PDF(Pubmed)
Abstract：
Older adults often experience poor oral functions, hindering rehabilitation post-acute disease treatment. However, characteristics of hospitalized patients who would benefit from professional oral-health management (POHM) have not been clarified. Therefore, we aimed to elucidate systemic and oral characteristics of patients requiring POHM during hospitalization in a convalescent hospital. This study included 312 participants admitted to the rehabilitation department of a convalescent hospital for a year. The patients were categorized according to POHM requirements (no-POHM group: 137 patients; POHM group: 175 patients) by discharge. Age, sex, primary disease at admission, Glasgow coma scale (GCS), Functional Independence Measurement (FIM), Mini nutritional assessment-short form (MNA-SF), Functional oral intake scale (FOIS), number of present and functional teeth, Oral Health Assessment Tool (OHAT) scores, and POHM details provided during patient hospitalization were compared. Binomial logistic-regression analysis identified patients requiring POHM as those who had suffered a stroke and had a low number of present teeth, poor overall oral health, low food form, and low motor skills at admission. A high percentage of POHM interventions comprised oral-hygiene care and denture treatment. In summary, patients whose oral health has deteriorated and those experiencing oral-intake difficulties upon admission to a convalescent hospital may require oral-health management.
摘要：
老年人的口腔功能通常较差，阻碍急性疾病治疗后的康复。然而,将受益于专业口腔健康管理(POHM)的住院患者的特征尚未明确.因此,我们旨在阐明在疗养医院住院期间需要POHM的患者的全身和口腔特征.这项研究包括312名在疗养医院康复科住院一年的参与者。根据POHM要求对患者进行分类（无POHM组：137例；POHM组：175例）。年龄,性别,入院时的原发疾病，格拉斯哥昏迷量表(GCS),功能独立性测量(FIM),迷你营养评估简表（MNA-SF），功能性口服摄入量表（FOIS），现有牙齿和功能性牙齿的数量，口腔健康评估工具（OHAT）评分，并比较了患者住院期间提供的POHM详细信息.二项逻辑回归分析将需要POHM的患者确定为患有中风且存在牙齿数量少的患者。整体口腔健康状况不佳，低食物形式，入学时运动技能低。POHM干预措施的比例很高，包括口腔卫生护理和义齿治疗。总之,口腔健康恶化的患者和入院后口腔摄入困难的患者可能需要口腔健康管理。
