DMF(不同、错过、遗忘):严重精神疾病患者所经历的口腔健康不平等

Maeve Browne, J. Beenstock
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引用次数: 0

摘要

在英国,有超过50万人患有严重的精神疾病(SMI),如精神分裂症和双相情感障碍。这些人的平均死亡时间比一般人群早20年,三分之二的死亡是由可以预防的身体疾病造成的。最近的政府出版物,如《国民保健制度长期计划》和《英格兰国民保健制度心理健康实施计划》,强调有必要解决重度精神障碍患者的身体健康需求,以减少所经历的健康结果的严重不平等。然而,令人失望的是,两份文件都没有提到这批人群的口腔健康状况不佳,也没有认识到口腔健康状况不佳与整体健康状况不佳之间的联系。本文研究了现有文献和最近一项调查的结果,该调查探讨了在安全的精神卫生设施中服务使用者的口腔卫生行为,以提高这一人群对口腔卫生需求的认识。口腔健康是整体健康的一个组成部分,可以对健康产生积极影响。健康的口腔可以确保人们可以吃饭、说话和社交,而不会感到痛苦和尴尬。因此,口腔健康状况不佳不仅会对一个人的生活质量(QoL)产生深远的影响,而且还会对全身性疾病产生更广泛的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
DMF (different, missed, forgotten): oral health inequalities experienced by people with severe mental illness
In England, there are over half a million people living with severe mental illness (SMI) such as schizophrenia and bipolar disorder. These people die on average up to 20 years earlier than the general population and 2 in 3 deaths are from physical illnesses that can be prevented. Recent government publications such as the NHS Long Term Plan and NHS England's mental health implementation plan have highlighted the need to address the physical health needs of people with SMI in order to reduce the serious inequality of health outcomes experienced. Disappointingly, however, neither document mentions the poor oral health experienced by this cohort of the population, nor do they recognise the link between poor oral health and poor general health. This article examines the available literature and results from a recent survey that explored the oral health behaviours of service users at a secure mental health facility to raise awareness of the oral health needs of this population. Oral health is an integral aspect of general health and can positively influence wellbeing. A healthy mouth ensures individuals can eat, speak and interact socially, free from pain and embarrassment. Poor oral health can therefore not only have a profound impact on a person's quality of life (QoL) but it can also have wider implications for systemic disease.
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