노인의 구강건강관련 삶의 질과 요인분석
Factors analysis of the oral health-related quality of life in the elderly
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Objectives: The purpose of this study was to compare the differences in oral health-related quality of life among elderly people aged over 65 years, in terms of physical, mental and oral health status and to analyze factors affecting their oral health-related quality of life. Methods: From May 9 to June 23, 2017, we randomly visited aged-care community centers in the metropolitan area, and recruited 222 elderly, aged 65 or older. First, each participant completed a questionnaire consisting of 4 general items: 1 systematic disease, and 3 subjective oral conditions. Afterwards, the researchers interviewed the participants to assess their mental status, using MMSE-DS and recorded the responses. Finally, an oral examination was performed to determine the number of remaining teeth. The average oral health-related quality of life according to each characteristic was analyzed by t-test and ANOVA. Hierarchical multiple regression analysis and Pearson's correlation coefficient analysis were used to analyze the correlations between factors and the factors affecting oral health-related quality of life. Results: The mean oral health-related quality of life was 4.15. Participants with 20 or more remaining teeth demonstrated better oral health-related quality of life than those with 19 or less teeth. Higher oral health-related quality of life was also found among elderly without gingival bleeding, self-reported halitosis and dry mouth. In addition, positive correlation with the number of remaining teeth and negative correlation with gingival bleeding, self-reported halitosis and dry mouth, were noted. Finally, the results of the hierarchical multiple regression analysis indicated that remaining teeth, gingival bleeding, self-reported halitosis and education were influential factors in determining the oral health-related quality of life among the elderly. Conclusions: The results of this study confirmed the necessity of better policy support, and the importance of implementing delivered, elderly-centered oral health education program by professionals to prevent tooth loss and manage periodontal diseases.
Abstract
Objectives: The purpose of this study was to compare the differences in oral health-related quality of life among elderly people aged over 65 years, in terms of physical, mental and oral health status and to analyze factors affecting their oral health-related quality of life. Methods: From May 9 to June 23, 2017, we randomly visited aged-care community centers in the metropolitan area, and recruited 222 elderly, aged 65 or older. First, each participant completed a questionnaire consisting of 4 general items: 1 systematic disease, and 3 subjective oral conditions. Afterwards, the researchers interviewed the participants to assess their mental status, using MMSE-DS and recorded the responses. Finally, an oral examination was performed to determine the number of remaining teeth. The average oral health-related quality of life according to each characteristic was analyzed by t-test and ANOVA. Hierarchical multiple regression analysis and Pearson's correlation coefficient analysis were used to analyze the correlations between factors and the factors affecting oral health-related quality of life. Results: The mean oral health-related quality of life was 4.15. Participants with 20 or more remaining teeth demonstrated better oral health-related quality of life than those with 19 or less teeth. Higher oral health-related quality of life was also found among elderly without gingival bleeding, self-reported halitosis and dry mouth. In addition, positive correlation with the number of remaining teeth and negative correlation with gingival bleeding, self-reported halitosis and dry mouth, were noted. Finally, the results of the hierarchical multiple regression analysis indicated that remaining teeth, gingival bleeding, self-reported halitosis and education were influential factors in determining the oral health-related quality of life among the elderly. Conclusions: The results of this study confirmed the necessity of better policy support, and the importance of implementing delivered, elderly-centered oral health education program by professionals to prevent tooth loss and manage periodontal diseases.
참고문헌 (27)
- "2016 life tables for Korea" (2017)[URL]
- "2016 Health insurance review & assessment sevice" (2018)[URL]
- 김미영, "65세 이상 노인의 건강관련 삶의 질에 따른 영양소 및 식품섭취 실태조사 : 국민건강영양조사 제4기 자료를 활용한 분석 : 채소 및 과일, 음료 중심으로", 박사, 식품영양학과 식품영양전공, pp.2014
- 박희정, "구강건조증이 구강건강관련 삶의 질에 미치는 관계에서 심리적 요인의 매개효과연구", 대한구강보건학회지, 38(1), pp.31~40 (2014), 대한예방치과·구강보건학회[DOI]
- Slade GD, "Development and evaluation of the oral health impact profile", Community Dent Health, 11(1), pp.3~11 (1994)
- Paolo Boffano, "Management of 112 Hospitalized Patients with Spreading Odontogenic Infections: Correlation with DMFT and Oral Health Impact Profile 14 Indexes", Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 113(2), pp.207~213 (2012), Elsevier BV[DOI]
- 남영신, "한국 노인의 삶의 질에 관련된 요인: 구강건강을 중심으로", 치위생과학회지, 13(3), pp.281~289 (2013), 한국치위생과학회
- 이지연, "강릉시 노인의 임상지표를 이용한 OHIP 14 (Oral Health Impact Profile 14) 의 타당도 연구", 치위생과학회지, 9(4), pp.475~483 (2009), 한국치위생과학회
- Anneloes E Gerritsen, "Tooth loss and oral health-related quality of life: a systematic review and meta-analysis", Health and Quality of Life Outcomes, 8(1), pp.126~ (2010), Springer Science and Business Media LLC[DOI]
- 김미화, "노인 구강건강 수준과 구강건강관련 삶의 질의 관련성", 치위생과학회지, 14(4), pp.488~494 (2014), 한국치위생과학회
- 홍소형, "노인의 구강건강관련 삶의 질에 영향을 미치는 요인", Journal of The Korean Data Analysis Society, 18(1), pp.475~496 (2016), 한국자료분석학회
- Marshal F. Folstein, "“Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician", Journal of Psychiatric Research, 12(3), pp.189~198 (1975), Elsevier BV[DOI]
- Tae Hui Kim, "Korean Version of Mini Mental Status Examination for Dementia Screening and Its Short Form", PSYCHIATRY INVESTIGATION, 7(2), pp.102~108 (2010), 대한신경정신의학회
- Gary D. Slade, "Derivation and validation of a short-form oral health impact profile", Community Dentistry and Oral Epidemiology, 25(4), pp.284~290 (1997), Wiley[DOI]
- 염영희, "노인의 구강건강 관련 삶의 질 결정 요인에 관한 연구 - 앤더슨 모델(Andersen Model)의 적용 -", 기본간호학회지, 21(1), pp.18~28 (2014), 기본간호학회
- 박지혜, "일부 농촌지역 노인들의 치아상실이 구강건강과 관련된 삶의 질에 미치는 영향", 대한구강보건학회지, 32(1), pp.63~74 (2008), 대한예방치과·구강보건학회
- 김지미, "노인의 우울과 건강수준과의 관련성", 한국노년학, 30(4), pp.1311~1327 (2010), 한국노년학회
- 김한나, "구미 일부지역 노인의 구강건강관련 삶의 질 수준과 요인간 상관관계 분석", 한국치위생학회지, 12(5), pp.1039~1048 (2012), 한국치위생학회
- 이민선, "강원도 일부 농촌지역 노인의 사회경제적 위치와 구강건강관련 삶의 질과의 연관성", 한국치위생학회지, 11(5), pp.707~715 (2011), 한국치위생학회
- Kim KT, "Life satisfaction and social support network of the elderly living alone", Journal of the Korea Gerontological Society, 20(1), pp.153~168 (2000)
- 신동수, "여성노인의 구강건강관련 삶의 질에 영향을 미치는 요인", 기본간호학회지, 15(3), pp.332~341 (2008), 기본간호학회
- Annlia Paganini-Hill, "Dentition, Dental Health Habits, and Dementia: The Leisure World Cohort Study", Journal of the American Geriatrics Society, 60(8), pp.1556~1563 (2012), Wiley[DOI]
- Duangjai Lexomboon, "Chewing Ability and Tooth Loss: Association with Cognitive Impairment in an Elderly Population Study", Journal of the American Geriatrics Society, 60(10), pp.1951~1956 (2012), Wiley[DOI]
- A. F. KÄYSER, "Shortened dental arches and oral function", Journal of Oral Rehabilitation, 8(5), pp.457~462 (1981), Wiley[DOI]
- Akihiro Yoshihara, "The relationship between dietary intake and the number of teeth in elderly Japanese subjects", Gerodontology, 22(4), pp.211~218 (2005), Wiley[DOI]
- 김예황, "성인의 구강건강상태에 따른 건강관련 삶의 질", 대한구강보건학회지, 40(3), pp.165~170 (2016), 대한예방치과·구강보건학회
- 윤혜정, "성인의 구강건강관련 삶의 질 영향 요인", 한국치위생학회지, 15(6), pp.1117~1123 (2015), 한국치위생학회[DOI]