• 제목/요약/키워드: Oral Health Impact Profile(OHIP)

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구조방정식모형을 이용한 장기요양시설 노인의 신체적·정신적 기능 및 구강건강영향지수가 삶의 질에 미치는 영향 분석 (Analysis of the Influence of Physical and Mental Function, and Oral Health Impact Profiles on Quality of Life in the Elderly People in Long-term Care Centers using the Structural Equation Model)

  • 신민우;이영옥;조영채
    • 한국산학기술학회논문지
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    • 제17권4호
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    • pp.500-511
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    • 2016
  • 본 연구는 장기요양시설 노인의 신체적 기능(ADL, IADL), 정신적 기능(CES-D, MMSE-K) 및 구강건강영향지수(OHIP-14)가 삶의 질(WHOQOL-BREF)에 미치는 영향을 알아보고자 시도하였다. 조사대상은 장기요양시설에 입소하여 있는 노인 602명으로 하였으며, 조사는 2014년 5월 1일부터 6월 30일까지의 기간 동안에 구조화된 설문지를 이용한 면접조사를 실시하였다. 연구결과, 조사대상자의 정신적 기능(CES-D, MMSE-K)은 신체적 기능(ADL, IADL)이나 구강건강영향지수(OHIP-14)보다 삶의 질에 더 큰 영향을 미쳤으며, 신체적 기능과 구강건강영향지수가 높을수록, 정신적 기능이 높을수록 삶의 질을 증가시키는 효과가 있는 것으로 나타났다. 위와 같은 연구결과를 볼 때, 장기요양시설 노인들의 삶의 질은 신체적 기능, 정신적 기능 및 구강건강영향지수와 유의한 관련성이 있음을 시사하고 있다.

외국인 근로자의 구강건강관리실태에 따른 구강건강영향지수(OHIP) (Oral health impact profile(OHIP) according to the oral health behavior of foreign workers)

  • 윤성욱;남인숙
    • 한국치위생학회지
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    • 제15권3호
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    • pp.451-459
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    • 2015
  • Objectives: The objective of this study is to investigate oral health behavior, PHP index and OHIP, awareness, attitude and behavior toward oral health in the foreign factory workers. Thsi study will provide the basic data for the improvement of the foreigners' quality of life. Methods: A self-reported questionnaire was completed by 126 Sri Lankans and 76 Chinese over 20 years old in Daegu and Gyeongbuk from January to April, 2012 through man to man interview after receiving informed consent. The questionnaire included oral health status, PHP index and OHIP. Results: OHIP was closely related to sex, marital status, and medical expense burden. PHP index was closely related to religion and income. The averages of OHP and PHP were 4.36 and 3.7, respectively and very bad. OHIP was influenced by number of toothbrushing, time of toothbrushing, use of oral hygiene device, and dental visit within a year. PHP index was influenced by the area of toothbrushing, time of toothbrushing, and the dental visit within a year. Regression analysis of PHP index according to OHIP and oral care conditions showed the equation. Y(OHIP)=2.999+0.103(area of toothbrushing)+0.346(the use of oral hygiene article)+ 0.077(visiting to the dentist during the past one year)-0.173(PHP index)(p<0.05). Conclusions: Low PHP index in the foreign workers affected quality of life. So the company must provide the continuing oral health care for the foreign workers every year. The concern for the health care for the foreigners will improve oral health behavior in the future.

50대 이상 장노년층의 구강건강 관련 삶의 질과 구강 건강 결과의 관련성 (Association between Oral Health Related Quality of Life(OHQoL) and Oral Health Outcome in Adults over 50 Years Old)

  • 조영식;임순연;황혜림
    • 치위생과학회지
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    • 제11권4호
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    • pp.305-310
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    • 2011
  • 50대 이상 장 노년층 성인들의 구강건강 관련 삶의 질(Oral-health related quality of life, OHRQoL)과 건강 결과(health outcome)의 관련성을 평가하기 위해 148명을 편의추출하여 구강검사와 면접조사를 통해 OHIP-14(Oral health impact profile-14)와 인지 건강 및 구강건강 상태를 측정하고, 독립표본 t 검정, 일원분산분석, 교차분석, 상관분석 등을 실시한 결과 다음과 같은 결론을 얻었다. 1. OHIP-14의 모든 문항에 대해 조사 대상자 중 9.5%가 전혀 문제나 불편감을 느끼지 않는다고 응답하였으며, 가장 문제를 많이 느끼는 차원은 '신체적 통증'(69,8%)과 '심리적 불편감'(63.5%)으로 나타났다. 2. 평가 구강건강 상태에 따른 구강건강 관련 삶의 질 수준을 비교한 결과 우식경험치아수, 잔존치아수에 따라 유의한 차이가 나타났으나(p=0.045), 치주상태와 틀니사용여부에 따른 차이는 나타나지 않았다. 3. 조사 대상자의 43.9%(N=65)가 자신이 '건강하지 않다'고 느끼고 있으며, 43.9%(N=65)가 자신의 구강건강상태가 '나쁘다'고 생각하고 있고, 54.7%(N=81)가 자신의 구강건강상태에 대해 '만족하지 않는다'고 응답했다. 4. 조사 대상자가 느끼는 인지 건강상태에 따른 구강건강 관련 삶의 질을 비교한 결과 인지 건강상태, 인지 구강건강상태, 구강건강 만족도에 따라 유의한 차이가 나타났다(p<0.001). 5. 조사 대상자의 인지 건강상태와 OHIP-14 점수는 유의한 상관관계가 있으나(r=0.326, p<0.01), 인지 건강상태와 우식경험치아수, 잔존치아수의 상관관계는 통계적으로 유의하지 않았다.

노인의 구강건강 영향지수가 우울과 삶의 질에 미치는 영향 (Effects of Oral Health Impact Profile (OHIP) on Depression and Quality of Life among Community-dwelling Korean Elderly Persons)

  • 이홍자;김춘미
    • 지역사회간호학회지
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    • 제23권3호
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    • pp.338-346
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    • 2012
  • Purpose: The purpose of this study was to examine the association between oral health impact profile, depression and quality of life among community-dwelling elderly persons in South Korea. Methods: The design of this research was cross-sectional descriptive study. The participants were 266 community-dwelling individuals aged 65 and older. Data were collected from November 20 to December 20, 2011. The measurements for assessing the subjects' oral health, depression, quality of life were OHIP-14, GDS-SF and QOL. Data were collected using self-administered or interviewer-administered questionnaires. Collected data were analyzed using descriptive statistics, Pearson's correlation coefficient and stepwise multiple regression. Results: The participants' mean age was 77.68, and 86.5% were female, 42.9% were living-alone elders. Pearson's correlation coefficient analysis found that oral health impact profile was significantly associated with depression (r=-.622, p<.001), QOL (r=-.400, p<.001), number of disease (r=.298, p<.001), age (r=.198, p=.002), education (r=-.149, p=.015), eating habit (r=.185, p=.003). The QOL was explained 54.7% by depression (${\beta}$=-.619), oral health impact profile (${\beta}$=-.127), number of benefited welfare service (${\beta}$=.235), perceived health (${\beta}$=-.327), eating habit (${\beta}$=-.094) using stepwise multiple regression analysis. Conclusion: These results indicate that the intervention program of oral health promotion for community-dwelling elders is needed from now on.

교정환자의 자아존중감과 구강건강영향지수(OHIP)에 영향을 미치는 요인 (Maincause of influencing oral health impact profile(OHIP) and self-esteem of orthodontic patients)

  • 박영남;이미라
    • 한국치위생학회지
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    • 제10권3호
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    • pp.513-522
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    • 2010
  • Objectives : This study aimed to determine self-esteem and oral health impact profile (OHIP) of orthodontic patients to get data necessary for the process of consultation, education, and treatment for those patients who hoped to get orthodontic therapy in order to see effects of orthodontic therapy on personal life in consideration of general characteristics of those patients under orthodontic therapy. methods : A self-administered questionnaire was used among 232 outpatients under orthodontic therapy from October to November 2009, obtaining the following results. Results : 1. As for general characteristics of respondents, those under 19 years of age constituted 46.6%; the unmarried comprised 85.8%; and students constituted 53.4%. 2. Most respondents were getting orthodontic therapy for beauty (41.8%) and dental health (40.5%). Family (54.3%) contributed to their decision to get orthodontic therapy; parents or siblings (62.5%) were bearing the treatment expenses. 3. Females were getting orthodontic therapy for an aesthetic purpose (50.3%), and male for the purpose of dental health (44.6%) (P<0.01). 4. OHIP was slightly higher among males ($4.10{\pm}0.61$) than among female ($4.00{\pm}0.78$), and was highest among those 19 years old and under ($4.17{\pm}0.67$); the older they were, the lower it was significantly (P<0.05). Most of them were earning 3 to 4 million won ($4.22{\pm}0.72$); the married ($4.05{\pm}0.74$) constituted higher percentage. As for occupation, students ($4.13{\pm}0.66$) comprised the highest percentage. 5. Self-esteem was higher among males ($3.83{\pm}0.47$) than among females ($3.80{\pm}0.50$), and was highest among those 25 to 29 years old ($3.92{\pm}0.46$). Most of them were earning more than 5 million won ($3.91{\pm}0.42$), which was statistically significant (P<0.01). The married ($3.91{\pm}0.54$) constituted higher percentage than the unmarried ($3.80{\pm}0.48$); office managers ($3.95{\pm}0.55$) comprised the highest percentage. 6. As for correlation between variables effecting OHIP of orthodontic patients, there was negative correlation in age (r=-0.225) and positive correlation in occupation (r=0.122). As for correlation between variables effecting self-esteem of orthodontic patients, there was negative correlation in occupation (r=-0.130) and positive correlation n income (0.126), while there was positive correlation (r=0.202) between OHIP and self-esteem of orthodontic patients. Conclusions : Younger orthodontic patients who were students showed higher OHIP, and professionals earning more showed higher self-esteem. Orthodontic patients with higher OHIP showed higher self-esteem. Therefore, it is necessary to develop a program based on OHIP and self-esteem in consulting and treating orthodontic patients; since it is considered that orthodontic therapy will improve appearance, enhance self-confidence, and have positive effects on interpersonal relationships and quality of living, researches are necessary on constant changes in psychological properties.

Effect of malocclusion or orthodontic treatment on oral health-related quality of life in adults

  • Kang, Jang-Mi;Kang, Kyung-Hwa
    • 대한치과교정학회지
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    • 제44권6호
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    • pp.304-311
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    • 2014
  • Objective: The purpose of this study was to evaluate the effect of malocclusion or orthodontic treatment on oral health-related quality of life (OHRQoL) in adults. Methods: The sample consisted of 860 adults (378 men and 482 women, aged 18-39 years) who were clinically evaluated for malocclusion or orthodontic treatment experience. Participants were divided into 4 groups as follows: normal occlusion, malocclusion, fixed treatment, and retention. OHRQoL was assessed with the short form of the Oral Health Impact Profile (OHIP-14) and Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). Results: The malocclusion group and the fixed treatment group had significantly higher OHIP-14 scores than the normal occlusion group and the retention group (p < 0.001). The malocclusion group had the highest PIDAQ score, while the normal occlusion group and the retention group had the lowest PIDAQ score (p < 0.001). Women had higher OHIP-14 and PIDAQ scores than men. A significant positive correlation was found between OHIP-14 and PIDAQ scores (p < 0.01). Conclusions: Malocclusion has a negative impact on OHRQoL, but this could be improved in adults through orthodontic treatment. These OHRQoL questionnaires can provide additional useful information on specific aspects of orthodontic patients' psychological state.

교정환자의 교정치료 특징이 구강건강관련 삶의 질(OHIP)에 미치는 영향 (Effect of Orthodontics Patients' Orthodontics Characteristics on the Living Quality Related to Oral Health (OHIP))

  • 윤성욱;오나래;정미애
    • 한국콘텐츠학회논문지
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    • 제14권3호
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    • pp.250-258
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    • 2014
  • 본 연구는 교정치료 관련인자들이 구강건강영향지수(OHIP)에 주는 영향을 파악하여 교정환자의 효과적인 건강관리에 도움을 주고자 강원지역 주민을 대상으로 실시하였다. 대상자의 OHIP의 평균은 2.97이며 신체요인 평균은 3.01, 심리요인 평균은 2.93로 교정치료는 심리요인에 더욱 영향을 주며 구강건강영향지수 10항목 중 가장 영향을 많이 미치는 항목은 평균 2.66으로 '치아형태로 인해 창피한 적이 있었습니까'으로 조사되었다. 일반적인 특성 중 OHIP에 유의하게 영향을 준 특성은 연령, 종교, 직업, 수입, 흡연여부로 나타났다(p<0.05). 연령은 20대 이하가 2.53으로 영향을 가장 많이 주며 직업은 생산/판매직은 2.56으로 영향을 미치는 것으로 나타냈다(p<0.05). 수입은 400만원 초과가 2.83, 2.78로 수입이 많을수록, 흡연여부는 흡연자가 비흡연자에 비해 영향을 많이 미치며 것으로 조사되었다(p<0.05). 교정치료 특징이 구강건강영향지수(OHIP)에 건강인지도로 나타났다(p<0.05). 교정치료를 한 이유에서는 '저작 시 불편감'이 2.69, 2.67로 나타났다(p<0.05). 교정기간은 '1-2년'이 2.80, 2.74로 영향을 미치는 것으로 나타났다(p<0.05). 교정치료의 후회여부는 '후회한다'가 2.65, 2.60로 조사되었다(p<0.05). 교정치료의 특징과 OHIP의 상관관계를 분석한 결과 교정치료를 하는 이유, 구강건강인지도, 교정치료 후회여부가 통계적으로 유의하게 상관관계를 나타냈다. 이러한 결과를 바탕으로 교정환자의 신체적 정신적인 면에서 치료과정에 도움을 주고 또한 건강한 삶의 질 향상을 위하여 지속적인 노력이 필요하리라 사료된다.

무치악 환자들을 위한 한국어 버전의 구강건강영향지수 신뢰도와 타당성 평가를 위한 모의연구 (Reliability and validity of Korean version of the OHIP for edentulous subjects: A pilot study)

  • 신재섭;배소영;박진홍;심지석;이정열
    • 대한치과보철학회지
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    • 제59권3호
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    • pp.305-313
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    • 2021
  • 목적: 이 연구는 무치악 환자들을 위한 한국어 버전의 구강건강영향지수(OHIP-EDENT K)의 신뢰성을 평가하고 기존의 OHIP K, OHIP-14 K와의 타당성을 파악하기 위한 향후 연구의 예비적 탐색을 목적으로 시행되었다. 대상 및 방법: 고려대학교 구로병원 치과보철과로 내원한 환자들 가운데 임플란트 오버덴처를 착용중인 환자 12명을 대상으로 연구를 진행하였다. 모든 환자들은 한국어 버전의 구강건강영향지수 설문을 진행하였다. 기존의 구강건강영향지수의 축약버전인 OHIP-14 K와 OHIP-EDENT K를 진행한 설문조사의 내용을 바탕으로 얻어내었다. OHIP-EDENT K의 내적 신뢰도를 평가하기 위해 크론바흐 알파 테스트를 진행하였다. 기존의 OHIP K와의 관련성을 평가하기 위해 스피어만 상관계수 분석방법을 이용해 OHIP-EDENT K와의 타당성을 평가하였다. 결과: OHIP-EDENT K의 크론바흐 알파 값은 0.736으로 신뢰도가 수용 가능한 정도의 값을 보였다. OHIP-EDENT K와 기존의 49개 문항의 OHIP은 스피어만 상관계수가 0.966을 보였으며 통계적으로 유의미한 값을 보였다(P < .001). OHIP-EDENT K는 OHIP-14 K에 비해 바닥효과가 적게 나타나며 OHIP K와 비슷하게 효과적으로 구강건강 만족도를 평가할 수 있음을 알 수 있었다. 결론: 무치악 환자들의 구강건강과 관련된 삶의 질을 평가하기 위해 19개의 설문문항을 갖는 OHIP-EDENT K는 49개의 설문 문항을 갖는 경우와 비슷한 측정 수준을 보임을 알 수 있었다. OHIP-EDENT K는 OHIP K와 OHIP-14 K의 대안으로 사용가능 할 수 있으며, OHIP-EDENT K의 신뢰도, 응답성 그리고 타당성을 입증하기 위해서는 보다 많은 표본 수와 추가적인 연구를 포함한 연구가 필요하다.

노인들의 저작 능력과 OHIP-14를 이용한 구강건강 관련 삶의 질과의 관련성 (The relationship between masticatory ability and the quality of life oral health- related using OHIP-14 of the elderly)

  • 조민정
    • 디지털융복합연구
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    • 제14권9호
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    • pp.341-348
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    • 2016
  • 본 연구의 목적은 노인들의 저작 능력과 구강건강영향지수(OHIP-14)를 이용하여 구강건강 관련 삶의 질과의 관련성에 대하여 조사하고자 하였다. 총 195명의 노인들을 대상으로 주관적인 저작능력과 객관적인 저작능력 그리고 삶의 질에 관한 OHIP-14를 조사하였다. 저작능력이 낮을 경우 삶의 질이 나쁠 위험비가 증가하였고, 나이, 거주형태, 교육수준, 틀니의 사용을 보정한 결과 주관적 저작 능력은 삶의 질이 낮아질 위험비가 2.42배(p<0.05) 높게 나타났으며, 객관적인 저작 능력은 7.58배(p<0.001) 높은 것으로 나타났다. 본 연구에서는 저작 능력이 노인들의 삶의 질을 나타내는 OHIP-14 총 점수와 관련이 있는 것으로 나타났다. 노인들이 저작능력이 구강건강 관련 삶의 질에 영향을 미친다는 것을 확인하였다. 이에 다양한 후속 연구들이 장기적으로 진행되어 건전한 구강건강 유지와 함께 노인들의 삶의 질을 향상시키는데 도움이 되기를 바란다.

65세 이상 노인의 구강건강관리요구도가 구강건강영향지수(OHIP-14)에 미치는 영향 (The effect of need of oral health management to oral health impact profile among elderly over 65 years)

  • 박정란;김혜진
    • 한국치위생학회지
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    • 제11권6호
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    • pp.961-971
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    • 2011
  • Objectives : The aim of the study was to identify the need of oral health education and prevention? for over 65 years elderly. Methods : his study was to identify the need of oral health management and oral health impact profile among elderly over 65 years. 200 elderly participated in the study, lived in KungBuk and KungNam areas, visited Senior welfare center, from 1st September to 30st December 2008. Results : 1. This majority of respondents are female(74.0%), 75-79 years(29.5%), none education(42.5%), living alone(45.5%), income from children(46.0%), and health insurance(65.5%). 2. In the need of oral health management category, the need of dental treatment are professional toothbrushing, gum treatment, treatment for dental caries, treatment for xerostomia. In the need of prevention and education, the majority participants are 'required'. In oral health impact profile category, the majority participants are 'feel no difficulty during speaking(59.0%)', and 'feel no difficulty during tasting(47.0%)'. In the category, the positive answers are more than negative answers. 3. According to general characteristic with the need of oral health management, famle, obviously income, high level of life are significantly different in the need of prevention and education category. Obviously income is significantly different in the need of dental treatment category. According to general characteristic with the oral health impact profile, getting older, high education are significantly different in disadvantage category. In the case of no spouse, anxiety, physical difficulty, mental difficulty and disadvantage are high score in oral health impact profile. In the case of living alone, pain, anxiety, and disadvantage are high score in oral health impact profile. In the case of no income, limitation of function, pain, anxiety, mental difficulty and disadvantage are high score in oral health impact profile. In the case of no health insurance, anxiety, physical difficulty mental difficulty and lack of sociality are high score in oral health impact profile. 4. The oral health impact profile are positive correlation with the need of dental treatment and the need of prevention education. The effect of oral health impact profile are significantly different with spouse, average of income, the need of prevention education. Conclusions : In Conclusion, the need of prevention education and dental treatment for individual oral health promotion are related with general life condition and life level. Also these are influence of quality of life relate with oral health. These findings are require of development of oral health services program and system from bottom to top.