West China Journal of Stomatology Vol.29 No.4 Aug.2011 http // GOHAI. Williams AL GOHAI

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1 West Chin Journl of Stomtology Vol.29 No.4 Aug.2011 http // 379 [ ] (1., ; 2. ; 3., ) [ ] GOHAI Willims AL GOHAI GOHAI GOHAI AL 2 GOHAI [ ] [ ] R [ ] A [doi] /j.issn Effects of periodontl helth nd relted fctors on the orl helth-relted qulity of life in type 2 dibetic ptients with chronic periodontitis Li Zheng 1, Zhu Ling 2, Sh Yueqin Dept. of Stomtology, Peking University Third Hospitl, Beijing , Chin; 2. Dept. of Preventive Dentistry, Peking University School of Stomtology, Beijing , Chin; 3. Dept. of Periodontology, Peking University School of Stomtology, Beijing , Chin [Key words] geritric orl helth ssessment index orl helth-relted qulity of life dibetes periodontitis orl helth-relted qulity of life OHR- QOL [Abstrct] Objective To evlute the orl helth-relted qulity of life OHRQOL in type 2 dibetic ptients with chronic periodontitis. Methods A totl of 80 type 2 dibetic ptients with chronic periodontitis who hd t lest 16 teeth nd never ccept ny periodontl therpy in ltest one yer were recruited. The clinicl periodontl index such s probing depth, ttchment loss AL, modified bleeding index, plque index were obtined with Willims type periodontl probe. All ccepted structured questionnire interview including the evlution of OHRQOL. Results The geritric orl helth ssessment index GOHAI results demonstrted good content vlidity, construct vlidity nd responsibility. The periodontl index hd positive correltion with the GOHAI scores. Individuls with self-unstisfied of orl helth sttus, using hypoglycemic drugs, ccompnied with serious gingivl inflmmtion nd higher AL hd reltively poor OH- RQOL. Conclusion The OHRQOL of type 2 dibetes with chronic periodontitis nd the negtive experiences of items listed in GOHAI questionnire were ffected by self-conscious of orl helth nd periodontl inflmmtion sttus. [ ] [ ] [ ] 2007BAI- 18B BA705B [ ] 1979 [ ] Tel [1] OHRQOL [2] geritric orl helth ssessment in-

2 West Chin Journl of Stomtology Vol.29 No.4 Aug.2011 http // [3] dex GOHAI [M Q 1 Q 3 ] GOHAI GOHAI Cronbch α GOHAI [4] Spermn 4 12 GOHAI GOHAI [5] 2 GOHAI GOHAI % 16 60% 8.43±2.82 mmol L HbA 1 C 7.80%±1.75% 65% HbA 1 C 8.0% 61% 2 60% % 41% GOHAI 2.2 GOHAI GOHAI GOHAI Tb 1 The dd -GOHAI scores nd SC -GOHAI scores 1.3 Willims pl- [M Q 1 Q 3 ] [M Q 1 Q 3 ] que index PLI modified bleeding index mbi ttchment loss AL 1.4 probing depth PD 3 3~11 0~ ~ ~ ~ ~ ~10 4 0~ GOHAI 12 12~ ~ glycosylted hemoglobin A 1 HbA 1 C 2 GOHAI 1.5 Tb 2 The rte of GOHAI items frequency distribution Epi info 6.0 GOHAI LIKERT % ll the time = very often =4 sometimes =3 seldom = never = GOHAI dd 5. 2 simple count SC GOHAI 12~60 0~ SPSS x±s

3 West Chin Journl of Stomtology Vol.29 No.4 Aug.2011 http // ±6.82 GOHAI r 0.70~ 0.92 P< ~ GOHAI GOHAI 1 6 GOHAI 2.3 GOHAI GOHAI Cronbch α GOHAI Spermn 0.34~ ~0.75 Tb 4 4 GOHAI Discriminnt vlidity of GOHAI-bsed on subjective nd objective mesures AL/mm 6 <6 Tb 3 GOHAI AL/mm * * * * * * < GOHAI SC GOHAI M Q 1 Q 3 * P<0.05 * * P<0.01 * * * P< Spermn 0.24~0.36 P< GOHAI Spermn The Spermn correltion nlysis between GOHAI scores nd periodontl conditions PD/mm AL/mm PLI * * * * * * * 24.7±6.6 * * * ± * * * * * * 24.3±6.8 * * ± * * * * ±7.1 * ± * * * * * 25.3±7.4 * * mbi ± * ±7.1 * ± * * 5 * 26.8±7.4 * * 4 PD/mm M Q 1 Q 3 AL/mm 0.24 * 0.34 * * 0.25 * * * 0.36 * * * 0.35 * * * * GOHAI dd 0.24 * 0.33 * * 0.28 * * 0.33 * * GOHAI SC * * 0.31 * * * P<0.05 * * P< GOHAI 4 GOHAI dd x±s ±6.4

4 West Chin Journl of Stomtology Vol.29 No.4 Aug.2011 http // HbA 1 C AL 6 mm AL 3.8 mm 5 GOHAI GOHAI 2.6 GOHAI GOHAI 5 GOHAI Tb 5 The influence comprison of GOHAI items frequency distribution /% 33.3 * * * * * * * * * /% 27.1 * * * * * HbA 1 C /% * * < PD/mm x±s 3.6±1.1 * 3.1± ±0.8 * * * 2.9± ±0.9 * 3.1± ±1.1 * 3.1±0.7 AL/mm x±s 3.3±1.8 * 2.3± ±1.5 * * * 2.1± ±1.6 * * 2.2± ±2.0 * * 2.3±1.2 PLI x±s 2.3± ± ±0.4 * * 2.1± ±0.4 * 2.6± ±0.3 * 2.2±0.5 PD/mm x±s 7.4±1.5 * 6.5± ±1.2 * * * 6.3± ±1.3 * * * 6.4± ±1.5 * 6.6±1.4 AL/mm x±s 7.7±1.6 * 6.3± ±1.2 * * * 6.0± ±1.8 * * 6.3± ±1.6 * 6.4±1.9 PD 6 mm /% M(Q 1 Q AL 5 mm /% M(Q 1 Q * 86.0 * * * * * * * P<0.05 * * P<0.01 * * * P< GOHAI GOHAI 6 mbi 3 AL 6 GOHAI GOHAI Tb 6 The multilevel liner regression nlysis of dd-gohai scores R= R 2 =0.544 Bet t P mbi AL Locker [6] WHO - [7]

5 West Chin Journl of Stomtology Vol.29 No.4 Aug.2011 http // AL helthrelted qulity of life HRQOL 2 [8] GOHAI OHRQOL [2] GOHAI [9] GOHAI GOHAI [ ] 2 [1] Slde GD, Struss RP, Atchison KA, et l. Conference summry Assessing orl helth outcomes-mesuring helth sttus nd qulity of life[j]. Community Dent Helth, 1998, GOHAI GOHAI [2] Allen PF. Assessment of orl helth relted qulity of life[j]. Helth Qul Life Outcomes, 2003, [3],. [J]., 2003, [9] [10] GOHAI OHRQOL GOHAI Wng Adn, Ling Junqi. The study profile of orl helth relted [6] Locker D. Mesuring orl helth A conceptul frmework[j]. Community Dent Helth, 1988, [7] Locker D, Slde G. Assocition between clinicl nd subjective indictors of orl helth sttus in n older dult popultion[j]. Ge- r=0.24~ P<0.05 AL GOHAI rodontology, 1994, 11 2 GOHAI 1992, HbA 1 C [9], 4 Dent, 2003, GOHAI GOHAI qulity of life [J]. Foreign Medicl Sciences Stomtology, 2003, [4] Atchison KA, Doln TA. Development of the geritric orl helth ssessment index[j]. J Dent Educ, 1990, [5] Clbrese JM, Friedmn PK, Rose LM, et l. Using the GOHAI to ssess orl helth sttus of fril homebound elders Relibility, sensitivity, nd specificity[j]. Spec Cre Dentist, 1999, [8] Fitzptrick R, Fletcher A, Gore S, et l. Qulity of life mesures in helth cre. Applictions nd issues in ssessment[j]. BMJ,. GOHAI [J]., 2003, Ling Junqi, Wng Adn. Development of the Chinese version of geritric orl helth ssessment index GOHAI [J]. Chin J Geritric [10] Tubert-Jennin S, Riordn PJ, Morel-Ppernot A, et l. Vlidtion of n orl helth qulity of life index GOHAI in Frnce[J]. Community Dent Orl Epidemiol, 2003,