Journal of the Health Care and Life Science (보건의료생명과학 논문지)

The Korean Society of Medical Informatics Education (한국의료정보교육협회)
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Effects of oral Health on Health-related Quality of life in Cancer Patients and Cancer Survivors: The 7th Korea National Health and Nutrition Examination Survey

암환자와 암생존자의 구강건강이 건강 관련 삶의 질에 미치는 영향: 제7기 국민건강영양조사

  • Kyung-Yi Chung (Department of Dental hygiene, Honam University)
  • 정경이 (호남대학교 치위생학과)
  • Received : 2023.10.03
  • Accepted : 2023.11.10
  • Published : 2023.12.31
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Abstract

This study investigated the effect of oral health on health-related quality of life in cancer patients and cancer survivors using data from the 7th Korea National Health and Nutrition Examination survey. Data analysis was a complex sample analysis using SPSS/WIN 26.0. As a result of conducting complex sample logistic regression analysis to investigate factors affecting the quality of life of cancer patients and cancer survivors, the average quality of life was 1.18 points for cancer patients and 1.16 points for cancer survivors. The quality of life of cancer patients was significantly lowerer when they had discomfort chewing and speech difficulties, and needed dentures. Cancer suvivors was significantly lowerer when they had speech difficulties. Therefore, it is necessary to recognize the importance of oral care for cancer patients and cancer survivors, and to develop and utilize oral health care programs so that continuous and professional access to oral health care is necessary.

본 연구는 제7기 국민건강영양조사 자료를 활용하여 암환자와 암생존자의 구강건강이 건강 관련 삶의 질에 미치는 영향을 조사하였다. 자료 분석은 SPSS/WIN 26.0을 이용하여 복합표본 분석을 하였다. 암환자와 암생존자의 삶의 질에 영향을 미치는 요인을 알아보기 위해 복합표본 로지스틱 회귀분석을 실시한 결과, 암환자의 삶의 질 평균은 1.18점이었으며, 암생존자의 삶의 질 평균은 1.16점이었다. 암환자는 씹기와 말하기에 불편감이 있을수록, 의치가 필요할수록 유의하게 삶의 질이 낮았으며, 암생존자는 말하기에 불편감이 있을수록 삶의 질이 낮았다. 따라서 암환자와 암생존자를 위한 구강관리 중요성을 인식하고, 구강건강관리 프로그램을 개발하여 활용할 수 있도록 지속적이고 전문적인 구강건강관리에 대한 접근이 필요하다.

Keywords

Acknowledgement

이 논문은 2022년도 호남대학교 학술연구비 지원을 받아 연구되었음

References

  1. National Cancer Information Center, Cancer in Statistics, https://www.cancer.go.kr/lay1/S1T639C640/contents.do
  2. M. Gonzalez-Saenz de Tejada, A. Bilbao, M. Bare, E. Briones, C. Sarasqueta, J-M. Quintana, E. Escobar, Caress-CCR group, 'Association between social support, functional status, and change in anxiety and depression in colorectal cancer patients', Psychooncology, Vol. 26, No. 9, pp. 1263-1269, 2017.
  3. Siegrist, A. Junge, 'Conceptual and methodological problems in research on the quality of life in clinical medicine', Social science & medicine, Vol. 29, No. 3, pp. 463-468, 1989.
  4. A. Montazeri, R. Milroy, D. Hole, J. McEwen, C-R. Gillis, 'Quality of life in lung cancer patients: as an important prognostic factor,' Lung cancer, Vol. 29, No. 2-3, pp. 233-240, 2001.
  5. K. Fitch, B. Pyenson, 'Cancer patients receiving chemotherapy: opportunities for better management', Milliman client report, Vol. 30, pp. 1-27, 2010.
  6. P-B. Jacobsen, K. Davis, D. Cella, 'Assessing quality of life in research and clinical practice', Oncology, Vol. 16, No. 9; SUPP/10, pp. 133-140, 2002.
  7. J-B. Epstein, J. Thariat, R-J. Bensadoun, A. Barasch, B-A. Murphy, L. Kolnick, L. Popplewell, E. Maghami, 'Oral complications of cancer a nd cancer therapy', CA: A Cancer Journal for Clinicians, Vol. 62, No. 6, pp. 400-422, 2012.
  8. M. Feuerstein, 'Defining cancer survivorship', Journal of cancer survivorship research and practice, Vol. 1, pp. 5-7, 2007.
  9. J-E. Bower, A-D. Crosswell, A-L. Stanton, C-M. Crespi, D. Winston, J. Arevalo, J. Ma, S-W. Cole, P-A, Ganz, 'Mindfulness meditation for younger breast cancer survivors: a randomized controlled trial', Cancer, Vol. 121 No.8, pp. 1231-1240, 2015.
  10. National Cancer Information Center, Cancer incidence by age group, https://www.cancer.go.kr/.
  11. Ministry of Health and Welfare, 2023 National cancer screening project guide, https://www.mohw.go.kr.
  12. Y-N. Kim, H-K. Kwon, W-G. Chung, Y-S. Cho, Y-H. Choi, 'The association of perceived oral health with oral epidemiological indicators in Korean adults', Journal of Korean Academy of Oral Health, Vol. 29, No. 3, pp. 250-260, 2005.
  13. J-A. Park, J-Y. Hong, 'Factors influencing quality of life in adult cancer patients: The Sixth Korea National Health and Nutrition Examination Survey(KNHANES VI-2), 2014', Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 5 pp. 382-390, 2017.
  14. M-A. Han, 'Oral health status and behavior among cancer survivors in Korea using nationwide survey', International Journal of Environmental Research and Public Health, Vol.15, No.1 pp.14, 2017.
  15. D. Locker, M. Clarke, B. Payne, 'Self-perceived oral health status, psychological well-being, and life satisfaction in an older adult population', Journal of Dental Research, Vol. 79, No. 4, pp. 970-975, 2000.
  16. N-R. Kressin, 'Symposium on self-reported assessments of oral health outcomes. Introduction', Journal of Dental Education, Vol. 60, No. 6, pp. 485-487, 1996.
  17. I. Wardh, G. Paulsson, B. Fridlund, 'Nursing staff's understanding of oral health care for patients with cancer diagnoses: an intervention study', Journal of clinical nursing, Vol. 18, No. 6, pp. 799-806, 2009.
  18. E. Hartnett, 'Integrating oral health throughout cancer care', Clinical Journal of Oncology Nursing, Vol. 19, No. 5, pp. 615-619, 2015.
  19. J. Amodio, D-B. Palioto, H-H. Carrara, D-G. Tiezzi, J-M Andrade, F-J. Reis, 'Oral health after breast cancer treatment in postmenopausal women', Clinics, Vol. 69, pp. 706-708, 2014.
  20. X-T. Zeng, W-D. Leng, C. Zhang, J. Liu, S-Y. Cao, W.Huang, 'Meta-analysis on the association between toothbrushing and head and neck cancer', Oral oncology, Vol. 51, No. 5, pp. 446-451,2015.
  21. B. Soder, M. Yakob, J-H. Meurman, L-C. Andersson, P-O. Soder, 'The association of dental plaque with cancer mortality in Sweden. A longitudinal study', BMJ open, Vol. 2, No.3, pp. e001083, 2012.
  22. R. An, Z. Wu, M. Liu, Y. Zhao, W. Chen, 'Oral health behavior and oral health service utilization among cancer patients in China: A multicenter cross-sectional study' Frontiers in oncology, Vol.13 pp. 1-11 2023.
  23. N. Yenugadhati, A-N. Albalawi, A-T. Qureshey, E-T. Qureshey, H. Al-Jahdali, A-R. Jazieh, A-E. Ahmed, 'Associated factors for oral health problems in a sample of Saudi cancer patients', Cancer Management and Research, Vol. 10, pp. 1285-1293, 2018.
  24. M-S. Chambers, B-B. Toth, J-W. Martin, T-J. Fleming, J-C. Lemon, 'Oral and dental management of the cancer patient: prevention and treatment of complications', Support Care Cancer, Vol. 3, No. 3, pp. 168-175, 1995.
  25. J-M. Brodeur, D. Laurin, R. Vallee, D. Lachapelle, 'Nutrient intake and gastrointestinal disorders related to masticatory performance in the edentulous elderly', Journal of Prosthetic Dentistry, Vol. 70, No. 5, pp. 468-473, 1993.
  26. H-C. Hung, K-J Joshipura, R. Jiang, F-B. Hu, D. Hunter, S-A Smith-Warner, G-A. Colditz, B. Rosner, D. Spiegelman, W-C. Willett, 'Fruit and vegetable intake and risk of major chronic disease', Journal of the National Cancer Institute, Vol. 96, No. 21, pp. 1577-1584,2004.
  27. S-H. Kim, 'Effects of nutrient intake on oral health and chewing difficulty by age group', Journal of the Korea Academia-Industrial cooperation Society, Vol. 19, No. 21 pp. 02-209,2018.
  28. H-K. Kang, 'A study on the relationship between physical activity, mental health, oral health and quality of life according to chewing difficulty', Journal of Korean of Oral Health Science, Vol. 7, No. 2 pp. 1-8, 2019.