A Study on Factors Related to the Use of Removable Denture for the Elderly with Medical Condition
A Survey was carried to study the ability to use dentures for elderly patients with medical conditions. The surveyed group consisted of 102 elderly 65yrolds in a special nursing home. The results were as follows. 1. Of t he 102 elderly subjects, thirtyseven subjects had been using dentures. Fiftyfou...
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| Published in | Ronen Shika Igaku Vol. 10; no. 3; pp. 194 - 203 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of Gerodontology
31.03.1996
一般社団法人 日本老年歯科医学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0914-3866 1884-7323 |
| DOI | 10.11259/jsg1987.10.194 |
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| Abstract | A Survey was carried to study the ability to use dentures for elderly patients with medical conditions. The surveyed group consisted of 102 elderly 65yrolds in a special nursing home. The results were as follows. 1. Of t he 102 elderly subjects, thirtyseven subjects had been using dentures. Fiftyfour subjects were not using dentures at the time of the survey although dentures might be considered necessary. 2. The significant items between group A (37 subjects) who were using dentures and group B (54 subjects) who were not using them were as follows: (1) ability of dressing/undressing,(2) ability to use the tolet,(3) feeding,(4) tooth brushing,(5) ability to move under one's own power,(6) existence of manual motor disturbance and extent of dementia. 3. The following items were considered insignificant: (1) eyesight,(2) the power of hearing,(3) number of missing teeth,(4) number of functional cusp,(5) DMFT index,(6) distribution of missing teeth and (7) age. 4. The seven items considered to be significant were taken as the explanatory variables and “use or nonuse of dentures” was taken as the external criterion. They were then analyzed according to the second class of Hayashi's quantifying theory. 5. The correlation ratio of the distinctive efficiency of the external criterion was 0.372. The rate of correct judgment was 76.9%. The most distinguishing characteristic was dressing ability, followed by the extent of dementia. Indications are that it is possible to determine to a certain extent whether the elderly with medical conditions can make use of dentures. |
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| AbstractList | A Survey was carried to study the ability to use dentures for elderly patients with medical conditions. The surveyed group consisted of 102 elderly 65yrolds in a special nursing home.The results were as follows.1. Of t he 102 elderly subjects, thirtyseven subjects had been using dentures. Fiftyfour subjects were not using dentures at the time of the survey although dentures might be considered necessary.2. The significant items between group A (37 subjects) who were using dentures and group B (54 subjects) who were not using them were as follows: (1) ability of dressing/undressing,(2) ability to use the tolet,(3) feeding,(4) tooth brushing,(5) ability to move under one's own power,(6) existence of manual motor disturbance and extent of dementia.3. The following items were considered insignificant: (1) eyesight,(2) the power of hearing,(3) number of missing teeth,(4) number of functional cusp,(5) DMFT index,(6) distribution of missing teeth and (7) age.4. The seven items considered to be significant were taken as the explanatory variables and “use or nonuse of dentures” was taken as the external criterion. They were then analyzed according to the second class of Hayashi's quantifying theory.5. The correlation ratio of the distinctive efficiency of the external criterion was 0.372. The rate of correct judgment was 76.9%. The most distinguishing characteristic was dressing ability, followed by the extent of dementia. Indications are that it is possible to determine to a certain extent whether the elderly with medical conditions can make use of dentures.
要介護高齢者にとっての有床義歯使用の可能性を検討するために, 有床義歯の使用状況とそれに関与する因子について調査した.対象は特別養護老人ホーム入所中の65歳以上の者102名とした.102名のうち, 有床義歯を使用している者が37名, 有床義歯が必要であるにも拘わらず使用していない者が54名いた.tこの両群を分析対象とし, 有床義歯の使用・非使用に関与する本人の能力及び口腔状態について検索した.その結果, 以下のことが明らかとなった.1.調査項目のうち, 着衣, 排泄, 食事, 口腔清掃, 移動, 手の機能及び痴呆の程度 (長谷川式簡易知的機能スケール) の7項目については, 有床義歯使用・非使用との間に関連性 (p<0.01) が認められた.2.視力, 聴力, 欠損歯数, 歯冠数, DMFT, 欠損歯の分布状態及び年齢の7項目にっいては, 関連性は認められなかった.3.関連性の認められた項目を説明変数とし有床義歯の使用・非使用を外的基準として数量化II類による分析を行った結果, 相関比は0.372で判別的中率は76.9%であった.4.有床義歯の使用・非使用に最も強く影響するものは, 着衣であった.要介護高齢者に対して, 有床義歯による補綴を行う際には, ADLの評価と, 痴呆の程度の把握によって, 有床義歯使用の可能性をある程度判断できることが明らかになった. A Survey was carried to study the ability to use dentures for elderly patients with medical conditions. The surveyed group consisted of 102 elderly 65yrolds in a special nursing home. The results were as follows. 1. Of t he 102 elderly subjects, thirtyseven subjects had been using dentures. Fiftyfour subjects were not using dentures at the time of the survey although dentures might be considered necessary. 2. The significant items between group A (37 subjects) who were using dentures and group B (54 subjects) who were not using them were as follows: (1) ability of dressing/undressing,(2) ability to use the tolet,(3) feeding,(4) tooth brushing,(5) ability to move under one's own power,(6) existence of manual motor disturbance and extent of dementia. 3. The following items were considered insignificant: (1) eyesight,(2) the power of hearing,(3) number of missing teeth,(4) number of functional cusp,(5) DMFT index,(6) distribution of missing teeth and (7) age. 4. The seven items considered to be significant were taken as the explanatory variables and “use or nonuse of dentures” was taken as the external criterion. They were then analyzed according to the second class of Hayashi's quantifying theory. 5. The correlation ratio of the distinctive efficiency of the external criterion was 0.372. The rate of correct judgment was 76.9%. The most distinguishing characteristic was dressing ability, followed by the extent of dementia. Indications are that it is possible to determine to a certain extent whether the elderly with medical conditions can make use of dentures. |
| Author | Ohota, Shingo Koshiba, Keiichi Nomura, Keiko Watanabe, Tatsuo Ogasawara, Tadashi Kasahara, Hiroshi |
| Author_FL | 小笠原 正 野村 圭子 笠原 浩 渡辺 達夫 小柴 慶一 太田 慎吾 |
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| Author_xml | – sequence: 1 fullname: Kasahara, Hiroshi organization: Department of Dentistry for the Handicapped, Matsumoto Dental College – sequence: 1 fullname: Ohota, Shingo organization: Department of Dentistry for the Handicapped, Matsumoto Dental College – sequence: 1 fullname: Koshiba, Keiichi organization: Department of Dentistry for the Handicapped, Matsumoto Dental College – sequence: 1 fullname: Ogasawara, Tadashi organization: Department of Dentistry for the Handicapped, Matsumoto Dental College – sequence: 1 fullname: Watanabe, Tatsuo organization: Department of Dentistry for the Handicapped, Matsumoto Dental College – sequence: 1 fullname: Nomura, Keiko organization: Department of Dentistry for the Handicapped, Matsumoto Dental College |
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| References | 5) 榎本友彦, 塙浩昭, 島本聡, 荒井節男, 小司利昭, 森田修己: 高齢入院患者の義歯の使用状況, 老年歯学, 5: 97-102, 1991. 4) 沖本公繪, 家入浩二, 松尾浩一, 寺田善博: 老化と咀嚼, 補綴誌, 35: 931-943, 1991. 2) 島本聡, 荒井節男, 榎本友彦, 小司利昭, 森田修己: 特別養護老人ホーム入園者の口腔内状況, 歯学, 77: 1416-1422, 1989. 13) 遠城寺宗徳: 遠城寺式乳幼児分析的発達検査法, 第13版, p.11-49, 慶応通信, 東京, 1992. 6) 加藤伸司, 下垣光, 小野寺敦志, 植田宏樹, 老川賢三, 池田一彦, 小坂敦二, 今井幸充, 長谷川和夫: 改訂長谷川式簡易知能評価スケール (HDS-R) の作成, 老年精医, 2: 1339-1347, 1991. 19) 長尾正憲: 補綴のポイント, 老年者歯科 (富田隆策編), 初版, p.172, デンタルダイヤモンド社, 東京, 1985. 8) 鈴木章: 痴呆性老人の歯科治療指針, 老年歯学, 7: 217-219, 1993. 17) 木田正芳, 澤田孝紀, 杉村光隆, 甲斐景子, 秋田光寛, 広田康晃, 清光義隆, 渋谷徹, 松浦英夫: 高齢者の口腔機能およびその環境におよぼす全身異常の評価について, 老年歯学, 7: 42-49, 1992. 1) 渡辺郁馬: 老年者の口腔の実態調査と治療指針, 老年歯学, 2: 9-21, 1988. 10) Katz. S., Downs, T.D., Cash, H.R. and Grotz, R.C.: Progress in development of the index of ADL, Gerontologist, 10: 20-30, 1970. 7) 林知己夫: データ解析の考え方, 初版, p.188-191, 東洋経済新報社, 東京, 1977. 20) 押鐘篤編: 歯科ハンドブック, 第2版, p.561, 文京書院, 東京, 1979. 11) 伊藤利之, 鎌倉矩子: ADLとその周辺, 評価・指導・介護の実際, 初版, p.13-30, 医学書院, 東京, 1994. 14) 榎本友彦, 塙浩昭, 島本聡, 荒井節男, 小司利昭, 森田修己: 高齢入院患者の口腔内状況, 歯学, 77: 1752-1758, 1990. 15) 熊原雄一, 島健二: ベッドサイドの老人の診かた, 初版, p.28, 南山堂, 東京, 1984. 16) 笠原浩編: 在宅歯科診療のノウハウ, 初版, p.95, 松本歯科大学出版会, 長野, 1994. 18) 西村健: 痴呆の診断基準, 老年精神病学, 5: 556-571, 1988. 3) 高良憲明, 横田誠, 末田武: 特別養護老人ホームと老人ホームにおける口腔内実態調査, 老年歯学, 3: 4-14, 1989. 9) 柴田博, 古谷野亘, 芳賀博: ADL研究の最近の動向一地域老人を中心として一, 社会老年学, 21: 70-83, 1984. 12) 小笠原正, 伊沢正彦, 渡辺達夫, 笠原浩, 宮沢裕夫: 心身障害者の有床義歯に関する臨床的研究, 第1報有床義歯使用の可能性について, 障害者歯科, 7: 42-53, 1986. |
| References_xml | – reference: 11) 伊藤利之, 鎌倉矩子: ADLとその周辺, 評価・指導・介護の実際, 初版, p.13-30, 医学書院, 東京, 1994. – reference: 7) 林知己夫: データ解析の考え方, 初版, p.188-191, 東洋経済新報社, 東京, 1977. – reference: 14) 榎本友彦, 塙浩昭, 島本聡, 荒井節男, 小司利昭, 森田修己: 高齢入院患者の口腔内状況, 歯学, 77: 1752-1758, 1990. – reference: 8) 鈴木章: 痴呆性老人の歯科治療指針, 老年歯学, 7: 217-219, 1993. – reference: 9) 柴田博, 古谷野亘, 芳賀博: ADL研究の最近の動向一地域老人を中心として一, 社会老年学, 21: 70-83, 1984. – reference: 15) 熊原雄一, 島健二: ベッドサイドの老人の診かた, 初版, p.28, 南山堂, 東京, 1984. – reference: 6) 加藤伸司, 下垣光, 小野寺敦志, 植田宏樹, 老川賢三, 池田一彦, 小坂敦二, 今井幸充, 長谷川和夫: 改訂長谷川式簡易知能評価スケール (HDS-R) の作成, 老年精医, 2: 1339-1347, 1991. – reference: 18) 西村健: 痴呆の診断基準, 老年精神病学, 5: 556-571, 1988. – reference: 4) 沖本公繪, 家入浩二, 松尾浩一, 寺田善博: 老化と咀嚼, 補綴誌, 35: 931-943, 1991. – reference: 16) 笠原浩編: 在宅歯科診療のノウハウ, 初版, p.95, 松本歯科大学出版会, 長野, 1994. – reference: 20) 押鐘篤編: 歯科ハンドブック, 第2版, p.561, 文京書院, 東京, 1979. – reference: 19) 長尾正憲: 補綴のポイント, 老年者歯科 (富田隆策編), 初版, p.172, デンタルダイヤモンド社, 東京, 1985. – reference: 3) 高良憲明, 横田誠, 末田武: 特別養護老人ホームと老人ホームにおける口腔内実態調査, 老年歯学, 3: 4-14, 1989. – reference: 2) 島本聡, 荒井節男, 榎本友彦, 小司利昭, 森田修己: 特別養護老人ホーム入園者の口腔内状況, 歯学, 77: 1416-1422, 1989. – reference: 1) 渡辺郁馬: 老年者の口腔の実態調査と治療指針, 老年歯学, 2: 9-21, 1988. – reference: 12) 小笠原正, 伊沢正彦, 渡辺達夫, 笠原浩, 宮沢裕夫: 心身障害者の有床義歯に関する臨床的研究, 第1報有床義歯使用の可能性について, 障害者歯科, 7: 42-53, 1986. – reference: 17) 木田正芳, 澤田孝紀, 杉村光隆, 甲斐景子, 秋田光寛, 広田康晃, 清光義隆, 渋谷徹, 松浦英夫: 高齢者の口腔機能およびその環境におよぼす全身異常の評価について, 老年歯学, 7: 42-49, 1992. – reference: 13) 遠城寺宗徳: 遠城寺式乳幼児分析的発達検査法, 第13版, p.11-49, 慶応通信, 東京, 1992. – reference: 5) 榎本友彦, 塙浩昭, 島本聡, 荒井節男, 小司利昭, 森田修己: 高齢入院患者の義歯の使用状況, 老年歯学, 5: 97-102, 1991. – reference: 10) Katz. S., Downs, T.D., Cash, H.R. and Grotz, R.C.: Progress in development of the index of ADL, Gerontologist, 10: 20-30, 1970. |
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| SubjectTerms | ADL Dementia Elderly with medical conditions Prosthetic dentistry Removable denture 有床義歯 痴呆 補綴治療 要介護高齢者 |
| Title | A Study on Factors Related to the Use of Removable Denture for the Elderly with Medical Condition |
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