Impact of oral health promotion project on periodontal condition and life quality of the elderly in long-term care institutions

doi:10.19439/j.sjos.2018.03.014

Abstract

Abstract: PURPOSE: To assess the impact of oral health promotion project on periodontal condition and life quality of the elderly in long-term care institutions. METHODS: Elder people from 5 nursing homes in Wuhan city were selected and assigned to either the experimental group or the control group by random cluster grouping method. A six-month oral health promotion project was provided to the experimental group. The changes of geriatric oral health assessment index (GOHAI), oral hygiene index-simplified (OHI-S), gingival index (GI), bleeding on probing (BOP) and probing depth (PD) were compared with student's t test and repetitive measure analysis of variance using SPSS21.0 software package. RESULTS: A total of 322 subjects completed the study for 6 months, with 144 from the experimental group and 178 from the control group. No significant difference was observed between the two groups in social demographic characteristics, GOHAI scores, OHI-S, GI, BOP and PD at baseline(P>0.05). Greater improvements were observed in GOHAI scores, OHI-S, GI and BOP in the experimental group than the control group after interventions (P<0.05). CONCLUSIONS: Oral health promotion project can improve the elderly's oral health-related quality of life and periodontal condition.

Key words: Elderly, Periodontal condition, Oral health promotion, Geriatric oral health assessment index

CLC Number:

R787

LI Xiao-li, LIU Ming-yu, CHENG Liang, ZHU Hong-fei, SHANG Shu-huan, CUI Dan.. Impact of oral health promotion project on periodontal condition and life quality of the elderly in long-term care institutions[J]. Shanghai Journal of Stomatology, 2018, 27(3): 285-288.

References

[1] 曹采方. 对牙周病和龋齿患病率的思考—如何解读第三次全国口腔健康流行病学调查的资料 [J]. 中华口腔医学杂志, 2013, 48(5): 257-258.
[2] Amerine C, Boyd L, Bowen DM, et al. Oral health champions in long-term care facilities-a pilot study [J]. Spec Care Dentist, 2014, 34(4): 164-170.
[3] Saengtipbovorn S, Taneepanichskul S. Effectiveness of lifestyle change plus dental care (LCDC) program on improving glycemic and periodontal status in the elderly with type 2 diabetes [J]. BMC Oral Health, 2014, 14: 72.
[4] 肖伦旺. 口腔健康宣教对社区老年居民口腔健康的影响 [J].中国医药科学, 2016, 6(14): 162-165.
[5] 徐先国, 罗英, 陈莱, 等. 全程干预对提高社区中老年人口腔健康状况的研究 [J]. 上海预防医学, 2013, 25(7): 403-405.
[6] 凌均荣, 王阿丹. 老年口腔健康评价指数（GOHAI）中文版的研制[J]. 中华老年口腔医学杂志, 2003, 1(3): 129-133.
[7] 徐韬. 预防口腔医学 [M]. 第2版. 北京: 北京大学医学出版社，2013: 44-46.
[8] L?觟e H, Theilade E, Jensen SB. Experimental gingivitis in man. 3. Influence of antibiotics on gingival plaque development [J]. J Periodontal Res, 1967, 2(4): 282-289.
[9] 郑麟蕃, 张震康, 俞光岩. 实用口腔医学 [M]. 第2版. 北京:人民卫生出版社, 2000: 123.
[10] Atchison KA, Dolan TA. Development of the geriatric oral health assessment index [J]. J Dental Edu, 1990, 54(11): 680-687.
[11] Niesten D, Witter D, Bronkhorst E, et al. Oral health-related quality of life and associated factors in a care-dependent and a care-independent older population [J]. J Dent, 2016, 55: 33-39.
[12] Appukuttan DP, Tadepalli A, Victor DJ, et al. Oral health related quality of life among Tamil speaking adults attending a dental institution in Chennai, Southern India [J]. J Clin Diagn Res, 2016, 10(10): ZC114-ZC120.
[13] 李峥, 朱凌, 沙月琴. 牙周健康对2型糖尿病伴牙周炎患者口腔健康相关生活质量影响分析 [J]. 华西口腔医杂志, 2011, 29(4): 379-383.
[14] Ikebe K, Hazeyama T, Enoki K, et al. Comparison of GOHAI and OHIP-14 measures in relation to objective values of oral function in elderly Japanese[J]. Community Dent Oral Epidemiol, 2012, 40(5): 406-414.
[15] Wang A, Ling J. Factors associated with the oral health-related quality of life in elderly persons in dental clinic: validation of a Mandarin Chinese version of GOHAI[J]. Gerodontology, 2011, 28(3): 184-191.
[16] Glynn LG, MacFarlane A, Kelly M, et al. Helping each other to learn-a process evaluation of peer assisted learning [J]. BMC Med Educ, 2006, 6: 18.