Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
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Comparison of Effects according to Type of Oral Exercise Program for Elderly in Gangneung City

강릉시 일부 노인의 구강근육운동 프로그램 형태별 운영 효과 비교

  • Lee, Sue-Hyang (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Ryu, Jean-A (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Yu, Ha-Eun (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Lee, Jin-Hee (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Shin, Sun-Jung (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University)
  • 이수향 (강릉원주대학교 치과대학 치위생학과) ;
  • 유진아 (강릉원주대학교 치과대학 치위생학과) ;
  • 유하은 (강릉원주대학교 치과대학 치위생학과) ;
  • 이진희 (강릉원주대학교 치과대학 치위생학과) ;
  • 신선정 (강릉원주대학교 치과대학 치위생학과)
  • Received : 2016.09.26
  • Accepted : 2016.11.04
  • Published : 2016.12.31
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Abstract

This study compared the effects of programs according to management type by preparing a manual for oral muscle exercises that integrates oral movement and oral massage. The program was performed on 14 elderly patients in a seniors' college self-practice program group and 28 elderly patients in a social welfare center expert intervention group. In the self-practice group, an expert demonstrated oral muscle exercises and subsequently encouraged self-practice by selecting an oral muscle exercise leader. In the expert intervention group, an expert demonstrated oral exercises on a one-on-one basis and subsequently gave oral muscle massages. In the self-practice group, there was no difference in saliva secretion (p=0.213) or oral dryness (p=0.206), after the intervention, the expert intervention group showed improvements in saliva secretion (p=0.009) and oral dryness (p=0.007). There was no difference in program satisfaction between groups (p=0.143), and both groups reported high satisfaction. As seniors may have difficulty in maintaining oral health behaviors, a certain amount of expert intervention may be needed. The results suggest that both a self-practice oral exercise program and an expert intervention program can be effective elderly patients.

본 연구는 구강체조와 구강근육마사지를 접목한 구강근육운동을 매뉴얼화하여 운영 형태에 따른 프로그램의 비교를 통해 효과적인 프로그램 운영방식을 제안하기 위한 것으로 자가 실천 프로그램을 적용한 한울노인대학 노인 14명과 전문가 개입 프로그램을 적용한 강릉종합사회복지관 이용 노인 28명을 대상으로 실시한 결과 다음과 같은 결론을 얻었다. 전문가 개입 집단에서 프로그램 운영 후 타액분비율이 증가하고, 주관적 구강건조증의 완화되었으나, 자가 실천 집단은 주관적 구강건조증에서 긍정적인 변화를 확인할 수 있었다. 두 집단에 대하여 프로그램 만족도를 비교한 결과, 자가 실천 집단이 전문가 개입 집단보다 프로그램 내용, 방법, 자신의 구강 건강관리 도움, 계속 참여 의향, 타인에게 권유의향이 통계적 유의성을 확인할 수 없었으나, 대체적으로 높게 평가되었다. 연구기간 중 대상자 모집의 한계로 표본수가 적고, 개입기간이 짧았던 한계가 있으나 본연구를 통해 구강체조와 구강근육마사지의 복합적 적용인 구강근육운동 프로그램의 효과를 확인할 수 있었고, 특히 노인의 자발적 구강건강 행동 유지의 어려움이 있으므로 일정 정도의 전문가 개입이 필요함을 확인할 수 있었다. 또한 노인의 특성에 따라서 자가실천 구강근육운동 프로그램과 전문가 개입 프로그램 적용이 효과적일 수 있음을 시사하는 데 의의가 있다. 노인의 구강건강유지와 구강건강관련 삶의 질을 높이기 위해 구강건강증진사업을 전개할 때 효과적인 구강체조뿐 아니라 구강근육마사지가 접목된 구강운동 프로그램의 보급이 필요할 것으로 생각된다.

Keywords

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