患有阿尔茨海默病的老年人吞功能下降的预测因素:一年长度研究
Maki Shirobe1, Ayako Edahiro1, Keiko Motokawa1
1Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Tokyo, Japan.
Journal of oral rehabilitation
|November 27, 2024
概括
口腔健康问题,如舌头涂层和拒绝护理,预测阿尔茨海默病患者的吞能力下降. 有针对性的口腔护理可以改善痴呆症和缺口症患者的治疗结果.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 口腔健康 口腔健康
背景情况:
- 阿尔茨海默病 (AD) 和痴呆症的患病率在全球范围内不断上升,影响了息护理需求.
- 消化不良 (吞困难) 在痴呆症中很常见,导致营养不良和生活质量下降.
研究的目的:
- 为了确定口腔健康管理因素,预测老年人患有AD的吞功能下降.
- 调查口腔卫生与阿尔茨海默病患者口腔功能障碍进展之间的联系.
主要方法:
- 对阿基塔-奥莫里马奇研究数据的分析,该研究涉及63名患有AD的成年人.
- 在基线和1年后期使用修改的吞水试验 (MWST) 评估吞功能.
主要成果:
- 25.4%的参与者在一年内出现了吞功能的下降.
- 拒绝口腔护理,舌头涂层和 / ka / 的不明确表达显著预测吞下降 (IRR:7.28,4.21和5.79分别).
- 这些口腔健康指标增加了患有口腔障碍的风险.
结论:
- 特定的口腔健康问题预示着老年人患有AD的吞功能不佳.
- 有针对性的口腔护理干预措施,包括以人为中心的方法和舌头清洁,可能会改善结果.
- 综合性口腔健康管理对于预防此种人群中缺口症并发症至关重要.
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