Structural Equation Modeling of Tongue Function and Tongue Hygiene in Acute Stroke Patients

被引:4
作者
Hidaka, Rena [1 ]
Furuya, Junichi [2 ]
Nishiyama, Akira [3 ]
Suzuki, Hiroyuki [4 ]
Aoyagi, Michiyo [5 ]
Matsubara, Chiaki [4 ]
Yoshizumi, Yu [6 ]
Yoshimi, Kanako [5 ]
Nakane, Ayako [5 ]
Tohara, Haruka [5 ]
Sato, Yuji [2 ]
Minakuchi, Shunsuke [4 ]
机构
[1] Tokyo Med & Dent Univ TMDU, Grad Sch Med & Dent Sci, Oral Hlth Sci Community Welf, Tokyo 1138510, Japan
[2] Showa Univ, Sch Dent, Geriatr Dent, Tokyo 1458510, Japan
[3] Tokyo Med & Dent Univ TMDU, Grad Sch Med & Dent Sci, Dent Anesthesiol & Orofacial Pain Management, Tokyo 1138510, Japan
[4] Tokyo Med & Dent Univ TMDU, Grad Sch Med & Dent Sci, Gerodontol & Oral Rehabil, Tokyo 1138510, Japan
[5] Tokyo Med & Dent Univ TMDU, Grad Sch Med & Dent Sci, Dysphagia Rehabil, Tokyo 1138510, Japan
[6] Saitama Red Cross Hosp, Japanese Red Cross Soc, Oral Surg, Saitama 3300081, Japan
关键词
structural equation modeling; tongue function; tongue hygiene; oral health assessment tool; acute stroke; ORAL-HEALTH; OLDER PATIENTS; DYSPHAGIA; PNEUMONIA; HALITOSIS;
D O I
10.3390/ijerph18094567
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
In acute stroke patients, it is important to maintain tongue hygiene and tongue function for prognosis management. However, the direct relationship between these factors is unclear, since these are often assessed by multiple observables. In this study, we used structural equation modeling (SEM) analysis, a tool to analyze the relationship between concepts that cannot be measured directly, to analyze the relationship between tongue hygiene and tongue function. The subjects were 73 patients with acute stroke admitted to a university hospital who underwent dental intervention. Age, sex, nutritional intake method, clinical severity classification of dysphagia, number of current teeth, number of functional teeth, oral health, tongue movement, tongue coating, number of microorganisms on the tongue surface, tongue surface moisture level, and tongue pressure were measured at the first visit. SEM analysis showed that the relationship between tongue function and tongue hygiene was 0.05 between tongue function and swallowing function was 0.90, and that between tongue hygiene and swallowing function was 0.09. We found no statistical relationship between tongue function and tongue hygiene in acute stroke patients. However, it was reconfirmed that tongue function is strongly related to feeding and swallowing functions.
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页数:9
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