Oral health-related quality of life in patients receiving home-care nursing: associations with aspects of dental status and xerostomia.
OBJECTIVE
To explore the differences in oral status, dental attendance and dry mouth problems between patients with long-term disease with high and low scores on Oral Health Impact Profile 14 (OHIP 14) and how patients cope with oral problems such as xerostomia and a reduced ability to brush their teeth.


BACKGROUND
There has been a lack of studies of oral health and oral health-related quality of life in the frail elderly within the community services.


METHODS
A cross-sectional questionnaire study was conducted with 137 patients receiving home-care nursing. Structured interviews were conducted by student nurses using OHIP-14, items from the Xerostomia Inventory and questions concerning dental visit habits, brushing of teeth and data from medical records.


RESULTS
Eighty-three per cent of patients had natural teeth and 60% had only natural teeth. 'Natural teeth only' indicated a low score on OHIP-14. Problems with brushing and items concerning xerostomia indicated a high score on OHIP-14. Contrasts in the assessments concerning brushing of teeth and xerostomia indicated low priority from the patients themselves and the nursing staff.


CONCLUSIONS
Community health services should focus upon oral health. Both patients and nurses should assess the need for regular brushing of teeth carried out by home-care nurses. Assessment and treatment of dry mouth problems should have higher priority.
Dental Faculty, University of Oslo, Oslo, Norway Faculty of Nursing, Oslo University College, Oslo, Norway. tiril@odont.uio.no
Tiril
T
Willumsen
Brit
B
Fjaera
Hilde
H
Eide
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003729:Dental Care; D003817:Dentition; D003778:Dentures; D004358:Drug Therapy; D005260:Female; D006304:Health Status; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D011788:Quality of Life; D012463:Saliva / Q000378:metabolism; D012648:Self Care; D012649:Self Concept; D014099:Toothbrushing; D014504:Urban Health; D014987:Xerostomia / Q000517:prevention & control / Q000523:psychology*