GOHAI instituzionalized elderly

The dataset was used in a cross-sectional study aimed to assess the Oral Health status and the impact on quality on life among the institutionalized elderly in Southern Italy and to analyzed the Oral Health Related Quality of Life (OHRQoL). From July 2018 to June 2019, a face to face interview was conducted with institutionalized elderly of 10 long-term care facilities randomly selected from a public available frame of all facilities accredited by Regional Health System in Southern Italy. The questionnaire covered a broad range of issues related to sociodemographic characteristics of the participants (gender, age, marital status, education level, residential area and previous occupation), smoking habits, health status (chronic disease), dental attendance and oral hygiene behavior. It was retrieved from patient medical records eventual cognitive impairments evaluated by clinical using tests of cognitive function such as Mini-Mental State Exam (MMSE) and Short Portable Mental Status Questionnaire (SPMSQ). Participants were also questioned about their feelings about their need for dental treatment. The dental health status was assessed recording the decayed, missing or filled dental elements due to carious lesions (DMFT) index, the presence of visible plaque (PI) index and gingival condition (GI) index and the use of any prosthesis. The influence of dental health status self-perceived value of life was assessed using the Geriatric Oral Health Assessment Index (GOHAI). Multivariate analyses were conducted using stepwise multivariate logistic regression modelling techniques to investigate the following outcomes: GOHAI about self-perceived need of dental care, GOHAI abut the use of a prosthesis and about DMFT index. To assess QHRQoL, the participants were asked to respond to 12 different statements of GOHAI. The GOHAI score was calculated by summing the scores to each statement. The total score ranged from 12 to 60. It was divided into three categories: good (57-60), fair (51-56) and poor (less than 50) rating of oral health, indicating, respectively, good, moderate and very compromised QHRQoL. The response rate was 84.5%. In the sample, 18.4% reported frequent tooth-brushing and 39.9% reported the need of dental care. Less than a third of the participants had a GOHAI score 50 that is suggestive of very compromised Oral Health Related Quality of Life. The DMFT index was 26.4. The GOHAI score was significantly better for elderly individuals who no self-perceived need of dental care, who use a removable complete denture and with lower DMFT index. The findings of this study highlighted the burden of oral condition of long-term facility residents, the high impact of its on their OHRQoL and the need to improve oral health in this context by enhancing multidisciplinary approach.本数据集用于一项横断面研究，旨在评估意大利南部机构养老老年人的口腔健康状况及其对生活质量的影响，并分析口腔健康相关生活质量（Oral Health Related Quality of Life，OHRQoL）。2018年7月至2019年6月期间，研究团队从意大利南部区域卫生系统认证的所有养老机构公开名录中，随机选取10家长期护理机构，对其入住老年人开展面对面访谈。问卷涵盖多维度内容：包括参与者的社会人口学特征（性别、年龄、婚姻状况、教育水平、居住区域及既往职业）、吸烟习惯、健康状况（慢性病情况）、牙科就诊经历与口腔卫生行为。研究从患者病历中提取经临床认知功能测试（如简易精神状态检查表（Mini-Mental State Exam，MMSE）、简短便携式精神状态问卷（Short Portable Mental Status Questionnaire，SPMSQ））评估的潜在认知损伤情况；同时询问了参与者对牙科治疗需求的主观感受。口腔健康状况评估内容包括：记录因龋病导致的龋失补牙数（DMFT）指数、可见菌斑指数（PI）、牙龈状况指数（GI），以及义齿使用情况。采用老年口腔健康评价指数（Geriatric Oral Health Assessment Index，GOHAI）评估口腔健康状况对自我感知生活质量的影响。采用逐步多元逻辑回归模型开展多变量分析，以探究三类结局指标：与自我感知牙科护理需求相关的GOHAI评分、与义齿使用相关的GOHAI评分，以及与DMFT指数相关的GOHAI评分。为评估口腔健康相关生活质量，要求参与者完成GOHAI的12个条目问卷，总分通过各条目得分求和计算，分值范围为12~60分，按得分划分为三类：良好（57~60分）、中等（51~56分）与较差（<50分），分别对应良好、中等和严重受损的口腔健康相关生活质量。本研究应答率为84.5%。样本中，18.4%的参与者报告每日频繁刷牙，39.9%的参与者报告存在牙科护理需求。不到三分之一的参与者GOHAI评分≤50，提示其口腔健康相关生活质量严重受损。样本DMFT指数均值为26.4。自我感知无牙科护理需求、使用可摘全口义齿且DMFT指数较低的老年人，其GOHAI评分显著更优。本研究结果凸显了长期护理机构入住老年人的口腔健康负担，以及该状况对其OHRQoL的显著影响，并指出在此场景下需通过强化多学科协作来改善口腔健康。