Investigation and analysis of oral health status of the elderly in nursing homes in Taiyuan

doi:10.7518/hxkq.2021.02.008

Abstract

Abstract: Objective

This study aims to investigate awareness of oral health care and health status among elderly people in nursing homes in Taiyuan. Strategies for preventing and treating oral diseases and improving the quality of life of the elderly in nursing homes were formulated on the basis of analyzed data.

Methods

A total of 359 participants from 48 nursing homes in six districts were selected randomly. Awareness, attitude, and behavior with regard to oral health care among the elderly were investigated through a survey using questionnaires and oral health examinations. Data were statistically analyzed with SPSS 20.0.

Results

Among the elderly in the nursing homes in Taiyuan, awareness and behavior with regard to oral health care were deficient and inappropriate, and thus professional guidance was needed. In addition to method and time of brushing teeth and bad oral habits, the oral health status of the elderly was statistically affected by age and education. Compared with the data of the Fourth National Oral Epidemiological Investigation, the number of elderly people aged 55-64 or 65-74 years who brush their teeth every day and accept oral diagnosis and treatment was lower. However, the ratios of edentulous and missing teeth without treatment were higher than the national average level for the same age groups.

Conclusion

The awareness and attitude of the elderly in nursing homes with regard to oral health care are unsatisfactory, and their oral health status is poor. Education on oral health care, development of good oral care habits, and regular oral health examination are essential to the maintenance of oral health in elderly people.

Key words: nursing homes, elderly people, oral health care, oral health, influential factors

CLC Number:

R 78

Chang Le, Xu Jingchen, Wang Xiangyu, Chen Song. Investigation and analysis of oral health status of the elderly in nursing homes in Taiyuan[J]. West China Journal of Stomatology, 2021, 39(2): 175-181.

Figures/Tables 8

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References 21

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条目		人数	比例/%
年龄/岁	55~64	105	29
	65~74	72	20
	75~84	106	30
	85及以上	76	21
性别	男	187	52
	女	172	48
学历	小学及以下	187	52
	初中	89	25
	高中	62	17
	本科及以上	21	6
月收入/元	0~1 000	86	24
	1 000~2 000	204	57
	2 000以上	69	19

条目		人数	比例/%
口腔健康是否重要	非常重要	126	35
	一般重要	169	47
	不重要	27	8
	不了解	37	10
口腔健康和全身健康是否相关	是	154	43
口腔健康和全身健康是否相关	否	205	57
不常接受口腔健康检查或治疗的原因	牙病是小事，没必要	85	24
	治疗费太贵	23	6
	自觉很健康	203	57
	其他	48	13
是否关心口腔的疾患	是	84	23
	否	275	77

条目		人数	比例/%
刷牙频次	不刷	128	36
	1次/天	115	32
	2次/天	75	21
	≥3次/天	41	11
每次刷牙时间	不刷牙	61	17
	<3 min	191	53
	≥3 min	107	30
刷牙方式	横刷	178	50
	竖刷	48	13
	旋转刷	4	1
	巴氏刷牙法	0	0
	无规律	67	19
	不刷牙	62	17
牙刷更换时间	不刷牙	62	17
	<3个月	61	17
	3~6个月	53	15
	6~12个月	38	11
	坏了再换	145	40
是否使用牙线	是	14	4
	否	345	96
饭后漱口	是	233	65
	否	126	35
是否使用漱口水	是	16	4
	否	343	96
刷牙水温	不刷牙	62	17
	冷水	88	25
	温水	209	58

条目		人数	比例/%
是否经常用牙齿咬瓶盖等硬物	是	11	3
	否	348	97
是否有夜磨牙	是	20	6
	否	339	94
是否抽烟	是	124	35
	否	235	65
是否喝碳酸饮料或茶	是	62	17
	否	297	83

条目		人数	比例/%
是否接受过口腔健康	是	16	4
教育活动	否	343	96
是否接受过口腔健康	是	264	74
检查或诊疗	否	95	26
进行口腔检查频次	定期进行	10	3
	不定期进行	17	5
	牙齿有问题才进行	186	52
	从来不进行口腔检查	146	41
洁牙频次	洁过，偶尔	24	7
	未洁过	331	92
	一年一次	4	1
牙疼时如何处理	没疼过	77	21
	自己挺一挺就过去了	102	28
	自己吃药	98	27
	找医生看	82	23
有龋齿但不痛是否就诊	是	78	22
	否	281	78
一般去何种机构看牙	没看过	113	31
	综合医院口腔科	81	23
	口腔专科医院	30	8
	私人口腔诊所	109	30
	社区医院	13	4
	不正规机构	13	4