The impact of oral health on the quality of life of nursing home residents

Health and Quality of Life Outcomes

Georgios Tsakos¹  Dennis Ola¹  Mandy Murdoch¹  Andrew Read¹  Antiopi Ntouva¹  Jessie Porter¹ 

[1] Department of Clinical and Diagnostic Oral Sciences, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Turner Street, London E1 2AD, UK

关键词: Oral health related quality of life;    Nursing home;    Oral health;    Older people;   

Others  :  1223862
DOI  :  10.1186/s12955-015-0300-y

 received in 2015-04-28, accepted in 2015-07-07,  发布年份 2015

【 摘 要 】

Background

Good oral health in older residents of nursing homes is important for general health and quality of life. Very few studies have assessed how oral symptoms affect residents’ quality of life.

Objective

To assess the clinical and subjective oral health, including oral health related quality of life (OHRQoL), and the association of oral symptoms with OHRQoL in older people residing in nursing homes in Islington, London.

Method

Overall, 325 residents from nine nursing homes were clinically examined and 180 residents were interviewed to assess their oral symptoms and their OHRQoL using the OIDP measure. Managers and carers working in the homes were also interviewed.

Results

Almost two thirds of the sample were dentate (64.5 %). 61.3 % of dentate and 50.9 % of edentate residents reported problems such as dry mouth, sore cracked lips, broken teeth and toothache and ill-fitting dentures. Oral health impacted considerably upon resident’s OHRQoL; 20.2 % of dentate and 30.9 % of edentate reported at least one oral impact in the past 6 months. Sensitive teeth, toothache, bleeding gums, dry mouth and loose natural teeth among the dentate and loose or ill-fitting dentures among the edentate were strongly associated with higher prevalence of oral impacts even after adjusting for demographic and socio-economic factors, and for the number of teeth (dentate only).

Conclusion

The burden of oral conditions was considerable. Oral symptoms were very common and were strongly associated with residents’ worse OHRQoL. Health promotion programmes are important to help residents maintain an acceptable level of oral health and function.

【 授权许可】

   
2015 Porter et al.

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