Objective To understand the oral health status in maintenance hemodialysis (MHD) patients, and to explore the impact of patients' demographic characteristics, sleep, water intake, and negative emotion on their oral health status. Methods A questionnaire survey was conducted on 1,186 MHD patients conveniently selected from April to August 2023. Results ①The oral health status score of MHD patients ranged from 8 to 22 points, with an average of (12.54±2.63) points. ②Univariate analysis showed that marital status (F=4.536, P=0.004), smoking (F=10.768, P<0.001), water consumption (F=10.565, P<0.001), medical expenses (F=5.308, P<0.001), hypercholesterolemia (t=-2.767, P=0.006), and coronary heart disease (t=-2.291, P=0.023) were associated with oral health status of MHD patients, and oral health status of MHD patients was negatively correlated with age (r=-0.068, P<0.05); ③Multivariate analysis showed that anxiety (F=6.7634, P=0.010), sleep quality (F=9.374, P<0.001), hypercholesterolemia (F=4.197, P=0.041), proportion of medical expenses (F=2.758, P=0.017), smoking (F=4.19, P=0.006), and water intake (F=5.345, P=0.001) had significant effects on oral health. Conclusion MHD patients have poor oral health, and hemodialysis nurses should pay attention to the oral health problems of patients and improve the awareness of preventive oral health care for MHD patients. It is suggested to establish multidisciplinary professional teams to manage the existed or potential oral health problems to further improve the overall health status of MHD patients.
ZHANG Qing-Lai
,
ZHANG Ying
,
SUN Qian-Mei
,
HE Wen-Wen
,
JIN Mei-Ling
. A study on oral health status and its influencing factors in hemodialysis patients[J]. Chinese Journal of Blood Purification, 2024
, 23(05)
: 396
-400
.
DOI: 10.3969/j.issn.1671-4091.2024.05.017
[1]ZHONG J, YANG H C, FOGO A B.A perspective on chronic kidney disease progression [ J][J].Am J Physiol Renal Physiol, 2017, 312(3):F375-F384
[2]Wang L, Xu X, Zhang M, Hu C, Zhang X, Li C, Nie S, Huang Z, Zhao Z, Hou FF, Zhou M.Prevalence of Chronic Kidney Disease in China: Results From the Sixth China Chronic Disease and Risk Factor SurveillanceJAMA Intern Med. 2023 Apr 1; 183(4):298-310. doi: 10.1001jamainternmed.2022.6817. PMID: 36804760; PMCID: PMC9941971.[J].JAMA Intern Med., 2023, 183(4):298-310
[3]GBD Chronic Kidney Disease Collaboration.Global,regional,and national burden of chronic kidney disease,1990-2017: a systematic analysis for the Global Burden of Disease Study 2017Lancet. 2020; 395(10225):709-733.[J].Lancet, 2020, 395(10225):709-733
[4]Liyanage T, Ninomiya T, Jha V, et al.Worldwide access to treatment for end-stage kidney disease: a systematic reviewLancet. 2015; 385(9981):1975-82.[J].Lancet, 2015, 385(9981):1975-1982
[5]Nylund KM, Meurman JH, Heikkinen AM, Furuholm JO, Ortiz F, Ruokonen HM.Oral health in patients with renal disease: a longitudinal study from predialysis to kidney transplantationClin Oral Investig. 2018 Jan; 22(1):339-347. doi: 10.1007s00784-017-2118-y. Epub 2017 Apr 20. PMID: 28424878.[J].Clin Oral Investig., 2018, 22(1):339-347
[6]Costantinides F, Castronovo G, Vettori E, Frattini C, Artero ML, Bevilacqua L, Berton F, Nicolin V, Di Lenarda R.Dental Care for Patients with End-Stage Renal Disease and Undergoing HemodialysisInt J Dent. 2018 Nov 13; 2018:9610892. doi: 10.115520189610892. PMID: 30538746; PMCID: PMC6258100.017[J].Int J Dent. 2018 Nov 13; 2018:9610892., 2018, 13(961082):961082-961082
[7]Arenius I, Ruokonen H, Ortiz F, Furuholm J, V?limaa H, Bostanci N, Eskola M, Maria Heikkinen A, Meurman JH, Sorsa T, Nylund K.The relationship between oral diseases and infectious complications in patients under dialysisOral Dis. 2020 Jul; 26(5):1045-1052. doi: 10.1111odi.13296. Epub 2020 Feb 19. PMID: 32026534.[J].Oral Dis., 2020, 26(5):1045-1052
[8]COSTANTINIDES F, CASTRONOVO G, VETTORI E, et al.Dental care for patients with end-stage renal disease and undergoing hemodialysis[J]. Int J Dent, 2018: 9610892.[J]. Int J Dent, 2018: 9610892., 2018, Int J Dent, 2018: 9610892.( Int J Dent, 2018: 9610892.):9610892-9610892
[9]Oduncuo?lu BF, Alaaddino?lu EE, ?olak T, Akdur A, Haberal M.Effects of Renal Transplantation and Hemodialysis on Patient' s General Health Perception and Oral Health-Related Quality of Life: A Single-Center Cross-Sectional StudyTransplant Proc. 2020 Apr; 52(3):785-792. doi: 10.1016j.transproceed.2020.01.016. Epub 2020 Feb 27. PMID: 32113695.[J].Transplant Proc. 2020 Apr; 52(3):785-792., 2020, 52(3):785-792
[10]倪平, 陈京立, 刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志, 2010, 45(04):378-380
