| Summary: | 碩士 === 亞洲大學 === 健康產業管理學系長期照護組 === 107 === Background: Dry mouth is a common oral disease in the elderly. The cause may be medication, aging or disease. In the elderly, studies have shown that the prevalence of dry mouth is as high as 55%, which may lead to many oral health problems. The problems, such as periodontal disease, difficulty in chewing and swallowing, etc., can be said to be very extensive. It is far from being an individual's oral health, and it is more likely to affect the health of the whole body and increase its medical and economic burden. Therefore, the oral health of the elderly is an issue worthy of public attention.
Objectives: 1. To investigate whether there are oral dryness and prevalence rates among elderly people over the age of 65 in community care centers in Taichung City and Nantou County. 2. To investigate the related factors of dry mouth in the elderly over 65 years old in Taichung City and Nantou County Community Care Center. 3. To explore the impact of dry mouth syndrome on the quality of life of people aged 65 and over in Taichung City and Nantou County Community Care Centers.
Methods: For the elderly over 65 years old in the community care bases of Taichung City and Nantou County, collect saliva between 9 and 12 am, check the flow rate of saliva and collect questionnaires to investigate the situation of dry mouth and its prevalence. And assess the impact on the quality of life associated with dry mouth. The content of the questionnaire is divided into seven parts: basic personal data, oral health and lifestyle, ADL, and the Summated Xerostomia Inventory-Dutch. (SXI-D), Xerostomia-related Quality of Life (XeQoL), Pittsburgh Sleep Quality Index (PSQI), and saliva flow rate .
Results: The total number of people in this study was 80, with an average age of 77.95 years. The total score of ADL was 100 points. The analysis showed that 48.8% of the 80% of the elderly had insufficient salivation flow rate, which was consistent with the diagnostic criteria for xerostomia. There were no dry mouth symptoms in the case, and there was no significant difference between the dry mouth scale and the quality of life scores and the dry mouth cases. Among the factors affecting the salivation rate of the elderly, there was no significant correlation between the number of drugs used and the chronic diseases.
Conclusion: The community care centers for the elderly are all elderly people whose functions of daily life are completely independent. The results of the study showed that the prevalence of oral dryness could not be directly and accurately measured using the scale, and the prevalence of dry mouth in the elderly in the community was underestimated. It is speculated that the cause of dry mouth is related to aging. In the future, we should pay more attention to the issue of oral dryness in the elderly in the community, and promote oral health care related education in the community.
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