Impact of comprehensive nursing model for periodontal disease on the oral health-related quality of life in elderly patients
牙周病综合护理模式对老年患者口腔健康相关生活质量的影响

摘要

目的 评估牙周病综合护理模式对改善老年患者口腔健康相关生活质量的效果。方法 采用随机对照试验，将76例老年慢性牙周炎患者分为两组，常规护理组（n=38）接受基础治疗、标准口腔卫生指导及常规复查，综合护理组（n=38）在此基础上接受个性化口腔卫生强化指导及高频度定期复诊维护的整合干预。于基线、干预3个月及6个月评估口腔健康影响程度量表简表（OHIP-14）、牙周探诊深度（PD）及临床附着丧失（CAL）。结果 综合护理组干预3个月及6个月的OHIP-14评分、PD及CAL改善均优于常规护理组（P＜0.05）。结论 牙周病综合护理模式有助于提升老年患者口腔健康相关生活质量并改善其牙周状况。

Abstract

Objective To evaluate the effect of comprehensive nursing model for periodontal disease on improving the oral health-related quality of life (OHRQoL) in elderly patients.
Methods A randomized controlled trial was conducted, involving 76 elderly patients with chronic periodontitis divided into two groups. The conventional care group (n=38) received basic treatment, standard oral hygiene guidance, and routine follow-up, while the comprehensive care group (n=38) received integrated interventions including individualized intensive oral hygiene guidance and high-frequency regular follow-up maintenance in addition to the conventional treatment. Assessments were performed at baseline, 3 months, and 6 months post-intervention using the Oral Health Impact Profile-14 (OHIP-14), periodontal probing depth (PD), and clinical attachment loss (CAL).
Results The comprehensive care group demonstrated significantly greater improvements in OHIP-14 scores, PD, and CAL at both 3 months and 6 months compared to the conventional care group (P<0.05).
Conclusion   The comprehensive nursing model for periodontal disease contributes to enhancing the OHRQoL and improving periodontal status in elderly patients.