Oral and General Health-Related Quality of Life (OHRQoL) among Patients Undergoing Periodontal Treatment and Regular Supportive Periodontal Treatment (SPT)

接受牙周病治療及支持性牙周治療的牙周病患者之口腔健康生活品質研究

胡愷芳(Ka-Fang Hu) ； 郭曉菁(Hsiao-Ching Kuo) ； 楊奕馨(Yi-Hsin Yang) ； 何坤炎(Kun-Yen Ho) ； 周郁翔(Yu-Hsiang Chou)

《臺灣牙周病醫學會雜誌》 21卷1期 (2016/03) Pp. 12-22

https://doi.org/10.6121/TAP.2016.21.1.04

摘要

牙周病常影響患者的生活品質。本研究評估三種組別的受試者：(1)經牙周病治 療且定期接受支持性牙周治療的患者(FU)；(2)未接受牙周治療的牙周病患者(NP)；及(3)牙周健康或輕微牙齦炎患者(HG)的口腔健康生活品質及全身健康生活品質之間的差異。方法及材料：本研究共有129位受試者，三組人數分別為FU：32，NP：62，及HG：35。每位受試者均接受牙周檢查及一份包含基本資料、口腔健康影響量表(OHIP)、日常生 活的口腔影響(OIDP)、及世界衛生組織的生活品質簡易量表(WHOQOL-BREF) 的問卷。三組之間的差別則以卡方檢定，變異數分析及多變項分析的統計方法檢測。結果：當受試者牙齒數目大於24時，NP 組的OHIP分數(30.38 ± 2.52)顯著高於FU組(20.13 ± 3.60; p = .0142)。同時在OIDP分數方面，NP組(7.57 ± 1.43)也顯著高於FU組(1.40 ± 2.04;p = .0306)。相反地，當受試者牙齒數目小於24時，NP組(39.96 ± 3.52)和FU組(32.69 ± 4.54) 的OHIP分數均明顯地高於HG組(4.21 ± 7.03; p = .0004)。結論：結果顯示經牙周病治療且定期接受支持性牙周治療的患者有超過24顆牙齒，口腔生活品質才會顯著比未接受牙周治療的牙周病患者得到改善。(臺灣牙周醫誌，21(1):12- 22, 2016)

關鍵字

牙周病 ； 支持性牙周治療 ； 口腔生活品質 ； 口腔健康影響量表 ； 日常生活的口腔影響

並列摘要

Periodontitis often affects the quality of life (QoL) of patients. This study investigated the oral health-related quality of life (OHRQoL) and health-related quality of life (HRQoL) of three categories of participants. These were, firstly, follow-up patients (FU), specifically periodontitis treated patients, who had undergone periodontal treatment and supportive periodontal treatment (SPT). Secondly, new patients, specifically patients being treated for periodontitis for the first time (NP). Thirdly, periodontally healthy patients or patients with only mild gingivitis (HG). Materials and Methods: In total 129 participants were recruited during this study; these consisted of 32 patients in the FU group, 62 patients in the NP group and 35 patients in the HG group. Each participant had accepted a periodontal examination and then completed a questionnaire that included demographic data and the various QoL instruments, these were the Oral Health Impact Profile (OHIP), the Oral Impacts on Daily Performance (OIDP), and World Health Organization Quality of Life-BREF (WHOQOL-BREF). Chi-square tests, ANOVA, and multivariable analysis were used to compare the difference among the three groups. Results: Among participants with ≥ 24 teeth, the OHIP scores of the NP group (30.38 ± 2.52) were significantly higher than those of the FU group (20.13 ± 3.60; p = .0142). When the OIDP results were considered, the score for the NP group (7.57 ± 1.43) was significantly higher than that for FU group (1.40 ± 2.04) (p = .0306). By way of contrast, among participants with ＜ 24 teeth, the OHIP scores of both the NP group (39.96 ± 3.52) and the FU group (32.69 ± 4.54) were significantly higher than those in HG group (4.21 ± 7.03; p = .0004). Conclusions: The outcome revealed that the OHRQoL of FU patients who possessed more than 24 teeth is superior to that of the NP group. Clinical Relevance: Periodontitis patients should receive treatment in order to preserve sufficient healthy teeth and SPT is likely to enhance their OHRQoL. (J Taiwan Periodontol, 21(1):12-22, 2016)

並列關鍵字

Periodontitis ； supportive periodontal treatment ； oral health-related quality of life (OHRQoL) ； Oral Health Impact Profile (OHIP) ； Oral Impacts on Daily Performance (OIDP)