Oral hygiene and health-related quality of life in institutionalized older people
| Autor: | Kaija Hiltunen, Päivi Mäntylä, Kaisu H. Pitkälä, Hanna-Maria Roitto, Riitta K. T. Saarela, Hannu Kautiainen |
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| Přispěvatelé: | Department of Oral and Maxillofacial Diseases, Teachers' Academy, HUS Head and Neck Center, Clinicum, Department of General Practice and Primary Health Care |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Health-related quality of life Oral Health Oral hygiene 03 medical and health sciences 0302 clinical medicine Quality of life Health care medicine Humans Dementia 030212 general & internal medicine Aged Aged 80 and over Health related quality of life BARRIERS business.industry Institutional care NURSING-HOME RESIDENTS 030206 dentistry CARE Oral Hygiene Dry mouth medicine.disease Long-Term Care STATE stomatognathic diseases Cross-Sectional Studies 3121 General medicine internal medicine and other clinical medicine Family medicine Correlation analysis Quality of Life Female medicine.symptom business Older people INTERVENTION |
| Zdroj: | European Geriatric Medicine. 13:213-220 |
| ISSN: | 1878-7657 |
| DOI: | 10.1007/s41999-021-00547-8 |
| Popis: | Purpose We evaluated the level of oral hygiene and its association with oral health status and need for oral treatment among older residents in long-term care facilities. In addition, the association between oral hygiene level and health-related quality of life (HRQoL) was explored. Methods This cross-sectional study assessed 231 dentate residents in long-term care facilities (71% female, mean age 81 years, 70% had dementia). Nurses assessed residents and completed questionnaires on participants' background information, diagnoses, oral healthcare habits, and HRQoL with the 15D instrument. Two qualified dentists performed clinical oral examinations (number of teeth, plaque index, periodontal condition, open caries lesions, and dry mouth). We used a modified plaque index (PI) to measure the level of oral hygiene (good, moderate, and poor) and calculated the clinical Asymptotic Dental Score (ADS) to determine the oral inflammation burden. Results Of the residents, 21% had good, 35% moderate, and 44% poor oral hygiene according to PI. Poor oral hygiene was associated with poorer cognitive status (P = 0.010) and higher oral inflammation burden (P < 0.001). Moreover, poor oral hygiene was associated with poorer HRQoL in a correlation analysis adjusted for age and gender. Conclusions Oral hygiene of older individuals in long-term care is insufficient. Poor oral hygiene is a marker for poor HRQoL. Residents also have a high burden of oral inflammatory diseases and a need for dental care. Older residents' oral hygiene and HRQoL may be improved with oral care education of caregivers and regular dental check-ups. Key summary pointsAim We evaluated oral hygiene level and its association with oral health and general health-related quality of life (HRQoL) among older residents in long-term care facilities. Findings Only one-fifth of residents had good oral hygiene. Poor oral hygiene was associated with poor oral health and diminished HRQoL. Message Oral hygiene, oral health, and HRQoL may be improved with oral care education of caregivers, professional cooperation, and regular oral healthcare of older residents in long-term care facilities. |
| Databáze: | OpenAIRE |
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