ArticleBMC oral health2026
Path-analysis of factors influencing oral health-related quality of life in older hospitalized patients: a cross-sectional survey.
Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundOral health is a critical component of overall well-being, particularly in older hospitalized patients. There is growing interest in how oral conditions and interventions affect oral health-related quality of life (OHRQoL). This study aimed to identify oral-health variables that influence OHRQoL in older hospitalized patients.
methodsA cross-sectional survey was conducted with 214 older inpatients by using the Oral Health Impact Profile-14 (OHIP-14), Oral Health Assessment Tool (OHAT), and Self-Efficacy Scale for Self-Care (SESS). Data were analyzed using SPSS (version 26.0) and structural equation modeling in AMOS, guided by the Andersen oral-health outcome model. Correlation analyses were also performed to identify factors associated with OHRQoL.
resultsOral self-care efficacy, the number of remaining teeth, and oral-health status significantly influenced OHRQoL. The mean OHIP score was 10.19 ± 5.96, the mean SESS score was 56.41 ± 9.49, and the mean OHAT score was 3.22 ± 1.02. Oral self-care efficacy exerted both direct (-0.21) and indirect (-0.023) effects on OHRQoL. The number of remaining teeth had a direct effect of -0.26 and an indirect effect of -0.076 on OHRQoL.
conclusionsMultiple interrelated factors influence OHRQoL in older hospitalized patients. Health education aimed at improving oral-health awareness, beliefs, and self-care efficacy should be prioritized by nurses and physicians. Timely interventions addressing oral-health status, including tooth preservation and treatment, can further enhance quality of life. Further research should examine the social and cultural determinants of OHRQoL in this population.
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