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口腔脆弱:概念分析。

Oral frailty: a concept analysis.

机构信息

College of Nursing, Shanxi University of Chinese Medicine, Jinzhong, 030619, China.

Rory Meyers College of Nursing and NYU Aging Incubator, New York University, New York, NY, 10012, USA.

出版信息

BMC Oral Health. 2024 May 22;24(1):594. doi: 10.1186/s12903-024-04376-6.

DOI:10.1186/s12903-024-04376-6
PMID:38778380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11112910/
Abstract

BACKGROUND

Oral frailty has become a worldwide problem among older adults. Although researchers have conducted various studies on oral frailty, its definition remains controversial.

PURPOSE

To clarify the concept of oral frailty.

METHODS

Online databases PubMed, Web of Science, CINAHL, Cochrane Library, ProQuest, China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (VIP), and Wanfang database were searched from inception to September 20, 2023. The reference lists of relevant studies were searched manually. Eligible articles, theses, and books were analyzed using Walker & Avant's concept analysis model.

RESULTS

The attributes of oral frailty were abnormal oral structure and/or decline in multi-faceted oral function and coexisting decline in physical, cognitive and social functions. Its antecedents were aging, social frailty, and severe periodontitis, whereas its consequences were decline in physical health and mental health, social withdrawal, lower quality of life and systemic frailty.

CONCLUSION

Oral frailty could result in worse conditions among older adults physically, psychologically and socially. Tools based on the concept analysis need to be developed to comprehensively assess oral frailty.

摘要

背景

口腔虚弱已成为老年人的全球性问题。尽管研究人员对口腔虚弱进行了各种研究,但它的定义仍存在争议。

目的

阐明口腔虚弱的概念。

方法

从建库至 2023 年 9 月 20 日,在线检索 PubMed、Web of Science、CINAHL、Cochrane Library、ProQuest、中国知网(CNKI)、中文科技期刊数据库(VIP)和万方数据库,手工检索相关研究的参考文献。使用 Walker & Avant 的概念分析模型对符合条件的文章、论文和书籍进行分析。

结果

口腔虚弱的属性是口腔结构异常和/或多方面口腔功能下降以及身体、认知和社会功能同时下降。其前因是衰老、社会虚弱和严重牙周炎,后果是身体健康和心理健康下降、社会退缩、生活质量降低和全身性虚弱。

结论

口腔虚弱可能导致老年人身体、心理和社会状况恶化。需要开发基于概念分析的工具来全面评估口腔虚弱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/11112910/0ec3a18b8895/12903_2024_4376_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/11112910/833876adb54c/12903_2024_4376_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/11112910/0ec3a18b8895/12903_2024_4376_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/11112910/833876adb54c/12903_2024_4376_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/11112910/0ec3a18b8895/12903_2024_4376_Fig2_HTML.jpg

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The Relationships of Dentition, Use of Dental Prothesis and Oral Health Problems with Frailty, Disability and Diet Quality: Results from Population-Based Studies of Older Adults from the UK and USA.牙齿状况、义齿使用与口腔健康问题同衰弱、残疾和饮食质量的关系:来自英国和美国的基于人群的老年人研究结果。
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Oral frailty five-item checklist to predict adverse health outcomes in community-dwelling older adults: A Kashiwa cohort study.
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Medicare Advantage Dental Benefits: Comprehensive Coverage Available In Fewer Than Half Of US Counties.医疗保险优势牙科福利:美国不到半数的县提供全面覆盖。
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BMC Oral Health. 2025 Apr 1;25(1):471. doi: 10.1186/s12903-025-05795-9.
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