| 新疆社区老年人口腔衰弱现状及影响因素分析 |
| 投稿时间：2025-06-23 修订日期：2025-07-27 点此下载全文 |
| 引用本文：郭淑珂,赛娅热·雪克拉提,徐琪鸿,柯佳妤,王红梅.新疆社区老年人口腔衰弱现状及影响因素分析[J].医学研究杂志,2025,54(12):117-121, 152 |
| DOI：
10.11969/j.issn.1673-548X.2025.12.020 |
| 摘要点击次数: 22 |
| 全文下载次数: 19 |
|
| 基金项目:新疆维吾尔自治区科技支疆项目(2022E02120)；新疆维吾尔自治区人民医院院内项目(20220107) |
|
| 中文摘要:目的 分析新疆社区老年人口腔衰弱现状及影响因素,为制定针对性的口腔健康干预措施提供参考。方法 采用横断面研究方法,按照随机抽样法选取新疆木垒县和洛浦县1084名老年人为研究对象,进行老年口腔健康评估指数(geriatric oral health assessment index,GOHAI)评估、内在能力评估及口腔检查等。采用单因素分析及多因素Logistic回归分析探讨老年人口腔衰弱的影响因素。结果 1084名老年人中,口腔衰弱者176名,无口腔衰弱者908名,老年人口腔衰弱患病率为16.24%。口腔衰弱组与无口腔衰弱组老年人在内在能力得分、缺牙数目、居住地区、应用钙离子拮抗剂、家庭经济情况、社会参与度及社会支持等方面差异均有统计学意义(P＜0.05)。多因素Logistic回归分析结果显示,内在能力评分(OR=0.680,95% CI:0.577～0.801)、居住地区(OR=0.591,95% CI:0.371～0.941)、缺牙数目(OR=1.037,95% CI:1.017～1.049)、家庭经济情况(OR=0.312,95% CI:0.213～0.455)、社会参与度(OR=0.288,95% CI:0.197～0.422)、应用钙离子拮抗剂(OR=0.567,95% CI:0.364～0.885)可能是老年人口腔衰弱的主要影响因素。结论 新疆社区老年人口腔衰弱现状不容乐观,内在能力评分、居住地区、缺牙数目、家庭经济情况、社会参与度、应用钙离子拮抗剂这些因素共同影响其发生和发展。医疗部门应加强口腔健康教育,并鼓励老年人将保护口腔健康的口号付诸行动,同时针对高危人群制定个性化的口腔健康干预措施,以降低口腔衰弱的发生风险。 |
| 中文关键词:老年人 口腔衰弱 影响因素 社区 现状分析 |
| |
| Analysis of the Current Situation and Influencing Factors of Oral Frailty among the Elderly in the Communities of Xinjiang. |
|
|
| Abstract:Objective To analyze the current situation and influencing factors of oral frailty among older adults in the community of Xinjiang, and to provide a reference for developing targeted oral health intervention measures. Methods This cross-sectional study enrolled 1084 elderly from Mulei and Lop counties in Xinjiang using random sampling. Assessments included the geriatric oral health assessment index (GOHAI), intrinsic capacity evaluation, and oral examination. Univariate analysis and multivariate Logistic regression analysis were used to explore the influencing factors of oral frailty in the elderly. Results Among 1084 elderly, 176 had oral frailty, and 908had not oral frailty. The prevalence of oral frailty among the elderly was 16.24%. There were statistically significant differences between the oral frailty group and the non-oral frailty group in terms of intrinsic capacity scores, number of missing teeth, residential area, application of calcium channel blocker, family economic situation, social participation and social support (P<0.05). The results of multivariate Logistic regression analysis showed that intrinsic capacity scores (OR=0.680,95%CI:0.577-0.801), residential area (OR=0.591,95%CI:0.371-0.941), number of missing teeth (OR=1.037,95%CI:1.017-1.049), family economic situation (OR=0.312,95%CI:0.213-0.455), social participation (OR=0.288,95%CI:0.197-0.422), application of calcium channel blockers (OR=0.567,95%CI:0.364-0.885) might be the main influencing factors of oral frailty in the elderly. Conclusion The current situation of oral frailty among the elderly in communities of Xinjiang is is not optimistic. Factors such as intrinsic capacity scores, residential area, number of missing teeth, family economic situation, social participation, and application of calcium channel blockers affect its occurrence and development. The medical department should pay attention to these intervention measures including enhanced oral health education, promote the translation of oral health awareness into concrete actions among the elderly. At the same time, the personalized oral health intervention measures should be formulated for high-risk groups to reduce the risk of oral frailty. |
| keywords:Older adults Oral frailty Influencing factors Community Current situation analysis |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
