DOI QR코드

DOI QR Code

Oral health care intervention protocol for older adults at home in dental hygienists: a narrative literature review

치과위생사의 재가방문 구강건강관리 중재 활동을 위한 프로토콜 고찰

  • Jong-Hwa Jang (Department of Dental Hygiene, College of Health Science, Dankook University)
  • 장종화 (단국대학교 공공.보건과학대학 치위생학과)
  • Received : 2023.09.20
  • Accepted : 2023.10.19
  • Published : 2023.10.30

Abstract

Objectives: This study aims to propose a standard protocol for oral health care intervention activities by dental hygienists. Methods: A narrative literature review of home visit oral health care intervention activities reported in Cheonan, South Korea was conducted to enable the proposal of a standard home visit protocol for dental hygienists in the context of community care. Results: Oral health management intervention activities contributed to improving the quality of life, as well as the oral health, of older adults living at home. This was a result of applying a protocol consisting of oral observation, oral massage, expert oral hygiene management, oral muscle function training, and final stages. Conclusions: The visiting oral health intervention protocol was effective in resolving oral health problems of older adults. In the future, customized programs and reimbursement systems should be developed to promote oral health care for older adults that can be provided at home.

Keywords

References

  1. Korean Statistical Information Service. Results of population projections [Internet]. Korean Statistical Information Service; 2023[cited 2023 Sep 18]. Available from: https://kosis.kr/search/search.do?query=%EB%85%B8%EC%9D%B8%EC%9D%B8%EA%B5%AC. 
  2. Statistic Korea (KOSTAT). 2021 Life tables. Korea Statistical Office [Internet]. Korea Statistical Office; 2021[cited 2023 Sep 18]. Available from: https://kostat.go.kr/board.es?mid=a20108060000&bid=11746&act=view&list_no=422500. 
  3. Kim ES, Kim BI, Jung HI. Age, period and cohort trends in oral health status in South Korean adults. Community Dent Oral Epidemiol 2021;49(2):136-43. https://doi.org/10.1111/cdoe.12585 
  4. Park JB, Han KD, Park YG, Ko YK. Association between socioeconomic status and oral health behaviors: the 2008-2010 Korea national health and nutrition examination survey. Exp Ther Med 2016;12(4):2657-64. https://doi.org/10.3892/etm.2016.3679 
  5. Yom YH, Han JH. Factors associated with oral health related-quality of life in elderly persons: applying andersen's model. J Korean Acad FundamNurs2014;21(1):18-28. https://doi.org/10.7739/jkafn.2014.21.1.18 
  6. Tanaka T, Takahashi K, Hirano H, Kikutani T, Watanabe Y, Ohara Y, et al. Oral frailty as a risk factor for physical frailty and mortality in community-dwelling elderly. J Gerontol A 2018;73(12):1661-7. https://doi.org/10.1093/gerona/glx225 
  7. Park SH. A study on the oral health problems and cognition in the elderly. J Korean Aging Friendly Indust Assoc 2020;12(2):169-75. https://doi.org/10.34264/jkafa.2020.12.2.169 
  8. Mikami Y, Watanabe Y, Motokawa K, Shirobe M, Motohashi Y, Edahiho A, et al. Association between decrease in frequency of going out and oral function in older adults living in major urban areas. Geriatr Gerontol Int 2019;19(8):792-7. https://doi.org/10.1111/ggi.13715 
  9. Gu Y, Wu W, Bai J, Chen X, Chen X, Yu L, et al. Association between the number of teeth and frailty among Chinese older adults: a nationwide cross-sectional study. BMJ Open 2019;9(10):e029929. https://doi.org/10.1136/bmjopen-2019-029929 
  10. So JS, Jung HI, Kim NH, Ko SM, Lee JN, Kim JH, et al. Clinical practice guidelines for oral frailty. JKDA 2022;61(1):26-58. https://doi.org/10.22974/jkda.2022.61.1.003 
  11. Naka O, Anastassiadou V, Pissiotis A. Association between function altooth units and chewing ability in older adults: a systematic review. Gerodontology 2014;31(3):166-77. https://doi.org/10.1111/ger.12016 
  12. Ikebe K, Sajima H, Kobayashi S, Hata K, Morii K, Nokubi T, et al. Association of salivary flow rate with oral function in a sample of community-dwelling older adults in Japan. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94(2):184-90.  https://doi.org/10.1067/moe.2001.124001
  13. Jang JH, Jeong MS, Jo SR, Yoon HS. Changes in oral health status of the elderly with visiting oral hygiene care intervention based on community health care: Case reports. J Korean Soc Dent Hyg 2021;21(5):499-506. https://doi.org/10.13065/jksdh.20210047 
  14. Jeong MS. Oral health education field story. Seoul: Joh-eun ttang;2021:10-50. 
  15. Community care promotion committee. Community-friendly integrated care system for older persons. November 20, 2018. Ministry of Health and Welfare, Ministry of the Interior and Safety, Ministry of Land, Infrastructure and Transport. Sejong: Community care promotion committee; 2018:19-21. 
  16. Kohli R, Nelson S, Ulrich S, Finch T, Hall K, Schwarz E. Dental care practices and oral health training for professional caregivers in long-term care facilities: An interdisciplinary approach to address oral health disparities. Geriatr Nurs 2017;38(4):296-301. https://doi.org/10.1016/j.gerinurse.2016.11.008 
  17. Korean Denatl Hygienists Association. Professional dental hygienist training course for the elderly and the disabled [Internet]. Korean Dental Hygienists Association; 2023[cited 2023 Sep 18]. Available from: https://news.kdha.or.kr/news/galleryView.html?idxno=11448. 
  18. Onwuegbuzie AJ, Frels R. Seven steps to a comprehensive literature review: a multimodal and cultural approach. London: SAGE Publications; 2016:24-5. 
  19. Korea Health Promotion Institute. Development of health care community care model and development plan research. Seoul: Korea Health Promotion Institute; 2020:15-45. 
  20. Hwang SK. A Study on the modeling of local healthcare governance. Korean J Local Gov Stud 2013;16(4):137-61. 
  21. Jang JH, Cho JW, Kim YJ, Ki JY, Cho KS, Kim JR, et al. Preliminary study for the development of a visiting oral health care intervention program for the elderly based on community healthcare. J Korean Acad Oral Health 2020;44(3):166-72. https://doi.org/10.11149/jkaoh.2020.44.3.166 
  22. Goodwin N, Sonola L, Thiel V, Kodner DL. Coordinated care for people with complex chronic conditions. Key lessons and markers for success. London: The King's Fund; 2013:1-29. 
  23. WHO(World Health Organization). Framework for action on interprofessional education and collaborative practice. 2010[cited 2023 Mar 4]. Available from: https://www.who.int/publications/i/item/framework-for-action-on-interprofessional-education-collaborative-practice. 
  24. Tan CIC, Jiang B. The benefits and challenges of interprofessional education assessment for health care professionals. Korean Med Educ Rev 2017;19(3):152-7.  https://doi.org/10.17496/kmer.2017.19.3.152
  25. Park KH, Park KH. Patient safety education: team communication and interprofessional collaboration. Korean Med Educ Rev 2019;21(1):22-30. https://doi.org/10.17496/kmer.2019.21.1.22 
  26. Lee YS, Lee HJ. Relationship between oral health status and health related quality of life in elderly people living in long-term care facilities. J Korean Oral Health Sci 2020;8(1):66-72. https://doi.org/10.33615/jkohs.2020.8.1.66 
  27. Ki JY, Jo SR, Cho KS, Park JE, Cho JW, Jang JH. Effect of oral health education using a mobile app (OHEMA) on the oral health and swallowing-related quality of life in community-based integrated care of the elderly: a randomized clinical trial. Int J Environ Res Public Health 2021;18(21):11679. https://doi.org/10.3390/ijerph182111679 
  28. Yoon HS, Jeong MS, Jang JH. Changes in the oral health status of older adults with visual and hearing impairments through home oral health care intervention: a case report. J Korean Soc Dent Hyg 2023;23(1):13-23. https://doi.org/10.13065/jksdh.20230002 
  29. Park MH, Jeong MS, Jang JH. Changes in concentration of VSCs after home oral care interventions based on community care in older adults. J Korean Soc Dent Hyg 2023;23(2):91-102. https://doi.org/10.13065/jksdh.20230010 
  30. Park MH, Park JW, Lee SA, Jang JH. Awareness and attitudes regarding oral care intervention program based on community care for older adults at home: focusing on the grounded theory. J Korean Soc Dent Hyg 2023[Inpress]. 
  31. Cho GS, Yoon HS, Jang JH. Demand for dental hygiene specialization training courses for visiting oral health care for older individuals. J Korean Soc Dent Hyg 2022;22(5):425-35. https://doi.org/10.13065/jksdh.20220048 
  32. Yoo AJ, Park HK. Evaluation of the integrated care policy: performance and future directions. Public Health Aff 2022;6(1):e7. https://doi.org/10.29339/pha.22.7 
  33. Ministry of health & welfare. Information on the pilot project for integrated support for elderly medical care in 2023. Sejong: Ministry of health & welfare; 2023:1-18. 
  34. Cho GS. Development of standard guidelines for dental hygienists on the visiting oral health care program for the elderly[Doctoral dissertation]. Cheonan: Dankook University, 2022. 
  35. Ministry of Health and Welfare National Health Promotion Fund Support Project. Development of oral health education materials for the elderly in community care, Korea Association Oral Health. [Internet]. Korean Academy of Oral Health[cited 2023 Jan 03]. Available from: https://www.dental.or.kr/dental_data3.php. 
  36. Kim YJ, Jang JH, Cho JW. Analysis of educational needs for the improving geriatric dental hygiene curriculum. J Korean Soc Dent Hyg 2020;20(6):899-911. https://doi.org/10.13065/jksdh.20200083