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Updated: Jul 8, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
口腔健康状况与老年患者急性心力衰竭的身体功能之间的关联
Yusuke Uemura1, Rei Shibata2, Shinji Ishikawa1
1Anjo Kosei Hospital, Cardiovascular Center, Anjo, Japan.
患有急性心力衰竭的老年人口腔健康不佳与住院期间身体功能下降更大有关. 定期口腔评估对于管理这些患者至关重要.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 口腔健康研究研究 口腔健康研究
背景情况:
- 口腔健康问题在老年人中普遍存在,并与各种老年病症有关.
- 口腔健康在心力衰竭管理中的作用,特别是在老年患者中,仍未得到充分研究.
- 住院治疗急性心力衰竭在维持患者健康方面存在独特的挑战.
研究的目的:
- 为了研究口腔健康状况与急性心力衰竭住院的老年患者身体功能下降之间的关联.
- 为了确定口腔健康评估是否可以预测住院期间的功能衰退.
- 突出口腔卫生在心力衰竭患者综合护理中的重要性.
主要方法:
- 评估了77名因急性心力衰竭住院的老年患者 (≥65岁) 的口腔健康状况,使用修订的口腔评估指南 (ROAG).
- 定义的口腔健康问题作为ROAG评分≥9.9.
- 在住院期间使用巴特尔指数评估身体功能下降.
主要成果:
- 在66.2%的患者中发现了口腔健康问题.
- 患有口腔健康问题的患者表现出更高的身体功能下降,营养不良和认知障碍的比率.
- 观察到巴特尔指数的显著下降,口腔健康问题患者的下降更大.
- 入院时的ROAG分数是住院期间巴特尔指数变化的唯一独立预测指标.
结论:
- 口腔健康问题在老年急性心力衰竭患者中很常见,并与功能衰退相关.
- 修订后的口腔评估指南得分是住院期间身体功能变化的重要预测指标.
- 建议将口腔健康评估纳入老年心力衰竭患者的管理.
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