摘要
目的 调查杭州市社区老年人群口腔衰弱(oral frailty,OF)现状,以改善其口腔健康状况.方法 采用便利抽样法,选取2023年1月—2024年1月杭州市2个社区861名≥60岁的老年人作为调查对象,进行问卷调查.根据口腔衰弱指标筛查-8量表评分结果分为OF组、非OF组.采用单因素分析与二元logistic回归模型分析杭州市社区老年人群OF的影响因素.结果 在回收的838份有效问卷中,OF者245人,占29.24%.年龄较大、有饮酒史、有口干症、服药种类>4种、睡眠质量较差、有营养状况风险/营养不良、身体衰弱是杭州市社区老年人群OF的危险因素(OR=1.055、1.776、7.799、2.117、1.783、2.376、3.186,P<0.05),定期体检为其保护因素(OR=0.468,P<0.05).结论 杭州市社区老年人群OF发生率处于国内中等水平,建议老年人群采取戒酒、合理用药、改善营养状况与睡眠、定期体检等方式降低OF发生风险.
Abstract
Objective To investigate the status of oral frailty(OF)in the elderly population in communities of Hangzhou City,in order to improve their oral health.Methods A total of 861 elderly people aged 60 and above from 2 communities in Hangzhou City were selected by convenience sampling method,and a questionnaire were conducted from January 2023 to January 2024.The patients were divided into the OF group and the non-OF group by the Oral Frailty Index-8(OFI-8).Combined with single factor analysis and binary logistic regression model,the influencing factors of OF among elderly population in communities of Hangzhou City were analyzed.Results Among the 838 valid questionnaires,245 were OF,accounting for 29.24%.Older age,history OF drinking,dry mouth,types of medication>4,poor sleep quality,risk of nutritional status/malnutrition,and weak body were the risk factors of the elderly population in this community(OR=1.055,1.776,7.799,2.117,1.783,2.376,3.186,P<0.05),regular physical examination was a protective factor(OR=0.468,P<0.05).Conclusion The incidence of OF among the elderly population in communities of Hangzhou City is at a moderate level in China.It is recommended that the elderly population take measures such as quitting alcohol,rational medication,improving nutritional and sleep conditions,and regular physical examinations to reduce the risk of OF.