首页|经济发展加速地区老年口腔健康共富模式的建设和应用初探

经济发展加速地区老年口腔健康共富模式的建设和应用初探

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目的 探索创建基层老年口腔健康共富的省县乡村四级网络架构,初步评估此模式在经济发展加速地区高龄老人口腔疾病防治中的应用效果.方法 以2022年6月人口调查获取的浙江省经济发展加速地区中革命老区武义县的高龄(≥85岁)抗美援朝老同志为主要研究对象,构建省县乡村四级网络医疗服务模式矩阵,建立数字化口腔健康档案,为满足纳入排除标准的老人提供入户口腔治疗,并于治疗前及治疗后3个月回访时,记录口腔健康影响程度量表(OHIP-14)以及义齿满意度调查问卷结果.结果 共54名抗美援朝老人被纳入基层老年口腔服务试点范围,接受入户口腔治疗的患者治疗后3个月复查的OHIP-14总分为(3.27±3.00)分,显著低于治疗前[(32.82±7.15)分](Z=-2.94,P=0.003);生理性疼痛、功能限制、心理不适、心理障碍和生理障碍等各个维度得分均显著低于治疗前(P＜0.05);义齿满意度调查5个维度总分为(48.64±1.21)分,满意率达到100％(11/11).结论 省县乡村四级网络架构模式在提升经济发展加速地区高龄老人口腔疾病防治水平中取得了较好的初步应用效果.
A preliminary study on the construction and application of the common prosperity model for the oral health of the elderly in economic acceleration zone
Objective To evaluate preliminary application effects of a provincial-county-township-village four-level network framework which aims at promoting oral health of the elderly,and to conduct preliminary evaluations of the application of this model in the prevention and treatment of oral diseases among the elderly in economically accelerated areas.Methods Based on the population survey in June 2022,the study focuses on the elderly(≥85 years old)veterans who fought in the Korean War and currently resided in Wuyi County,an old revolutionary base area in Zhejiang Province with accelerated economic development.A four-level network medical service model matrix was constructed,spanning from the provincial level to the county,township,and village.Digital oral health records were established,and in-home dental treatment was provided for elderly individuals who met the inclusion and exclusion criteria.Pre-treatment and 3-months follow-up visits were conducted,and the impact of oral health was recorded using a scale,along with a survey of denture satisfaction.Results A total of 54 elderly individuals received the geriatric oral healthcare services.After a 3-months follow-up,the mean total score of the oral health impact profile-14 questionnaires was(3.27±3.00),which was significantly lower than the score(32.82±7.15)in pre-treatment ones(Z=-2.94,P=0.003).Scores in dimensions such as physical pain,functional limitations,psychological discomfort,psychological disorders,and physical disorders were all significantly lower than the pre-treatment scores(P＜0.05).The visual analogue score for denture satisfaction was 48.64±1.21,indicating a satisfaction rate of 100％(11/11).Conclusions These findings confirm the favorable preliminary application effects of the four-level network framework in improving the prevention and treatment of oral diseases among the elderly in economically accelerated areas.

Dental care for agedHealth services for the agedTooth lossOral health of the elderlyCommon prosperityDental restorationService model matrix

陈卓、雷昇美、沈晓艇、叶飘、程晓菁、陈谦明

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浙江大学医学院附属口腔医院牙体牙髓科·浙江大学口腔医学院浙江省口腔疾病临床医学研究中心浙江省口腔生物医学研究重点实验室浙江大学癌症研究院,杭州 310016

浙江大学医学院附属口腔医院武义分院口腔预防科,武义 321299

浙江大学医学院附属口腔医院口腔内科中心·浙江大学口腔医学院浙江省口腔疾病临床医学研究中心浙江省口腔生物医学研究重点实验室浙江大学癌症研究院,杭州 310016

老年牙科医疗 老年人保健服务 牙缺失 老年口腔 共富 口腔修复 服务模型矩阵

浙江省医药卫生科技计划浙江大学医学院附属口腔医院探索与研发项目浙江省教育厅一般科研项目浙江省中医药科技计划

2023XY073RD2022YYZD01Y2022486002024ZL105

2024

10.3760/cma.j.cn112144-20231212-00292

中华口腔医学杂志
中华医学会

中华口腔医学杂志

CSTPCD北大核心
影响因子：1.194
ISSN：1002-0098
年,卷(期)：2024.59(9)