Comparison of Oral Health and Oral QOL Among Community Residents and Patients With Renal Insufficiency

Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship ; Purpose: The major purpose of this study was to assess and compare the oral health status and oral health-related quality of life of the community residents, CKD patients and ESRD patients from a medical center and neighborhood community located in northern part of Taiwan. Methods: A cross-sectional study design was conducted. A total of 79 community residents, 120 CKD patients and 101 ESRD patients agreed to participate and completed all data collection. Instruments for data collection included: questionnaires (demographic information, oral hygiene habit, attitude and knowledge related to oral health, and geriatric oral health assessment index_GOHAI) and oral inspection (done by a trained assistant). Results: The comparisons of demographic data showed that samples in CKD group were more male and lower educated. In addition, the age in ESRD group was significantly older than the CKD and community residents groups. In regard to the performance of oral health, results of comparison showed that community residents had better performance than the other two groups in general. Specifically, the ESRD group reported lowest ratio in tooth brush at “after breakfast”, “after dinner” and “after eating”. Also, ESRD group reported a higher ratio in “never receive teeth examination”. The comparison of knowledge related to oral health showed that CKD group was the one with lower level than the other two groups. In addition, the comparison of attitude toward oral health found that community residents group reported more positive than the other two groups. The results of personal inspection showed that CKD group had less untreated dental caries whereas the ESRD group had higher ratio of untreated dental caries. In addition, ESRD group had higher ratio of “0-5 loss teeth” in upper jaw whereas the CKD group had higher ratio of “11-15 loss teeth” in lower jaw. In regard to the dentures, CKD group had a higher ratio of active dentures and the ESRD ...