牙科治療前後對患者口腔健康相關生活品質之影響

The Effect of Dental Treatment on Patients' Oral Health-Related Quality of Life

駱蔓萱(Man-Hsuan Lo) ； 郭曉菁(Hsiao-Ching Kuo) ； 楊奕馨(Yi-Hsin Yang)

《Taiwan Journal of Oral Medicine Sciences》 27卷2期 (2011/08) Pp. 108-124

https://doi.org/10.7059/TJOMS.201108.0045

摘要

背景：口腔疾病大部分雖然不直接危及生命，但因為會影響個人的口腔功能，進而影響生活品質。牙科治療除了解決病人口腔病痛之外，醫療團隊也需要注意到患者之口腔健康相關生活品質的改善，以因應牙科患者對於治療品質之需求。方法：以高雄市某牙科診所患者的15－51歲，探討治療前後對口腔健康相關生活品質（OHIP-49、OIDP、WHOQoL-BREF）之相關性。資料收集方式為牙醫師口腔臨床於斷及問卷調查。結果：共有145人完成前測問卷，臨床處置6個月後回診為76位完成後測問卷。治療後顯示，OHIP-49在各項臨床處置後皆有顯著改善（除了植牙外），男性及女性的改變量在OHIP-49、OIDP皆有顯著差異（p =0.0139, 0.0010）。調整性別、年齡層及經濟狀況後，臨床處置6個月後，就診原因以拔牙改善最多（OHIP-49＝56.78分），而以植牙改善最少（OHIP-49＝0.71分）；反之，根管治療後對OIDP影響最大（-0.38分）；臨床處置以牙齦炎或牙周炎緊急處理治療後之OHTP-49改善最好（39.31分），而以植牙對OIDP影最大（1.12分)。結論：本研究中，牙齦炎或牙周炎緊急處理、洗牙、齲齒填補等治療可減少口腔健康相關生活品質中的社交限制（social disability），植牙治療有改善口腔健康相關生活品質（OHlP-49）及口腔日常生活影響指標（OIDP）。

關鍵字

自覺狀況 ； 臨床處置 ； 口腔健康相關生活品質（OHIP-49） ； 口腔日常生活影響指標（OIDP）

並列摘要

Background: The oral health-related quality of life has been emphasized recently. Many studies reported that dental treatments are related to health-related quality of life which includes psychological, physical and social aspects. Before patients received their dental treatments, dentists should understand the reasons why they visit dentists and help patients to recover their oral health; hence, the oral health-related quality of life can be improved. Methods: This prospective study collected patients with 15-51 year-old at a dental clinic in Kaohsiung city. Information of dental treatment, patients' oral health-related quality of life (OHRQoL: OHIP-49, OIDP and WHOQoL-BREF) was collected by clinical oral examination and questionnaires before and after dental treatment. Results: There were 145 patients initially recruited in the study. After receiving dental treatments for 6 months, there were only 76 subjects who completed both questionnaire and clinical diagnosis examinations. The changes between the pre- and post-dental treatment scores were statistically significantly different in both gender on OHlP-49 and OIDP (p=0.0193, 0.0010) After 6 months, problematic tooth extraction improved (OHlP-49=56.78) most of the OHRQoL after adjusting gender, age, economic status in models, and implant treatments are less improved (OHTP-49=0.71). In addition, endodontic treatment improved in OIDP (OIDP=-0.38), treatment of gingivitis or periodontitis emergency improved the most in OHTP-49 (39.31), and implant have its largest impact in OIDP (OIDP= 1.12). Conclusion: In this research, gingivitis, emergency periodontitis treatment, scaling, and operative dentistry therapy were associated with decreasing in the social disability dimension. Relatively, extraction decreases the inf1uence of handicap and implant treatment improved oral health-related quality of life in OHIP-49 and OIDP.

並列關鍵字

Self-report ； Clinical treatments ； OHIP-49, OIDP