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Prevalence of Oral Lesions among Elderlies Living in Nursing Homes of Urmia City, Iran Seyyed Amir Seyyedi, et al
related to age, gender, smoking, history of systemic The results of statistical analysis showed that the
diseases, dental status (edentulous, dentate), type of prevalence of oral lesions in the elderly living in nursing
lesions (white and red, vesiculobulosis, pigmented, homes did not have a significant relationship with their
Exophytic), size and location, completed. age (p> 0.05). In addition, the results showed that the
To achieve reliability, four strategies were prevalence of oral lesions in female elderly is
considered, which are the use of structured and significantly higher than oral lesions in male elderly
convergent interviews, organizing structured processes (P = 0.03).
for recording and interpreting data, at least two people Smoking in all elderly patients was studied in three
to conduct interviews and examinations in parallel with groups (smoking, non-smoking, history of smoking) in
each other and comparing Findings and the existence of terms of the prevalence of oral lesions. Among the 280
a steering committee to evaluate and implement the elderly people studied, 30 (10.7%) smoked and 250
plan. The use of validation formulas, including the (89.3%) did not smoke. The results of statistical analysis
calculation of sensitivity, specificity, positive and showed that the prevalence of oral lesions in the elderly
negative predictive value (compared to a standard living in nursing homes has no significant relationship
method) helped to determine the validity. with smoking, non-smoking and history of smoking
In this study, examinations were performed by a (p> 0.05).
dental student who had sufficient knowledge about oral Among the 280 elderly studied, 140 (50.0%) had at
lesions and had completed a special course on oral least one systemic disease and 140 (50.0%) had no
lesions. In patients with oral lesions, in order to diagnose systemic disease. The most prevalent systemic diseases
the type of lesion, an oral disease specialist was observed among all the elderly studied were
consulted with a photo taken from the lesion and a hypertension (24.6%), diabetes (7.8%), cardiac
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questionnaire was completed. Using Abslang, mirror complications (6.7%), Renal Complications (4.2%), and
and the flashlight of the soft tissue were examined and hypothyroidism (1.7%), rheumatoid arthritis (1.4%),
the necessary information was recorded. epilepsy (1.4%), anemia (0.1%) and hyperthyroidism
SPSS software version 19.0 was used for data (0.7 %) respectively. Most non-systemic diseases in the
analysis and Kolmogorov-Smirnov test was used for studied elderly were related to neurological disorders
data normality. Descriptive statistical tests were used to such as Alzheimer's and schizophrenia. Among the 280
calculate the frequency, mean and standard deviation. elderly people studied, 64 (22.8%) had Alzheimer's
Chi-square test, one-way analysis of variance disease and 6 (2.1%) had schizophrenia. Older women
(ANOVA), one-way analysis of variance Kruskal- had more systemic diseases than older men. Based on
Wallis, independent t-test and logistic regression model Chi-square test, a significant difference was observed
were used to analyze the data. Pearson correlation between women (61.5%) and elderly men (25.5%).
coefficient (PCC) was used to examine the relationship (p = 0.003).
between variables. Also, a significant level in all The average number of lesions in all the elderly
statistical tests was considered 0.05 (P <0.05). studied was 1.08 which was 1.09 in women and 1.07 in
men. According to the statistical test, no significant
Results difference was observed in the number of lesions
In the present descriptive cross-sectional study, 280 between elderly men and women (P = 0.59). Among the
elderly people aged 65 to 97 years living in nursing systemic diseases studied in the elderly living in nursing
homes in Urmia were evaluated. The mean age of the
homes, only in diabetes was a significant difference in
[ DOI: 10.52547/rabms.9.1.28 ] elderly people were female and 90 (32.1%) were male. 30 was not significantly different (P> 0.05).
the prevalence of oral lesions (P = 0.01) in other diseases
elderly was 70.59 ± 16.01 years. 190 (67.9%) of these
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