Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Professional Oral Healthcare Program on the Oral Status of Elderly Residents in Long-Term Care Facilities

전문가 구강위생관리가 장기요양시설 재원노인의 구강상태에 미치는 효과

  • Lee, Keun-Yoo (Department of Dental Hygiene, The Graduate School, Namseoul University) ;
  • Lim, Soon-Ryun (Department of Dental Hygiene, Namseoul University)
  • 이근유 (남서울대학교 일반대학원 치위생학과) ;
  • 임순연 (남서울대학교 치위생학과)
  • Received : 2016.10.07
  • Accepted : 2016.11.08
  • Published : 2016.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was conducted to investigate the effects of professional oral healthcare program in eldery residents long-term care facilities. Ninety-four elderly residents from 5 different facilities in Asan participated in this study. The subjects were divided into 3 groups, with 32 in experimental group I, 30 in experimental group II, and 32 in the control group. Subjects in experimental group I were treated by a dental hygienist with professional oral healthcare and received daily oral care from caregivers who had completed elderly oral healthcare course. Subjects in experimental group II received daily oral care from caregivers who had completed elderly oral healthcare course. Control group received daily oral care from caregivers. These 3 groups were tested for dental plaque, halitosis, tongue coating, and salivary flow at baseline, and after 4 and 12 weeks of treatment. There were significant differences in the dental plaque index between the groups, mediate times, and mediate methods, in halitosis between the mediate methods, and in tongue coating between the mediate times, as well as the mediate methods. Finally, salivary flow was significantly different with regard to mediate methods between experimental group II and the control group. Therefore, to improve the oral health condition of elderly residents, involvement of a part-time dentist and scheduled professional oral healthcare are necessary. Furthermore, elderly oral healthcare education for nursing staff, including managers, should be provided.

본 연구는 장기요양시설 재원노인을 대상으로 2016년 3월부터 2016년 5월까지 전문가 구강위생관리 프로그램을 적용하고 재원노인의 구강위생상태 개선 효과를 파악하기 위하여 수행되었다. 전문가 구강위생관리와 노인구강보건 교육을 제공받은 요양보호사에 의한 일상 구강관리를 중재한 32명의 실험군 I, 노인구강보건교육을 제공받은 요양보호사에 의한 일상 구강관리를 시행한 30명의 실험군 II, 요양보호사에게 일상구강관리를 제공받은 32명의 대조군으로 구분하여 치면세균막 지수, 구취, 설태, 타액 분비량의 개선 효과를 보고자 하였다. 치면세균막 지수는 반복측정분산 분석 결과 실험군 I, 실험군 II, 대조군 사이에 유의한 차이가 있었으며 중재기간에 따른 변화에도 유의한 차이가 있었다. 또한 중재 방법에 따라서 치면세균막 지수의 변화 양상은 유의한 차이를 보였다. 구취는 실험군 I, 실험군 II, 대조군 사이와 중재기간에 따른 변화에 유의한 차이가 없었으나 중재 방법에 따라서 구취의 변화 양상은 유의한 차이를 보였다. 설태는 실험군 I, 실험군 II, 대조군 사이에 유의한 차이가 없었으나 중재기간과 중재 방법에 따른 설태의 변화 양상은 유의한 차이를 보였다. 타액 분비량은 실험군 I, 실험군 II, 대조군에 따른 변화와 중재기간에 따른 변화에 유의한 차이가 없었으나 중재 방법에 따라서 타액 분비량의 변화 양상은 유의한 차이를 보였다. 전문가 구강위생관리와 요양보호사에 대한 노인구강교육 실시가 재원노인들의 구강위생 상태에 영향을 미치는 것이 확인되었기에, 재원노인의 구강위생 상태를 개선하기 위해 치과 촉탁의 제도와 병행한 전문가 구강위생관리를 주기적으로 수행할 필요가 있으며, 직원을 포함한 간호 인력을 대상으로 노인 구강위생교육을 제공할 필요가 있다.

Keywords

References

  1. National Health Insurance Service: Long-term care insurance. Retrieved 2016, September 22, from: http://ongtermcare.or.kr(2016, September 22).
  2. Jang HS: Development of monitoring system and activation plan for public health center based home healthcare. Ministry of Health and Welfare, Seoul, pp.23-29, 2006.
  3. National Health Insurance Service: Retrieved 2016, September 22, from: http://longtermcare.or.kr(2016, September 22).
  4. Kim KW, Kim BJ, Kim SY, Kim SG, Kim JR, Kim TH: 2012 nationwide survey on the epidemiology of Korea. Ministry of Health and Welfare, Seoul, pp.27-36, 2012.
  5. Cho YH: Family caregivers' needs for a professional help by the symptom level of senile dementia. Unpublished master's thesis, Yonsei University, Seoul, 2007.
  6. Vanobbergen JN, De Visschere LM: Factors contributing to the variation in oral hygiene practices and facilities in long-term care institutions for the elderly. Community Dent Health 22: 260-265, 2005.
  7. Johnson V, Chalmers J: Oral hygiene care for functionally dependent and cognitively impaired older adults. Research Translation and Dissemination Core, Gerontological Nursing Interventions Research Center, University of Iowa College of Nursing, Iowa City, 2002.
  8. Sreebny LM, Schwartz SS: A reference guide to drugs and dry mouth. Gerodontology 5: 75-99, 1986. https://doi.org/10.1111/j.1741-2358.1986.tb00055.x
  9. The Korean Dental Hygiene Association: Clinical dental hygiene practice. 1st ed. Daehan Narae, Seoul, pp.4-5, 2014.
  10. Ministry of Government Legislation: Retrieved 2016, September 22, from: http://www.law.go.kr(2016, September 22).
  11. Won YS, Kim JH, Kim SK: Relationship of oral health status to subjective oral symptoms for the elderly in some Seoul area. J Dent Hyg Sci 9: 375-380, 2009.
  12. Kim KM, Park YN, Lee MK, et al.: Oral health knowledge level on oral care and elder oral hygiene care of the nursing home staff in long-term care facilities. J Korean Soc Dent Hyg 14: 723-730, 2014. https://doi.org/10.13065/jksdh.2014.14.05.723
  13. Jeon HS, Han SY, Chung W, Choi JH: Knowledge, attitude, and behavior status on oral health care of geriatric care workers in long-term care facilities. J Dent Hyg Sci 9: 569-576, 2015.
  14. Mo HS, Choi KB, Kim JS: Knowledge of oral health and its predictors in nursing staff of long-term care institutions. J Korean Acad Nurs 15: 428-437, 2008.
  15. Wyatt CCL: Elderly canadians in long-term care hospitals: Part I. Medical and dental status. J Can Dent Assoc 68: 353-358, 2002.
  16. Coker E, Pleog J, Kaasalainen S: The effect of programs to improve oral hygiene outcomes for older residents in long-term care. Res Gerontol Nurs 7: 87-100, 2014. https://doi.org/10.3928/19404921-20140110-01
  17. Coleman P, Watson M: Oral care provided by certified nursing assistants in nursing homes. J Am Geriatr Soc 54: 138-143, 2006. https://doi.org/10.1111/j.1532-5415.2005.00565.x
  18. Kim YS: Effects on quality of life and oral health of the elderly in an oral health promotion program: for elderly residents of long-term care center. Unpublished doctoral dissertation, Hanyang University, Seoul, 2015.
  19. Choi SM: The effects of professional oral health care on oral health states of long-term care patients in geriatric hospital. Unpublished doctoral dissertation, Yeungnam University, Gyeongsan, 2012.
  20. Han DH, Kim NH, Kwak JM, et al.: Research for the introduction of a part time dentist in elderly care facilities. Ministry of Health and Welfare, Seoul, pp.27-64, 2014.
  21. O'Leary TJ, Drake RB, Naylor JE: The plaque control record. J Periodontol 43: 38, 1972. https://doi.org/10.1902/jop.1972.43.1.38
  22. Winkel EG, Roldan S, Van Winkelhoff A, Van Winkelhoff AJ, Herrera D, Sanz M: Clinical effects of a new mouthrinse containing chlorhexidine, cetylpyridunium chloride and zinc-lactate on oral halitosis. A dual-center, double-blind placebo controlled study. J Clin Periodontol 30: 300-306, 2003. https://doi.org/10.1034/j.1600-051X.2003.00342.x
  23. Navazesh M, Christensen CM: A comparison of whole mouth resting and stimulated salivary measurement procedures. J Dent Res 61: 1158-1162, 1982. https://doi.org/10.1177/00220345820610100901
  24. Jeong HY, Park BG, Shin HS, et al.: Development of the korean version of modified barthel index (K-MBI): multi-center study for subjects with stroke. Ann Rehabil Med 31: 283-297, 2007.
  25. Cho BD, Lee BJ: Change in plaque control ability by the professional oral health care program. J Korean Acad Oral Health 39: 25-36, 2015. https://doi.org/10.11149/jkaoh.2015.39.1.25
  26. Park MS, Choi KS: The effects of oral care education on caregivers’knowledge, attitude and behavior toward oral hygiene for elderly residents in a nursing home. J Korean Acad Nurs 41: 684-693, 2011. https://doi.org/10.4040/jkan.2011.41.5.684
  27. Fields LB: Oral care intervention to reduce incidence of ventilation-associated pneumonia in the neurologic intensive care unit. J Neurosci Nurs 40: 291-298, 2008. https://doi.org/10.1097/01376517-200810000-00007
  28. Yoon MS, Youn HJ: A study on subjective symptoms of a oral malodor in Korean adults. J Dent Hyg Sci 8: 123-129, 2008.
  29. Shin SC, Lee KS: An epidemiological study on malodor status in Korean people. J Korean Acad Oral Health 23: 343-355, 1999.
  30. Kim KY, Yoon HJ, Kim MR, Lee HK, Lee KS: Effects of oral hygiene improvement of the elderly patients by caregiver's in rural long-term care hospital. J Korean Soc Agr Med Com 35: 13-20, 2010.
  31. Navezesh M: Dry mouth: aging and oral health. Compend Contin Educ Dent 23: 41-48, 2002.
  32. Kim JY, Moon WS, Lee KS, Hwang TY: Effects of oral exercise on oral function and denture satisfaction of the elderly. J Agric Med Community Health 40: 158-170, 2015. https://doi.org/10.5393/JAMCH.2015.40.3.158
  33. Gil-Montoya JA, Mello DA, Cardenas CB, Lopez IG: Oral health protocol for the dependent institutionalized elderly. Geriatr Nurs 27: 95-101, 2006. https://doi.org/10.1016/j.gerinurse.2005.12.003
  34. Choi YH, Kim EK, Park JM, et al.: The effects of oral interventions on intensive care unit (ICU) patients with stroke. J Korean Acad Oral Health 37: 41-46, 2013. https://doi.org/10.11149/jkaoh.2013.37.1.41

Cited by

  1. 요양병원 요양보호사의 노인 구강건강관리 수행도 관련요인 vol.17, pp.5, 2017, https://doi.org/10.13065/jksdh.2017.17.05.791
  2. 일부지역 노인요양기관 종사자의 구강보건지식 및 교육 필요도 vol.17, pp.5, 2017, https://doi.org/10.13065/jksdh.2017.17.05.805
  3. Elderly Welfare System and Role of Dental Hygienists in Korea and Japan vol.18, pp.3, 2016, https://doi.org/10.17135/jdhs.2018.18.3.172
  4. Factors Associated with Unmet Dental Needs among Single-Person Households in Korea vol.19, pp.1, 2019, https://doi.org/10.17135/jdhs.2019.19.1.48
  5. Suggestions for the Work of Dental Hygienists and a Reflection of Health Insurance Charges according to Demographic Changes vol.20, pp.1, 2020, https://doi.org/10.17135/jdhs.2020.20.1.1
  6. Effect of Case-Based Small-Group Learning on Care Workers’ Emergency Coping Abilities vol.18, pp.21, 2021, https://doi.org/10.3390/ijerph182111458
  7. Effect of Oral Health Education Using a Mobile App (OHEMA) on the Oral Health and Swallowing-Related Quality of Life in Community-Based Integrated Care of the Elderly: A Randomized Clinical Trial vol.18, pp.21, 2016, https://doi.org/10.3390/ijerph182111679