老年颞下颌关节紊乱病患者疲劳状况与生活质量相关性研究

The correlation study between fatigue status and quality of life in elderly patients with temporomandibular joint disorder

目的:了解老年颞下颌关节紊乱病患者口腔健康相关生活质量与疲劳状况,并探讨其生活质量与疲劳状况的相关性。方法:使用口腔健康影响程度量表(OHIP)-14中文版及疲劳量表FS-14对颞下颌关节科就诊的211例老年颞下颌关节紊乱病患者及就诊于修复科的200例患者家属作为健康对照组进行问卷调查,并采用SPSS22.0软件对数据进行统计学分析。结果:老年颞下颌关节紊乱病患者(OH IP)-14总分(15.47±9.28)明显高于健康对照组(4.23±1.65);躯体疲劳、脑力疲劳及疲劳总分均明显高于健康对照组[躯体:(5.03±2.02)分vs(2.28±1.19)分,脑力:(2.06±1.78)分vs(1.11±1.09)分,总分:(7.09±3.17)分vs(3.06±1.66)分];老年颞下颌关节紊乱病患者生活质量总分与躯体疲劳及脑力疲劳得分均呈显著正相关,相关系数为分别为0.602、0.576。结论:老年颞下颌关节紊乱病患者的疲劳程度较健康对照组高,患病时间越长躯体疲劳程度越高,且生活质量水平随着疲劳程度的增加而呈下降趋势。在临床工作中应加强颞下颌关节紊乱病知识的宣教,引导患者及时及早就医,从而减轻疲劳程度提高生活质量。

Objective：To investigate the quality of life（QOL）and fatigue status in elderly patients with temporomandibular disorders（TMJ）.Methods：OHIP-14 Chinese version and FS-14 were used to investigate 211 elderly patients with temporomandibular joint disorder and 200 relatives of patients in repair department as healthy control group.The statistical analysis of the data was carried out with SPSS22.0 software.Results：There were significant differences in（OHIP）-14 and FS-14 scale between two groups.（OHIP）-14 score（15.47±9.28）vs（4.23± 1.65）;physical fatigue score（5.03±2.02）vs（2.28± 1.19）mental fatigue score（2.06± 1.78）vs（1.1 1± 1.09）,total score of fatigue（7.09± 3.17）vs（3.06± 1.66）.There were a positive and significant relationship between quality of life and physical fatigue and mental fatigue,correlation coefficient were 0.602 、0.576.Conclusions：The fatigue of elderly patients with temporomandibular joint disorders is higher than those of the healthy control group,and the degree of physical fatigue is affected by the time of illness,the quality of life decreased with the increase of fatigue.The knowledge of temporomandibular joint disorders should be strengthened in clinical work,in order to reduce the degree of fatigue and improve the quality of life.