研究背景：根據調查，台灣65歲以上人口，全口無牙率為21.5%，其中每兩位無牙老人就有一位配戴活動假牙，而配戴活動假牙之目的除改善咀嚼功能外，其配戴是否舒適滿意也會影響老人的健康生活。目的：瞭解老人配戴活動假牙之滿意度及其影響因素，並評估其配戴活動假牙半年後，於咀嚼與說話的滿意程度、口腔症狀及假牙保養行為上是否有改善。方法：採橫斷式研究，透過隨機抽樣方式，以設籍在台南市且滿65歲以上裝置活動假牙者為研究樣本。以結構式問卷來蒐集樣本之人口學特性、裝置樣態、配戴後之口腔症狀與回診情形、假牙保養行為、假牙配戴經驗與假牙滿意度度等相關資料，並透過電訪調查430位長者，並介入衛生教育，經半年後再度追蹤電訪，共計318位樣本納入分析。結果：分析318位樣本，男女性各佔52.2%及47.8%，平均年齡74.0±5.1歲，假牙整體滿意度為71.4%，而配戴活動假牙後有疼痛與假牙鬆脫情形者為影響假牙滿意度之預測因子，經半年追蹤結果，老人活動假牙之咀嚼與說話滿意度、口腔症狀與假牙保養行為有顯著 改善。 71.4%，足見此計畫深獲老人肯定，而疼 痛與假牙鬆脫為影響假牙滿意度之預測因 子，經電話衛教關懷及照護服務後，咀嚼 與說話滿意度有顯著提升，口腔症狀及衛 生習慣也有明顯改善。未來建議經由牙科 醫療院所與病人直接溝通，並加強老人於 完成裝置活動假牙之後續配戴與保養上認 知與觀念，將可幫助其發揮咀嚼與說話功 能，藉此提升假牙滿意度，以維持良好之 口腔保健並使之享有健康老年生活。

Background： According to surveys, among the elderly above 65 years old in Taiwan, the proportion of the people who miss all of the teeth is 21.5%, one of every two elderly wears dentures. Except for improving the chewing ability, the comfort satisfaction of dentures also affects the elderly’s life of health. Purpose To realize the satisfaction and related factors on elderly who wear dentures, and to evaluate the outcome of the satisfaction on chewing and speaking, and the improvement on oral health status and dentures care behaviors of the people who wear dentures over half a year. Methodology ： ： This research adapts Cross-sectional Study. We choose our research targets among the elderly above 65 years old with dentures and registered in Tainan City by random sampling. With the structured questionnaire, we collect their demographic characteristics, denture wearing types, the oral health status and follow-ups after wearing dentures, dentures care behaviors, wearing experiences and satisfaction, and so on. Furthermore, we contact 430 elderly by telephone survey in the beginning and involved in health education, and make telephone survey again after half a year. There are 318 elderly selected in research samples.Findings Among the 318 samples, the male- female ratio is 52.2% and 47.8%, the average age is 74.0±5.1, and the satisfaction rate is 71.4%, after wearing dentures, the pain and loose dentures is forecast factors in the impact of satisfaction. After follow for half a year, the satisfaction on chewing and speaking, the oral health status and dentures care behaviors have significant improvement. Discussion and Suggestion The elderly satisfaction on full dentures in this research is 71.4%, which is a significant proof of the elderly’s support of this project. The pain and the loose dentures are the predictor factors of the satisfaction on dentures. After telephone instructions and care services, the satisfaction rate on chewing and speaking also highly improved as well as the satisfaction on oral health status and health habits. Thus, this research suggests that the elderly satisfaction rate on dentures can be improved if their chewing and speaking abilities are strengthened, which can be achieved by the ental clinics hospitals provide direct patient constructions, and enhance the elderly’s recognition of correct ways to wear and care removable dentures. Hence, the elderly can keep good oral care habits and thus enjoy their healthy lifes.