DOI QR코드

DOI QR Code

노인의 주관적인 구강건강상태에 따른 구강관리 요구도에 관한 질적연구

A qualitative research on the needs for oral care according to the subjective oral health status of the elderly

  • 문상은 (광주여자대학교 치위생학과) ;
  • 홍선화 (전남과학대학교 치위생과) ;
  • 이보람 (광주여자대학교 치위생학과)
  • Sang-Eun Moon (Department of Dental Hygiene, Kwangju Women's University) ;
  • Sun-Hwa Hong (Department of Dental Hygiene, Chunnam Techno University) ;
  • Bo-Ram Lee (Department of Dental Hygiene, Kwangju Women's University)
  • 투고 : 2023.07.31
  • 심사 : 2023.08.16
  • 발행 : 2023.08.30

초록

Objectives: The purpose of this study was conducted an in-depth analysis of the subjective oral status and oral care needs according and problems of the elderly. Methods: A phenomenological research method was from April 13 to 30, 2023, 15 elderly people aged 65 or older in Gwangju and Jeolla regions were surveyed. Results: He was experiencing oral changes such as difficulty chewing, dry mouth and indigestion, sensitive teeth, smell of fear and feeling sensitive when eating sweet or cold food. They were burdened by the financial difficulties of dental treatment costs, the inconvenience caused by frequent visits, and the pain experienced during treatment. Realized the need for necessity of oral care education, and their confidence was restored through dental treatment. It was necessary the image recovery of dentistry, and they wanted to maintain oral health through the expansion of treatment health insurance. Conclusions: Consequently, it is necessary to develop a practical oral health management program for the elderly based on social communication regarding of the elderly and to expand health insurance coverage.

키워드

과제정보

This paper was supported (in part) by research funds of Kwangju Women's University in 2023 (KWU23-035).

참고문헌

  1. Word Health Organization(WHO). Mental health of older adults [Internet]. Word Health Organization[cited 2023 Jul 17]. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults. 
  2. Statistics Korea. 2020 senior population statistics [Internet]. Statistics Korea; 2020[cited 2023 Apr 25]. Available from: https://kostat.go.kr/board.es?mid=a10301060500&bid=10820&act=view&list_no=385322. 
  3. Ministry of Health and Welfare(MOHW). 2020 elderly healthy welfare project guide [Internet]. Ministry of Health and Welfare; 2021[cited 2023 Apr 25]. Available from: https://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=366496. 
  4. Kim MS, Park YH. The risk of dysphagia and dysphagia-specific quality of life among community dwelling older adults in senior center. Korean J Adult Nurs 2014;26(4):393-402. https://doi.org/10.7475/kjan.2014.26.4.393 
  5. Health Insurance Review and Assessment Service. 2022 The first half of the year medical bills health indicators [Internet]. Health Insurance Review and Assessment Service; 2023[cited 2023 Apr 25]. Available from: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045010000&brdScnBltNo=4&brdBltNo=2379. 
  6. Ju OJ, Kim IJ, Son JL. Influence of health-related quality of life (EQ-5D) on oral health problems in the elderly in the national health and nutrition survey. J Korea Converg Soc 2020;11(1):309-15. https://doi.org/10.15207/JKCS.2020.11.1.309 
  7. Lee EJ, Kim JP. The effect of elderly oral health on life satisfaction: moderated-mediation of self-rated health and social participation. J Korean Converg Sci 2021;10(4):224-41. https://doi.org/10.24826/KSCS.10.4.15 
  8. Jung SJ. Factors related to subjective oral health level of the elderly. JCIT 2021;11(6):171-80. https://doi.org/10.22156/CS4SMB.2021.11.06.171 
  9. Min KC, Kim EH, Woo HS. A survey about awareness and necessity of community based dysphagia therapy of community dwelling older adults. TSNR 2022;11(2):39-51. https://doi.org/10.22683/tsnr.2022.11.2.039 
  10. Jung ES, Choi YY, Lee KH. A qualitative study on the present working conditions of dental hygienists and the oral health awareness of older adults with dementia. J Korean Soc Dent Hyg 2021;21(1):27-40. https://doi.org/10.13065/jksdh.20210004 
  11. Kim GU, Kim JH. A study on the knowledge and awareness of care workers on the geriatric oral health. J Korea Converg Soc 2015;6(6):9-15. https://doi.org/10.15207/JKCS.2015.6.6.009 
  12. Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ 1990;54(11):680-7.  https://doi.org/10.1002/j.0022-0337.1990.54.11.tb02481.x
  13. Shin SJ, Jung SH. A Korean version of the geriatric oral health assessment index (GOHAI) in elderly populations: validity and reliability. J Korean Acad Oral Health 2011;35(2):187-95. 
  14. Cho MJ, Jung EK, Shin HE, Shin AR, Jo HY, Choi YH, et al. Relationship between the number of functional teeth and Geriatric Oral Health Assessment Index(GOHAI) in elderly. J Korean Soc Dent Hyg 2016;16(3):455-61. https://doi.org/10.13065/jksdh.2016.16.03.455 
  15. Min HH, Jung SJ. The relationship between oral health education experience, oral health knowledge level, oral health education request level, and the Geriatric Oral Health Assessment Index(GOHAI) of some elderly. JCIT 2022;12(1):109-18. https://doi.org/10.22156/CS4SMB.2022.12.01.109 
  16. Colaizzi PF. Psychological research as the phenomenologist views it. In: existential phenomenological alternatives for psychology. Valle RS, King M, editors. New York: Oxford University Press; 1978:48-71. 
  17. Back JU, Park MH. Ability for chewing a social activity and connection with the life function of a senior citizen. J Tech Dent 2007;29(2):87-103. 
  18. Park HH, Song IJ. A convergence study on factors influencing health-related quality of life in patients with chronic neck pain. J Korea Converg Soc 2018;9(6):299-310. https://doi.org/10.15207/JKCS.2018.9.6.299 
  19. Kang KH, Kim KH. An integrative study on the subjective happiness by eating foods in the elderly:focus group interview. JKAIS 2019;20(8):75-82. https://doi.org/10.5762/KAIS.2019.20.8.75 
  20. Jeon YJ, Choi JS, Han SJ. The effect of dry mouth improvement by oral exercise program in elderly people. J Korean Soc Dent Hyg 2012;12(2):293-305. https://doi.org/10.13065/jksdh.2012.12.2.293 
  21. Han DH, Ko SM, Kwag JM, Kim NH, So JS, Lee SK, et al. The development of oral health services in long-term care insurance for the elderly. Seoul: Health policy institute; 2014:39-42. 
  22. Kim YJ, Park KM. Effects on salivation, xerostomia and halitosis in elders after oral function improvement exercises. J Korean Acad Nurs 2012;42(6):898-906.https://doi.org/10.4040/jkan.2012.42.6.898 
  23. Shin KH. Analysis of halitosis components following by subjective cognition of halitosis and oral state. J Korean Soc Dent Hyg 2011;11(2):263-75. 
  24. Kim JB, Choi YJ, Moon HS, Kim JB, Kim DK. Public oral health. 4th ed.Seoul: Komoonsa; 2008:642-3. 
  25. Park IA, Nam IY. The impact of doctor-patient relationship on doctor image: focusing on different treatment cost, treatment period and treatment phobia in dentistry. KJCS 2021;29(1):219-37. https://doi.org/10.23875/kca.29.1.10 
  26. Koreatimes [Internet]. Koreatimes; 2015[cited 2023 Apr 23]. Available from: https://www.koreatimes.co.kr/www/news/nation/2015/07/213_183144.html. 
  27. Ko ES. A study on patient's satisfaction according to dentist's communication style and patient's disposition[Master's thesis]. Seoul: Yonsei University, 2008. 
  28. Moore R, Birn H, Kirkegaard E, Brodsgaard I, Scheutz F. Prevalence and characteristics of dental anxiety in danish adults. Community Dent Oral Epidemiol 1993;21(5):292-6. https://doi.org/10.1111/j.1600-0528.1993.tb00777.x 
  29. Im EJ, Lim SR. Validity and reliability of the Korean version of the index of dental anxiety and fear. J Dent Hyg Sci 2017;17(1):20-9. https://doi.org/10.17135/jdhs.2017.17.1.20 
  30. NohEM, Jeon ES, Ko SY. Relationship of oral health behavior to self-efficacy among the elderly. J Korean Soc Dent Hyg 2014;14(2):167-75. 
  31. Chae YR, Kang SY, Nam ES, Hyun HJ, Park SY, Lee SH, et al. Relationship among oral hygiene management, halitosis, interpersonal relationships and oral health-related quality of life in community-dwelling elderly. Korean J Health Promot 2019;19(4):229-36. https://doi.org/10.15384/kjhp.2019.19.4.229 
  32. Jensen PM, Saunders RL, Thierer T, Friedman B. Factors associated with oral health-related quality of life in community-dwelling elderly persons with disabilities. J Am Geriatr Soc 2008;56(4):711-7. https://doi.org/10.1111/j.1532-5415.2008.01631.x 
  33. Peabody FW. The care of the patient. JAMA 1984;252(6):813-8. https://doi.org/10.1001/jama.252.6.813 
  34. Kim YG, Kim EJ, Nho SH, Baek EJ, Shin MS, Hwang SJ. Some adults' opinions about private dental insurance and national dental insurance according to stress of dental treatment cost. J Dent Hyg Sci 2015;15(6):703-11. https://doi.org/10.17135/jdhs.2015.15.6.703