한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제13권5호
  • /
  • Pages.551-558
  • /
  • 2022
  • /
  • 2233-4890(pISSN)
  • /
  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
권호 표지
DOI QR코드

DOI QR Code

당뇨병 노인환자의 구강보건교육 시 고려사항 분석: 포커스 그룹 인터뷰

Analysis of considerations in oral health education for elderly diabetic patients: Focus group interview

  • 투고 : 2022.04.07
  • 심사 : 2022.05.20
  • 발행 : 2022.05.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 65세 이상 노인 중 일반인과 당뇨병 진단을 받은 자를 대상으로 그룹 인터뷰를 통해 구강건강과 구강보건교육 시 고려사항을 파악하고자 위함이다. 연구 대상자는 G시 노인종합복지관을 방문하는 65세 이상 건강인 5명과 당뇨병 환자 5명을 2그룹으로 나누어 각 그룹 당 60-70분의 인터뷰를 진행하였다. 연구결과 핵심 주제는 '당뇨병과 구강질환과의 연관성에 관한 지식', '구강건강상태', '구강건강관리 방법', '구강보건교육 시 고려사항' 4가지의 주제모음이 도출되었다. 본 연구에 참여한 건강인들은 구강보건교육이 필요하다고 생각하는 내용이 치주관리방법, 임플란트, 전체적 구강관리, 전신건강이라고 대답하였고, 당뇨병 환자들은 당뇨병, 치주관리방법, 구강관리실천의 중요성이라고 대답하였다. 본 연구결과를 토대로 추후, 당뇨병 노인환자을 대상으로 맞춤형 구강보건교육 프로그램 개발이 필요할 것으로 사료된다.

The purpose of this study is to identify considerations for oral health and oral health education through group interviews with the general public and those diagnosed with diabetes among the elderly over 65 years of age. The subjects of this study were divided into two groups: 5 healthy people and 5 diabetic patients over 65 who visited the Senior Welfare Center in G city, and each group had a 60-70 minute interview. As a result of the study, four key themes were derived: 'Knowledge on the relationship between diabetes and oral disease', 'Oral health status', 'Oral health management method', and 'Considerations for oral health education'. Healthy people who participated in this study answered that the contents they thought necessary for oral health education were periodontal management method, implant, holistic oral care, and systemic health, and diabetic patients answered that diabetes, periodontal management method, and importance of practicing oral care. Based on the results of this study, it is considered that it is necessary to develop a customized oral health education program for diabetic elderly patients in the future.

키워드

과제정보

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (Ministry of Education) (NRF-2017R1D1A1B03035544).

참고문헌

  1. Korea Disease Control and Prevention Agency. Health behavior and chronic disease statistics: Korea national health and nutrition examination Survey.Youth health behavior online survey 2019 [Internet]. Cheongju: Korea Disease Control and Prevention Agency; 2019 [cited 2017 Jun 20]. Available from: https://knhanes.kdca.go.kr/knhanes/main.do
  2. National Health Insurance Corporation. Health insurance statistical yearbook 2010. [Internet].[cited 2014 Dec 12]. Available from: http://www.nhis.or.kr/menu/boardRetriveMenu-Set.xx?menuId=F3321.
  3. A. Poplawska-Kita, K. Siewko, P. Szpak, B. Krol, B.Telejko, P. A. Klimiuk, W. Stokowska, M. Gorska & M. Szelachowska. (2014). "Association between type 1 diabetes andperiodontal health", Adv Med Sci, 59(1), 126-131. DOI : 10.1016/j.advms.2014.01.002
  4. G. W. Taylor & W. S. Borgnakke. (2008), Periodontal disease:associations with diabetes, glycemic control and complications. Oral Dis, 14(3), 191-203. DOI : 10.1111/j.1601-0825.2008.01442.x
  5. M. Manoucher-Pour, P. J. Spagnuolo, H. M. Rodman & N. F. Bissada. (1981). Comparison of neutrophil chemotactic response in diabetic patients with mild and severe periodontal disease. J Periodontol, 52(8), 410-415. DOI : 10.1902/jop.1981.52.8.410
  6. G. E. Salvi, J. G. Collins, B. Yalda, R. R. Arnold, N. P. Lang & S. Offenbacher. (1997). Monocytic TNF-α secretion patterns in IDDM patients with periodontal diseases. J Clin Periodontol, 24(1), 8-16. DOI : 10.1111/j.1600-051X.1997.tb01178.x
  7. B. Willershauschen-Zonchen, C. Lemmen & G. Hamm. (1991). Influence of high glucose concentrations on glycosaminoglycan and collagen synthesis in cultured human gingival fibroblast. J Clin Periodontol, 18(3), 190-195. DOI : 10.1111/j.1600-051X.1991.tb01132.x
  8. Khader YS, Dauod As, E1-Qaderi SS, Alkafajei A & Batayha WQ. (2006). Periodontal status of diabetics compared with nondiabetics: a meta-analysis. Journal of Diabetes Complications. 20(1), 59-68. DOI : 10.1016/j.jdiacomp.2005.05.006
  9. Jo ED, Kim ES, Hong HK & Han GS. (2019). Factors analysis of the oral health-related quality of life in the elderly. Journal of Korean Society of Dental Hygiene. 19(1), 55-64. DOI : 10.13065/jksdh.20190004
  10. M. J. Cho. (2016). The relationship between masticatory ability and the quality of life oral health- related using OHIP-14 of the elderly. Journal of Digital Convergence, 14(9), 341-348. DOI : 10.14400/JDC.2016.14.9.341
  11. J. Y. Park. (2014). The impact of health status of for the elderly on oral health-related of life quality. Journal of Digital Convergence. 12(5), 271-280. DOI : 10.14400/JDC.2014.12.5.271
  12. Y. H. Yom & J. H. Han. (2014). Factors associated with oral health related-quality of life in elderly persons: applying Andersen's model. Journal of Korean Academy Fun damental Nursing. 21(1), 18-28. DOI : 10.7739/jkafn.2014.21.1.18
  13. J. Y. Bae. (2015). The elders' general quality of life and oral health-related quality of life. Journal of Korean Clinical Health Science. 3(4), 466-475. DOI : 10.15205/kschs.2015.3.4.466
  14. G. W. Taylor. (2001). Bidirectional interrelationships between diabetes and periodontal diseases: an epidemiologic perspective. Ann Periodontol, 6(1), 99-112. q DOI : 10.1902/annals.2001.6.1.99
  15. Y. S. Khader. (2006). Dauod AS, El-Qaderi SS, Alkafajei A, Batayha WQ. Periodontal status of diabetics compared with nondiabetics: a meta-analysis. J Diabetes Complications, 20(1), 59-68. DOI : 10.1016/j. jdiacomp.2005.05.006
  16. Gomes MJAR, Teixeira MC & Paco MTP. (2015). Clinical predictors of oral health-related quality of life in older adults with diabetes. Journal of Nursing Referencia. 4(7), 81-89. DOI : 10.12707/RIV15002
  17. J. A. Ship. (2003). Diabetes and oral health. J Am Dent Assoc, 134(1), 4S-10S. DOI : 10.14219/jada.archive.2003.0367/jada.2003.134.1.4S.
  18. Salvi GE, Kandylaki M, Troendle A, Persson GR & Lang NP. (2005). Experimental gingivitis in type 1 diabetics: a controlled clinical and microbiological study. J Clinl Periodontol 32(3), 310-6. DOI : 10.1111/j.1600-051X.2005.00682.x
  19. Khader YS, Dauod AS, El-Qaderi SS, Alkafajei A & Batayha WQ. (2006). Periodontal status of diabetics compared with nondiabetics: a meta-analysis. J Diabetes Complications, 20(1), 59-68. DOI : 10.1016/j.jdiacomp.2005.05.006
  20. G. W. Taylor & W. Borgnakke. (2008). Periodontal disease: associations with diabetes, glycemic control and complications. Oral Dis, 14(3), 191-203. DOI : 10.1111/j.1601-0825.2008.01442.x
  21. K. S. So, S. S. Park & K. H. Kang. (2020). Convergence Research on Oral Care and Subjective Oral Health of Elderly with Diabetes: Focus Group Interview. Journal of the Korea Convergence Society, 11(2), 69-73. DOI : 10.15207/JKCS.2020.11.2.069
  22. A. E. Hatem. (2012). Periodontal diseases-a clinician's guide. Intech Publishers, 215-221.
  23. J. H. Park, (2015). Relationship among impaired fasting glucose and diabetes and periodontal disease, Journal of the Korea Academia-Industrial cooperation Society, 16(1), 389-396. DOI : 10.5762/KAIS.2015.16.1.389
  24. F. Llambes, S. Arias-Herrera & R. Caffesse. (2015). Relationship between diabetes and periodontal infection. World Journal of Diabetes. 6(7), 927-935. DOI : 10.4239/wjd.v6.i7.927
  25. K. W. Sung. (2020). The Effect of Oral Environment and Self-care Behavior on Oral Health-related Quality of Life in the Elderly with Diabetes, Journal of Korean Biological Nursing Science, 22(2), 192-203. DOI : 10.7586/jkbns.2020.22.3.192