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Content analysis of daily tooth cleaning service records by caregivers in a long-term care facility

노인요양시설에서 요양보호사가 제공하는 일상적 구강청결관리 기록지의 내용분석

  • Baek, Ji-Hyun (Department of Dental Hygiene, The Graduate School, Yonsei University) ;
  • Lee, Hye-Ju (Department of Preventive and Social Dentistry, School of Dentistry, Seoul National University) ;
  • Choi, Ho-Joon (Department of Preventive and Social Dentistry, School of Dentistry, Seoul National University) ;
  • Choi, Jee-Hye (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Kim, Na-Kyung (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Kwag, Jung-Min (SK Chemicals Dental Clinic) ;
  • Han, Dong-Hun (Department of Preventive and Social Dentistry, School of Dentistry, Seoul National University) ;
  • Kim, Nam-Hee (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University)
  • 백지현 (연세대학교 대학원 치위생학과) ;
  • 이혜주 (서울대학교 치의학대학원 예방치학교실) ;
  • 최호준 (서울대학교 치의학대학원 예방치학교실) ;
  • 최지혜 (연세대학교 원주의과대학 치위생학과) ;
  • 김나경 (연세대학교 원주의과대학 치위생학과) ;
  • 곽정민 (SK케미칼부속치과의원) ;
  • 한동헌 (서울대학교 치의학대학원 예방치학교실) ;
  • 김남희 (연세대학교 원주의과대학 치위생학과)
  • Received : 2014.10.09
  • Accepted : 2014.12.08
  • Published : 2014.12.30

Abstract

Objectives: The purpose of the study was to investigate the content analysis of daily tooth cleaning service records by caregivers in a long-term care facility. Methods: The data were analyzed by qualitative research based on content analysis of the daily records of the processes and results of daily tooth cleaning service. Twenty caregivers provided tooth, gum and denture cleaning service after breakfast, lunch, and dinner to 48 elderly residents. The study lasted about two weeks(from August 4 to August 20, 2014). The researcher reconstructed the language by repeatedly reviewing the caregivers statements in the records. The content categories were derived from the records through a reiterative manual comparative analysis. Using constant comparison method, reconstructed meanings were incorporated into various meanings and reanalyzed by final categories called as analytic coding. In order to validate the reliability, 6 times of discussion made the common meanings through a master's degree student and a dental hygiene professor. Results: The caregivers identified lack of understanding and ability to recognize the functional physical and mental changes in the elderly. The elderly had difficulty in recognizing silent communication and daily tooth cleaning. The caregivers were so strenuous in taking care of the daily tooth cleaning service for the elderly. At last, they gave up the daily tooth cleaning service and took on it to the guardians. They found that there was no social supporting network for oral health of the elderly residents. Conclusions: Caregivers had insufficient understanding of the functional physical and mental changes in the elderly residents, and they had difficulty providing daily tooth cleaning service to the elderly due to poor skill and abilities.

Keywords

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