摘要
目的探讨老年糖尿病患者口腔健康生活质量相关因素。方法选取2018年4月~2020年4月老年糖尿病患者235例,采用中文版老年人口腔生活质量评价指数(GOHAI)评估其口腔健康生活质量,收集临床资料,分析口腔健康生活质量的影响因素及对血糖控制的影响。结果235例老年糖尿病患者GOHAI评分为(42.86±5.71)分,处于中低水平;不同性别、年龄、体质量指数、婚姻状况、饮酒史、吸烟史、糖尿病家族史、口服降糖药、注射胰岛素、更换牙刷频率、使用牙线频率、使用牙刷毛质、合并症情况的老年糖尿病患者GOHAI评分差异无统计学意义(P>0.05);不同病程、文化程度、家庭月收入、饮食控制、刷牙频率、看牙医频率、竖刷刷牙情况的老年糖尿病患者GOHAI评分差异有统计学意义(P<0.05);多元线性回归分析,病程是老年糖尿病患者口腔健康生活质量的独立危险因素,文化程度、家庭月收入、饮食控制、刷牙频率、看牙医频率、竖刷刷牙是老年糖尿病患者口腔健康生活质量的独立保护因素(P<0.05)。结论老年糖尿病患者口腔健康生活质量处于中低水平,影响因素较多,应针对其影响因素采取合理干预措施,以改善口腔健康生活质量,保障血糖水平达标。
Objective To investigate the factors affecting oral health-related quality of life(OHRQL)in older diabetic patients.Methods A total of 235 older diabetic patients were enrolled from April 2018 to April 2020.The Chinese version of the Geriatric Oral Health Assessment Index(GOHAI)was used to evaluate OHRQL.Clinical data were collected to analyze the influential factors of OHRQL and the influence on blood glucose control.Results The GOHAI score of 235 older patients with diabetes was(42.86±5.71),which was at a medium low level.There was no significant difference in GOHAI score between the diabetic patients with different gender,age,BMI,marital status,drinking history,smoking history,family history of diabetes,oral hypoglycemic drugs,insulin injection,frequency of toothbrush replacement,frequency of dental floss use,quality of toothbrush bristles,or comorbidities(P>0.05).There was significant difference in GOHAI score between the diabetic patients with different disease duration,education level,family monthly income,diet control,brushing frequency,frequency of visit to the dentist,and brushing method(P<0.05).Multivariate linear regression analysis showed that disease duration was an independent risk factor for OHRQL in older diabetic patients.Education level,monthly family income,diet control,frequency of brushing teeth,frequency of visit to the dentist,and vertical brushing were independent protective factors for OHRQL(P<0.05).Conclusion The OHRQL of older patients with diabetes is at a medium low level.Reasonable intervention measures should be taken according to the influential factors to improve OHRQL and ensure that the blood sugar level reaches the standard.
作者
马菊阳
汤先萍
刘美玲
Ma Juyang;Tang Xianping;Liu Meiling(Xuzhou Medical University,Xuzhou 221000)
出处
《国际老年医学杂志》
2023年第1期49-52,共4页
International Journal of Geriatrics
基金
江苏省优势学科建设工程项目(YSHL0813-74)。
关键词
老年人
糖尿病
口腔健康
影响因素
Older people
Diabetes mellitus
Oral health
Influential factors
