Browse > Article
http://dx.doi.org/10.17135/jdhs.2014.14.3.379

A Study on the Health Status and Oral Health-Related Quality of Life in the Elderly Patients with Long-Term Care  

Shim, Mi-Ae (Department of Dental Hygiene, Graduate School of Public Health, Gachon University)
Han, Gyeong-Soon (Department of Dental Hygiene, Graduate School of Public Health, Gachon University)
Publication Information
Journal of dental hygiene science / v.14, no.3, 2014 , pp. 379-389 More about this Journal
Abstract
This study intended to examine the health status and quality of life among the elderly patients who stayed in geriatric hospitals for a long period of time. The study involved 222 elderly who were older than 65-year-old, an oral examination was conducted in 10 geriatric hospitals located in the metropolitan area and Chungcheong-do. Cross-tabulation, one-way ANOVA, t-test, and Stepwise multiple regression were performed for analysis. The average number of teeth among the subjects was 11.22 and that of dental caries was 1.17. Also, the average number of teeth mobility was 0.93 and halitosis was detected among 81.9%. Only 29.70% reported absence or a kind of systemic disease and 70.31% of the subjects was shown to have more than two kinds of complex disease. In addition, 87.8% of the subjects had depression and among them, 55.40% showed serious depression. The average score on quality of life was 2.62 points and as for the related factors, the number of remaining teeth and dental caries were counted along with care grade, hospitalization period, and age. According to such results, the oral health status among the elderly patients staying long in geriatric hospitals were not good in general; also they showed high level of systemic disease and depression and low quality of life.
Keywords
Dental caries; Depression; Health status; Long-term care; Quality of life;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Rantz MJ, Hicks L, Grando V, et al.: Nursing home quality, cost, staffing, and staff mix. Gerontologist 44: 24-38, 2004.   DOI   ScienceOn
2 Park BS: The influence of nursing workers' in elderly long term care hospitals job stress and social support on exhaustion: focused on caregivers and nursing workers. Unpublished master's thesis, Seoul Christian University, Seoul, 2013.
3 Ministry of Health & Welfare: Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES V-3). Ministry of Health & Welfare, Seoul, p.640, 2013.
4 Oh JK, Kim YJ, Kho HS: A study on the clinical characteristics of patients with dry mouth. J Oral Med Pain 26: 331-343, 2001.
5 Kong HK: A study on the depression of the disabled elderly. Unpublished master's thesis, Konkuk University, Seoul, 2010.
6 Koenig HG, Blazer DG: Epidemiology of geriatric affective disorders. Clin Geriatr Med 8: 235-251, 1992.
7 Rapaport MH, Clary C, Fayyad R, Endicott J: Quality-of-life impairment in depressive and anxiety disorders. Am J Psychiatry 162: 1171-1178, 2005.   DOI   ScienceOn
8 Korea Centers for Disease Control & Prevention: 2011 disease control white paper. Korea Centers for Disease Control & Prevention, Seoul, p.140, 2012.
9 Chun CS: The research about the psychosocial factors of hypochondria of the aged. Unpublished master's thesis, Sangji University, Wonju, 2010.
10 Pyne JM, Patterson TL, Kaplan RM, Gillin JC, Koch WL, Grant I: Assessment of the quality of life of patients with major depression. Psychiatr Serv 48: 224-230, 1997.   DOI   ScienceOn
11 Locker D: Measuring oral health: a conceptual framework. Community Dent Health 5: 3-18, 1988.
12 Cheon BC, Nam CH, Choi SK, Shin DM, Kim GY: Factors influencing older people's quality of life. Korean Public Health Res 31: 124-138, 2005.
13 Heun R, Burkart M, Maier W, Bech P: Internal and external validity of the WHO well-being scale in the elderly general population. Acta Psychiatr Scan 99: 171-178, 1999.   DOI   ScienceOn
14 Yang SB, Moon HS, Han DH, Lee HY, Chung MK: Oral health status and treatment need of institutionalized elderly patients. J Korean Acad Prosthodont 46: 455-469, 2008.   DOI
15 Jang KW, Kim JB: Oral health survey method. 3th ed. Komoomsa, Seoul, pp.40-48, 2007.
16 Miller PD Jr: A classification of marginal tissue recession. Int J Periodontics Restor Dent 5: 8-13, 1985.
17 Kim YS: Diagnosis and prescription of halitosis patients. KDA News 1979: 28-29, 2011.
18 Statistics Korea: Korea sratistics information system (KOSIS): statisics DB, Korean standard classification of diseases (2010). Retrieved March 3, 2014, from http://kostat.go.kr /kssc/stclass/StClassAction.do?method=dis2&classKind=5& kssc=popup.
19 Ministry of Health & Welfare: 2013 status of elderly welfare facilities. Ministry of Health & Welfare, Seoul, p.5, 2013.
20 Yesavage JA, Brink TL, Rose TL, et al.: Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 17: 37-49, 1982-1983.
21 Jung IK, Kwak DI, Joe SH, Lee HS: A study of standardization of Korean form of geriatric depression scale (KGDS). J Korean Geriatr Psychiatry 1: 61-72, 1997.
22 Lee GR, Yoo WK: A study on denture satisfaction in rural elderly people. J Agric Med Community Health 53: 56-66, 2010.
23 Slade GD: Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 25: 284-290, 1997.   DOI   ScienceOn
24 Centers for Disease Control and Prevention National Center for Health Statistics: Trends in oral health status: United States, 1988-1997 and 1999-2004. Centers for Disease Control and Prevention, Atlanta (GA), pp.8-17, 2007.
25 Kang HK, Yoon HS, Cho YC: A survey on the oral health conditions according to dental health behaviors of elderly people in community. J Agric Med Community Health 30: 263-277, 2005.
26 Jung YM: Mood state, instrumental activities of daily living and attitude toward aging according to the existence of a spouse. Korean J Adult Nurs 17: 656-667, 2005.
27 Han GS, Kim YN, Yang SK, Bae KH: Relation of oral malodor and periodontal status among adults in metropolitan area. J Korean Acad Oral Health 34: 50-57, 2010.
28 Jo ED, Han GS: Influencing factors in the halitosis. J Korean Acad Oral Health 36: 272-281, 2012.   DOI
29 Lee HS: A study on factors causing health conditions and the burden of medical expenses to the elderly. J Korean Geriatr Soc 24: 163-179, 2004.
30 Park JR, Kim HJ: The effect of need of oral health management to oral health impact profile among elderly over 65 years. J Korean Soc Dent Hyg 11: 961-971, 2011.
31 Lee MS: Chronic diseases, depressive symptoms and the effects of social networks in Korean elderly population. Health Soc Sci 27: 5-30, 2010.
32 Touhy TA, Brown C, Smith CJ: Spiritual caring: end of life in a nursing home. J Gerontol Nurs 31: 27-35, 2005.   DOI
33 Locker D, Allen PF: Developing short-form measures of oral health-related quality of life. J Public Health Dent 62: 13-20, 2002.   DOI
34 Kim EH, Park MK, Ku IY, Moon SJ, Kim SH: The impact of oral health impact profile (OHIP-14) of subjectively reported oral status in the elderly. J Korea Acad Industr Coop Soc 14: 4349-4358, 2013.   DOI   ScienceOn
35 Jang JH, Ham JH, Cho KS: Comparison of clinical predictors related to OHIP-14 according to types of residency in elderly. Korean Comp Gove Rev 16: 401-416, 2012.
36 Korea Institute for Health and Social Affairs (KIHASA): Develop strategies for promoting oral health research. Korea Institute for Health and Social Affairs (KIHASA), Seoul, 2000.