Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

A Study on the Converged Oral Environment of the Elderly with Dementia in the Nursing Home

요양시설 치매노인들의 융합적 구강환경 연구

  • 정영란 (대구보건대학교 치위생과) ;
  • 이정화 (대구보건대학교 치위생과)
  • Received : 2019.09.17
  • Accepted : 2019.12.20
  • Published : 2019.12.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study was conducted to identify the relationship among the cognitive function of the elderly with dementia in the nursing home and the oral health condition and pathogenic microorganisms in the mouth. Data was collected for a month in February 2019 for 30 people through a non-probable sampling method due to the special nature of dementia elderly people aged 70 years or older, living in nursing homes in Daegu. Technical statistics, ANOVA, and Pearson's correlation coefficient were analyzed using the SPSS window ver. 21.0 program. According to the study, the lower the rating of long - term care classification in nursing homes, the more the number of high-risk oral pathogens, and the more the number of existing permanent teeth, the more the number of microbes in the mouth. However, there was no significant difference in cognitive function. Therefore, it is suggested that oral health care, an elderly dementia people in nursing homes, should have different management methods depending on the oral environment, and also professional managers should be able to manage oral health condition for actual care.

본 연구는 요양시설 치매노인들의 인지기능과 구강건강상태 및 구강 내 병원성 미생물의 관계를 파악하기 위해 시도되었다. 대구소재 요양기관에 거주하는 70세 이상 치매노인이라는 특수성으로 비확률적 표본방식을 통해 30명을 대상으로 2019년 2월 한 달간 자료를 수집하였다. SPSS window ver. 21.0 프로그램을 이용하여 기술통계, ANOVA, Pearson's 상관계수로 분석하였다. 연구결과 요양판정등급이 낮을수록 고위험 병원성 세균이 많았고, 현존 치아수가 많을수록 구강 내 미생물의 수가 높게 나타났다. 하지만 인지기능과는 무의미한 차이를 보였다. 따라서, 요양시설의 치매노인 구강건강 관리를 위해서는 구강 내 환경에 따라 관리 방법을 달리하여야 하고 실제적인 건강관리를 위해서는 전문적인 관리자가 구강건강관리를 할 수 있어야 한다고 제언한다.

Keywords

References

  1. Statistics Korea. (2017). Statistics on the Aged. Statistics Korea [Online]. http://kostat.go.kr/
  2. M. J. Kim & J. Y. Lim. (2017). The Effect of Socioeconomic Status on the Prevalence of Chronic Disease in the Elderly. Health and Social Welfare Review, 37(4), 125-145. DOI : 10.15709/hswr.2017.37.4.125.
  3. Ministry of Health and Welfare. (2012). Prevalence of dementia Sejong Ministry of Health and Welfare.
  4. J. A. Loc. (2016). An Exploratory Study on Development Strategies for Dementia Policy of Korea based on Dementia Policy of Japan. Journal of Digital convergence, 14(11), 71-79. DOI : 10.14400/JDC.2016.14.11.17.
  5. J. S. Chae & S. H. Jeong. (2010). A study on developing strategies for oral health promoting. Seoul. KIHSA. 90-92.
  6. A. Zenthofer, P. Rammelsberg, T. Cabrera, J. Schroder & A. J. Hassel. (2014). Determinants of oral health-related quality of life of the institutionalized elderly. Psychogeriatrics, 14(4), 247-254. https://doi.org/10.1111/psyg.12077
  7. S. H. Seo, M. S. Cho, Y. R. Kim & J. Y. Ahn. (2013). The relationships among satisfaction with food-related life, depression, isolation, social support, and overall satisfaction of life in elderly South Koreans. J Korean Diet Assoc, 19, 159-172. DOI : 10.14373/JKDA.2013.19.2.159
  8. B. G. Kim. (2015). Clinical facial pain and oral medicine. Gwangju Chonnam National University.
  9. R. Mulligan & M. Navajesh. (1992). Relationship between oral conditions and systemic disease in the elderly. J Dent Res, 71, 31.
  10. L. Xiaojing, M. K. Kristin, T. Lief & O. Ingar. (2010). Systemic disease caused by oral infection. Clinical Microbiology Reviews, 13, 547-558. https://doi.org/10.1128/CMR.13.4.547-558.2000
  11. K. E. Kim. (2001). Salivary Secretion oral care and relationship with bad breath. Central nursing journal, 5(2), 55-60.
  12. M. S. Park. (2018). Oral Care and Considerations for Dental Treatment in Dementia Patients. Korean Dental Association, 56(4), 231-237.
  13. K. L. Kang.(2018). Association between dementia and oral health. Korean Dental Association, 56(4), 218-230.
  14. M. S. Park. (2010). Educational Needs in the Provision of Oral Care by Nursing Staff Long-term Care Facility for Elderly People. Journal of Geriatric Nursing, 33(3), 237.
  15. Cornejo-Ovalle. M, Costa-de-Lima. K, Perez. G.. Borrell. C & Casals-Peidro. E. (2013). Oral health care activities performed by caregivers for institutionalized elderly in Barcelona-Spain. Medicina Oral Patologia Oral Y Cirugia Bucal, 18(4), 641-649.
  16. J. M. Noble, N. Scarmeas & P. N. Papapanou. (2013). Poor oral health as a chronic, potentially modifiable dementia risk factor: Review of the literature. Current Neurology and Neuroscience Reports, 13(10), 384. https://doi.org/10.1007/s11910-013-0384-x
  17. J. H. Park & Y. C. Kwon. (1989). Standardization of Korean ion of mini-mental state examination (MMSE-K) for use in the elderly. J Korean Neuropsychiatr Assoc, 28(3), 508-513.
  18. H. P. Horz, M. E. Virus, B. P. Come & G. Conrads. (2005). Evaluation of universal probes and primer sets for assessing total bacterial load in clinical samples. J Clin Microbiol, 43(10), 5332-5337. DOI : 10.1128/JCM.43.10.5332-5337.2005.
  19. A. M. Syruala et al.(2012). Dementia and oral health among subjects aged 75 years or older. Gerodontology, 29, 36-42. https://doi.org/10.1111/j.1741-2358.2010.00396.x
  20. D. Sunwo, Y. H. Oh, S. H. Lee, J. S. Oh & S. K. Lee. (2009). The Future Policy Issues for Health of the Elderly. Sejong : KIHASA
  21. E. Elsig et al. (2015). Tooth Jans chewin g efficiency and cognitive impairment ingeriatric patients. Gerodontology 32(2), 149-156. https://doi.org/10.1111/ger.12079
  22. J. S. Choi. (2017). Oral health status of long-term care facility residents. Journal of Korean Society of Dental Hygiene, 17(3), 527-537. https://doi.org/10.13065/jksdh.2017.17.03.527
  23. H. J. Ko. (2016). Care facilities for the elderly with dementia periodontal pathogens analysis. Ph.D, Dong-Eui University, Busan.
  24. A. A. El-Solh. (2011). Association between pneumonia and oral care in nursing home residents. Lung, 189(3), 173-180. https://doi.org/10.1007/s00408-011-9297-0
  25. C. C. Pace & G. H. McCullough. (2010). The association between oral microorgansims and aspiration pneumonia in the institutionalized elderly: Review and recommendations. Dysphagia, 25(4), 307-322. https://doi.org/10.1007/s00455-010-9298-9
  26. M. S. Hopcraft, M. V. Morgan, J. G. Satur, F. A. Wright & I. B. Darby. (2012). Oral hygiene and periodontal disease in Victorian nursing homes. Gerodontology, 29(2), 220-228.
  27. J. M. Jin. (2007). Oral Health Status on the aged with dementia in long-term care hospital, R.D.H. Chosun University, Gwangju.
  28. G. H. Jung. (2012). A Study on implementation of Medical for Elderly Inpatients-Through Compared with Nur Elderly Patients. Journal of Digital Convergence, 10(3), 219-225. https://doi.org/10.14400/JDPM.2012.10.3.219
  29. H. J. Ko, E. S. Jeon & H. J. Kim. (2017). Analysis of periodontal pathogens in care facilities for the elderly with dementia. J Korean Soc Dent Hyg, 17(1), 155-168. DOI : l0.13065/jksdh.2017.17.01.155. https://doi.org/10.13065/jksdh.2017.17.01.155
  30. M. A. Shim & G. S. Han. (2014). A study on the health status and oral health related quality of life in the elderly patients with long-term care. J Dent Hyg Sei , 14, 379-89. DOI : 10.17135./dhs.2014143379.