• Journal of Korean Clinical Nursing Research
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• v.17 no.2
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• pp.150-162
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• 2011

Purpose: Multi-drug resistant (MR) infections among intensive care unit (ICU) patients with oral intubation and a ventilator are serious nosocomial infections. This study was done to compare the effects of oral care and ventilator circuit on reduction of MR infections. Methods: A total of 92 participants were recruited from an ICU at C University Hospital in G-city, Korea, assigned to one of 4 groups and evaluated: group I received oral care with sponge and reusable circuit; group II received oral care with tooth brush and reusable circuit; group III received oral care with sponge and disposable circuit; group IV received oral care with tooth brush and disposable circuit. Results: Prevalence rate of MR infections was highest in group I (47.8%), followed by group II (30.4%), group IV (19.0%), and group III (13.6%). Of the four groups, group III showed a significantly decreased MR infections (p=.035) and higher possibility of survival rate as time passes according to survival analysis (p=.019). Conclusion: Results of this study indicate that using disposable ventilator circuit significantly decreases MR infections and raises the possibility of a higher survival rate as time passes. According to this study, the use of disposable ventilator circuit is useful in prevention of MR infections.

• Journal of Korean Biological Nursing Science
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• v.22 no.3
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• pp.192-203
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• 2020

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.

• The Journal of the Korean dental association
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• v.49 no.12
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• pp.749-757
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• 2011

In the welfare law for the disabled in Korea, the disabled is defined as "the persons sho have significant limitations of daily or social life due to physical or mental disabilities over a long period." The number of registered domestic disabled person in 2008 survey was approximately 2.1 million. 90% of the disabled was caused by the aposteriori illness or accidents. So, in this aging society, the number of people with disabilities will increase even more. In general, people with physical and mental disabilities tend to have more oral diseases, but, are difficult to get treated. Therefore, a thorough oral care through individualized prevention is more important than ever. In this article, we review the oral care methods in dental office and home and in the hospital for the elderly and finally focus on a denture care method. According to this article, the dental professionals can be able to select and apply the oral care method in agreement with the characteristics of the disabilities. Particularly, it is important to prevent the aspiration pneumonia in the elderly in hospital.

• Journal of dental hygiene science
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• v.20 no.2
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• pp.107-117
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• 2020

Background: In this study, we tried to comprehensively explore clinical dental hygienist's experience of a prevention-based incremental oral health care program, which was pilot-operated by dental clinics, define prevention-based incremental oral health care as experienced in the field, and identify factors to be considered. Methods: This study conducted a focus group interview with five dental hygienists who participated in an ongoing oral management pilot project in 2016. The interview was conducted by a researcher, and the co-research team attended as progress assistants and recorded characteristics of the participants, main dictations, and non-verbal characteristics. All interviews were recorded and underwent thematic analysis to examine the questions of the study as the main axis. Results: As a result of the study, 65 meaningful statements were extracted by code, integrated into 24 sub-categories, and structured into 11 categories. Finally, four keywords were drawn: characteristics, facilitating factors, conflicting factors, and improvement measures for prevention-based incremental oral health care. Regarding prevention-based incremental oral health care in dental clinics, dental hygienists were highly aware of the physical and mental burdens of personalized treatment and education for each individual. They were responsible for the patient and for facilitating changes in the behavior of the client, leading to professional satisfaction. The dental team's cooperation and supportive attitude were found essential to continue oral health care in the dental clinic. Conclusion: Through dental team-based treatment philosophy sharing and collaboration, it is possible to provide prevention-based incremental oral health care in dental clinics. In future, it is necessary to develop a system for establishing a sustainable preventative management system for public health promotion.

• Journal of Korean society of Dental Hygiene
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• v.22 no.1
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• pp.63-72
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• 2022

Objectives: This study was conducted to prepare basic data to propose the necessity and utilization of oral welfare products in the welfare services of the long-term care insurance system, focusing on facility workers working in elderly facilities. Methods: The analysis was conducted on 144 workers working at some local elderly facilities. The questionnaire was constructed by classifying the use of oral welfare tools into 6 questions and the necessity and demand for oral welfare devices into 13 questions. Frequency analysis and technical analysis were performed for data analysis, and one-way ANOVA was performed for differences in the necessity and demand for oral welfare equipment. The statistical significance level was p<0.05. Results: As a result of examining the awareness of the necessity and demand for oral welfare equipment among workers in elderly facilities, the awareness of the necessity of including oral welfare equipment in the items of welfare equipment in the current long-term care insurance system was high at 4.15 points. As a result of analyzing the correlation between awareness of care products and the need and demand for oral welfare equipment, it was confirmed that there was a statistically significant positive correlation (p<0.01). Conclusions: In the long-term care insurance system for the elderly, oral welfare products need to be considered for welfare equipment services. The provision of oral welfare products within the long-term care insurance system for the elderly can provide opportunities and services to select various self-care tools. In addition, it is expected that it will be possible to promote changes in the long-term care insurance system for the elderly and to improve the system in a variety of positive ways.

• Journal of Convergence for Information Technology
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• v.11 no.6
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• pp.171-180
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• 2021

This study was conducted to investigate the effects of oral care behavior, oral health care self-efficacy, and social support on the subjective oral health level of the elderly. The data survey was conducted from September 17, 2019 to November 22, 2019 for the elderly living in Daejeon Metropolitan City and parts of Chungcheongnam-do, and the collected data were analyzed by 𝑥2-test, Pearson correlation analysis, and logistic regression analysis. As a result of the survey, subjective oral health level increased by 3.242 times when dentures were not used and 2.339 times when the number of brushings per day was 3 or more times. In addition, as the oral health care self-efficacy and social support increased 1.755 times and 1.192 times, respectively, the subjective oral health level also increased. Based on the above results, in order to improve the subjective oral health level of the elderly, opportunities for oral health education such as denture care methods and toothbrushing lessons should be expanded. In addition, there is a need to prepare policies to reinforce oral health care self-efficacy and social support.

• Journal of Korean Academy of Nursing
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• v.34 no.8
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• pp.1460-1467
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• 2004

Purpose. This study examined the predictive factors enabling access to children's oral health care at the level of financial barriers, beliefs, and the provider. Methods. In-depth interviews were conducted with 320 immigrant mothers of low-income families regarding their use of oral health services for children aged four to eight years old. Access to oral health care was measured with frequency of planned dental visits, continuity of care, and age at first visit to dentist. Results. The mother took her child to the dentist at a younger age if she received referrals to a dentist from pediatrician. Regular dental visits were significantly related to household income, provider availability on week-ends, and insurance coverage. The extended clinic hours in the evenings, and the belief in the importance of the child's regular dentist visits increased the likelihood of continuing care. The mothers perceiving a cost burden for the child's dental care were also less likely to return to the dentist. Conclusion. The available care delivery system, coordinated medical care, and health beliefs were among important predictors of the health service use. The study findings suggest need for culturally competent dental health interventions to enhance access to oral health care among particularly vulnerable populations such as low-income children in Korean communities.

• Journal of dental hygiene science
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• v.12 no.5
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• pp.535-544
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• 2012

This purpose of this study was to analysis the relation of awareness and practices of oral health promotion. The subjects in this study were 133 workers who worked in Seoul, Gyeonggi province, and were at the age of 20 and up. The survey was conducted from January 16 to March 31, 2012. The collected data is statistically analyzed by SPSS. For the level oral health awareness of industrial workers, the awareness of prevention of tooth decay and periodontal disease was high, but that of necessity of oral hygiene supplies other than tooth brushing was low. For the level of oral health care practice, they showed the highest awareness for the importance of cleaning a tongue when brushing teeth, and the lowest for the importance of dental care. For oral health awareness according to the general properties, workers with average income of 2~3 million one showed higher oral health awareness than others. For oral health care practice, those who brush their teeth more than 3 times a day and who have visited the dentist during the last year had higher oral health care practice than others. For oral health awareness according to the level of interest in oral health and the status of oral health of the industrial workers, those who have higher interest in oral health turned out to have higher oral health awareness. The relation between oral health awareness and oral health care practice of the industrial workers showed a positive correlation, which indicates that the higher oral health awareness is, the higher oral health care practice is.

• Journal of Korean society of Dental Hygiene
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• v.14 no.5
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• pp.715-721
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• 2014

Objectives : The purpose of the study is to investigate the perception of elderly oral health care in the care workers in nursing homes. Methods : A self-reported questionnaire was filled out by 200 care workers in nursing homes in Daegu and Busan. Data were analyzed by SPSS 18.0 program. Results : The oral health care was maintained by innately healthy mouth(49.5%), dentists(48.5%), public health centers including institution and dentistry(46.5%), regular visit to dentistry(44.0%), and ingestion of healthy food(38.5%). Fifty eight percent of the respondents(116 persons) agreed that regular and proper toothbrushing is the most important behavior to maintain the healthy teeth. The regular visit to dental clinics(Wald=7.076, p=0.008) and an oral care by specialist (Wald=5.210, p=0.022) influenced on elderly oral health status(p<0.05). Conclusions : The oral health care education is very important for the workers in the nursing homes that the education can improve the perception toward the elderly oral health.

• Journal of Korean Critical Care Nursing
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• v.3 no.2
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• pp.25-35
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• 2010

Purpose: The purpose of this pilot study was to investigate the effect of oral care using 0.1% chlorhexidine and tantum solution on oral status and incidence of oral pathogens among intubated ICU patients. Methods: The study subjects were 26 intubated patients of MICU in a university hospital. Oral care was provided with 0.1% chlorhexidine solution to the experimental group (n=12) and with tantum solution to the control group (n=14), 3 times a day for 6 days. After the intervention, the oral status of each subject was checked using structured method, and oral swab culture was done to count colonized bacterial pathogens. Results: The mean oral status score of experimental group was significantly higher than that of control group (U=42.50, p=.031). The mean incidence of oral pathogens in experimental group was smaller than that of control group, but the difference was not statistically significant. Conclusion: The oral care with 0.1% chlorhexidine solution is more effective than with tantum solution for improving oral status of intubated ICU patients. However, additional studies with larger sample size will be needed to figure out it's effects on the incidence of oral pathogens.