Oral health care of the elderly in long-term care facilities in Korea

요양보호사가 입소노인에게 제공하는 구강관리실태

  • Jung, Youn-Mi (Department of Dental hygiene, Wonju College of Medicine, Yonsei University) ;
  • Kim, So-Myeong (Department of Dental hygiene, Wonju College of Medicine, Yonsei University) ;
  • Lee, Hyo-Jin (Department of Dental hygiene, Wonju College of Medicine, Yonsei University) ;
  • Cho, Yeon-Hee (Department of Dental hygiene, Wonju College of Medicine, Yonsei University) ;
  • Lee, Sun-Gu (Department of Dental hygiene, Wonju College of Medicine, Yonsei University) ;
  • Kim, Nam-Hee (Department of Dental hygiene, Wonju College of Medicine, Yonsei University)
  • 정윤미 (연세대학교 원주의과대학 치위생학과) ;
  • 김소명 (연세대학교 원주의과대학 치위생학과) ;
  • 이효진 (연세대학교 원주의과대학 치위생학과) ;
  • 조연희 (연세대학교 원주의과대학 치위생학과) ;
  • 이선구 (연세대학교 원주의과대학 치위생학과) ;
  • 김남희 (연세대학교 원주의과대학 치위생학과)
  • Received : 2010.06.01
  • Accepted : 2010.08.25
  • Published : 2010.08.30

Abstract

Objectives : The aim of this study was to assess the oral health care of the elderly in long-term care facility on caregivers' behaviors. Methods : Cross-sectional study in a cluster sample of 171 caregivers recruited from 17 facilities located in the Province of Gangwon. The Questionnaire was consisted of 16 items contained oral hygiene care, denture care, oral health education and general characteristics(Chronba's ${\alpha}$=0.87). Using SPSS WIN 12.0, descriptive statistics and chi-square test were conducted to examine the subjects general characteristics, the status of oral health education and denture care. Results : 1. The mean age of care givers was 42 years and 88.9% education experience rate was found. 2. Above 70% of them was found in daily oral hygiene care after every meal. They used toothbrush and toothpaste, they keep the toothbrush properly. 3. The denture care was conducted by most of care givers, containing proper storage. But three of ten care givers was cleaned denture by toothpaste or used water only. It was severe at the care givers didn't received oral health education(p<0.05). Conclusions : The contents of oral health education for care givers should contain the denture care(time and the reason shouldn't use toothpaste). Further large-scale longitudinal studies are needed to determine professional oral health care and to develop evidence of the dental hygiene practice for the elderly in long-term care facilities.

Keywords

References

  1. 보건복지가족부. 노인건강통계. 2004.
  2. 신리혜, 배은경, 최성호, 박인임, 오오야먀다카시, 정문규. 한국노인요양시설 구강 위생 현황과 일본 노인요양보험법 비교를 통한 치과의사의 역할과 전망. 대한치과보철학회지 2008;46(1):83-91.
  3. 박인. 노인장기요양보험법의 최근 동향. 입법동향과평가. 2008;4(4):8-27.
  4. Almirall, J., Bolibar, I., Serra-Prat, M., Roig, J., Hospital, I., Carandell, E., Agusti, M., et al. New evidence of risk factors for community-acquired pneumonia: a population-based study. The European respiratory journal : official journal of the European Society for Clinical Respiratory Physiology 2008;31(6):1274-1284. https://doi.org/10.1183/09031936.00095807
  5. Curtis, L.T. Prevention of hospital-acquired infections: review of non-pharmacological interventions. Journal of Hospital Infection 2008;69(3):204-219. https://doi.org/10.1016/j.jhin.2008.03.018
  6. Sjogren, P., Nilsson, E., Forsell, M., Johansson, O., Hoogstraate, J. A systematic review of the preventive effect of oral hygiene on pneumonia and respiratory tract infection in elderly people in hospitals and nursing homes: Effect estimates and methodological quality of randomized controlled trials. Journal of the American Geriatrics Society 2008;56(11):2124-2130. https://doi.org/10.1111/j.1532-5415.2008.01926.x
  7. Sarin, J., Balasubramaniam, R., Corcoran, A.M., Laudenbach, J.M., Stoopler, E.T. Reducing the Risk of Aspiration Pneumonia among Elderly Patients in Long-Term Care Facilities through Oral Health Interventions. Journal of the American Medical Directors Association 2008;9(2):128-135. https://doi.org/10.1016/j.jamda.2007.10.003
  8. Boehmer U., Kressin NR., Spiro A. Preventive Dental Behaviors and their Association with Oral Health Status in Older White Men. J Dent Res 1999;78(4):869-877. https://doi.org/10.1177/00220345990780040701
  9. Holm-Pedersen P., Lang NP., Muller F. What are the longevities of teeth and oral implants? 2007 Clinical Oral Implants Research 2007;18(3):15-19.
  10. Folliguet M., Bodineau A., Veille-Finet A., Tavernier JC. Oral hygiene and prevention. Revue de Geriatrie 2007;32(10):737-742.
  11. Morita I., Nakagaki H.,Toyama A., Hayashi M., Shimozato M., Watanabe T et al. Behavioral factors to include in guidelines for lifelong oral healthiness: An observational study in Japanese adults. BMC Oral Health 2006;6(15):1-9.
  12. 한국보건산업진흥원. 노인요양시설 서비스가이드라인. 국민건강보험공단. 2009:15-25.
  13. 노인복지법 제34조. 노인의료복지시설.
  14. 한국보건산업진흥원. 노인요양시설 서비스가이드라인. 국민건강보험공단. 2009:15-25.
  15. 장우심. 노인장기요양보험제도에 따른 요양보호사 교육 및 관리에 관한 연구. 한국노인복지연구. 2009;43(1):263-286.
  16. 이선자, 이윤형. 노인요양보호사의 직무에 영향을 미치는 조직특성. 사회복지개발연구. 2009;15(3):247-367.
  17. 박주희, 권호근, 김백일, 최충호, 최연희. 무료양로원 거주 기초생활수급대상 노인의 구강건강상태. 대한구강보건학회지 2002;26(4):555-566.
  18. 전미진, 이병진, 김동기. 전남 일부지역 장기요양노인의 치매유병에 따른 구강건강상태 비교연구. 대한구강보건학회지 2008;32(3):299-308.
  19. 김승희, 정진아, 이병진, 김동기. 광주광역시 일부 시설거주노인과 자가거주노인의 구강건강실태조사. 대한구강보건학회지 2007;31(3):366-375.
  20. 윤영숙. 요양원 거주 여부에 따른 노인의 구강건강관련 삶의 질에 관한 연구. 한국치위생과학회지 2005;(3):3:133-137.
  21. 김철신, 백대일, 김현덕, 진보형, 배광학. 용인시 처인구 거동불편노인의 구강보건진료 수요조사. 대한구강보건학회지 2007;31(4):559-567.
  22. 강현경, 송혜정, 이은경. 경남 일부지역 노인복지시설 입소자의 구강건강 실태조사. 한국치위생과학회지 2007;(7):1:1-14.