Abstract：
This study explores the relationship between nutritional status and oral health quality of life, the self-efficacy of older inpatients and the correlative factors.
In this study, the convenience sampling method was used to select 307 older inpatients in the southern section of the Renji Hospital affiliated to Shanghai Jiao Tong University School of Medicine from October to December 2020 as the main research participants. A mini nutritional assessment questionnaire was used to assess nutritional status, and the Chinese version of a geriatric oral health assessment index questionnaire was used to determine the oral health quality of life. Self-efficacy was assessed by a general self-efficacy scale questionnaire. Descriptive statistics were used to analyse data using the SPSS 22.0 software. Pearson correlation and multiple linear regression analysis were applied to explore the correlation between variables and factors concerned with nutritional status, respectively.
The results of this study showed that the self-efficacy and oral health quality of life of older inpatients were at a moderate level. Among the patients, 263 had one or more tooth defects, and only 128 had oral restorations or wore dentures. The risk of malnutrition in hospitalised older patients was 37.1%, and the incidence of malnutrition was 13.4%. The risk factors of nutritional status of older patients were age, oral-related quality of life, prealbumin index, self-efficacy, chronic disease, monthly income and tooth defect (P < 0.05).
The incidence of malnutrition and malnutrition risk in hospitalised older patients is relatively high. The main associated factors include age, tooth defect, oral health quality of life, self-efficacy, chronic disease status and monthly income. Therefore, older inpatients, especially those with prosthodontic problems, should carry out nutritional assessments, intervention and graded management as soon as possible to improve their self-efficacy, improve their nutrition and health status and reduce the incidence of a poor prognosis.
In this study, the convenience sampling method was used to select 307 older inpatients in the southern section of the Renji Hospital affiliated to Shanghai Jiao Tong University School of Medicine from October to December 2020 as the main research participants. A mini nutritional assessment questionnaire was used to assess nutritional status, and the Chinese version of a geriatric oral health assessment index questionnaire was used to determine the oral health quality of life. Self-efficacy was assessed by a general self-efficacy scale questionnaire. Descriptive statistics were used to analyse data using the SPSS 22.0 software. Pearson correlation and multiple linear regression analysis were applied to explore the correlation between variables and factors concerned with nutritional status, respectively.
The results of this study showed that the self-efficacy and oral health quality of life of older inpatients were at a moderate level. Among the patients, 263 had one or more tooth defects, and only 128 had oral restorations or wore dentures. The risk of malnutrition in hospitalised older patients was 37.1%, and the incidence of malnutrition was 13.4%. The risk factors of nutritional status of older patients were age, oral-related quality of life, prealbumin index, self-efficacy, chronic disease, monthly income and tooth defect (P < 0.05).
The incidence of malnutrition and malnutrition risk in hospitalised older patients is relatively high. The main associated factors include age, tooth defect, oral health quality of life, self-efficacy, chronic disease status and monthly income. Therefore, older inpatients, especially those with prosthodontic problems, should carry out nutritional assessments, intervention and graded management as soon as possible to improve their self-efficacy, improve their nutrition and health status and reduce the incidence of a poor prognosis.
摘要：
本研究探讨营养状况与口腔健康生活质量的关系,老年住院患者的自我效能感及其相关因素。
在这项研究中,采用便利抽样法,选取2020年10-12月上海交通大学医学院附属仁济医院南区307例老年住院患者作为主要研究对象.使用迷你营养评估问卷来评估营养状况，并采用中文版老年口腔健康评价指标问卷确定口腔健康生活质量。通过一般自我效能感量表评估自我效能感。采用SPSS22.0软件对数据进行描述性统计分析。采用Pearson相关和多元线性回归分析探讨与营养状况有关的变量和因素之间的相关性,分别。
这项研究的结果表明，老年住院患者的自我效能和口腔健康生活质量处于中等水平。在患者中,263有一个或多个牙齿缺陷，只有128人有口腔修复体或戴假牙。住院老年患者营养不良的风险为37.1%，营养不良发生率为13.4%。老年患者营养状况的危险因素有年龄,口腔相关生活质量，前白蛋白指数,自我效能感,慢性疾病,月收入与牙体缺损(P<0.05)。
住院老年患者的营养不良发生率和营养不良风险相对较高。主要相关因素包括年龄、牙齿缺损,口腔健康生活质量，自我效能感,慢性病状况和月收入。因此,老年住院病人,尤其是那些有修复问题的人，应该进行营养评估，尽快进行干预和分级管理,提高其自我效能感,改善他们的营养和健康状况，减少不良预后的发生率。
在这项研究中,采用便利抽样法,选取2020年10-12月上海交通大学医学院附属仁济医院南区307例老年住院患者作为主要研究对象.使用迷你营养评估问卷来评估营养状况，并采用中文版老年口腔健康评价指标问卷确定口腔健康生活质量。通过一般自我效能感量表评估自我效能感。采用SPSS22.0软件对数据进行描述性统计分析。采用Pearson相关和多元线性回归分析探讨与营养状况有关的变量和因素之间的相关性,分别。
这项研究的结果表明，老年住院患者的自我效能和口腔健康生活质量处于中等水平。在患者中,263有一个或多个牙齿缺陷，只有128人有口腔修复体或戴假牙。住院老年患者营养不良的风险为37.1%，营养不良发生率为13.4%。老年患者营养状况的危险因素有年龄,口腔相关生活质量，前白蛋白指数,自我效能感,慢性疾病,月收入与牙体缺损(P<0.05)。
住院老年患者的营养不良发生率和营养不良风险相对较高。主要相关因素包括年龄、牙齿缺损,口腔健康生活质量，自我效能感,慢性病状况和月收入。因此,老年住院病人,尤其是那些有修复问题的人，应该进行营养评估，尽快进行干预和分级管理,提高其自我效能感,改善他们的营养和健康状况，减少不良预后的发生率。
