• 한국치위생학회지
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• 제15권3호
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• pp.435-442
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• 2015

Objectives: The purpose of this study was to investigate the influencing factors of removable dentures satisfaction in the elderly. Methods: A self-reported questionnaire was filled out by 256 elderly in Jeollanam-do from September 1, 2013 to June 30, 2014. The questionnaire consisted of general characteristics of the subjects, denture related characteristics systemic health characteristics and dental health behavior. Removable dentures satisfaction was adapted from Ban. The questionnaire for Removable dentures satisfaction included general treatment satisfaction, masticatory function satisfaction, denture retention satisfaction, aesthetic satisfaction measured by Likert 5 scale. Cronbach's alpha was 0.850 in the study. Data were analyzed for a t-test, one-way ANOVA and multiple regression analysis by using SPSS(SPSS 18.0, USA) program. Results: According to subjective and systemic health condition and oral health condition, there was a statistically significant increase in general satisfaction of treatment, masticatory satisfaction of function, denture satisfaction of retention, aesthetic satisfaction. The overall satisfaction for removable denture showed a significant improvement. In the multiple regression analysis, variation of removable denture satisfaction was positively associated with oral health status{good(b=0.736, p=0.000)}, denture treatment services{dental hospital clinic(b=0.327, p=0.023)}, and systemic health status{good(b=0.241, p=0.047)}. Conclusions: Satisfaction of removable dentures may have a positive impact on oral health condition, hospital type, and associated systemic disease. It is necessary to develop incremental care programs for oral health and systemic health and to make public opinion to encourage the program.

• 치위생과학회지
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• 제21권4호
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• pp.267-274
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• 2021

Background: Although the orofacial-function improvement exercise (OFIE; oral exercise) was first introduced in Korea 10 years prior, it is still not covered by medical insurance, and no detailed survey on the dissemination of related programs has been conducted. Therefore, this study investigated the actual status of the education and practice of OFIE among the elderly and at elderly welfare institutions in the Seoul and Gyeonggi Provinces. Methods: Senior citizens aged more than 65 years old, public health centers (total of 69) and elderly welfare institutions (including nursing homes and elderly welfare centers, total of 56) per administrative area in the Seoul and Gyeonggi Provinces were targeted. We analyzed 200 elderly people and 93 institutions who agreed to participate in the survey. For the elderly, general characteristics, experience and route, current practice, and necessity regarding OFIE were investigated. For institutions, the history and plan of education programs on OFIE were investigated. Results: Regardless of the general characteristics, both the rate of experience and practice for OFIE were low overall; moreover, although they felt it was necessary, they had insufficient motivation for its implementation. Moreover, only a few institutions which were operating the education about OFIE regardless of the COVID-19 situation. Conclusion: Although OFIE is necessary for the elderly, its distribution remains insufficient. Therefore, further efforts are needed to expand the education and raise the awareness of oral exercise among elderly individuals and senior welfare institutions.

• 지역사회간호학회지
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• 제31권2호
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• pp.166-178
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• 2020

Purpose: This study was conducted to examine the effects of the oral care program for improving swallowing function of the elderly using welfare centers on depression, self efficacy, subjective oral health status and swallowing related quality of life. Methods: The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol (IMP) and was based on Mead's symbolic interaction theory and Bandura's self efficacy theory. A non equivalent control group pre and post-test design was conducted on a total of 37 elderly people (experimental group: 19, control group: 18) from D city. The oral care program was administered to the experimental group once a week for five weeks, totaling five times, and the exact program ran for 50 minutes. The collected data were analyzed using the SPSS/WIN 25.0 program. Results: Following the intervention, subjective oral health score, and swallowing related quality of life were significantly improved in the experimental group. Conclusion: The oral care program presented in this study was found to be effective in increasing subjective oral health status, and swallowing related quality of life for the elderly using welfare centers.

• 한국융합학회논문지
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• 제8권12호
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• pp.209-214
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• 2017

본 연구의 목적은 일부지역 여성노인들의 구강건강상태가 일상생활을 영위하는데 있어 영향을 미치는 요인을 파악하고자 진행되었다. 연구대상자는 60세 이상 여성노인 142명이었고, 설문법, 면접, 상담, 구강검사를 통해 조사를 시행하였다. 연구분석은 SPSS 프로그램을 이용하여 빈도분석과 기술통계 및 회귀분석을 실시하였다. 연구의 결과를 살펴보면 일상생활에 영향을 받는 항목으로 평균 1.4개로 나타났고 구강건강상태는 치석제거 59.4%로 가장 높게 나타났다. 치아잇몸 상태가 만족스럽지 않을 때 일상생활에 불편을 느끼는 것으로 나타났으며, 구강통증, 치아잇몸상태, 치석제거불량의 경우 일상생활에 불편 항목수와 빈도가 높아졌다. 결론적으로 여성노인의 구강건강과 관련하여 일상생활능력이 향상되고 삶의 질에 영향을 줄 수 있다. 따라서 여성노인을 대상으로 하는 구강건강증진 교육의 확대와 지속적인 예방프로그램 개발을 통해 체계화된 구강관리 방안이 요구된다.

• 한국치위생학회지
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• 제12권5호
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• pp.921-932
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• 2012

Objectives : The purpose of the this study was to obtain necessary source data for development of oral health improvement and promotion programs for the elderly by investigating the actual situations of oral health education related experience and needs that senior citizens had in Korea. Methods : In this study, convenience sampling was conducted in 430 senior citizens aged 65 years who lived in Seoul and Gyeonggi-do in Korea, for about six months from December 2011 to May 2012. For data collection, the structured questionnaire was used. Community-based senior citizens' welfare facilities and centres, as well as nearby churches were visited to inform them of the information on this study. Then, the senior citizens who agreed to participate in this study were given the questionnaire sheets. Excluding 33 copies of inadequately completed questionnaire sheets, 397 copies (92.3% of the entire collected data) were analyzed. Results : 1. In terms of the experience with oral health education, the number of elderly respondents who have not received oral health education was 202 (50.9%), whereas the number of those who have received oral health education was 195 (49.1%), which indicates that the latter shows a slightly higher proportion. 2. Examining the necessity for oral health education, the overall mean was 3.67 points based on 5 points as full marks, which suggests that senior citizens have high awareness of the necessity for oral health education. 3. Regarding the willingness to participate in oral health education, the number of those who answered that if any opportunity to receive oral health education is given, they would be willing to receive such the education was 211 (53.1%). Conclusions : Based upon the results mentioned above, we conclude that it is required to develop more systematic and sustained, life-long oral health education programs at the levels of senior citizen's welfare facilities and centres, in order to guide senior citizens to desirable oral health care practice.

• 한국치위생학회지
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• 제21권2호
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• pp.151-158
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• 2021

Objectives: The purpose of this study was to identify the effects of general and oral health status on dementia. Methods: Questionnaires were used for the KDSQ-C (Korean Dementia Screening Questionnaires-Cognition) and to investigate the oral health status of the participants. An independent t-test was conducted to analyze the differences between general health and oral health status depending on the normal and suspected dementia groups. Logistic regression analysis was performed to assess the effects of general and oral health status on dementia. Results: Regarding the health status of the subjects assessed by the KDSQ-C, the higher the current health status and the higher the exercise status, the lower was the dementia level (p<0.05). During the assessment of oral health conditions in KDSQ-C subjects, dementia was more suspected in subjects with dental decay and periodontal disease than in those without dental decay (p<0.05). Conclusions: Dementia has been confirmed to be closely related to general and oral health conditions. Therefore, oral health-related programs are essential for dementia prevention programs. Since dental hygienists are best suited for providing oral care to older adults with dementia, it is considered essential to reflect their occupation in future national policies.

• 한국치위생학회지
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• 제17권5호
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• pp.899-910
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• 2017

Objectives: This study was conducted to identify the rates of perceived stress of elderly people over 65 years old and to confirm the influence of stress on general health and oral health status. Methods: Using data from the National Health and Nutrition Survey for 2014, 1,472 people over 65 years of age were selected as final subjects. Stress was used as an independent variable and dependent variables were included physical health (perceived health status), mental health (depression), and oral health (perceived oral health status). The following confounding variables were adjusted for the current study: demographic characteristics (gender, age, education level, house income) and health - related characteristics (drinking, smoking, exercise, frequency of tooth brushing, using oral care product, dental exam, comorbidity, restrict activity). Complex sampling analysis was applied and logistic regression was performed to determine the effects of stress on physical health, mental health and oral health status. Odds ratio (OR) and 95% confidence interval (95% Confidence Interval, 95% CI) were calculated. Results: Logistic regression indicated that stress was significantly associated with low physical health (OR=2.18, 95%CI: 1.49-3.20), low mental health (OR=8.68, 95%CI: 4.98-15.11), low oral health (OR=1.53, 95%CI: 1.06-2.21) after adjusting for confounding variables. Conclusions: The perceived stress of the elderly was found to be related to the general health and oral health status. Therefore, it is necessary to evaluate stress as a predictor of health risk for the health promotion of the elderly on multidisciplinary assessment and continuous evaluation. In addition, health support policies should be provided to achieve good health status for elderly.

• 치위생과학회지
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• 제23권2호
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• pp.142-153
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• 2023

Background: Cognitive impairment has been reported to be closely associated with poor oral health, and the relationship is bidirectional, as older adults with poor oral health and chewing function are at a higher risk of cognitive decline (CD). This cross-sectional study aimed to determine whether masticatory discomfort in Korean elderly increases the risk of daily living difficulty (DLD) related to CD and whether there is a difference in risk according to gender and age. Methods: The data used were obtained from the Korean Community Health Survey (2019). The final analysis included 22,154 people aged 65 years and older who completed the survey and responded to all items on the variables used in the study. Chi-square test, trend test, and complex sample logistic regression were performed for statistical analysis, to clarify the purpose of this study. Results: As masticatory discomfort increased, the elderly's DLD tended to increase (p-for trend, p<0.001). For logistic regression, adjusting for all covariates, participants who reported masticatory discomfort as "discomfort" (adjusted odds ratio [AOR]=2.45, 95% confidence interval [CI]=2.11~3.50) and "severe discomfort" (AOR=2.95, 95% CI=2.49~3.50) had a more than a two-fold increased risk of CD-related DLD compared to participants who reported "no discomfort at all." In age-stratified analyses, elderly men aged 75~84 years and elderly women aged 65~74 years had the highest risk of developing CD-related DLD. Conclusion: Oral care interventions to improve masticatory function in older adults may slow CD and improve CD-related DLD. We hope that this study will raise awareness among caregivers and clinical professionals regarding the importance of oral care for older adults with CD.

• 한국치위생학회지
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• 제18권1호
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• pp.65-75
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• 2018

Objectives: This study aims to contribute to the prevention of dental diseases and health care in the elderly by investigating the relationship among the experiences of chronic diseases, dental health status, and the behaviors in the Korean elderly people. Methods: A total of 2,856 elderly people aged 65 or older were selected as the final analysis subjects using data from the 6th National Health and Nutrition Examination Survey (2013-2014). Chronic diseases were defined as 'cardiocerebrovascular diseases', 'diabetes', 'chronic respiratory diseases', and 'cancer' diagnosed by the doctors. For the statistical analysis, SPSS 21.0 for Windows was used. Descriptive analysis and a Chi-square test were conducted to investigate the relationship among the experiences of chronic diseases, general characteristics, dental health status, and the behaviors in the Korean elderly. Finally, logistic regression analysis was performed to investigate the relationship among the experiences of chronic diseases, dental health status, and the behaviors. Results:The prevalence of Cardiocerebrovascular diseases was significantly higher in the 3-4 group of community periodontal index with the score of 1.36 (95% CI 1.03-1.00) than in the 0-2 group. The prevalence of Cardiocerebrovascular diseases was significantly higher in the group without dental examination during the past one year with the score of 1.29 (95% CI 1.00-1.66). The prevalence of diabetes was significantly higher in the uncomfortable speaking state group with the score 1.46 (95% CI 1.12-1.91). The prevalence of cancer was significantly higher in the partial denture needs group with the score 1.67 (95% CI 0.98-2.83). Conclusions: Regular dental examinations and dental health care for the elderly with chronic diseases showed that periodontal health and residual teeth could be maintained and managed. Therefore, continuous customized dental health services should be implemented for the elderly with chronic diseases.

• 대한의생명과학회지
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• 제25권3호
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• pp.218-226
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• 2019

In old age, measures to cope with the natural phenomenon of aging and various diseases of the elderly due to the deterioration of physical function are also a challenge for this society. While interest in systematic health is increasing, it is true that awareness and interest in oral-related diseases is relatively lacking. This study aims to present basic data necessary to improve the quality of life for senior citizens aged 65 or older by improving the oral dryness caused by systemic health. By research method, improve oral dryness caused by whole-body health with the elderly over 65 and promote their oral health, inducing the increase of the salivary flow rate through oral health care education, oral exercise, and salivary gland massage. First, on the DMSQ according to the general characteristics of the elderly, the recognition of the whole body and oral health status, independent sample t-test and One-way ANOVA were conducted. Second, on changes in the salivary flow rate and saliva pH according to the general characteristics of the elderly, recognition of oral and whole-body health status, and whole-body health, paired samples t-test was conducted. Studies have shown that salivary gland flow increased significantly after oral exercise and salivary gland massage, the salivary flow rate significantly increased. In all variables of the recognition of the oral health status, the salivary flow rate increased after oral exercise and salivary gland massage, and in the whole-body health, regardless of hypertension, diabetes, cardiovascular disorders, and osteoporosis, the salivary flow rate increased after oral exercise and salivary gland massage, and the salivary flow rate increased after oral exercise and salivary gland massage if the subjects responded that they did not have thyroid abnormality, anemia, abnormalities of breathing, hypotension, gastrointestinal disturbance, or kidney diseases. As a comprehensive analysis of this study, many felt oral dryness when they had a problem with the whole-body health, and many felt oral dryness when they had a problem with oral health cognition. After applying oral exercise and salivary gland massage as intervention methods in the oral health care for the elderly, the salivary flow rate significantly increased, and it is judged that the methods were very effective for controlling oral dryness. Furthermore, it is judged that the factors affecting oral health, whole-body health, and oral dryness would be identified, which would be helpful for the promotion of whole-body health and oral health. It is judged that continuous research would be needed so that measures for the application of the oral care program and system for the elderly would be prepared in the future.