华西口腔医学杂志2025,Vol.43Issue(1) :84-91.DOI:10.7518/hxkq.2025.2024256

精神障碍患者口腔健康相关生活质量及影响因素分析

Oral health-related quality of life status and risk factors in patients with mental disorders

杨雪梅 王红玉 唐永华 尹成君 余静雅 毕小琴
华西口腔医学杂志2025,Vol.43Issue(1) :84-91.DOI:10.7518/hxkq.2025.2024256

精神障碍患者口腔健康相关生活质量及影响因素分析

Oral health-related quality of life status and risk factors in patients with mental disorders

杨雪梅 1王红玉 2唐永华 2尹成君 2余静雅 1毕小琴3
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作者信息

  • 1. 四川大学华西护理学院,成都 610041;口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心 四川大学华西口腔医院正颌及关节外科,成都 610041
  • 2. 成都市新津区第二人民医院精神科,成都 611432
  • 3. 口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心 四川大学华西口腔医院正颌及关节外科,成都 610041
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摘要

目的 探究精神障碍患者口腔健康相关生活质量(OHRQoL)及相关因素,为采取有效的干预措施提供依据.方法 采用便利抽样选取诊断为精神障碍的397例患者,使用一般资料调查表、简化版口腔健康素养量表(HeLD-14)、口腔健康影响程度量表(OHIP-14)和口腔健康状况检查表对其进行调查.结果 精神障碍患者OHIP-14总分为8(2,14)分.HeLD-14得分与OHIP-14得分呈负相关(r=-0.142,P<0.01).多元线性回归结果显示,家庭年收入、精神障碍诊断为精神分裂症、甜食、看牙医频次、龋齿及缺牙影响精神障碍患者的OHRQoL(P<0.05).结论 精神障碍患者OHRQoL较差,且与多种因素有关,医护人员应关注其口腔健康问题,针对性制定全病程口腔照护方案改善患者口腔健康及相关生活质量.

Abstract

Objective This study aims to explore the current status and risk factors of oral health-related quality of life OHRQoL in patients with mental disorders and provide evidence for effective intervention measures.Methods A total of 397 patients diagnosed with mental illness were selected by convenience sampling,and investigation was carried out using general data questionnaire,health literacy in dentistry-14(HeLD-14),oral health impact profile-14(OHIP-14),and oral health status checklist.Results The total score of OHIP-14 in patients with mental disorders was 8(2,14).The score of HeLD-14 was negatively correlated with the score of OHIP-14(r=-0.142,P<0.01).The results of multiple lin-ear regression showed that six variables including annual family income,schizophrenia,sweets,frequency of visits to the dentist,dental caries,and missing teeth affected OHRQoL of patients with mental disorders(P<0.05).Conclusion The poor OHRQoL of psychiatric patients is associated with many factors.Medical personnel should pay attention to their oral health problems and develop target-ed oral care programs throughout the course of disease to improve oral health and related quality of life of patients.

关键词

精神障碍/口腔健康/健康素养/生活质量/影响因素

Key words

mental disorders/oral health/health literacy/quality of life/risk factor

引用本文复制引用

出版年

2025
华西口腔医学杂志
四川大学

华西口腔医学杂志

CSCD北大核心
影响因子:1.336
ISSN:1000-1182
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