The Survey of Oral Health Conditions of Residents Living in a Special Nursing Home for the Elderly
Oral health care is significant to improving QOL (quality of life) of handicapped elderlies. Therefore it is necessary to know the oral conditions of these elderlies. This survey was performed by interviews to nurses and by oral examinations of 76 residents living in a special nursing home for the e...
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| Published in | The Journal of Showa University Dental Society Vol. 20; no. 1; pp. 112 - 116 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Showa University Dental Society
31.03.2000
昭和大学・昭和歯学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0285-922X 2186-5396 |
| DOI | 10.11516/dentalmedres1981.20.112 |
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| Abstract | Oral health care is significant to improving QOL (quality of life) of handicapped elderlies. Therefore it is necessary to know the oral conditions of these elderlies. This survey was performed by interviews to nurses and by oral examinations of 76 residents living in a special nursing home for the elderly opened at Ohta-ku Tokyo in April 1998. The subjects were 9 males and 67 females. The mean ages were 75.8 for males and 81.7 for females. Most had serious illnesses, including blood circulation disease, cerebrovascular disease, and cranial nerve disease such as Alzheimer's and dementia. The numbers of edenturous persons were 26 and dentate individuals were 50. The oral hygiene of dentate persons was poor, and residual teeth suffered from dental caries or periodontal diseases. The chief oral mucous disease was atrophy of the tongue, and candidiasis was seen in a few persons. There were oral diskinesia and sounds of temporomandibular joints. The average number of residual teeth was 18.5 at the ages of 60 to 64 and decreased with aging. Comparing the relationship between oral diskinesia and the number of residual teeth, the number of teeth showed a tendency to be fewer in subjects with oral diskinesia. These results indicate that elderlies in a special nursing home suffer from various kinds of oral diseases and systemic diseases and need oral health care. |
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| AbstractList | Oral health care is significant to improving QOL (quality of life) of handicapped elderlies. Therefore it is necessary to know the oral conditions of these elderlies. This survey was performed by interviews to nurses and by oral examinations of 76 residents living in a special nursing home for the elderly opened at Ohta-ku Tokyo in April 1998. The subjects were 9 males and 67 females. The mean ages were 75.8 for males and 81.7 for females. Most had serious illnesses, including blood circulation disease, cerebrovascular disease, and cranial nerve disease such as Alzheimer's and dementia. The numbers of edenturous persons were 26 and dentate individuals were 50. The oral hygiene of dentate persons was poor, and residual teeth suffered from dental caries or periodontal diseases. The chief oral mucous disease was atrophy of the tongue, and candidiasis was seen in a few persons. There were oral diskinesia and sounds of temporomandibular joints. The average number of residual teeth was 18.5 at the ages of 60 to 64 and decreased with aging. Comparing the relationship between oral diskinesia and the number of residual teeth, the number of teeth showed a tendency to be fewer in subjects with oral diskinesia. These results indicate that elderlies in a special nursing home suffer from various kinds of oral diseases and systemic diseases and need oral health care. Oral health care is significant to improving QOL (quality of life) of handicapped elderlies. Therefore it is necessary to know the oral conditions of these elderlies. This survey was performed by interviews to nurses and by oral examinations of 76 residents living in a special nursing home for the elderly opened at Ohta-ku Tokyo in April 1998.The subjects were 9 males and 67 females. The mean ages were 75.8 for males and 81.7 for females. Most had serious illnesses, including blood circulation disease, cerebrovascular disease, and cranial nerve disease such as Alzheimer's and dementia. The numbers of edenturous persons were 26 and dentate individuals were 50. The oral hygiene of dentate persons was poor, and residual teeth suffered from dental caries or periodontal diseases. The chief oral mucous disease was atrophy of the tongue, and candidiasis was seen in a few persons. There were oral diskinesia and sounds of temporomandibular joints. The average number of residual teeth was 18.5 at the ages of 60 to 64 and decreased with aging. Comparing the relationship between oral diskinesia and the number of residual teeth, the number of teeth showed a tendency to be fewer in subjects with oral diskinesia.These results indicate that elderlies in a special nursing home suffer from various kinds of oral diseases and systemic diseases and need oral health care. 要介護高齢者のQOLの改善には, 口腔内ケアーも重要と思われる.そのためには, 要介護高齢者の口腔の実態を把握することが必要である.そこで我々は, 1998年に東京都大田区に開設された特別養護老人ホーム入居者の口腔内実態調査を行うとともに, 入居者について施設看護婦から聞き取り調査を行った.施設入居者は男性9名, 女性67名の計76名であった.大部分の入居者は循環器障害, 脳血管障害あるいはアルツハイマー病や痴呆などの脳神経系に障害を持っていた.無歯顎者は26名で, 有歯顎者は50名であった.有歯顎者の口腔清掃は不良で, すべての人が齲蝕あるいは歯周疾患に罹患していた.主な口腔粘膜疾患は舌粘膜の萎縮で, 口腔カンジダ症も数名にみられた.さらに, 口腔ディスキネジアや顎関節の雑音もみられた.60-64歳の平均残存歯数は18.5本で, この歯数は加齢とともに減少した.残存歯数と口腔ディスキネジアの関連を検討すると, 口腔ディスキネジアを有する人に残存歯数が少ない傾向がみられた.以上の結果から, 要介護高齢者は多くの重篤な基礎疾患を有するだけでなく, 各種の口腔病変を持つことが示された.このことから, 要介護高齢者に対する口腔ケアーの重要性が示唆された. |
| Author | NAGUMO, Masao KAKUTA, Saburo HATORI, Mutsumi SATO, Mayako KIMURA, Yuuko MAESATO, Naoko HIYAMA, Kunie SAIDA, Akiko |
| Author_FL | 羽鳥 睦美 角田 左武郎 南雲 正男 佐藤 真弥子 |
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| References | 10) 浦郷篤史 : 舌の加齢変化. 口腔諸組織の加齢変化, 東京, 1991, クインテッセンス, pp154-163 2) 高良憲明, 横田 誠, 末田 武 : 特別養護老人ホームと老人ホームにおける口腔内実態調査. 老年歯学, 3 : 41-46, 1989 7) 上林豊彦, 中野公, 桐田忠昭, 下岡尚史, 杉村正仁 : 養介護高齢者の口腔内実態調査-第1報特別介護老人ホームと老人保健施設との比較-. 老年歯学, 11 : 203-209, 1997 6) 植松宏, 梅崎伸子 : 埼玉県内の特別養護老人ホームにおける歯科医療の実態-施設へのアンケート調査より-. 老年歯学, 7 : 14-19, 1992 5) 荒井真一, 米山武義, 森本節男 : 「特別養護老人ホームにおける歯科診療に関するアンケート調査」第一報. 老年歯学, 3 : 47-50, 1989 15) 鈴木あつ子 : オーラルジスキネジア. 上田裕 (監修) : 高齢者歯科医療マニュアル, 永末書店, 京都, 1982, pp184-185 3) 島本 聡, 荒井節男, 榎本友彦, 小司利昭, 森田修巳 : 特別介護老人ホームの入園者の口腔状況. 歯学, 77 : 1416-1422, 1989 8) 阪本真弥, 栗和田しづ子, 丸茂町子 : 高齢者の口腔乾燥症に関する疫学調査. 老年歯学, 11 : 81-87, 1996 11) 又賀泉, 土持真, 土川幸三, 加藤譲治, 柴崎浩一 : 高齢者における口腔乾燥症の検討 (その1). 老年歯学, 3 : 56-67, 1989 1) 厚生省高齢者ケアサービス体制整備検討委員会厚生省老人福祉保険局介護保険制度施行準備室; 介護保険制度導入の背景, 介護支援専門員標準テキスト第1巻. 東京, 1998, 財団法人長寿社会開発センター, pp3-22 14) 田中益子, 鈴木俊夫, 夏目長門, 神野洋輔, 新美照幸, 中村友保, 服部孝範 : 寝たきり老人在宅障害者に対する歯科医療需要に関する研究第1報施設における寝たきり老人の口腔内実態調査. 老年歯学, 3 : 27-33, 1989 4) 金 容善, 渋谷徹, 丹波均, 神吉利美, 久山健, 松浦英夫 : 特別養護老人ホームにおける歯科診療-第1報全身状態と口腔内状況との関連について-.老年歯学, 11 : 52-61, 1996 12) 直江史郎, 渋谷和俊, 若山恵 : 真菌症の病理学的概説. 臨床科学, 26 : 590-598, 1990 9) 斎藤 裕, 加藤譲治, 岡野篤夫, 又賀泉, 土持真, 土川幸三, 柴崎浩一 : リハビリテーションを中心とした医療施設における老人患者の口腔症状 (その1). 老年歯学, 3 : 34-40, 1989 13) 佐藤真弥子 : 閉経後の顎関節症患者における下顎頭の変形と全身骨骨塩量. 日顎誌, 10 : 108-117, 1998 |
| References_xml | – reference: 7) 上林豊彦, 中野公, 桐田忠昭, 下岡尚史, 杉村正仁 : 養介護高齢者の口腔内実態調査-第1報特別介護老人ホームと老人保健施設との比較-. 老年歯学, 11 : 203-209, 1997 – reference: 2) 高良憲明, 横田 誠, 末田 武 : 特別養護老人ホームと老人ホームにおける口腔内実態調査. 老年歯学, 3 : 41-46, 1989 – reference: 10) 浦郷篤史 : 舌の加齢変化. 口腔諸組織の加齢変化, 東京, 1991, クインテッセンス, pp154-163 – reference: 15) 鈴木あつ子 : オーラルジスキネジア. 上田裕 (監修) : 高齢者歯科医療マニュアル, 永末書店, 京都, 1982, pp184-185 – reference: 5) 荒井真一, 米山武義, 森本節男 : 「特別養護老人ホームにおける歯科診療に関するアンケート調査」第一報. 老年歯学, 3 : 47-50, 1989 – reference: 13) 佐藤真弥子 : 閉経後の顎関節症患者における下顎頭の変形と全身骨骨塩量. 日顎誌, 10 : 108-117, 1998 – reference: 4) 金 容善, 渋谷徹, 丹波均, 神吉利美, 久山健, 松浦英夫 : 特別養護老人ホームにおける歯科診療-第1報全身状態と口腔内状況との関連について-.老年歯学, 11 : 52-61, 1996 – reference: 14) 田中益子, 鈴木俊夫, 夏目長門, 神野洋輔, 新美照幸, 中村友保, 服部孝範 : 寝たきり老人在宅障害者に対する歯科医療需要に関する研究第1報施設における寝たきり老人の口腔内実態調査. 老年歯学, 3 : 27-33, 1989 – reference: 1) 厚生省高齢者ケアサービス体制整備検討委員会厚生省老人福祉保険局介護保険制度施行準備室; 介護保険制度導入の背景, 介護支援専門員標準テキスト第1巻. 東京, 1998, 財団法人長寿社会開発センター, pp3-22 – reference: 11) 又賀泉, 土持真, 土川幸三, 加藤譲治, 柴崎浩一 : 高齢者における口腔乾燥症の検討 (その1). 老年歯学, 3 : 56-67, 1989 – reference: 12) 直江史郎, 渋谷和俊, 若山恵 : 真菌症の病理学的概説. 臨床科学, 26 : 590-598, 1990 – reference: 9) 斎藤 裕, 加藤譲治, 岡野篤夫, 又賀泉, 土持真, 土川幸三, 柴崎浩一 : リハビリテーションを中心とした医療施設における老人患者の口腔症状 (その1). 老年歯学, 3 : 34-40, 1989 – reference: 6) 植松宏, 梅崎伸子 : 埼玉県内の特別養護老人ホームにおける歯科医療の実態-施設へのアンケート調査より-. 老年歯学, 7 : 14-19, 1992 – reference: 3) 島本 聡, 荒井節男, 榎本友彦, 小司利昭, 森田修巳 : 特別介護老人ホームの入園者の口腔状況. 歯学, 77 : 1416-1422, 1989 – reference: 8) 阪本真弥, 栗和田しづ子, 丸茂町子 : 高齢者の口腔乾燥症に関する疫学調査. 老年歯学, 11 : 81-87, 1996 |
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| Title | The Survey of Oral Health Conditions of Residents Living in a Special Nursing Home for the Elderly |
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