Browse > Article
http://dx.doi.org/10.7586/jkbns.2020.22.3.192

The Effect of Oral Environment and Self-care Behavior on Oral Health-related Quality of Life in the Elderly with Diabetes  

Sung, Kiwol (College of Nursing, Daegu Catholic University)
Publication Information
Journal of Korean Biological Nursing Science / v.22, no.3, 2020 , pp. 192-203 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the influencing factors of oral environment and self-care behavior on the oral health-related quality of life in the elderly with diabetes. Methods: The participants were 110 elderly patients with diabetes and follow-up care on their outpatient clinic in D and G city. Data were collected September-December 2018, using questionnaires of the Oral Health Impact Profile (OHIP-49) and Kim's Self-care Behavior, measuring with the tooth-pick (Premiers Dental), Halitosis Checker (HC-212M), and Moisture Checker for Mucus (MCM) for oral environments. The data were analyzed the by independent t-test, oneway ANOVA, Pearson's correlation, and stepwise multiple regression analysis using an IBM SPSS Statistics 25.0 Program. Results: There was positive correlation between oral health-related quality of life and self-care behavior (r= .61, p< .001), negative correlations among halitosis (r = -.34, p< .001), gingival index (r = -.31, p= .001) and plaque index (r = -.32, p= .001). Self-care behavior (β= .46, p< .001), subjective health status (good) (β= .23, p= .002), halitosis (β= -.16, p= .030), and plaque index (β= -.15, p= .041) explained 46.0% of the variance in the oral health-related quality of life. Conclusion: It is necessary to develop nursing care for elderly patients with diabetes that can enhance the self-care behavior and subjective health status, and lower halitosis and plaque index, the factors influencing the oral health-related quality of life in elderly patients with diabetes.
Keywords
Oral health; Self care, Quality of life; Diabetes mellitus; Aged;
Citations & Related Records
Times Cited By KSCI : 14  (Citation Analysis)
연도 인용수 순위
1 Statistics Korea. 2015 Korea health statistics [Internet]. Seoul: Ministry of Health and Welfare & Korea Centers for Disease Control & Prevention; 2015 [cited 2019 Oct 25]. Available from: http://www.kostat.go.kr
2 Korea Centers for Disease Control and Prevention. Korea health statistics 2014 : Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Seoul: Korea Centers for Disease Control and Prevention; 2015. 1-664.
3 Lee S, Kim H. Structural equation modeling on self-care behavior and quality of life in older adults with diabetes using citizen health promotion centers. Journal of Korean Academy of Nursing. 2017;47(4):514-524. https://doi.org/10.4040/jkan.2017.47.4.514   DOI
4 Cervino G, Terranova A, Briguglio F, De Stefano R, Fama F, D'Amico C, et al. Diabetes: Oral health related quality of life and oral alterations. BioMed Research International. 2019;2019:5907195. https://doi.org/10.1155/2019/5907195   DOI
5 Gomes MJAR, Teixeira MC, Paco MTP. Clinical predictors of oral health-related quality of life in older adults with diabetes. Journal of Nursing Referencia. 2015;4(7):81-89. https://doi.org/10.12707/RIV15002
6 Llambes F, Arias-Herrera S, Caffesse R. Relationship between diabetes and periodontal infection. World Journal of Diabetes. 2015;6(7):927-935. https://doi.org/10.4239/wjd.v6.i7.927   DOI
7 Khader YS, Dauod As, E1-Qaderi SS, Alkafajei A, Batayha WQ. Periodontal status of diabetics compared with nondiabetics: a meta-analysis. Journal of Diabetes Complications. 2006;20(1):59-68. https://doi.org/10.1016/j.jdiacomp.2005.05.006   DOI
8 Azogui-Levy S, Dray Spira R, Attal S, Hartemann A, Anagnostou F, Azerad J. Factors associated with oral health related quality of life in patients with diabetes. Australian Dental Journal. 2018;63(2):163-169. https://doi.org/10.1111/adj.12577   DOI
9 Deshpande K, Jain A, Sharma R, Prashar S, Jain R. Diabetes and periodontitis. Journal of Indian Society Periodontology. 2010;14(4):207-212. https://doi.org/10.4103/0972-124X.76917   DOI
10 Lee KD, Lee HK. DMFT Index, periodontal index and oral hygiene status in diabetic patients. Yeungnam University Journal of Medicine. 2005;22(1):62-71.   DOI
11 Jo ED, Kim ES, Hong HK, Han GS. Factors analysis of the oral health-related quality of life in the elderly. Journal of Korean Society of Dental Hygiene. 2019;19(1):55-64 https://doi.org/10.13065/jksdh.20190004
12 Jo JY, Jeong JH, Lee SY, Kwun HS, Park KL, Urm SH, Yu BC. Influences of stress and fatigue on periodontal health indicators in patients with periodontal disease. Journal of Korean Society of Dental Hygiene. 2016;16(2):225-231. https://doi.org/10.13065/jksdh.2016.16.02.225   DOI
13 Jung SJ, Lee MR. A study on halitosis by oral care behavior and the oral environment. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(1):629-637. https://doi.org/10.5762/KAIS.2016.17.1.629   DOI
14 Brewer-Lowry AN, Arcury TA, Bell RA, Quandt SA. Differentiating approaches to diabetes self-management of multi-ethnic rural older adults at the extremes of glycemic control. The Gerontologist. 2010;50(5):657-667. https://doi.org/10.1093/geront/gnq001   DOI
15 Han YJ, Han MA. Oral health and behavior by diabetic status: the fifth Korea national health and nutrition examination survey. Journal of Korean Society of Dental Hygiene. 2016;16(2):233-240. https://doi.org/10.13065/jksdh.2016.16.02.233   DOI
16 Bauer F, Beulens JWJ, van der A DL, Wijmenga C, Grobbee DE, Spijkerman AMW, et al. Dietary patterns and the risk of type 2 diabetes in overweight and obese individuals. European Journal of Nutrition. 2013;52(3):1127-1134. https://doi.org/10.1007/s00394-012-0423-4   DOI
17 Cho MJ. The relationship between masticatory ability and the quality of life oral health- related using OHIP-14 of the elderly. Journal of Digital Convergence 2016;14(9):341-348. https://doi.org/10.14400/JDC.2016.14.9.341   DOI
18 Kim MS. A study on the correlation between the dental plaque index of patients and the periodontal disease or prognosis [master's thesis]. Seoul: Seoul University; 2013. p. 1-16.
19 Bae JY. The elders' general quality of life and oral health-related quality of life. Journal of Korean Clinical Health Science. 2015;3(4):466-475. https://doi.org/10.15205/kschs.2015.3.4.466   DOI
20 Yom YH, Han JH. Factors associated with oral health related-quality of life in elderly persons: applying Andersen's model. Journal of Korean Academy Fundamental Nursing. 2014;21(1):18-28. https://doi.org/10.7739/jkafn.2014.21.1.18   DOI
21 Kim ES. Review of oral health-related quality of life using the oral health impact profile. Journal of the Korean Academy of Dental Hygiene. 2013;15(1):13-22.
22 Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dental Health 1994;11(1):3-11.
23 Lee MS, Kim SH, Yang JS, Oh JS, Kim DK. Validity and reliability of the oral health impact profile in elderly Korean 65+. Journal of Korean Academy of Oral Health. 2005;29(2):210-221.
24 Kim YO. A study of factors predicting self-care behavior in diabetics. Journal of Korean Academy of Nursing. 1998;28(3):625-637.   DOI
25 Choi HS. The relationship between oral health improvement and oral health impact profile(OHIP-14) in the elderly people in long-term care center. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2016;6(11):391-400. https://doi.org/10.14257/AJMAHS.2016.11.51   DOI
26 Lee YM, Son YJ, Lee EJ. Health literacy, disease-related knowledge, self-efficacy and self-care behavior in patients with diabetes mellitus. Journal of The Korean Data Analysis Society. 2012;14(6):3087-3101.
27 Lee JH. New gidelines for elderly diabetic patients. The Journal of Korean Diabetes. 2014;16(2):89-100. https://doi.org/10.4093/jkd.2015.16.2.89   DOI
28 Park HS. Effect of oral hygiene controllability on the subjective oral malodor. Korean Journal of Oral Medicine. 2008;33(2):147-158.
29 Park JY. The impact of health status of for the elderly on oral health-related of life quality. Journal of Digital Convergence. 2014;12(5):271-280. https://doi.org/10.14400/JDC.2014.12.5.271   DOI
30 Hong MH. Impact of physical stress symptoms and psycho-emotional stress symptoms on oral health in adults. Journal of the Korea Academia-Industrial cooperation Society. 2014; 15(3):1663-1670. https://doi.org/10.5762/KAIS.2014.15.3.1663   DOI