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目的了解老年人口腔卫生家庭健康指导干预效果。方法选择杭州市下城区长庆街道王马社区60岁以上居民337人,实施1年以口腔卫生家庭健康指导为重点的老年人口腔卫生干预,采用干预前后问卷调查及口腔健康检查评价干预效果。结果实施口腔卫生家庭健康指导前老年人口腔健康知识平均知晓率为23.36%,干预后为72.11%,干预前后差异有统计学意义(P<0.01);其中健康目标80岁拥有20颗功能牙、含氟牙膏可防蛀牙等知识知晓率干预后均高于干预前(P<0.05)。掌握正确刷牙方法、每天使用牙线、饭后漱口和定期口腔门诊检查等行为形成率干预后均高于干预前(P<0.05);根面龋患病率、牙周炎患病率、义齿未修复率干预后均较干预前下降(P<0.05)。结论通过家庭健康指导,社区老年人更易接受口腔健康知识,采纳有益于口腔健康的行为和生活方式,从而预防和减少口腔疾患。
Objective To understand the health effects of oral health family interventions in the elderly. Methods A total of 337 residents over the age of 60 were enrolled in Wangma Community, Changqing Street, Xiacheng District, Hangzhou City. One year oral hygiene intervention focused on oral health guidance was conducted. The questionnaire and oral health examination were used to evaluate the intervention effect. Results The average rate of oral health awareness among the elderly before oral health guidance was 23.36%, and after the intervention was 72.11%, the difference was statistically significant before and after the intervention (P <0.01). The healthy target 80 years old had 20 functional teeth, Fluoride toothpaste can prevent tooth decay and other knowledge awareness intervention were higher than before intervention (P <0.05). (P0.05) .At the same time, the prevalence of root caries, the prevalence of periodontitis, the prevalence of dental caries, Denture uncorrected rate after intervention than before intervention decreased (P <0.05). Conclusion Through family health guidance, the elderly in the community are more receptive to oral health knowledge and adopt oral health behaviors and lifestyles to prevent and reduce oral diseases.