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  • 學位論文

國中生口腔健康狀況與日常生活品質相關之調查

Investigating the association of oral health status and quality life in junior high school students

指導教授 : 何佩珊

摘要


研究背景: 口腔疾病不僅影響兒童青少年說話、進食、休息、睡眠與學習,對情緒、外觀、自尊也造成影響。口腔健康與生活品質探討是現今的一個趨勢,透過改善口腔疾病症狀,維護口腔健康以提升兒童青少年整體生活品質。 研究目的: 評估翻譯中文版的兒童感知問卷(Child Perceptions Questionnaire : CPQ11-14)在台灣的適用性,探討國中生口腔健康狀況對生活品質的影響。 研究方法: 本研究為橫斷式研究(cross-sectional study),採方便取樣(Convenience Sampling),以高雄市某國中7-9年級學生為樣本,在101年5-8月間進行口腔檢查及問卷調查。問卷填寫576人,有效問卷516人,回收率89.6%。研究工具包括,口腔檢查表及結構式問卷,問卷內容涵蓋:基本人口學、兒童生活品質問卷與口腔保健三個部份。資料處理分析以SPSS19.0版套裝軟體進行。統計方法:描述性統計、卡方檢定、T檢定、單因子變異數(ANOVA)分析、相關係數、線性迴歸分析。 結果: 翻譯中文版CPQ11-14問卷總量表Cronbach’s Alpha值為0.91,再測信度為0.87,具有良好的信度。 口腔狀況對CPQ11-14分數之影響,發現齲齒顆數(DT)較多,齲齒經驗指數(DMFT index)較高,CPQ11-14平均得分越高,在「總量表」與「口腔症狀」、「功能限制」分量表有顯著性差異(P<0.05)。複迴歸分析,在「總量表」,「DT>3」比「DT=0」者多4.92分(1.41,8.43)。「口腔症狀」分量表,「DT>3」比「DT=0」者多1.14分(0.46,1.82)。「功能限制」分量表,「DT>3」比「DT=0」者多0.84分(0.01,1.67)。「社會健康」分量表上,「DT>3」比「DT=0」者多1.31分(0.01,2.61)。而在「情感健康」分量表,發現到有「門齒擁擠現象者」的分數比無「門齒擁擠現象者」多了1.21分(0.03,2.39)。 結論: 翻譯中文版的CPQ11-14問卷具有良好的內部一致性、再測信度與鑑別有效性,能適用於國中生,以探究學生口腔健康相關生活品質。 口腔檢查齲齒狀況中,DT、DMFT對CPQ11-14問卷之影響較為明顯,齲齒顆數越多、DMFT指數較高,CPQ11-14平均得分越高,學生口腔健康相關生活品質越差。

並列摘要


Oral diseases not only affect teenagers’ speech, diet, rest, sleeping condition, and learning but also effects their emotion, appearance, and self-esteem. Recently, investigations of oral health-related quality of life have become a trend in order to improve the integrated quality of life through the reduction of oral diseases and the maintenance of oral health. Objective: This study aimed to assess Chinese translation adaptation of the Child Perceptions Questionnaire:CPQ11-14 in Taiwan and to probe the effects of teenagers’ oral health on their quality of life. Methods: This is a cross-sectional study, adopting Convenience Sampling Method. The oral examination and questionnaire survey were conducted at samples that were seventh, eighth, and ninth grade students from a junior high school in Kaohsiung City from May to August, 2012. A total of 576 samples, including 516 valid samples and 60 invalid ones, were collected. The instruments used to conduct the research included a list of oral checkups and a structured questionnaire. In addition, the questionnaire is composed of three parts:basic demographic data, questions of children’s life quality, and oral health care. The data collected was analyzed with SPSS 19.0 statistical software. The statistical methods used in this study are descriptive statistics, chi-square test, T-test, ANOVA, correlation coefficient, and regression analysis. Results: The Cronbach’s Alpha value of the Chinese translation version of CPQ11-14 is 0.91 and its test-retest reliability is 0.87. It means the questionnaire has high reliability. From the affect of oral status on CPQ11-14 scores found that students with more decayed teeth and higher DMFT index will have higher mean scores in CPQ11-14, and these will have significant differences for total scale, subscale oral symptoms and functional limitations(p<0.05).The results of linear multiple regression analysis of CPQ11-14 scores with oral status show that coefficience of「DT>3」 is 4.92(1.41 , 8.43) higher than that of 「DT=0」 for total scale, 「DT>3」 is 1.14(0.46 , 1.82) higher than 「DT=0」 for subscale oral symptoms, 「DT>3」 is 0.84(0.01 , 1.67) higher than 「DT=0」 for subscale functional limitations, 「DT>3」 is 1.31(0.01 , 2.61) higher than 「DT=0」 for subscale social well-being, it shows the scores for the students with front teeth crowding are 1.21(0.03 , 2.39) higher than non-front teeth crowding students. Conclusion: The Chinese translation version of CPQ11-14 possesses good internal consistency, test-retest reliability and discriminate validity. Consequently, it is suitable for junior high school students with regard to investigating child oral health-related quality of life. DT and DMFT have more obvious effects on CPQ11-14 questionnaire. Students with more decayed teeth(DT) and higher DMFT index will have higher mean scores in CPQ11-14 and worse oral health-related quality of life.

參考文獻


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