糖尿病患口腔健康相關生活品質之探討

A Project to Develop a Timesaving Technique for Preparing Outgoing Fresh Frozen Plasma

張彩秀(Tsai-Hsiu Chang) ； 許志源(Chih-Yuen Hsu) ； 蔡慈娟(Tzu-Chuan Tsai) ； 賴淑媚(Shu-Mei Lai) ； 吳美雯(Mei-Wen Wu)

《澄清醫護管理雜誌》 6卷2期 (2010/04) Pp. 27-35

https://doi.org/10.30156/CCMJ.201004.0005

摘要

目標：本研究目的爲：(1)了解第二型糖尿病病人之口腔健康狀況與口腔健康相關生活品質。(2)分析預測糖尿病患口腔健康相關生活品質之重要因素。
方法：研究採橫斷面設計，方便取樣，針對中部某醫學中心糖尿病衛教門診type2的病患200名，以結構式問卷進行「口腔健康狀況與口腔健康相關生活品質」之資料收集。
結果：結果顯示：(1)糖尿病患口腔健康狀況方面：16.6%在近一個月自答有牙齦出血的情形，平均口腔內缺牙顆數爲7.2顆，殘餘牙齒顆數爲24.8顆。整體糖尿病患之口腔健康相關生活品質平均爲17.74分（標準差5.85分）。(2)經逐步迴歸分析後顯示：『牙齦出血的狀況』與『工作狀況』是預測口腔健康相關生活品質的重要因子，整體模式調整後之可解釋變異量爲9.6%。
結論：糖尿病患部分口腔健康狀況較差，因此，未來爲改善其口腔健康狀況與口腔相關生活品質宜加強病人、專業人員與基層醫療照護之合作。

關鍵字

糖尿病 ； 口腔衛生 ； 口腔健康相關生活品質

並列摘要

Objectives: The aims of this study were to describe the oral health and Oral Health-Related Quality of Life of patients with type 2 diabetes and to analyze the predictors of Oral Health-Related Quality of Life for patients with diabetes.
Methods: The study included a convenience sample of 200 type 2 diabetic patients from a medical center in central Taiwan. A valid questionnaire (Content Validity Index, CVI=100%, Cronbach's α=.8455) was used to collect data about oral health and Oral Health-Related Quality of Life.
Results: Of these diabetic paients, 16.6% reported periodontal bleeding in the previous month. They had lost an average of 7.2 teeth, and had 24.8 residual teeth in their mouths. The mean OHIP-14 score was 17.74 (SD=5.85). A stepwise multivariate linear regression analysis showed that periodontal bleeding and work condition were significant predictors for Oral Health-Related Quality of Life. The model explained 9.6% of the total variance.
Conclusions: Individuals with type 2 diabetes in exhibited poor oral health. Close collaboration between the patient, primary health caregivers and oral health professionals could improve the diabetic patient's oral health and promote Oral Health-Related Quality of Life in the future.

並列關鍵字

diabetes mellitus ； oral health ； Oral Health-Related Quality of Life