中年および高齢の慢性腎臓病患者の口腔の弱さの流行と影響因子:横断的な研究
Yuelin Wang1, Zengli Chen2, Qing Tang3
1College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Frontiers in medicine
|September 2, 2025
まとめ
慢性腎臓病 (CKD) の患者では,口腔の脆弱性が一般的であり,60%以上に影響します. 婚姻状況や口の乾燥などの要因は リスクを増大させ,CKDのケアにおいて 標的を絞った口腔衛生介入の必要性を強調しています
科学分野:
- ゲロントロジー
- 腎臓科
- 口腔 衛生
背景:
- 慢性腎臓病 (CKD) の治療において,口腔の健康状態の低下と全身の弱さのマーカーである口腔の弱さは十分に研究されていない.
- 慢性腎臓病の患者は,慢性腎臓病のない人と比較して,口腔の健康状態が悪くなります.
研究 の 目的:
- 中年および高齢のCKD患者における口腔の弱さの有病率を決定する.
- この患者集団における口腔の弱さに関連する要因を特定する.
主な方法:
- 307人のCKD患者の横断的な研究が行われました.
- 口腔の脆弱性は,口腔の脆弱性指数-8 (OFI-8) を用いて評価された.
- 栄養状態,疲労,不安,およびうつに関するデータは,それぞれMNA- SF,RPFS,およびHADSを使用して収集されました. ロジスティック・リグレーションで関連した要因が特定された.
主要な成果:
- 慢性腎臓病患者の口腔の弱さの罹患率は61. 9% (190/ 307) であった.
- 口の弱さの重要な危険因子には,婚姻状況,教育レベル,自己ケア能力,義歯の使用,口の乾燥,および疲労 (RPFS-CVスコア) が含まれていた.
結論:
- 慢性腎臓病の患者では口腔の脆弱性が高い.
- 医療従事者は,高リスクグループに焦点を当てて,慢性腎臓病における口腔の弱さの予防と管理のためのカスタマイズされた戦略を実施すべきである.
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