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Abstract：
OBJECTIVE: This study aimed to investigate the current situation of oral frailty (OF) in the elderly in the community in China and analyse its influencing factors.
METHODS: Using convenience sampling, 380 elderly people from three communities in our city were selected as participants in the study. The Oral Frailty Index-8, the Frailty Scale, the Oral Health Assessment Tool, the Mini-nutritional Assessment Scale and the Pittsburgh Sleep Quality Index were used to investigate and analyse OF influencing factors.
RESULTS: In this study, the 380 elderly participants were categorized into three groups: frailty, pre-frailty, and non-physical frailty, based on their responses to the questionnaires.The influencing factor analysis showed that age, gender, education level, frailty score, frailty stage, number of dentures, dry mouth, subjective chewing difficulty, oral health score and sleep quality were the influencing factors of OF in the elderly in the community (R2 = 0.712, F = 434.73, P < 0.05). The evaluation of the prediction results showed that the frailty score (area under the curve [AUC]: 0.751, 95% confidence interval [CI]: 0.683-0.862), subjective chewing difficulty (AUC: 0.765, 95% CI: 0.655-0.831) and sleep quality (AUC: 0.736, 95% CI: 0.652-0.781) had a higher predictive value for OF.
CONCLUSIONS: The main OF influencing factors in the elderly in the community are age, gender, education level, physical frailty (PF) score, PF stage, number of dentures, dry mouth, subjective chewing difficulties, oral health score and sleep quality. Nursing staff should pay attention to the OF of the elderly in the community and take targeted intervention measures in time to reduce and control OF occurrence and progression.
METHODS: Using convenience sampling, 380 elderly people from three communities in our city were selected as participants in the study. The Oral Frailty Index-8, the Frailty Scale, the Oral Health Assessment Tool, the Mini-nutritional Assessment Scale and the Pittsburgh Sleep Quality Index were used to investigate and analyse OF influencing factors.
RESULTS: In this study, the 380 elderly participants were categorized into three groups: frailty, pre-frailty, and non-physical frailty, based on their responses to the questionnaires.The influencing factor analysis showed that age, gender, education level, frailty score, frailty stage, number of dentures, dry mouth, subjective chewing difficulty, oral health score and sleep quality were the influencing factors of OF in the elderly in the community (R2 = 0.712, F = 434.73, P < 0.05). The evaluation of the prediction results showed that the frailty score (area under the curve [AUC]: 0.751, 95% confidence interval [CI]: 0.683-0.862), subjective chewing difficulty (AUC: 0.765, 95% CI: 0.655-0.831) and sleep quality (AUC: 0.736, 95% CI: 0.652-0.781) had a higher predictive value for OF.
CONCLUSIONS: The main OF influencing factors in the elderly in the community are age, gender, education level, physical frailty (PF) score, PF stage, number of dentures, dry mouth, subjective chewing difficulties, oral health score and sleep quality. Nursing staff should pay attention to the OF of the elderly in the community and take targeted intervention measures in time to reduce and control OF occurrence and progression.
摘要：
目的：本研究旨在调查我国社区老年人口蹄疫的现状并分析其影响因素。
方法：使用方便的抽样，选取我市3个社区的380名老年人作为研究对象。口头虚弱指数-8，虚弱量表，口腔健康评估工具，采用微型营养评估量表和匹兹堡睡眠质量指数对影响因素进行调查分析。
结果：在这项研究中，380名老年参与者被分为三组：虚弱，脆弱前，和非身体脆弱，根据他们对问卷的回答。影响因素分析表明,年龄,性别,教育水平,脆弱的分数，脆弱的阶段，假牙的数量,口干,主观咀嚼困难，口腔健康评分和睡眠质量是社区老年人OF的影响因素(R2=0.712,F=434.73,P<0.05)。对预测结果的评价显示,虚弱评分(曲线下面积[AUC]:0.751,95%置信区间[CI]:0.683-0.862),主观咀嚼困难(AUC:0.765,95%CI:0.655-0.831)和睡眠质量(AUC:0.736,95%CI:0.652-0.781)对OF有较高的预测价值.
结论：社区老年人群的主要影响因素是年龄,性别,教育水平,身体虚弱（PF）得分，PF阶段,假牙的数量,口干,主观咀嚼困难，口腔健康评分和睡眠质量。护理人员应关注社区老年人的OF,及时采取有针对性的干预措施,减少和控制其发生和进展。
方法：使用方便的抽样，选取我市3个社区的380名老年人作为研究对象。口头虚弱指数-8，虚弱量表，口腔健康评估工具，采用微型营养评估量表和匹兹堡睡眠质量指数对影响因素进行调查分析。
结果：在这项研究中，380名老年参与者被分为三组：虚弱，脆弱前，和非身体脆弱，根据他们对问卷的回答。影响因素分析表明,年龄,性别,教育水平,脆弱的分数，脆弱的阶段，假牙的数量,口干,主观咀嚼困难，口腔健康评分和睡眠质量是社区老年人OF的影响因素(R2=0.712,F=434.73,P<0.05)。对预测结果的评价显示,虚弱评分(曲线下面积[AUC]:0.751,95%置信区间[CI]:0.683-0.862),主观咀嚼困难(AUC:0.765,95%CI:0.655-0.831)和睡眠质量(AUC:0.736,95%CI:0.652-0.781)对OF有较高的预测价值.
结论：社区老年人群的主要影响因素是年龄,性别,教育水平,身体虚弱（PF）得分，PF阶段,假牙的数量,口干,主观咀嚼困难，口腔健康评分和睡眠质量。护理人员应关注社区老年人的OF,及时采取有针对性的干预措施,减少和控制其发生和进展。
