노인요양시설에서 요양보호사가 제공하는 일상적 구강청결관리 기록지의 내용분석
Content analysis of daily tooth cleaning service records by caregivers in a long-term care facility
0
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives: The purpose of the study was to investigate the content analysis of daily tooth cleaning service records by caregivers ina long-term care facility. Methods: The data were analyzed by qualitative research based on content analysis of the daily records of the processes and resultsof daily tooth cleaning service. Twenty caregivers provided tooth, gum and denture cleaning service after breakfast, lunch, anddinner to 48 elderly residents. The study lasted about two weeks(from August 4 to August 20, 2014). The researcher reconstructedthe language by repeatedly reviewing the caregivers statements in the records. The content categories were derived from the recordsthrough a reiterative manual comparative analysis. Using constant comparison method, reconstructed meanings were incorporatedinto various meanings and reanalyzed by final categories called as analytic coding. In order to validate the reliability, 6 times ofdiscussion 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 theelderly. The elderly had difficulty in recognizing silent communication and daily tooth cleaning. The caregivers were so strenuous intaking care of the daily tooth cleaning service for the elderly. At last, they gave up the daily tooth cleaning service and took on it tothe 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, andthey had difficulty providing daily tooth cleaning service to the elderly due to poor skill and abilities.
Abstract
Objectives: The purpose of the study was to investigate the content analysis of daily tooth cleaning service records by caregivers ina long-term care facility. Methods: The data were analyzed by qualitative research based on content analysis of the daily records of the processes and resultsof daily tooth cleaning service. Twenty caregivers provided tooth, gum and denture cleaning service after breakfast, lunch, anddinner to 48 elderly residents. The study lasted about two weeks(from August 4 to August 20, 2014). The researcher reconstructedthe language by repeatedly reviewing the caregivers statements in the records. The content categories were derived from the recordsthrough a reiterative manual comparative analysis. Using constant comparison method, reconstructed meanings were incorporatedinto various meanings and reanalyzed by final categories called as analytic coding. In order to validate the reliability, 6 times ofdiscussion 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 theelderly. The elderly had difficulty in recognizing silent communication and daily tooth cleaning. The caregivers were so strenuous intaking care of the daily tooth cleaning service for the elderly. At last, they gave up the daily tooth cleaning service and took on it tothe 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, andthey had difficulty providing daily tooth cleaning service to the elderly due to poor skill and abilities.
참고문헌 (19)
- "Act on long-term care insurance for the aged"[URL]
- Kwon SM, "The introduction of long-term care insurance in South Korea", Eurohealth, 15, pp.28~29 (2008)
- Ministry of Health & Welfare, "Ministry of health and welfare statistical year book 2013", pp.6~7 (2013), Ministry of Health & Welfare
- 권현정, "서비스 질의 측면에서 고찰한 노인장기요양서비스 공급구조에 대한 시장화분석", 사회복지정책, 41(1), pp.289~313 (2014), 한국사회복지정책학회
- 진영란, "노인요양시설 입소자의 장기요양등급 개선과 서비스 질 관련요인", 보건의료산업학회지, 8(1), pp.51~64 (2014), 보건의료산업학회
- 정윤미, "요양보호사가 입소노인에게 제공하는 구강관리실태", 한국치위생학회지, 10(4), pp.727~734 (2010), 한국치위생학회
- Jeong MA, "A comparative study on the current oral health conditions of the elderly at home and welfare facilities", J Korean Acad Dental Hygiene Education, 7(1), pp.263~278 (2007)
- 양순봉, "노인요양시설에 있는 노인환자의 구강실태 및 치료수요도", 대한치과보철학회지, 46(5), pp.455~469 (2008), 대한치과보철학회
- 송설경, "ICT 시대에서 노인요양시설의 구강건강인식에 관한 연구", 한국전자통신학회 논문지, 9(2), pp.211~217 (2014), 한국전자통신학회
- 박명숙, "노인요양시설 간호인력의 구강간호 제공실태 및 교육요구도", 노인간호학회지, 12(1), pp.72~80 (2010), 노인간호학회
- 박소영, "일부 노인요양원 종사자의 재원노인에 대한 구강건강관리행태", 대한구강보건학회지, 37(4), pp.200~207 (2013), 대한예방치과·구강보건학회[DOI]
- Sjogren P, "A systematic review of the preventive effect of oral hygiene on pneumonia and respiratory tract infection in elderly people in hospitals and nursing homes: effect estimates and methodological quality of randomized controlled trials", J Am Geriatr Soc, 56(11), pp.2124~2130 (2008)[DOI]
- Par M, "Oral hygiene is an important factor for prevention of ventilator-associated pneumonia", Acta clin Croat, 53(1), pp.72~78 (2014)
- Schou L, "Oral hygiene habits, denture plaque, presence of yeasts and stomatitis in institutionalised elderly in Lothian, Scotland", Community Dent Oral Epidemiol, 15(2), pp.85~89 (1987)[DOI]
- Sadig W, "The denture hygiene, denture stomatitis and role of dental hygienist", Int J Dent Hyg, 8(3), pp.227~231 (2010)[DOI]
- 권선화, "노인시설 종사자들의 노인에 대한 태도 및 노인장기요양보험제도에 대한 인식조사", 한국치위생학회지, 10(5), pp.905~915 (2010), 한국치위생학회
- 남연희, "요양보호사의 직무적응과정에 관한 현상학적 연구", 노인복지연구, (64), pp.287~321 (2014), 한국노인복지학회
- Kim YS, "Qualitative research methods", pp.253~ (2013), Pakyoungsa
- 이영주, "요양보호사 직무교육의 필요성과 교육방안", 노인복지연구, 61(61), pp.339~358 (2013), 한국노인복지학회