| Summary: | 碩士 === 弘光科技大學 === 護理研究所 === 98 === The purpose of this research understands body mass index, medical utilization situations and the oral health status of institutionalized mentally retarded residents. And also inquire into the effectiveness of oral health promotion program intervention. It’s based on Quasi- experimental research design, one-group pretest-posttest design. We collect totally 41 persons who live in a reformatory from Oct. 2007 to May 2009 by Purposive sampling. With cross domain approaches to cooperation, the doctor of dentistry and the doctor of oral cavity jaw face countenance anaesthetizes carry on a single course of full-mouth dental treatment and check the oral health by X-ray inspection. At the same time, the nursing staffs carry on the oral hygiene education curriculum to care providers. The result is analyzed by the SAS 9.1 software.
Result：（1）Before oral health promotion plan, average BMI is 17.58 kg/m2、one year going to see a doctor: average 7.76±7.32 times、average decayed tooth is 12.88±5.46、prevalence of caries is 95%、average lack tooth number is 0.24±0.62、average fill number is 0.39±1.61、DMFT index is 13.51±5.88； Plaque index and Gingival index are both 3.（2）The oral cavity health promotion plan involves the latter 6 month body performance figure to increase 0.45±0.85 kg/m2 equally. Differentiation and differentiate percentage both are noticeable（P＜.001 , P＜.001）.（3）The plan involves the latter 12 month body performance figure to increase 0.96±1.09 kg/m2 equally. Differentiation and differentiate percentage both are noticeable（P＜.001 , P＜.001）.（4）The oral cavity health promotion plan involves the latter 1 year that the number of one year going to see a doctor decrease 3.98±6.29 times average. Differentiation and differentiate percentage both are noticeable（P = .001 , P＜.001）.（5）After oral health promotion plan involves, average decayed tooth decrease 12.88±5.46. Differentiation and differentiate percentage both are noticeable（P＜.001 , P＜.001）. Plaque index and Gingival index are both decreased.
Conclusion：The oral cavity of appraisal by the cross domain medical service team and a single course of full-mouth dental treatment, after 8 hours oral hygiene education empowerment plan to care providers, we found mentally retarded residents have obviously improvement in BMI and oral health. And the going see a doctor number of times also obviously reduces. Therefore, the suggestion is to increase the suitable recognition of the characteristic of mentally retarded residents and take care of oral cavity and body-wide disease introduction in order to promote the oral cavity service for them.
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