Page 142 - C:\Users\uromn\Videos\seyyedi pdf\
P. 142

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
     [ Downloaded from ijrabms.umsu.ac.ir on 2025-02-02 ]
                     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















                                                                                                                      3 / 6
   137   138   139   140   141   142   143   144   145   146   147