Correlation between health literacy and life quality in elderly patients with chronic periodontitis

doi:10.7518/hxkq.2023.2023184

Abstract

Abstract:

Objective This study aims to explore the status quo of health literacy and quality of life in elderly patients with chronic periodontitis and determine their correlation to understand the influencing factors of health literacy and quality of life. Methods A total of 150 elderly patients with chronic periodontitis were investigated using the general information questionnaire, Oral Health Literacy-Adult Questionnaire, and Oral Health Impact Profile for Chronic Periodontitis. Results The total scores of health literacy and quality of life of elderly patients with chronic periodontitis were 6.59±4.11 and 29.25±9.42, respectively. The total score of health literacy was negatively correlated with the total score of quality of life (r=-0.234, P<0.01). Regression analysis showed that age, place of residence, education level, and disease understanding were the influencing factors of health literacy. Family history, smoking, and education level were the influencing factors of quality of life. Conclusion The health literacy level of elderly patients with chronic periodontitis is insufficient, and their quality of life needs to be improved. Improving the health literacy of patients is an effective way to improve their quality of life. Nursing staff must formulate corresponding health education strategies to improve the health literacy of patients and improve their quality of life.

Key words: chronic periodontitis, health literacy, quality of life

CLC Number:

R 781.4

Jiang Jianhong, Shi Xinglian, He Quanmin, Gao Li, Yang Kun, Wang Taiping, Li Zhezhen, Liu Mei. Correlation between health literacy and life quality in elderly patients with chronic periodontitis[J]. West China Journal of Stomatology, 2023, 41(6): 694-700.

Figures/Tables 6

Tab 1

Univariate analysis of general data in OHL-AQ and OHIP-CP

项目	组别	n（%）	OHL-AQ得分	t/F	P值	OHIP-CP得分	t/F	P值
年龄	60~70岁	112（74.7）	7.03±4.33	3.4	0.036	28.24±9.00	5.887	0.003
	71~80岁	32（21.3）	5.78±3.34			30.63±8.64
	≥81岁	6（4.0）	3.17±1.17			40.83±13.59
性别	男	55（36.7）	8.20±0.55	3.746	<0.001	28.20±1.44	-1.043	0.299
	女	95（63.3）	5.68±0.40			29.86±0.88
居住地	城市	74（49.3）	8.35±3.72	25.238	<0.001	28.53 ± 8.55	0.885	0.415
	城镇	33（22.0）	6.79±3.96			28.79±8.99
	农村	43（28.7）	3.47±3.01			30.86±11.05
民族	汉族	146（97.3）	6.58±4.14	-0.559	0.577	29.46±9.46	5.956	<0.001
	其他	4（2.7）	7.75±4.11			21.75±2.06
文化程度	初中及以下	94（62.7）	4.74±3.47	40.455	<0.001	30.68±8.94	3.497	0.033
	高中/职高/中专	27（18.0）	8.96±3.31			28.15±10.73
	大专/本科	29（19.3）	10.45±2.92			25.66±8.82
婚姻状况	未婚	9（6.0）	5.56±3.97	1.474	0.224	33.00±8.29	2.906	0.037
	已婚	126（84.0）	6.86±4.20			28.30±9.34
	离异	4（2.7）	7.25±2.36			33.75±9.11
	丧偶	11（7.3）	4.36±3.47			35.45±8.71
主要照顾者	配偶	53（35.3）	7.26±4.16	1.896	0.133	27.64±9.92	1.885	0.135
	子女	84（56.0）	6.29±4.05			30.71±8.84
	父母	2（1.3）	1.00±0.00			21.00±16.97
	家属	11（7.3）	6.91±4.32			27.36±9.15
职业状况	机关	9（6.0）	7.33±3.20	25.436	<0.001	29.67±8.83	0.377	0.825
	企事业单位	71（47.3）	9.13±3.38			28.37±9.96
	工人	2（1.3）	7.50±2.12			28.50±7.78
	农民	57（38.0）	3.39±2.85			30.40±9.10
	其他	11（7.3）	6.27±3.98			28.82±8.98
月收入	≤3 000元	85（56.7）	4.76±3.76	26.939	<0.001	30.06±9.44	1.460	0.236
	3 000~6 000元	51（34.0）	8.75±3.51			28.94±9.80
	>6 000元	14（9.3）	10.00±2.11			25.50±7.14
医疗支付类型	职工医保	29（19.3）	8.52±3.04	8.998	<0.001	30.59±10.99	2.135	0.122
	居民医保	12（8.0）	2.83±2.86			33.75±8.88
	自费	109（72.67）	6.51±4.22			28.40±8.92
家族病史	有	34（22.7）	6.44±4.29	-0.265	0.792	33.41±10.20	3.006	0.003
	无	116（77.3）	6.66±4.11			28.03±8.86
吸烟	已戒	17（11.3）	7.06±4.12	0.935	0.426	34.41±12.64	3.880	0.011
	从不	103（68.7）	6.26±4.07			29.19±8.62
	偶尔	13（8.7）	7.00±3.92			30.15±9.66
	经常	17（11.3）	7.94±4.72			23.76±7.80
饮酒	已戒	12（8.0）	7.92±4.54	1.035	0.379	32.17±12.25	1.542	0.206
	从不	90（60.0）	6.20±4.08			29.82±9.04
	偶尔	45（30.0）	6.93±4.17			27.87±9.25
	经常	3（2.0）	8.67±3.06			21.33±7.37
疾病了解情况	部分了解	25（16.7）	9.44±3.84	3.932	<0.001	26.92±9.82	-1.361	0.176
	不了解	125（83.3）	6.04±3.97			29.72±9.30
全身疾病情况	有	74（49.3）	6.54±4.06	-0.193	0.847	31.16±9.72	2.492	0.014
	无	76（50.7）	6.67±4.23			27.39±8.78

Tab 1

Tab 2

Tab 3

Tab 4

Tab 5

Tab 6

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项目	评分范围	得分范围	总分	条目均分
阅读理解能力	0~6	0~5	1.57±1.32	0.26±0.22
计算能力	0~4	0~4	2.17±1.66	0.54±0.41
倾听能力	0~2	0~2	0.87±0.84	0.43±0.42
决策能力	0~5	0~5	1.99±1.39	0.40±0.28
健康素养总分	0~17	0~14	6.59±4.11	0.39±0.24

项目	评分范围	得分范围	总分	条目均分
口腔功能限制	0~24	0~21	12.77±3.31	2.13±0.55
口腔疼痛	0~16	4~15	7.71±1.96	1.93±0.49
心理和社会影响	0~32	0~26	8.77±5.31	1.10±0.66
生活质量总分	0~72	9~62	29.25±9.42	1.63±0.52

项目	阅读理解能力	计算能力	倾听能力	决策能力	健康素养总分
口腔功能限制	-0.246**	-0.165*	-0.202*	-0.146	-0.230**
口腔疼痛	-0.176*	-0.149	-0.197*	-0.105	-0.186*
心理和社会影响	-0.230**	-0.094	-0.195*	-0.216**	-0.218**
生活质量总分	-0.247**	-0.129	-0.214**	-0.193*	-0.234**

自变量	B值	SE值	β值	t值	P值
常量	7.973	1.863	-	4.280	<0.001
年龄	-1.030	0.478	-0.135	-2.156	0.033
居住地	-1.682	0.713	-0.186	-2.359	0.020
文化程度	1.215	0.409	0.236	2.972	0.004
疾病了解情况	-1.936	0.655	-0.176	-2.955	0.004

自变量	B值	SE值	β值	t值	P值
常量	44.372	4.862	-	9.126	<0.001
家族病史	-5.210	1.682	-0.232	-3.096	0.002
吸烟	-9.435	3.058	-0.319	-3.086	0.002
文化程度	-3.748	1.432	-0.200	-2.617	0.010