| 摘要: | 因人類壽命的延長，導致口腔健康更為重要，而口腔健康不良將影響生活品質，世界各國已經將口腔健康放入重要議題之一，除了口腔自我照護行為可維持良好的口腔健康，為了促進口腔健康，口腔健康識能也是重要的一環。本研究目的為了解社區高齡者口腔自我照護行為、口腔健康生活品質及口腔健康識能的現況；影響社區高齡者口腔生活品質之相關因素；了解社區高齡者口腔自我照護行為與口腔健康識能之相關性。
本研究為橫斷式研究設計（Cross-section research design），於臺北市兩處社區照護關懷據點以立意取樣（Purposive sampling）的方式收集符合選樣標準的個案進入本研究，資料以結構式問卷進行收集。納入條件包含65歲以上、能以國、台語溝通，且意識清楚、可自行閱讀問卷內容及本人同意參與本研究者；排除條件則包含因聽力異常無法正常溝通及不識字者。資料將用SPSS進行分析，採用皮爾森相關係數（Pearson correlation coefficient）、多元線性迴歸分析（Multiple Regression Analysis）、邏輯斯迴歸分析（Logistic regression）、獨立樣本T檢定（Independent T test）進行分析。
結果顯示共有202位完成問卷，有效問卷回收率為93.5％。多元線性迴歸分析結果顯示控制年齡、日常生活活動能力、營養、教育程度及平均月收入後，男性之口腔健康識能越好其口腔健康生活品質越好（p＝0.041），而邏輯斯迴歸分析結果顯示控制年齡、日常生活活動能力、營養、教育程度及平均月收入後，男性、國中（含）以上及有收入者之口腔健康識能越好其口腔健康生活品質越好（p＝0.006；p＝0.017；p＝0.035）；國中（含）以上者在控制年齡、日常生活活動能力、營養及平均月收入後，口腔自我照護行為越好其口腔健康生活品質越好（p＝0.029）；而口腔自我照護行為與口腔健康識能則為顯著正相關（r＝0.200；p＝0.004）。
口腔健康識能及口腔自我照護行為之提升，可以使口腔健康生活品質提升。因此未來之研究、護理教育及衛生教育能夠針對口腔健康識能或口腔自我照護行為進行介入，使國人之口腔健康識能提升及有良好的口腔自我照護行為，促進口腔健康生活品質。
Due to the longevity of human beings, the impact of oral health becomes more important. Poor oral health affects quality of life. Oral health is one of the most important issues by many countries. In addition to oral self-care behavior is considered as an effective method to maintain oral health, health literacy is also important part in oral health promotion. The aim of this study was to understand the current status of oral health literacy, oral health quality of life and oral self-care behavior of the elderly in the community; factors affecting oral health quality of life of the elderly in the community; understand the relationship between oral health literacy and oral self-care behavior of the elderly in the community.
This study is Cross-section research design and Purposive sampling. Stracture Questionnaire will use to collect data. Participants will recruite from Taipei community care center, Taiwan. Inclusion criteria of age over 65 years old, conscious clear, speaking Taiwanese or Mandarin, read the questionnaire by self and agree to participate in the study; exclude criteria of illiterate and Unable to communicate normally due to hearing loss. Software IBM SPSS will use to analyze the data, using Pearson correlation coefficient, Multiple Regression Analysis, Logistic regression and Independent T test.
With a response rate of 93.5％, 202 participants completed the questionnaires. Multiple regression analysis- Oral health related quality of life after controlling for age, education level, income, nutrition and instrumental activities of daily living, male results indicated statistically significant of the higher oral health literacy scores, higher oral health related quality of life scores (p=0.041); Logistic regression- Oral health related quality of life after controlling for age, education level, income, nutrition and instrumental activities of daily living. male, junior high school or above and had income results indicated statistically significant of the higher oral health literacy scores, higher oral health related quality of life scores (p=0.006; p=0.017; p=0.035). Junior high school or above results indicated statistically significant of the higher oral health self-care behavior, higher oral health related quality of life score (p=0.029). oral health self-care behavior and oral health literacy was positive correlation (r＝0.200；p＝0.004).
In this study, we identified oral health literacy and oral self-care behavior could improv of oral health related quality of life. Intervention of improving oral health literacy and oral self-care behavior should be developing the implemented in future studies, nursing education and health education. |
