• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제30권5호
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• pp.414-421
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• 2004

This is a reprospective study on the care of odontogenic infections in admission patients with geriatric diseases. The study was based on a series of 480 patients at Dong San Medical Center, Wonju Christian Hospital and Il San Health Insurance Hospital, From Jan. 1, 2000, to Dec. 31, 2002. The Obtained results were as follows: 1. The systemic malignant tumor was the most frequent cause of the geriatric diseases with odontogenic infectious diseases, and refractory lung disease, systemic heart disease, type II diabetes mellitus, cerebrovascular disease, bone & joint disease, senile psychologic disease were next in order of frequency. 2. Male prediction(57.5%) was existed in the odontogenic infectious patients with geriatric diseases. But, there were female prediction in senile psychologic disease, systemic heart disease and cerebrovascular disease. 3. The most common age group of the odontogenic infectious patient with geriatric disease was the sixty decade(47.9%), followed by the seventy & eighty decade in order. 4. In the contents of chief complaints on the odontogenic infectious patients with geriatric disease, peak incidence was occurred as toothache(52.7%), followed by extraction wish, tooth mobility, oral bleeding, oral ulcer, fracture of restoration, gingival swelling in order. 5. In the diagnosis group of odontogenic infectious diseases, periodontitis, pulpitis & periapical abscess were more common. 6. In the treatment group of odontogenic infectious diseases, the most frequent incidence(34.2%) was showed in primary endodontic treatment (pulp extirpation, occlusal reduction and canal opening drainage) and followed by scaling, incision & drainage, only drugs, pulp capping, restoration in order.

• 한국치위생학회지
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• 제14권5호
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• pp.723-730
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• 2014

Objectives : This research was conducted to investigate geriatric care workers' oral care, and the oral care conditions of residents of elder care facilities in relation to workers' knowledge of oral care. Methods : A survey was conducted from November 2011 to February 2012 with geriatric-care workers in elder care facilities located in Busan and other areas of Gyeongsangnam-do. Results : With regard to their oral self-care practices, 52.5% of the geriatric workers "brushed their teeth from top to bottom" and 58.1% brushed their teeth 3 times a day. Further, 52.0% did not use any oral care products, while 36.5% used Mouthrinese. The workers who brushed their teeth in their own ways or from top to bottom had significantly higher oral care knowledge scores than those who brushed from left to right (p<.05). Concerning oral hygiene care for residents, 72.6% of the geriatric workers recommended that elders visit dentists for oral care, 96.6% helped elders oral wash their teeth every day, and 54.7% used oral care products for the elders. The workers who did not recommend visits to dental clinics scored slightly higher than those who did (p<.05). Additionally, those who did not help elders oral wash their teeth scored significantly higher than those who did (p<.05). Except for oral wash to recuperated old man and recommendation of visiting the dentist, relation between oral care and knowledge about oral health and oral hygiene care is plus mutual relation. Conclusions : To manage the accuracy and quality of oral care work performed by geriatric care workers in elder care facilities, enhancing standard training and education on oral care is necessary. Providing systematic, regular education on such knowledge and practices would also be essential.

• 한국융합학회논문지
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• 제6권6호
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• pp.9-15
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• 2015

본 연구는 노인요양시설에 근무 중인 요양보호사의 구강보건지식정도와 인식도를 조사하여 구강보건의료서비스의 질적 향상과 발전 방안 연구를 목적으로 실시하였다. 연구방법은 D광역시 소재 노인요양시설(10개소)에 근무하는 요양보호사 중 연구 참여에 동의한 163명을 대상으로 2015년 5월 1일부터 5월 31일까지 설문조사한 자료를 SPSS Statistics 18. 프로그램을 이용하여 분석 하였다. 그 결과 요양보호사들의 구강보건지식은 총점 26점 만점에 20.09점(77.2%)로, 가장 높은 지식은 '올바른 칫솔질 방법' 93.0%, 가장 낮은 지식은 '구강보조용품사용 지식' 58.1%로 조사되었다. 구강보건교육경험이 있는 사람이 구강보건교육 요구도가 높았으며 (P<0.001), 구강보건교육경험횟수가 많은 사람이 구강보건지식(P<0.001), 요구도(P<0.01), 인지도(P<0.05)가 높아 유의하였다. 요양보호사들의 구강보건인식정도에 영향을 주는 것은 구강보건지식점수(P<0.01), 구강보건교육 요구도(P<0.01)가 높을수록 구강보건인식정도는 높은 것으로 나타났다. 따라서 향후 요양병원 장기입원환자의 구강특성을 고려한 효율적, 지속적, 실질적인 요양보호사의 구강보건교육이 이루어 질 수 있도록 하여야 할 것이다. 또한 구강보건교육의 담당자로 치과위생사의 역할이 필요 할 것으로 전문 인력의 배치를 위한 국가의 제도적 지원도 함께 이루어져야 할 것이다.

• 융합정보논문지
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• 제12권1호
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• pp.109-118
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• 2022

본 연구는 노인들의 구강보건지식수준과 구강보건교육요구도 및 구강건강평가지수(GOHAI)의 연관성을 파악하여 구강보건교육의 중요성을 강조하기 위해 실시하였다. 자료조사는 2020년 1월 6일부터 2020년 2월 7일까지 충북지역의 65세 이상 노인 191명을 대상으로 하였으며, 자료의 분석을 위해 χ²-test, 독립표본 t검정, Pearson 상관분석, 로지스틱 회귀분석을 시행하였다. 조사결과 GOHAI로 측정한 구강건강관련 삶의 질은 구강보건교육경험이 있고, 구강보건지식수준과 구강보건교육요구도가 높으며, 정기적인 구강검진을 받을수록 증가하는 것으로 나타났다. 이상의 결과를 토대로 노인들의 구강건강관련 삶의 질 향상을 위해서는 구강보건교육의 기회를 다양하게 개발하고 지속적으로 확대하여 구강보건교육의 참여율을 높이는 정책 마련이 요구된다.

• 치위생과학회지
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• 제19권4호
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• pp.245-253
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• 2019

Background: This study aimed to analyze correlations between depression, cognitive function, oral health state, ability to perform activities of daily living, oral dryness symptoms, and oral health-related quality of life, and determine factors influencing the latter. Methods: This was a cross-sectional study based on questionnaires completed by 260 participants with suspected dementia, residing in South Korea. Psychiatrists, psychiatric nurses, and dental hygienists visited clinics in the participating regions for examination and questionnaire administration. General characteristics, the geriatric depression scale, ability to perform activities of daily living, cognitive function, oral health state, and oral health-related quality of life were analyzed. Independent t-tests, one-way analysis of variance (ANOVA), correlation analysis and multiple regression analysis were conducted, identifying factors affecting oral health-related quality of life. Data analysis was performed using SPSS ver. 20.0 (IBM Corp., USA), and the significance was set at p<0.05. Results: Approximately 65.0% of participants were female, 63.5% were in their 70s, and 90.0% had health insurance. About 21.5%, 42.0%, and 36.5% were normal, slightly impaired, and had dementia, respectively. High cognitive impairment was associated with poor oral health. Sex, education levels, marital status, and living arrangements influenced oral health-related quality of life. According to the regression analysis, geriatric depression and oral dryness affected the Geriatric Oral Health Assessment Index scores. Conclusion: In conclusion, oral dryness and depression levels among elders influenced oral health-related quality of life. The results showed that to enhance elders' oral health-related quality of life, it is essential to not only improve their oral health state, but also relieve oral health problems, especially oral dryness, and take into consideration their psychological aspects.

• 치위생과학회지
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• 제15권5호
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• pp.569-576
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• 2015

본 연구는 요양보호사의 구강관리교육 프로그램에 필요한 근거를 마련하기 위해 전국 장기요양시설에 근무하는 요양보호사를 대상으로 구강관리교육 실태와 관련 지식, 태도 및 행동을 설문조사하여 다음과 같은 결과를 얻었다. 연구대상자의 27.9%가 구강관리에 관한 교육을 수혜한 경험이 있다고 하였고, 배운 내용으로는 틀니관리와 이 닦기 방법이 90%로 가장 많았다. 그리고 연구대상자들의 구강관리에 대한 지식수준을 확인한 결과, 노인이 복용하는 약물의 부작용, 오연성 폐렴과 치태의 연관성, 잇몸질환, 틀니세척 방법, 와상노인의 구강위생관리에 대한 지식이 부족함을 알 수 있었다. 입소노인의 구강관리의 책임자로서 연구대상자들의 태도수준은 총 10개의 조사 문항 중 8개 문항에서 3점 이상(5점 만점)의 높은 동의수준을 보였으며, 노인의 구강관리를 제공하기 어려운 이유로 구강관리 방법에 대한 어려움(46.4%), 지식의 부족(27.1%) 순으로 응답하였고, 치과의사와 치과위생사가 업무수행에 도움자로서 매우 필요하다(57.3%, 52.9%)고 생각하였다. 이러한 결과를 통해 연구대상자들은 요양시설 입소노인에게 구강관리를 제공하기 위한 태도는 높았지만, 이와 관련한 교육이 부족하며 구강관리업무를 수행하는 데 있어 전문가의 도움이 필요하다는 것을 확인하였다.

• 한국치위생학회지
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• 제16권3호
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• pp.455-461
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• 2016

Objectives: The purpose of the study was to investigate the association between remaining functional teeth and oral health-related quality of life using Geriatric Oral Health Assessment Index(GOHAI) in the elderly. Methods: A self-reported questionnaire was completed by 237 female elderly in Daegu from May to September, 2015. The questionnaire consisted of general characteristics of the subjects and Geriatric Oral Health Assessment Index(GOHAI). A total of 216 female elderly data were analyzed for oral health status and their GOHAI score. Data were analyzed using SPSS 23.0 version. Logistic regression analysis showed the association of functional teeth and GOHAI score. Results: Number of functional teeth can affect oral health related quality of life in the elderly. When functional teeth is small, the odds ratio(OR) was 2.119(95% CI: 1.215-3.696). After adjusting age, residence type and education, OR was 1.900(95% CI: 1.060-3.399). Policies to preserve natural tooth should be recommended for increasing quality of life in general. Conclusions: This study showed significant association between number of functional teeth and the GOHAI score of the elderly women.

• 치위생과학회지
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• 제16권2호
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• pp.127-133
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• 2016

이번 연구는 영남대학교의료원 재활병동에 입원 중인 뇌졸중 환자 78명을 대상으로 구강위생 및 건강, 구강건강관련 삶의 질을 검사하였으며 다음과 같은 결과를 얻었다. Gingival index는 3명(3.8%)의 대상자만이 정상소견에 해당하는 code 0의 상태를 보였으며 이외 대다수의 대상자는 치은의 출혈 소견을 의미하는 code 2 이상의 수치를 보였다. CPI code의 경우에는 42명(53.8%)의 대상자가 중등도 치주염 및 중증의 치주염을 의미하는 code 3 또는 4의 상태를 보였다. CPI에 따라 대상자를 분류한 결과 치주염이 심한 그룹이 그렇지 않은 그룹에 비해 교육수준이 낮고 흡연경험이 있었으며 잔사, 치석 지수 및 치은 건강이 유의하게 불량하였다. 구강건강관련 삶의 질은 일상생활수행도 및 인지능력과 유의한 상관관계를 보였다(p<0.05). 이상의 결과를 종합해볼 때 재활병동에 입원 중인 뇌졸중 환자의 구강위생 상태는 개선할 필요가 있으며 이를 바탕으로 뇌졸중 환자의 구강건강의 악화를 방지하며 나아가 환자의 전신적 회복에 기여할 수 있을 것이다.

• 한국치위생학회지
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• 제20권5호
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• pp.635-643
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• 2020

Objectives: The purpose of this study was to evaluate dental hygienists understanding of the provisions of oral health care and awareness for the elderly. Methods: A survey was conducted among 285 dental hygienists, currently practicing around Gwangju province, Korea. The questionnaire contained questions on general characteristics of the subjects (5 items), oral health status of the elderly (5 items), and awareness (8 items) among the dental hygienists. The data were analyzed using a chi-square test. IBM SPSS 21.0 program was used for all statistical analyses. Results: The results showed that 47.7% of the dental hygienists took care of 1 to 5 elderly patients per day; they could not provide high quality oral health education to these patients because of lack of knowledge, lack of treatment time, and excessive workload. An analysis of the hygienists' professional educational experience related to oral healthcare of the elderly during university years showed that the older and more experienced hygienists' were less likely to have completed this education, i.e., 22.05% and 10.9%, respectively (p<0.001). Of all the dental hygienists, 62.8% were interested in oral health problems of the elderly, and 34.4% of dental hygienists for geriatric oral care were the most needed for geriatric oral care education (p<0.001). Conclusions: According to these results, it is important that dental hygienists participate in training on oral healthcare for the elderly and develop various programs for managing the oral health of the elderly.

• 대한치과의사협회지
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• 제49권10호
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• pp.584-598
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• 2011

The age structure has been experiencing substantial change due to the decreased birth rate as well as the increased life expectancy. Gorge Magnus, an English economist, casts warnings of population ageing which has the potential of huge socioeconomic impact human society has never experienced before. The prediction that proportion of elderly people in need of oral health care will increase substantially is a new challenge to dentists in the future. The old paradigm that the aged person is just the person who was born earlier and needs the same conventional oral health care should be shifted to the new one. Elderly people tend to express their political interest related with health care system by actively participating in the national elections. The need to sustain economic status for the extended life span makes them seek eagerly esthetic health care to maintain sound social function. Most of them are under multiple chronic diseases and take related medicines. In addition, many studies report about mental change as well as physical change among the aged people. Since the prevalence of dental diseases among the aged is higher than other chronic devastating diseases, the aged seeking oral health care will increase. The aged who has different physical and psychological status as well as chronic disease and related medicine will show unexpected response to the conventional oral health care. In addition, the impact of tooth loss is substantial physically, mentally and emotionally. Dentist should prepare different approaches for the elderly dental patient.