南部某公立精神專科教學醫院住院精神病患口腔健康狀況

Oral Health Status in Hospitalized Psychiatric Patients

曾意純(Yi-Chun Tseng) ； 潘奇(Chi Pan) ； 楊奕馨(Yi-Hsin Yang) ； 謝天渝(Tien-Yu Shiehl) ； 歐陽文貞(Wen-Chen Ou-Yang)

《Taiwan Journal of Oral Medicine & Health Sciences》 19卷1期 (2003/04) Pp. 1-12

https://doi.org/10.7059/TJOMHS.200304.0001

摘要

住院精神病患通常在一般生活自理能力上無法如一般常人能完善地照顧自己，往往需要仰賴他人，如專業醫護人員或家人的照料，此類患者或因精神疾病的關係，或因部份功能退化的關係，或因認知上的差異，種種原因常使得療養院患者無法確實做到口腔清潔的工作。雖然療養院患者之口腔健康可被預期地嚴重，然而國內卻缺乏相關之研究，因此對療養院住院患者之口腔健康狀況的了解有其迫切性。本研究之目的是希望了解療養院住院精神病患的口腔健康狀況，以期了解現況並建立資料，作為提供未來研擬改善對策的參考。其中主要之研究項目為：調查患者的口腔健康現況；探討影響口腔健康狀況之因素；如人口學變項、精神疾病及相關症狀、精神藥物及相關副作用等。方法：採流行病學橫段式調查研究法(cross-sectional study) ，針對行政院衛生署嘉南療養院約300位住院患者實施問卷及口腔狀況檢查。研究中共收集了303位病患，其中平均齲齒指數(DMFT)為 9.53顆，而填補率僅32% ，牙周疾病的盛行率男性為99.5%及女性為96.9%。

關鍵字

口腔健康狀況 ； 住院病患 ； 精神疾病

並列摘要

The psychiatric patients are generally considered that those who can not entirely take care of their own daily living activities, and most of time can not be responsible for their own behaviors. In many cases, the psychiatric patients have to rely on medical professionals or their families family. In addition, the side effects of medication include the reduced amount of saliva, and the poor oral hygiene habits etc. The oral health status of psychiatric patients were reported relatively fewer in many countries, so were rare studies in Taiwan at current stage. The purposes of this study were to survey the oral health status of psychiatric patients and their dental needs, and the risk factors of their poor oral health. The study design was a cross-sectional study, and data were colleted by questionnaire and oral examination and analyzed.
There were 303 subjects recruited in this study. The average DMFT index was 9.53, and only 32% of filling rate. The prevalence of periodontal disease was 99.5% for men and 96.9% for women.

並列關鍵字

oral health status ； hospitalized patient ； psychiatric disorder