研究背景 年長者常有口腔疾病、慢性疾病及生理功能的限制,因此嚴重影響老年人的生活品質(Quality of Life, QoL)。過去研究發現口腔疾病與口腔健康相關生活品質有關,然而對於全身健康生活品質的關聯性如何,則研究有限。 研究目的 本研究探討社區中65歲以上老年人,針對口腔健康相關生活品質量表(OHIP)、口腔健康日常生活影響指數(OIDP)、世界衛生組織生活品質量表簡明版(WHOQoL-BREF),探討口腔健康相關生活品質與整體性健康生活品質之間關係。 研究方法 研究樣本為台灣地區65歲以上之社區老人,分為七個城鄉區域抽樣。以口腔健康相關生活品質量表(OHIP)、口腔健康日常生活影響指數(OIDP)、世界衛生組織生活品質量表簡明版(WHOQoL-BREF)來測量生活品質。統計分析使用t-test、ANOVA和簡單線性迴歸來探討三種量表之間的關係。 研究結果 本研究共有500人完成口腔檢查及問卷訪談;WHOQoL-BREF量表在贋復需求、顳顎關節評估及左右側前牙對咬狀況,有顯著的差異。OHIP量表在剩餘齒數、顳顎關節評估及自然咬合對數在OHIP的得分均達顯著的差異。OIDP量表在剩餘齒數與自然對咬數皆達顯著差異。WHOQoL-BREF與OHIP之相關係數為-0.376、-0.317、-0.238、-0.293及OIDP的相關係數有-0.394、-0.329、-0.267、-0.311。複迴歸分析顯示影響WHOQoL-BREF之重要因素是性別、婚姻狀況、居住狀況、地區、經濟來源、經濟狀況、左右側前牙對咬狀況、OHIP、OIDP。 結論 本研究發現OHIP及OIDP量表可達到WHOQoL-BREF量表相似之效果,並且發現OHIP及OIDP量表分數均以不同層面都與整體健康生活品質關聯性,相對口腔健康生活品質較差,健康生活品質也會較差,口腔健康相關生活品質量表不僅反映出口腔狀況相關的生活品質問題,也同樣可反映到整體健康生活品質。 關鍵字:OHIP、OIDP、WHOQoL-BREF、生活品質、老年人
Background Older people often have oral diseases, chronic diseases and physiological functions of restrictions, thus severely affecting their quality of life (Quality of Life, QOL). Previous studies found that oral disease and oral health-related quality of life are related, but for general health-related quality of life, the research is limited. Purposes This study investigated a community population of over 65 years of age, for oral health-related quality of life scale (OHIP), daily oral health impact index (OIDP), the World Health Organization Quality of Life Scale Concise Edition (WHOQoL-BREF), oral health-related quality of life and overall health of the relationship between quality of life measures. Methods The study population in Taiwan of over 65-year-olds of community elderly in rural and urban areas were divided into seven regions, and the oral health-related quality of life scale (OHIP), the daily oral health impact index (OIDP), and the World Health Organization Quality of Life Scale Concise Edition (WHOQoL-BREF) were utilized to measure quality of life. Statistical analysis using t-test, ANOVA and linear regression to investigate the relationship between the three types of scales was performed. Results In this study, a total of 500 people completed the oral examination and questionnaire interview. There were significant differences in the WHOQoL-BREF questionnaire, and for prosthetic needs assessment and temporomandibular joint on the left and right side of the front teeth bite situation. OHIP scale in the remaining teeth, TMJ evaluation and occlusal condition all reached significant difference. OIDP scale in the remaining natural teeth and pairs of upper/lower contacted teeth were significantly different. WHOQoL-BREF with OHIP had correlation coefficients -0.376, -0.317, -0.238, -0.293 and -0.394, while OIDP correlation coefficient had -0.329, -0.267, -0.311. Multiple regression analysis showed that the WHOQoL-BREF important factors were sex, marital status, living status, region, economic resources, economic status, left side of the front teeth on the bite status, OHIP, and OIDP. Conclusion The study found that OHIP and OIDP scales achieved similar results to the WHOQoL-BREF scale, and found that OHIP and OIDP scale scores illustrated all different levels of quality of life and overall health relevance. The poor oral health-related quality of life scale reflected not only the oral condition-related quality of life issue, but reflected the overall health quality of life as well.
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