712, F = 434.73, P < 0.05). The evaluation of the prediction results showed that the frailty score (area under the curve [AUC]: 0.751, 95% confidence interval [CI]: 0.683-0.862), subjective chewing difficulty (AUC: 0.765, 95% CI: 0.655-0.831) and sleep quality (AUC: 0.736, 95% CI: 0.652-0.781) had a higher predictive value for OF.
The main OF influencing factors in the elderly in the community are age, gender, education level, physical frailty (PF) score, PF stage, number of dentures, dry mouth, subjective chewing difficulties, oral health score and sleep quality. Nursing staff should pay attention to the OF of the elderly in the community and take targeted intervention measures in time to reduce and control OF occurrence and progression.
本研究旨在调查中国社区老年人口腔脆弱（OF）的现状，并分析其影响因素。
采用便利抽样法，选取我市三个社区的 380 名老年人作为研究对象。采用口腔脆弱指数-8 量表、衰弱量表、口腔健康评估工具、微型营养评估量表和匹兹堡睡眠质量指数对 OF 的影响因素进行调查分析。
本研究中，根据问卷回答情况，将 380 名老年参与者分为虚弱组、衰弱前期组和非衰弱组。影响因素分析显示，年龄、性别、文化程度、衰弱评分、衰弱阶段、义齿数量、口干、主观咀嚼困难、口腔健康评分和睡眠质量是社区老年人 OF 的影响因素（R=0.712，F=434.73，P<0.05）。预测结果评价显示，衰弱评分（曲线下面积[AUC]：0.751，95%置信区间[CI]：0.683-0.862）、主观咀嚼困难（AUC：0.765，95%CI：0.655-0.831）和睡眠质量（AUC：0.736，95%CI：0.652-0.781）对 OF 具有较高的预测价值。
社区老年人 OF 的主要影响因素为年龄、性别、文化程度、PF 评分、PF 阶段、义齿数量、口干、主观咀嚼困难、口腔健康评分和睡眠质量。护理人员应关注社区老年人的 OF 情况，并及时采取针对性的干预措施，以减少和控制 OF 的发生和进展。
