DOI QR코드

DOI QR Code

노인의 음식물 섭취와 주관적 행복감: 포커스그룹 면담

An Integrative Study on The Subjective Happiness by Eating Foods in The Elderly: Focus Group Interview

  • 투고 : 2019.06.25
  • 심사 : 2019.08.02
  • 발행 : 2019.08.31

초록

본 연구는 노인의 치아상태와 음식물 섭취가 주관적 행복감에 미치는 영향을 분석하기 위한 포커스그룹 면담을 적용한 질적 내용분석연구이다. 연구대상자는 D시의 종합사회복지관을 방문한 65세 이상 노인 중 연구 참여에 동의한 10명을 대상으로 수행하였으며, 5명을 한 그룹으로 하여 그룹 당 약 40분의 면담을 진행하였다. 본 연구결과 '치아상태', '구강건강관리방법', '구강 내 불편감', '음식물 섭취', '음식물 섭취와 주관적 행복감'의 5개의 주제가 도출되었으며, 핵심 주제로는 노인의 음식물섭취와 주관적 행복감에 대한 핵심주제는 첫째 '치아상태'로 틀니, 보철, 임플란트, 건전치아를 제외한 구강 내 결손치아는 1개에서 4개로 식사를 하거나 발음, 생활하는데 활용하는 치아는 24개 - 28개로 대답하였다. 본 연구에 참여한 노인 연구대상자들은 좋아하는 음식을 보고도 먹지 못하는 경우 속상하고 짜증나며, 본인이 나이가 들었다는 생각을 하게 된다고 대답하였으며 심지어 그만 살고 싶을 것 같다고도 대답하였다. 본 연구결과를 토대로 추후 노인의 연령, 성별, 소득수준, 교육수준, 건강상태 등에 따른 맞춤형 구강건강관리 프로그램개발 및 전문가양성을 해나가야 할 것으로 사료된다.

This qualitative analysis was conducted to analyze the effects of teeth and eating foods in the elderly on their subjective happiness based on a focus-group interview (FGI). The study subjects were 10 people over 65 years old who visited a social welfare center in D City and agreed to participate in the study. One group consisted of five members and FGIs were performed for about 40 minutes per group. Based on the study results, five topics were evaluated, status of teeth, methods of dental health control, inconvenience within mouth, eating foods, and eating foods and subjective happiness. The study subjects answered that they felt distressed and annoyed if they could only see, but not eat favorite foods and that this made them feel old. One respondent even mentioned it made them want to stop living. Based on the results of this study, it is necessary to develop customized dental health control programs by age, gender, income level, education level, and health status, and to build the specialists.

키워드

참고문헌

  1. Ministry of the Interior, December 2017 Korean registered population, Ministry of the Interior, 2017, p.1-9
  2. H. S. Kim, "Effect of Pain, Nutritional Risk, Loneliness, Perceived Health Status on Health-related Quality of Life in Elderly Women Living Alone", Journal of the Korea Convergence Society, Vol.8, No.7, pp.207-218, 2017. DOI: https://doi.org/10.15207/JKCS.2017.8.7.207
  3. B. H, Lee, "A Convergence Study on the Mediating Effects of Dental Health Determinants on Relationship between Health Practice Behaviors and Health-Related Quality of Life of the Elderly", Journal of the Korea Convergence Society, Vol.10, No.2, pp.49-56, 2019. DOI: https://doi.org/10.15207/JKCS.2019.10.2.049
  4. K. J. Ryu, The relevance between level of oral health and oral health-related life quality among the elderly. Ph.D dissertation, Graduated School of Chungnam University, 2008.
  5. M. W. Shin, Y. O. Lee, Y. C. Cho, "Analysis of the Influence of Physical and Mental Function, and Oral Health Impact Profiles on Quality of Life in the Elderly People in Long-term Care Centers using the Structural Equation Model", Journal of the Korea Convergence Society, Vol.17, No.4, pp.500-511, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.4.500
  6. H. E. Shin, I. C. Chang, K. B. Song, Y. H. Choi, "Association between masticatory ability, oral health-related quality of life and cognitive function in the elderly population using structural equation modeling", Journal of Korean Academy of Oral Health, Vol.42, No.4, pp.159-166, 2018. DOI: http://dx.doi.org/10.11149/jkaoh.2018.42.4.159
  7. O. J. Ha, H. K. Choi, E. J. Oh, "Factors predicting on happiness related to aging among older adults", J Korea Academia-Industrial Cooperation Society, Vol.18, No,10, pp.197-208, 2017. DOI: http://dx.doi.org/10.5762/KAIS.2017.18.10.197
  8. S. Y. Kim, I. S. Kim, "A Fusion Survey on the Investigation of Correlation between Systemic Diseases and Oral Health", J. of Convergence for Information Technology, Vol.7, No.5, pp.67-73, 2017. DOI: http://dx.doi.org/10.22156/CS4SMB.2017.7.5.067
  9. M. J. Schank, M. A. Lough, "Maintaining health and independence of elderly women", J Gerontol Nurs, Vol.15, No.0, pp.8-11, 1997. DOI: https://www.ncbi.nlm.nih.gov/pubmed/2732427
  10. A. Sheiham, R. Watt, "The common risk factor approach: a rational basis for promoting oral health", Community Dent Oral Epidemiol, Vol.28, No.0, pp.399-406, 2000. DOI: http://dx.doi.org/10.1034/j.1600-0528.2000.028006399.x
  11. G. U, Kim, J. H. Kim, "A study on the knowledge and awareness of care workers on the geriatric oral health", Journal of the Korea Convergence Society, Vol.6, No.6, pp.9-15, 2015. DOI: http://dx.doi.org/10.15207/JKCS.2015.6.6.009
  12. Ministry of Health and Welfare, Korea National Health and Nutrition Examination Survey (KNHANES VI-3) 2015, Sejong: Ministry of Health and Welfare, 2015.
  13. I. K. Hur, T. Y. Lee, J. K. Dong, S. H. Hong, "The effects of dental prostheses to the quality of life among the elderly", J Korean Acad Prosthodont, Vol.48, No.0, pp.101-110, 2010. DOI: http://dx.doi.org/10.4047/jkap.2010.48.2.101
  14. D. C. Lee, H. L. Lee, I. Suh, D. K. Kim, "Factors affecting on the compliance of the health screening program: a study of the insured on a district medical insurance association", Korean J Fam Med, Vol.18, No.0, pp.739-751, 1997. DOI: https://www.kjfm.or.kr/journal/view.php?number=1392
  15. C. C. Horwath, "Chewing difficulty and dietary intake in the elderly", J Nutr Elder, Vol.9, No.0, pp.17-24, 1989. DOI: https://www.ncbi.nlm.nih.gov/pubmed/2636264 https://doi.org/10.1300/J052v09n02_03
  16. V. Dormenval, P. Mojon, E. Budtz-Jorgensen, "Associations between self-assessed masticatory ability, nutritional status, prosthetic status and salivary flow rate in hospitalized elder", Oral Dis, Vol.5, No.0, pp.32-38, 1999. DOI: http://dx.doi.org/10.1111/j.1601-0825.1999.tb00061.x
  17. G. Heydecke, L. A. Tedesco, C. Kowalski, M. R. Inglehart, "Complete dentures and oral health-related quality of life - do coping styles matter?", Community Dent Oral Epidemiol, Vol.32, No.0, pp.297-306, 2004. DOI: https://www.ncbi.nlm.nih.gov/pubmed/15239781 https://doi.org/10.1111/j.1600-0528.2004.00169.x
  18. K. E. Lee, Y. H. Yom, S. S. Kim, J. H. Han, "Gender differences in oral health literacy related factors among elderly people", J Korean Acad Community Health Nurs, Vol.25, No.1, pp.54-64, 2014. DOI: http://dx.doi.org/10.12799/jkachn.2014.25.1.54
  19. J. H. Han, Y. H. Yom, "Effects of eating habits, activities of daily living and health behaviors on oral health related-quality of life in elderly persons", J Korean Acad Fundam Nurs, Vol.19, No.2, pp.179-189, 2012. DOI: http://dx.doi.org/10.7739/jkafn.2012.19.2.179
  20. S. I. Shin, Y. H. Kim, "A meta-analysis on related variables of elder''s quality of life", Korean J Couns, Vol.14, No.6, pp.3673-3690, 2013 DOI: http://dx.doi.org/10.15703/kjc.14.6.201312.3673
  21. Y. H. Chung, Y. H. Cho, "Health behaviors, health status and quality of life among the young-old and the old-old in Korea", Korean Public Health Res, Vol.40, No.1, pp.55-64, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2017.18.10.197
  22. J. S. Kim, "The value in quality of life and recognition and preferences for advance directives by the elderly''s age", J Korean Gerontol Soc, Vol.32, No.1, pp.1-23, 2012. DOI: http://kiss.kstudy.com.libproxy.konyang.ac.kr/thesis/thesisview.asp?key=3095252
  23. M. Gatz, J. A. Mortimer, L. Fratiglioni, B. Johansson, S. Berg, C. A. Reynolds, et, al, "Potentially modifiable risk factors for dementia in identical twins", Alzheimers Dement, Vol.2, No.0, pp.110-117, 2006. DOI: http://dx.doi.org/10.1016/j.jalz.2006.01.002
  24. P. S. Stein, R. J. Kryscio, M. Desrosiers, S. J. Donegan, M. B. Gibbs, "Tooth loss, apolipoprotein E, and decline in delayed word recall", J Dent Res, Vol.89, No.0, pp.473-477, 2010. DOI: http://dx.doi.org/10.1177/0022034509357881
  25. K. Avlund, P. Holm-pedersen, D. E. Morse, M. Viitanen, B. Winblad, "Tooth loss and caries prevalence in very old Swedish people: the relationship to cognitive function and functional ability", Gerodontology, Vol.21, No.0, pp.17-26, 2004. DOI: http://dx.doi.org/10.1046/j.1741-2358.2003.00003.x
  26. A. Kaser, "Shortened dental arches and oral function", J Oral Rehabil, Vol.8, No.5, pp.457-462, 1981. DOI: http://dx.doi.org/10.1111/j.1365-2842.1981.tb00519.x
  27. Y. L. Choi, E. Y. Yoon, "Eating problems and nutritional status of elderly patients long-term care hospitals according to Whether they consume foodservice meals or other meals", Korean Assoc Human Ecology, Vol.26, No.2, pp.145-156, 2017. DOI: http://dx.doi.org/10.5934/kjhe.2017.26.2.145
  28. M. S. Lee, S. J. Shin, S. H. Jung, "The association between oral health related quality of life (OHRQoL) and socio-economic position in the elderly in rural area of Gangwon province", Korean Soc Dent Hyg, Vol.11, No.5, pp.707-715, 2011. DOI: G704-SER000010586.2011.11.5.008
  29. Y. H. KIm, J. H. Lee, "A study on the OHIP-14 of some local women impact on the EQ-5D for review", J Korean Acad Dent Health, Vol.39, No.0, pp.180-185, 2015. DOI: http://dx.doi.org/10.11149/jkaoh.2014.38.1.31
  30. C. McGrath, R. Bedi, M. S. Gilthorpe, "Oral Healrelated quality of life-views of the puplic in the United Kingdim", Comunity Dent Health, Vol.17, No.1, pp.3-7, 2000. DOI: https://www.ncbi.nlm.nih.gov/pubmed/11039623
  31. National Health Insurance Service, 2016 Health insurance review & assessment sevice [Internet], Korean Statistical Information Service, 2018
  32. J. U. Back, M. H. Park, "Ability for chewing a social activity and connection with the life function of a senior citizen", J Kor Aca Tech, Vol.29, No.0, pp.87-103, 2007. DOI: http://www.koreascience.or.kr/article/JAKO200734349462613.page
  33. H. H. Park, I. J. Song, "A Convergence Study on Factors Influencing Health-related Quality of Life in Patients with Chronic Neck Pain", Journal of the Korea Convergence Society, Vol.9, No.6, pp.299-310, 2018. DOI: http://dx.doi.org/10.15207/JKCS.2018.9.6.299
  34. H. S. Kim, "Effect of Pain, Nutritional Risk, Loneliness, Perceived Health Status on Health-related Quality of Life in Elderly Women Living Alone", Journal of the Korea Convergence Society, Vol.8, No.7, pp.207-218, 2017. DOI: http://dx.doi.org/10.15207/JKCS.2017.8.7.207
  35. H. Y. Song, M. H. Park, "Comparable Influencing Factors for Quality of Health-Life in Osteoarthritis Patients in Urban and Rural Areas", Journal of the Korea Convergence Society, Vol.8, No.6, pp.311-323, 2017. DOI: http://dx.doi.org/10.15207/JKCS.2017.8.6.311