佩戴活動式假牙老人的假牙滿意度及其相關因素探討－以高雄市長青中心為例

Factors Associated with Denture Satisfaction among Denture Wear Elderly-An Example of Kaohsiung City Government Senior Citizen's Service Center

王姿穎(Tzu-Ying Wang) ； 許坤榮(Kun-Jung Hsu) ； 黃曉靈(Hsiao-Ling Huang) ； 藍守仁(Shou-Jen Lan) ； 李惠娥(Huey-Er Lee) ； 嚴雅音(Yea-Yin Yen)

《Taiwan Journal of Oral Medicine Sciences》 26卷2期 (2010/08) Pp. 90-105

https://doi.org/10.7059/TJOMS.201008.0090

摘要

背景：至2009年台灣65歲以上老年人口已達240萬人，估計約有2成多全口無牙者，有半數佩戴活動式假牙可見其人數眾多，因此使用活動假牙的滿意與否是老人口腔健康的重要的課題。
目的：了解佩戴活動式假牙老人的假牙滿意度及探討其相關因素。
方法：採用橫斷式研究設計(Cross-sectional Study)，以高雄市長青中心65歲以上老人為方便樣本，經結構式問卷訪談及口腔檢查收集資料，內容含社會人口學資料、活動假牙佩戴經驗、口腔症狀、口腔保健行為、假牙保健行為、假牙滿意度、假牙補綴與齒列狀況等。統計使用多元線性複迴歸(Multiple linear regression)來探討影響假牙滿意度及其相關因素。
結果：研究樣本共278位男性佔47.1%、女性佔52.9%，平均年齡76.8±6.2歲，整體假牙滿意度37.4%，其中佩戴全口活動假牙者49.3%最高，局部者35.7%，單顎全口者29.0%為最低。假牙滿意度的線性複迴歸分析後，發現男性、存留堪用齒數較少者、未曾佩戴過假牙經驗者、過去一年有牙科就診者、有疼痛及假牙鬆脫情形者其假牙滿意度顯著較低，其解釋力高達29%，其中影響力較大者依序為假牙鬆脫、口腔疼痛及功能自然齒數。

關鍵字

假牙滿意度 ； 老年人 ； 活動式假牙

並列摘要

Background:
In 2009 the number of population over 65 years old in Taiwan has reached 2,400,000. According to a recent study, about 20 percent of the elderly are edentulous, among which 50 percent are removable denture wearers. Therefore, there were so many denture wears elderly and their concerns about denture satisfaction will be one of the most important oral health topics.
Objectives:
The purpose of the study was to understand the denture satisfaction and explore its associated factors among denture wear elderly.
Methods:
This study design was a cross-sectional investigation. A convenient sample of denture wear subjects were conscious and moveable elderly, enrolled at Kaohsiung city government senior citizen's service center. Data were collected by a face-to-face interview questionnaire and oral examination. The content of the structured questionnaire included socio-demographic data, denture experiences, oral signs, oral care behaviors and denture care behaviors. It also included overall denture satisfaction and a self-development scale ”Denture Satisfaction Assessment” (DSA), containing chewing ability, speaking clearly, look, tasting ability, retention (upper-, lower-), comfort (upper-, lower). Oral examination was performed by a family dentist with 10 year clinical experience and recorded prosthetic status and dentition. The effect of independent factors on denture satisfaction was determined by multiple liner regression adjusted for all covariates.
Results:
The study had 278 denture-wearers involved, 47.1% of whom were male and 52.8% female The mean age was 76.8±6.2 years. The general denture satisfaction of subjects was 37.4% with a complete denture 49.3%, 35.7% of partial denture, and 29.0% of single denture individually After multiple liner regression analysis of denture satisfaction, we found that the elderly with male, fewer remaining functional natural tooth, never denture wear, never visited the dentist last year, oral pain and denture looseness were significantly led to lower denture satisfaction. The explanation of variance was 29% and the order of effect was denture looseness, oral pain and remaining functional natural tooth.
Conclusion:
Our results showed that the denture satisfaction of elderly was only around 30% and it was were still needed much improvement concerning the denture wearers. According to the significant factors associated with denture satisfaction, we found that the strategies of keeping more remaining functional natural tooth, avoiding oral pain and denture looseness, and instructing the first-denture wearer to adapt comfortlessness, would increase the denture satisfaction of the elderly. Therefore, it suggested that denture wearers should put much emphasis on their oral health care and undergo regular checkups to maintain their good oral health.

並列關鍵字

denture satisfaction ； elderly ； removable denture