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한국 노인의 보철상태에 따른 건강관련 삶의 질

The Effect of Korean Elderly's Prosthetic Status on Health Related Quality by Using EuroQol-5 Dimension

  • 투고 : 2014.08.04
  • 심사 : 2014.09.03
  • 발행 : 2014.09.30

초록

이 연구는 국민건강영양조사를 이용하여 우리나라 만 65세 이상 노인을 대상으로 보철 상태에 따른 건강관련 삶의 질을 조사하여, 노인의 구강건강증진의 기초자료를 확보하고자 하였으며, 다음과 같은 결론을 얻었다. 전체 연구대상자의 HRQoL은 0.86이었으며, 성별에 따른 HRQoL은 남자에서 0.90에 비해 여성에서 0.82로 남자가 유의하게 높았으며, 월 평균 소득이 증가할수록, 학력수준이 높을수록, 상실치아 개수가 낮을수록 HRQoL이 유의하게 높았다. 연구대상자 중 고정성 가공의치와 총의치 필요한 대상자는 HRQoL이 유의하게 낮았으며, 부분의치와 총의치를 장착하지 않은 대상자에서 HRQoL이 유의하게 높았다. EQ-5D의 현재의 건강 상태 5개의 항목에서 운동능력 항목은 부분의치 장착군에서 비장착군에 비해 어려움에 대한 응답한 비율이 높았으며, 자기관리 항목에서 총의치장착군에서 어려움이 있다고 응답한 비율이 높았다. 불안/우울 항목에서 총의치 장착군이 비장착군에 비해 어려움이 있다고 응답한 비율이 높았다.

The aim of this study was to evaluate the relationship between prosthetic status and health related quality of elderly by using EuroQol-5 dimension (EQ-5D) which is a standardized instrument used as a measure of health outcome. Data from 1,179 elderly subjects (over 65 years old) from the fifth Korea National Health and Nutrition Examination Survey were used in our analysis. Oral examination were conducted to obtain wearing prosthetic and needed prosthetic. EQ-5D is a widely used health condition measuring instrument. It consists of the five dimensions: Mobility, Self-care, Usual activities, Pain/discomfort and Anxiety/depression. EQ-5D index is a score calculated out of a weighting system. In this study, the mean score of the EQ-5D index among the elderly was 0.86. For EQ-5D index gender, female showed statistically significantly lower quality of life than male. The related factors EQ-5D index, when the lower demand for fixed prosthodontics and full denture. Wearers in partial and complete denture than non-wearers showed higher EQ-5D index. In order to improve EQ-5D index among the elderly who demand prosthetic status, which has lost its function through providing proper dental prostheses.

키워드

과제정보

연구 과제 주관 기관 : 동의대학교

참고문헌

  1. Korean National Statistics Office: Korean Statistical Information Service (KOSIS)-Population projection: 2010-2060. Statistics Korea, Seoul, pp.12-13, 2011.
  2. Choi SL, Jeong SH, Bae HS, Ryu YA, Choi YH, Song KB: A survey of denture satisfaction and oral health related quality of life among recipients of the senile prosthetic restoration program for national basic livelihood security. J Korean Acad Oral Health 29: 474-483, 2005.
  3. Kwon HK, Kim YN, Kim BI, Yoo JH: The oral health status of low socioeconomic elderly people in Korea. J Korean Acad Oral Health 28: 87-96, 2004.
  4. Ministry of Health and Welfare: Policy planning for oral health promotion. Ministry of Health and Welfare, Seoul, pp.30-31, 2000.
  5. Kim MJ, Lee YS, Ahn YS: Oral Health Status of the Old, over 65 who Dwell in Seongnam City. J Korean Soc Dent Hyg 5: 19-24, 2005.
  6. Park JH, Kwon HK, Kim BI, Choi CH, Choi YH: A survey on the oral health condition of institutionalized elderly people resident in free asylum. J Korean Acad Oral Health 26: 555-566, 2002.
  7. Park YA, Jeong SH, Yoon SH, Choi YH, Song KB: Scientific article: associations between general health and diet habits and oral health among the elderly in Pohang city. J Korean Acad Oral Health 30: 183-192, 2006.
  8. Knapp A: Nutrition and oral health in the elderly. Dent Clin North Am 33: 109-125, 1989.
  9. Horwath CC: Chewing difficulty and dietary intake in the elderly. J Nutr Elder 9: 17-24, 1989.
  10. Boretti G, Bickel M, Geering AH: A review of masticatory ability and efficiency. J Prosthet Dent 74: 400-403, 1995. https://doi.org/10.1016/S0022-3913(05)80381-6
  11. Gilbert GH, Foerster U, Duncan RP: Satisfaction with chewing ability in a diverse sample of dentate adults. J Oral Rehabil 25: 15-27, 1998. https://doi.org/10.1046/j.1365-2842.1998.00207.x
  12. EuroQol Group: EuroQol-a new facility for the measurement of health-related quality of life. Health Policy 16: 199-208, 1990. https://doi.org/10.1016/0168-8510(90)90421-9
  13. Muldoon MF, Barger SD, Flory JD, Manuck SB: What are quality of life measurements measuring? BMJ 316: 542-545, 1998. https://doi.org/10.1136/bmj.316.7130.542
  14. Ryu KJ, Lee TY, Kim KY: A study on oral health-related quality of life of among elderly in metropolis. J Dent Hyg Sci 9: 620-632, 2009.
  15. Park ES, Choi JS: The effect of health status on general quality of life and oral health related quality of life in the middle-aged adults. J Dent Hyg Sci 12: 624-633, 2012.
  16. Korea Centers for Disease Control and Prevention: The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1), 2011. Korea Centers for Disease Control and Prevention, Seoul, pp.9-11, 113-116, 167-174, 2012.
  17. Rabin R, de Charro F: EQ-5D: a measure of health status from the EuroQol Group. Ann Med 33: 337-343, 2001. https://doi.org/10.3109/07853890109002087
  18. Korea Centers for Disease Control and Prevention: Retrieved May 15, 2014, from http://www.cdc.go.kr/CDC/cms/content/ 49/12449_view.html(2014, August 4).
  19. Petersen PE. The burden of oral disease: challenges to improving oral health in the 21st century. Bull World Health Organ 83: 3, 2005.
  20. Sohn A, Woon JT, Koh SD, Chun S: Health-related quality of life assessment by socio-demographic characteristics and mental health among Seoul citizens. Health Educ Res 27: 141-152, 2010.
  21. Jung JK, Lee SO: Satisfaction and demand of the new prosthesis treatment according to the oral health condition of the geriatric patient in Daejeon City. J Korean Acad Dent Technol 31: 59-66, 2009.
  22. Go EJ, Lee YH, Paek KH: A study for middle-aged on oral health knowledge, oral health care and satisfaction with prosthetic treatment. J Dent Hyg Sci 11: 671-683, 2011.
  23. Jung HK, Kim HG: Factors affecting dental patients' satisfaction with the functioning of dental prostheses the center of Daegu. Kyungbuk. J Korean Acad Oral Health 35:77-84, 2011.
  24. Kim SH, Lim SA, Park SJ, Kim DK: Assessment oral health-related quality of life using the Oral Health Impact Profile (OHIP). J Korean Acad Oral Health 28: 559-569, 2004.
  25. Kang EJ, Shin HS, Park HJ, Jo MW, Kim NY: A valuation of health status using EQ-5D. J Health Econ 12: 19-43, 2006.

피인용 문헌

  1. Association between the number of existing permanent teeth and health-related quality of life (EuroQol-5 Dimension) among adults: findings from the fifth Korea National Health and Nutrition Examination Surveys, 2012 vol.39, pp.4, 2015, https://doi.org/10.11149/jkaoh.2015.39.4.303
  2. Measurement of oral health related with quality of life using EQ-5D and OHIP-14 vol.42, pp.2, 2018, https://doi.org/10.11149/jkaoh.2018.42.2.27
  3. Evaluation of the safety of non-thermal atmospheric-pressure plasma in hairless mouse tissues vol.38, pp.3, 2014, https://doi.org/10.11149/jkaoh.2014.38.3.148
  4. 시 지역과 군 지역주민들의 주관적 구강건강인식과 삶의 질 (2015년 지역사회건강조사자료 이용) vol.5, pp.3, 2014, https://doi.org/10.15268/ksim.2017.5.3.101
  5. 노인의 주관적 건강상태와 건강관련 삶의 질의 관련성 : 구강건강수준의 조절 효과 중심으로 vol.19, pp.5, 2014, https://doi.org/10.13065/jksdh.20190061
  6. 국민건강영양조사에서 나타난 노인의 건강관련 삶의 질(EQ-5D)이 구강건강 문제에 미치는 영향 vol.11, pp.1, 2014, https://doi.org/10.15207/jkcs.2020.11.1.309
  7. 한국 중·장년의 저작문제와 삶의 질의 관련성 vol.10, pp.7, 2014, https://doi.org/10.22156/cs4smb.2020.10.07.215
  8. 한국 노인의 치과보철 상태에 따른 건강 관련 삶의 질에 관한 연구 vol.43, pp.1, 2021, https://doi.org/10.14347/jtd.2021.43.1.19