Dysphagia progression and related factors in community-dwelling care-dependent patients through home-visit dental care: A 12-month retrospective cohort study.
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引用次数: 0
Abstract
Statement of problem: Reports on the progress and characteristics of patients with dysphagia who require professional care at home or in a nursing home are sparse.
Purpose: The purpose of this 12-month retrospective cohort study was to investigate the characteristics of care-dependent patients with dysphagia in the community and the factors related to oral intake scale outcomes over 12 months of dysphagia rehabilitation through home-visit dental care.
Material and methods: A total of 323 participants receiving care at home or in a nursing facility who underwent dysphagia rehabilitation through home-visit dental care were enrolled. The outcome was the Functional Oral Intake Scale (FOIS) score at baseline and after 6 and 12 months of rehabilitation. Multivariable linear regression analysis was used to explore the factors associated with FOIS scores before and after dysphagia rehabilitation (α=.05).
Results: Approximately 90% of the participants had maintained or improved FOIS scores after 12 months. A difference in associated factors was observed between FOIS scores at baseline and after rehabilitation. Aspiration pneumonia history (B=-1.040, P<.001) and residential environment (B=-0.489, P=.035) were significantly linked to baseline FOIS scores but were not significant predictors of FOIS scores after 6 months (P>.05).
Conclusions: The findings demonstrate that FOIS scores improved in the community with 12-month dysphagia rehabilitation, although the rehabilitation was affected by the overall condition. This underscores the importance of accessible and tailored community-based services for those dependent on care services.
期刊介绍：
The Journal of Prosthetic Dentistry is the leading professional journal devoted exclusively to prosthetic and restorative dentistry. The Journal is the official publication for 24 leading U.S. international prosthodontic organizations. The monthly publication features timely, original peer-reviewed articles on the newest techniques, dental materials, and research findings. The Journal serves prosthodontists and dentists in advanced practice, and features color photos that illustrate many step-by-step procedures. The Journal of Prosthetic Dentistry is included in Index Medicus and CINAHL.
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