Abstract：
WHAT IS KNOWN ON THE SUBJECT?: Oral health consists of more than having good teeth; it is an important factor in general health and well-being. Despite its importance, oral health care is still largely overlooked in mental health nursing. There is no research available about oral health risk factors and OHRQoL in patients diagnosed with a psychotic disorder with a psychotic disorder (first-episode). WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This study provides insight into the severity of the problem. It demonstrates the differences in risk factors and OHRQoL between patients diagnosed with a psychotic disorder (first-episode) and the general population. A negative impact on OHRQoL is more prevalent in patients diagnosed with a psychotic disorder (first-episode) (14.8%) compared to the general population (1.8%). Patients diagnosed with a psychotic disorder (first-episode) have a considerable increase in odds for low OHRQoL compared to the general population, as demonstrated by the odds ratio of 9.45, which supports the importance of preventive oral health interventions in this group. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The findings highlight the need for oral health interventions in patients diagnosed with a psychotic disorder (first-episode). Mental health nurses, as one of the main health professionals supporting the health of patients diagnosed with a mental health disorder, can support oral health (e.g. assess oral health in somatic screening, motivate patients, provide oral health education to increase awareness of risk factors, integration of oral healthcare services) all in order to improve the OHRQoL. ABSTRACT: Introduction No research is available about the oral health risk factors and oral health-related quality of life (OHRQoL) in patients diagnosed with a psychotic disorder. Aim To compare oral health risk factors and OHRQoL in patients diagnosed with a psychotic disorder (first-episode) to people with no history of psychotic disorder. Method A case-control comparison (1:2) multivariable linear regression analysis and an estimation of prevalence of impact on OHRQoL. Results Patients diagnosed with a psychotic disorder (first-episode) have lower OHRQoL with more associated risk factors. Of the patients diagnosed with a psychotic disorder (first-episode), 14.8% reported a negative impact on OHRQoL, higher than the prevalence of 1.8% found in people from the general population. Discussion The high prevalence rate of a negative impact on OHRQoL in patients diagnosed with a psychotic disorder (first-episode) shows the importance of acting at an early stage to prevent a worse outcome. Implications for practice The findings highlight the need for oral health interventions in patients diagnosed with a psychotic disorder (first-episode). Mental health nurses, as one of the main health professionals supporting the health of patients diagnosed with a mental health disorder, can support oral health (e.g. assess oral health in somatic screening) in order to improve the OHRQoL.
摘要：
什么是已知的主题：口腔健康包括更多的拥有良好的牙齿;它是在一般的健康和福祉的一个重要因素。尽管它很重要,在心理健康护理中，口腔保健在很大程度上仍然被忽视。没有关于被诊断患有精神病的精神病患者（首发）的口腔健康危险因素和OHRQoL的研究。这篇文章对现有知识有什么补充？：这项研究提供了对问题严重性的洞察。它显示了被诊断患有精神病（首次发作）的患者与普通人群之间的危险因素和OHRQoL的差异。与普通人群（1.8％）相比，被诊断患有精神病（首次发作）的患者对OHRQoL的负面影响更为普遍（14.8％）。与普通人群相比，被诊断患有精神病（首次发作）的患者低OHRQoL的几率大大增加。比值比为9.45,这证明了预防性口腔健康干预在该组中的重要性.实践的意义是什么？：研究结果强调了对被诊断为精神病（首发）的患者进行口腔健康干预的必要性。心理健康护士,作为支持被诊断患有精神健康障碍的患者的健康的主要卫生专业人员之一，可以支持口腔健康(例如，在躯体筛查中评估口腔健康，激励患者，提供口腔健康教育，以提高对危险因素的认识，口腔保健服务的整合)都是为了改善OHRQoL。摘要：目前还没有关于精神病患者口腔健康危险因素和口腔健康相关生活质量（OHRQoL）的研究。目的比较诊断为精神病（首发）的患者与无精神病史的患者的口腔健康危险因素和OHRQoL。方法病例对照比较（1：2）多元线性回归分析和OHRQoL影响患病率的估计。结果诊断为精神病（首发）的患者OHRQoL较低，相关危险因素较多。在被诊断患有精神病（首发）的患者中，14.8%报告对OHRQoL有负面影响，高于一般人群中1.8%的患病率。讨论对OHRQoL的负面影响的高患病率在诊断患有精神病（首发）的患者中显示出在早期阶段采取行动以防止更坏的结果的重要性。对实践的影响研究结果强调了对被诊断患有精神病（首发）的患者进行口腔健康干预的必要性。心理健康护士,作为支持被诊断患有精神健康障碍的患者的健康的主要卫生专业人员之一，可以支持口腔健康（例如在躯体筛查中评估口腔健康），以改善OHRQoL。
