偏瘫患者口腔健康知识、态度及口腔卫生行为的调查

doi:10.3969/j.issn.1006-9771.2023.03.018

Abstract

Abstract:

Objective To investigate and analyze the knowledge, attitude and behavior of oral health for hemiplegic patients.

Methods From August 15 to September 15, 2019, patients with hemiplegia caused by central nervous system damages such as stroke and traumatic brain injury in Beijing Bo'ai Hospital were investigated their demographic information, oral health behavior, oral health knowledge, oral health attitude and utilization of oral health services through paper questionnaires.

Results A total of 200 questionnaires were sent out and 184 valid questionnaires were collected. There were 103 patients with good brushing habits, and the highest proportion was in independent walkers (χ² = 6.564，P = 0.038). The average score of oral health knowledge was 5.3, and the average accuracy of oral health knowledge was 75.7%. The average score of oral health attitude was 3.3, and the average positive attitude was 81.8%. Both the knowledge and attuite scores were not significant in different characteristics (Z < 5.299, P > 0.05). There were 59 patients visiting institute of stomatology in past twelve months, and there was no significant difference among genders and travel modes (χ² < 4.707, P > 0.05).

Conclusion The brushing habits is well in independent walkers. The oral health knowledge and attitude of hemiplegia patients need to be improved, and the utilization of oral health services is low.

Key words: hemiplegia, oral health, questionnaire

CLC Number:

R742

LIU Sisi, WANG Yizheng, LIU Ya'nan, HUI Hui, WU Xiaoli, WANG Haifeng. Investigation on oral health knowledge, attitude and behavior of hemiplegic patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(3): 368-372.

Figures/Tables 5

References 22

[1]	KRAUSE L, SEELING S, PRÜTZ F, et al. Toothache, tooth brushing frequency and dental check-ups in children and adolescents with and without disabilities[J]. J Health Monit, 2022, 7(1): 48-60.
[2]	ISOLA G, PERILLO L, MIGLIORATI M, et al. The impact of temporomandibular joint arthritis on functional disability and global health in patients with juvenile idiopathic arthritis[J]. Eur J Orthod, 2019, 41(2): 117-124. doi: 10.1093/ejo/cjy034
[3]	MANDELL L A, NIEDERMAN M S. Aspiration pneumonia[J]. N Engl J Med, 2019, 380(7): 651-663. doi: 10.1056/NEJMra1714562
[4]	KLOMPAS M, SPECK K, HOWELL M D, et al. Reappraisal of routine oral care with chlorhexidine gluconate for patients receiving mechanical ventilation: systematic review and meta-analysis[J]. JAMA Intern Med, 2014, 174(5): 751-761. doi: 10.1001/jamainternmed.2014.359 pmid: 24663255
[5]	CICHERO J A Y. Age-related changes to eating and swallowing impact frailty: aspiration, choking risk, modified food texture and autonomy of choice[J]. Geriatrics, 2018, 3: 69. doi: 10.3390/geriatrics3040069
[6]	MOHAMED S, VETTORE M V. Oral clinical status and oral health-related quality of life: Is socioeconomic position a mediator or a moderator?[J]. Int Dent J, 2019, 69(2): 119-129. doi: 10.1111/idj.12420 pmid: 30152041
[7]	BROWN L F, FORD P J, SYMONS A L. Periodontal disease and the special needs patient[J]. Periodontology 2000, 2017, 74(1):182-193. doi: 10.1111/prd.12198 pmid: 28429476
[8]	RAWLINSON A, VETTORE M V, BAKER S R, et al. Periodontal treatment, psychological factors and oral health-related quality of life[J]. J Clin Periodontol, 2021, 48(2): 226-236. doi: 10.1111/jcpe.13405 pmid: 33263182
[9]	王兴. 第四次全国口腔健康流行病学调查报告[M]. 北京: 人民卫生出版社, 2018: 188-191.
	WANG X. The fourth national oral health epidemiology survey report[M]. Beijing: People′s Medical Publishing House, 2018: 188-191.
[10]	HISANAGA R, SHINYA A, SATO T, et al. Plaque-removing effects of interdental instruments in molar region[J]. Bull Tokyo Dent Coll, 2020, 61(1): 21-26. doi: 10.2209/tdcpublication.2019-0005 pmid: 32074586
[11]	POW E H, LEUNG K C, WONG M C, et al. A longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the community[J]. Int Dent J, 2005, 55(5): 319-324. pmid: 16245468
[12]	SHIM H, KOO J, AHN J. Association between rheumatoid arthritis and poor self-perceived oral health in Korean adults[J]. Healthcare (Basel), 2022, 10(3): 427.
[13]	BATISTA L M, PORTELA DE OLIVEIRA M T, MAGALHAES W B, et al. Oral hygiene in patients with Parkinson's disease[J]. R I Med J (2013), 2015, 98(11): 35-37.
[14]	HATIPOGLU H, CANBAZ KABAY S, GUNGOR HATIPOGLU M, et al. Expanded disability status scale-based disability and dental-periodontal conditions in patients with multiple sclerosis[J]. Med Princ Pract, 2016, 25(1): 49-55. doi: 10.1159/000440980 pmid: 26473494
[15]	CCAHUANA-VASQUEZ R A, ADAM R, CONDE E, et al. A 5-week randomized clinical evaluation of a novel electric toothbrush head with regular and tapered bristles versus a manual toothbrush for reduction of gingivitis and plaque[J]. Int J Dent Hyg, 2019, 17(2): 153-160. doi: 10.1111/idh.2019.17.issue-2
[16]	JAMES P, WORTHINGTON H V, PARNELL C, et al. Chlorhexidine mouth rinse as an adjunctive treatment for gingival health[J]. Cochrane Database Syst Rev, 2017, 3(3): CD008676.
[17]	VAN SWAAIJ B W M, VAN DER WEIJDEN G A F, BAKKER E W P, et al. Does chlorhexidine mouthwash, with an anti-discoloration system, reduce tooth surface discoloration without losing its efficacy? A systematic review and meta-analysis[J]. Int J Dent Hyg, 2020, 18(1): 27-43. doi: 10.1111/idh.12402 pmid: 31054209
[18]	POLLICK H. The role of fluoride in the prevention of tooth decay[J]. Pediatr Clin North Am, 2018, 65(5): 923-940. doi: 10.1016/j.pcl.2018.05.014
[19]	WALSH T, WORTHINGTON H V, GLENNY A M, et al. Fluoride toothpastes of different concentrations for preventing dental caries[J]. Cochrane Database Syst Rev, 2019, 3(3): CD007868.
[20]	LEROY R, DECLERCK D. Oral health-care utilization in adults with disabilities in Belgium[J]. Eur J Oral Sci, 2013, 121: 36-42. doi: 10.1111/eos.12015 pmid: 23331422
[21]	D'ADDAZIO G, SANTILLI M, SINJARI B, et al. Access to dental care: a survey from dentists, people with disabilities and caregivers[J]. Int J Environ Res Public Health, 2021, 18(4): 1556. doi: 10.3390/ijerph18041556
[22]	PHLYPO I, JANSSENS L, PALMERS E, et al. Review of the dental treatment backlog of people with disabilities in Europe[J]. J Forensic Odontostomatol, 2019, 3(37): 42-49. pmid: 31894137

项目	n	刷牙习惯好	刷牙习惯差	χ²值	P值
项目	n	(n = 103)	(n = 81）	χ²值	P值
性别				0.066	0.459
男	120	68	52
女	64	35	29
出行方式				6.564	0.038
轮椅	94	51	43
伴行	50	23	27
独立步行	40	29	11

知识要点	正确认知	正确率/n(%)
刷牙时牙龈出血是正常的	否	150(81.52)
细菌可以引起牙龈发炎	是	140(76.11)
刷牙对预防牙龈发炎没有用	否	140(76.11)
细菌可以引起龋齿	是	124(67.39)
吃糖可以导致龋齿	是	135(73.37)
氟化物对保护牙齿没有用	否	150(81.52)
口腔疾病可能影响全身	是	136(73.91)

保健观点	正性态度	正确率/n(%)
口腔健康对自己的生活很重要	同意	164(89.13)
定期口腔检查十分必要	同意	137(74.46)
牙齿的好坏是天生的，与自己的保护关系不大	不同意	149(80.98)
预防牙病首先靠自己	同意	152(82.61)

项目		n	口腔健康知识	口腔保健态度	Z/H值^a	P值^a	Z/H值^b	P值^b
出行方式	轮椅	94	6(4, 7)	4(3, 4)	0.416	0.812	0.926	0.630
	伴行	50	6(4, 7)	3.5(3, 4)
	独立步行	40	5(4.5, 7)	4(3, 4)
学历	小学及以下	14	5(4, 7)	3(3, 4)	1.401	0.705	5.299	0.150
	初中和高中	84	6(4, 7)	4(3, 4)
	大学及以上	86	5(3.5, 7)	3.5(2.5, 4)
刷牙习惯	好	103	6(4, 7)	4(3, 4)	-0.227	0.820	-0.250	0.802
刷牙习惯	差	81	5(4, 7)	4(3, 4)
刷牙方式	自己刷	130	6(4， 7）	4(3, 4)	0.436	0.804	2.276	0.320
	别人帮助	36	5(4, 7)	3.5(2, 4)
	护士口腔护理	18	5.5(3.5, 7)	3.5(1.5, 4)
一年内就诊	是	59	6(4, 7)	4(3, 4)	-0.590	0.555	-0.284	0.777
一年内就诊	否	125	5(4, 7)	4(3, 4)
一年内洗牙	是	30	6(4, 7)	4(3, 4)	-0.546	0.585	-0.142	0.887
一年内洗牙	否	154	6(4, 7)	4(3, 4)
口腔状态评价	好	29	6(5, 7)	4(3, 4)	5.770	0.056	0.516	0.773
	一般	40	5(4, 6)	4(3, 4)
	差	115	6(4, 7)	4(3, 4)

项目		n	有就医经历(n = 59)	无就医经历(n = 125)	χ²值	P值
性别	男	123	38	82	0.025	0.500
	女	61	21	43
出行方式	轮椅	94	37	57	4.707	0.095
	伴行	50	12	38
	独立步行	40	10	30

Investigation on oral health knowledge, attitude and behavior of hemiplegic patients

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