• 한국치위생학회지
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• 제17권1호
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• pp.99-110
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• 2017

Objectives: I examined the health and oral health status of elderly people living alone compared to elderly people living with their families by using data (2014) from the 6th Two-Year Korea National Health and Nutrition Examination Survey. Methods: Among 1,454 health survey respondents aged 65 years and over who participated in the 6th Two-Year Korea National Health and Nutrition Examination Survey conducted in 2014, 311 were elderly people living alone and 1,143 were elderly people living with their families. Results: In terms of socio-demographic characteristics, the percentage of elderly people living alone was high especially in women and when the subjects' age, education level, and income level were low. In terms of oral health status, the percentage of elderly people living alone was high when elderly people thought that their subjectively viewed health was poor and the frequency of drinking and exercise was low. In terms of oral health status, the percentage of elderly people living alone was high among elderly people who did not have good oral health in their subjective view and did not get oral examinations for a year and had a lot of difficulty chewing. Conclusions: Family support or additional social support for elderly people who live alone should be considered to promote the healthy lives of elderly people.

• 치위생과학회지
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• 제15권4호
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• pp.480-487
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• 2015

본 연구는 2013년 KNHANE 자료를 이용하여 우리나라 성인의 구강건강 상태와 HRQoL 관련성을 EQ5D 구성요소를 중심으로 평가하고자 하였다. 16~64세 성인 3,252명을 최종 분석대상자로 하여 다음과 같은 결론을 얻을 수 있었다. 치아통증과 운동능력, 통증 및 불편은 통계적으로 유의한 관련성을 나타냈고, 저작 불편과 말하기 불편은 EQ5D 구성요소 5가지 모두 통계적으로 유의한 관련성을 나타냈다. 주관적 구강건강 인식은 자기관리, 일상활동, 통증 및 불편, 불안 및 우울과 통계적으로 유의한 관련성을 나타내어 구강건강 상태와 EQ5D 구성요소의 관련성을 확인하였다. 또한 EQ5D 구성요소에 미치는 영향을 통제변수를 보정 후 로지스틱 회귀분석으로 살펴본 결과 치아통증, 저작 불편, 말하기 불편, 주관적 구강건강 인식이 불안 및 우울에 영향을 미치는 것으로 나타났다. 구강건강 증진은 HRQoL을 향상시킬 수 있는 방안이 되므로, 구강건강의 중요성을 인식하고 예방차원의 교육 및 프로그램이 필요하다고 생각된다.

• 한국학교ㆍ지역보건교육학회지
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• 제15권3호
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• pp.81-93
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• 2014

Objectives: This study aims to find status of the oral health care, the oral health education program utilization and the oral health guidance according to the experience status of oral health education of special school teachers. Methods: The study subjects were 133 teachers at special schools in Seoul, Gyeonggi, Chungbuk and Jeonbuk regions. Results: 32.8% of the male and 67.2% of the female teachers have the oral health education experience. Barriers for the dental treatment to teachers with the education experience show in the order as 'disabled children's noncooperation' 49.2%, 'economic reasons' 37.7% and 'medical institution's rejection' 6.6% and, to teachers without the education experience, 'disabled children's noncooperation' 45.8%, 'economic reasons' 19.4% and 'not emergency situation' 13.9%(p<0.01). Regarding the necessity of arranged institution to manage the oral health, 91.8% of teachers with the oral health education answer as 'necessary'(p<0.05). Regarding the barriers on the performance of oral health program 27.9%, the majority of teachers with the education experience answer as 'insufficient administrative & financial support' and 36.1%, the majority of teachers without the education experience answer as 'insufficient understanding and expertise on the oral health education'. 86.9% of the teachers with the education experience and 62.5% of the teachers without the education experience are found to 'guide students on the oral health'(p<0.01). Conclusions: It was considered that various oral health education programs positively influential to the oral health care and education for disabled children should be developed according to the status of oral health education experience of special school teachers.

• 한국산학기술학회논문지
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• 제14권9호
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• pp.4349-4358
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• 2013

본 연구는 노인의 주관적 구강상태와 구강건강영향지수와의 관련성을 알아보고, 이를 통해 삶의 질 향상 및 구강관리 방안을 위한 기초자료로 제시하고자 하였다. 2011년 5월부터 6월까지 조사, 연구대상은 65세이상 노인 231명으로 하였다. OHIP-14의 중위값을 산출하여 중위값(2.08) 보다 높은 그룹을 상위그룹으로, 평균보다 낮은 그룹을 하위그룹으로 나누어 구강보건행태와 주관적인 구강상태를 교차분석으로 측정하였고, 구강건강영향지수에 영향을 미치는 요인을 알아보기 위해 상관분석과 회귀분석을 실시하였다. 구강보건행태에 따른 구강건강영향지수는 유의하지 않았으며, 주관적 구강상태에 따른 구강건강영향지수는 현재 구강상태, 저작지장, 치통, 잇몸질환, 구강건조증, 구취 항목이 구강건강영향지수에 영향을 주고 있었다. 또한 구강건강영향지수에 영향을 미치는 요인을 확인하기 위한 회귀분석결과 저작지장, 치통, 구강건조증, 잇몸질환 경험이 높을수록 가장 영향을 미치는 것으로 나타났다. 이는 구강건강 영향지수가 높을수록 주관적 구강상태가 건강하지 못하다는 것을 알 수 있었다. 향후 노인의 삶의 질 향상을 위한 구강건강증진 예방프로그램 개발과 적극적인 구강관리 방안이 필요할 것으로 사료된다.

• Journal of Korean Biological Nursing Science
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• 제17권2호
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• pp.97-103
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• 2015

Purpose: The aim of the study was to identify effects of oral care protocol on bacterial floras of the oral cavity and oral health status of intubated patients in an intensive care unit. Methods: The participants were 60 intubated patients who were recruited from an intensive care unit of a university hospital from Dec. 28, 2010 to Mar. 25, 2011. The participants were randomly assigned into 3 groups of 20 patients according to the application time of oral care (1-minute oral care, 2-minute oral care, and 3-minute oral care groups). The numbers of bacterial flora colonies in the oral cavity was assessed before and after the oral care. Oral health status was assessed using a Korean version of the Oral Assessment Guide developed by Elier et al. originally. Results: The numbers of bacterial flora colonies were less after oral care than those before the care, but there was no significant differences among the 3 groups after the care. Oral health status was better after the oral care than it was before the care, but there was also no significant differences among the 3 groups. Conclusion: If well-trained nurses perform oral care for 1 minute using a chlorhexidine swab on intubated patients, the numbers of bacterial flora colonies will be reduced and healthy oral status will be maintained.

• 대한치과기공학회지
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• 제34권1호
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• pp.25-36
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• 2012

Purpose: The purpose of this study is to investigate the status of oral health behaviors and oral health status, and to analysis the association between health behavior and chronic disease and oral health status of male workers. Methods: The survey used structured self administered questionnaires from September to October in 2009 in Daegu and Gyeongsangbuk-do province, randomize thirty workplace which work more than 50 workers and carry out a survey targeting 30 to 50 age male laborers who work selected workplace. Total of 1,532 replies were analysed. Results: Age, education, monthly income, job was significantly associated with number of toothbrushing, scaling experience, number of missing teeth. Smoking, amount of smoking, frequency of drinking, number of tooth brushing, unmet need and subjective oral health condition, HBP and DM was significantly associated with the number of missing teeth. In logistic regression, age(above 40), monthly income and DM were significant factors on loss of teeth. Conclusion: In conclusion, it is important to provide education on the teeth-brushing and DM management to workers engaged in a small or medium sized workplace with many tooth loss and low educational status, and to recommend a regular scaling as well as to establish policy for creating conditions upon an oral health check-up and a tooth scaling and allow the maintenance of an oral health.

• 한국치위생학회지
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• 제17권6호
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• pp.957-967
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• 2017

Objectives: This study consisted of a literature review on oral health among people with disabilities, and to present the factors that should be considered in developing an oral health program for people with disabilities. Methods: The key words 'people with disabilities' and 'oral health' were searched in 4 Korean academic journals and 5 online search engines and a total of 635 papers were identified. Duplicate papers were removed, and the literature selection criteria were applied to the remaining papers. Finally, a total of 45 papers were used in the review. Results: First, people with disabilities were the most common research subjects, followed by dental students, dental hygiene students, dentists, dental hygienist and guardians and special education teachers. Second, the most frequently studied research topic was dental examination, followed by oral health behavior and behavior of using dental clinics. Third, research purposes included the status of oral health, the quality of oral health, dental treatment, the use of oral health service, and oral hygiene behavior and perception. Fourth, the most frequently discussed policy task was expansion of research subjects, followed by oral hygiene and policy development. Conclusions: To enhance the oral health of people with disabilities who have difficulty in keeping their teeth clean and healthy on their own, development of an oral hygiene training program is required not only for people with disabilities, but also for guardians and teachers. It is equally important to examine oral health behavior that could potentially affect the status of oral health and create a more accurate and systematic oral hygiene method. In addition, the government, together with various other research institutes, should conduct an oral health survey of a representative sample of people with disabilities to determine oral health status and facilitate improvements to oral hygiene programs.

• 보건의료산업학회지
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• 제8권2호
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• pp.187-195
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• 2014

To improve oral hygiene management, the effects of toothbrush training on general oral hygiene based on the simplified oral hygiene index(S-OHI) and degree of knowledge about toothbrushing were examined. Pre-and post-training changes in the S-OHI (lower score = better oral health status) showed a significant decrease in score in all variables (gender, age, marital status, occupation, and level of education).Pre- and post-training changes in the degree of knowledge about toothbrushing showed a significant increase. Negative correlations between the S-OHI, oral health status, and degree of knowledge about toothbrushing and the S-OHI and the Decayed, Missing, Filled (DMF) index (the better the oral cavity environment, the lower the DMF index) were observed. Positive effects of repeated toothbrush training on the maintenance of healthy oral cavity environment and continuous oral health management were observed, as reflected by the correct toothbrushing-related knowledge and skills.

• 한국치위생학회지
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• 제16권3호
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• pp.491-498
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• 2016

Objectives: The purpose of the study was to investigate the influencing factors of the perceived oral health for improvement of quality of life in Korean elderly. Methods: The subjects were 1,289 elderly over 65 years old from the sixth National Health and Nutrition Examination Survey 2013. The dependent variable was subjective oral health status. The independent variable was sociodemographic characteristics. Results: The perceived oral health of the unemployed elderly and those having chewing problems were 1.65-fold(95% CI=1.12=2.44) and 3.45-fold(95% CI=2.37-5.02), respectively than employed and chewable elderly. The perceived oral health of the former was 2.49-fold worse(95% CI=1.73-3.60) than the latter. Conclusions: The influencing factors of perceived oral health status included occupation, perceived health status and chewing problems. To improve the oral health-related quality of life in the elderly, continuous education and hands-on programs should be provided for the elderly in the long term care.

• 보건교육건강증진학회지
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• 제28권1호
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• pp.23-35
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• 2011

Objectives: This study aims to identify the impact of subjectively reported oral health status on the quality of life by applying the PRECEDE model. Methods: This study was conducted on a total of 450 people who had dental visit experience among persons above 35 and under 65 years living in Seoul and Gyeonggi provinces. Oral health-related quality of life was measured using the OHIP-14. The relationship between subjectively reported oral health status and the quality of life was evaluated by the chi-square test, t-test, one-way ANOVA and multiple linear regression analysis. Results: OHIP-14 scores were significantly associated with self-reported oral health problem. Especially the strongest correlations were found between functional limitation, physical psychological social disability on the OHIP-14 7 sub-factor and self-reported periodontitis and dry mouth symptoms. Conclusion: Subjectively reported oral health status is associated with oral heath related quality of life. In order to improve people's the quality of life, taking care of their oral heath is indispensable factor. Therefore, it is required to revitalize regular oral health check system and the development of effective oral health education programs by the government to prevent periodontitis and dry mouth as well.