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Objective <p>To explore the intervention effect of oral functional exercise combined with psychological intervention on oral frailty in older adults.</p> Methods <p>Ninety-six older adults with oral frailty treated in our hospital from August 2023 to April 2024 were randomly assigned to an observation group or a control group. The control group received routine oral care and health guidance, and the observation group added oral functional exercise combined with psychological intervention. After 3 months of intervention, the two groups were compared in oral function (chewing, swallowing), psychological status (SAS, SDS scores), oral health status, and self-efficacy before and after intervention.</p> Results <p>Before the intervention, there were no statistically significant differences between the two groups in oral functional indicators, SAS and SDS scores, Oral Health Impact Profile-14 (OHIP-14) scores, or Self-Efficacy Scale for Oral Health (SESS) scores (<i>P</i> &gt; 0.05). After the intervention, the observation group showed superior chewing function, swallowing function, and SESS scores compared to the control group (<i>P</i> &lt; 0.05). The SAS, SDS, and OHIP-14 scores of the observation group were significantly lower than those of the control group (<i>P</i> &lt; 0.05).</p> Conclusion <p>The combined oral functional exercise and psychological intervention effectively improved oral function, alleviated anxiety and depression, and enhanced oral health–related quality of life and self-efficacy among older adults with oral frailty. This intervention provides a feasible approach for managing oral frailty in older adults. Future multicenter studies and long-term follow-up data are needed to further validate its generalizability and sustainability, providing stronger evidence for clinical practice.</p> Trial registration <p>Chinese Clinical Trial Registry ChiCTR2100054200. <a href="https://www.chictr.org.cn/index.html">https://www.chictr.org.cn/index.html</a>. Date of registration 20,211,211. Retrospectively registered.</p>

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Effect of oral functional exercise combined with psychological intervention on oral frailty in older adults

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月29日

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  • Min Gao,
  • Qian Ding,
  • Xue Wang,
  • Jingjie Xu,
  • Sujuan Sun,
  • Xiaoyan Pan,
  • Zhaolan Guan,
  • Chen Yang,
  • Ya Tang,
  • Shanshan Chen,
  • Lingling Xie

摘要

Objective

To explore the intervention effect of oral functional exercise combined with psychological intervention on oral frailty in older adults.

Methods

Ninety-six older adults with oral frailty treated in our hospital from August 2023 to April 2024 were randomly assigned to an observation group or a control group. The control group received routine oral care and health guidance, and the observation group added oral functional exercise combined with psychological intervention. After 3 months of intervention, the two groups were compared in oral function (chewing, swallowing), psychological status (SAS, SDS scores), oral health status, and self-efficacy before and after intervention.

Results

Before the intervention, there were no statistically significant differences between the two groups in oral functional indicators, SAS and SDS scores, Oral Health Impact Profile-14 (OHIP-14) scores, or Self-Efficacy Scale for Oral Health (SESS) scores (P > 0.05). After the intervention, the observation group showed superior chewing function, swallowing function, and SESS scores compared to the control group (P < 0.05). The SAS, SDS, and OHIP-14 scores of the observation group were significantly lower than those of the control group (P < 0.05).

Conclusion

The combined oral functional exercise and psychological intervention effectively improved oral function, alleviated anxiety and depression, and enhanced oral health–related quality of life and self-efficacy among older adults with oral frailty. This intervention provides a feasible approach for managing oral frailty in older adults. Future multicenter studies and long-term follow-up data are needed to further validate its generalizability and sustainability, providing stronger evidence for clinical practice.

Trial registration

Chinese Clinical Trial Registry ChiCTR2100054200. https://www.chictr.org.cn/index.html. Date of registration 20,211,211. Retrospectively registered.