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노인장기요양 환자의 건강상태와 구강건강관련 삶의 질

A Study on the Health Status and Oral Health-Related Quality of Life in the Elderly Patients with Long-Term Care

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참고문헌

키워드

주제분류치의학

초록

This study intended to examine the health status and quality of life among the elderly patients who stayed in geriatric hospitals for a long periodof time. The study involved 222 elderly who were older than 65-year-old, an oral examination was conducted in 10 geriatric hospitals located in themetropolitan area and Chungcheong-do. Cross-tabulation, one-way ANOVA, t-test, and Stepwise multiple regression were performed for analysis. The average number of teeth among the subjects was 11.22 and that of dental caries was 1.17. Also, the average number of teeth mobility was0.93 and halitosis was detected among 81.9%. Only 29.70% reported absence or a kind of systemic disease and 70.31% of the subjects wasshown to have more than two kinds of complex disease. In addition, 87.8% of the subjects had depression and among them, 55.40% showedserious depression. The average score on quality of life was 2.62 points and as for the related factors, the number of remaining teeth and dentalcaries were counted along with care grade, hospitalization period, and age. According to such results, the oral health status among the elderlypatients staying long in geriatric hospitals were not good in general; also they showed high level of systemic disease and depression and low qualityof life.

Abstract

This study intended to examine the health status and quality of life among the elderly patients who stayed in geriatric hospitals for a long periodof time. The study involved 222 elderly who were older than 65-year-old, an oral examination was conducted in 10 geriatric hospitals located in themetropolitan area and Chungcheong-do. Cross-tabulation, one-way ANOVA, t-test, and Stepwise multiple regression were performed for analysis. The average number of teeth among the subjects was 11.22 and that of dental caries was 1.17. Also, the average number of teeth mobility was0.93 and halitosis was detected among 81.9%. Only 29.70% reported absence or a kind of systemic disease and 70.31% of the subjects wasshown to have more than two kinds of complex disease. In addition, 87.8% of the subjects had depression and among them, 55.40% showedserious depression. The average score on quality of life was 2.62 points and as for the related factors, the number of remaining teeth and dentalcaries were counted along with care grade, hospitalization period, and age. According to such results, the oral health status among the elderlypatients staying long in geriatric hospitals were not good in general; also they showed high level of systemic disease and depression and low qualityof life.

참고문헌 (36)

  1. Park BS, "The influence of nursing workers' in elderly long term care hospitals job stress and social support on exhaustion:focused on caregivers and nursing workers", master, pp.2013
  2. Korea Health Statistics 2012:Korea National Health and Nutrition Examination Survey (KNHANES V-3), "Ministry of Health & Welfare", Ministry of Health & Welfare, 640~ (2013)
  3. Rantz MJ, "Nursing home quality, cost, staffing, and staff mix", Gerontologist, 44, pp.24~38 (2004)
  4. Oh JK, "A study on the clinical characteristics of patients with dry mouth", J Oral Med Pain, 26, pp.331~343 (2001)
  5. Kong HK, "A study on the depression of the disabled elderly", master, pp.2010
  6. Koenig HG, "Epidemiology of geriatric affective disorders", Clin Geriatr Med, 8, pp.235~251 (1992)
  7. Korea Centers for Disease Control & Prevention, "2011disease control white paper", pp.140~ (2012), Korea Centers for Disease Control & Prevention
  8. Chun CS, "The research about the psychosocial factors of hypochondria of the aged", master, pp.2010
  9. Pyne JM, "Assessment of the quality of life of patients with major depression", Psychiatr Serv, 48, pp.224~230 (1997)
  10. Rapaport MH, "Quality-of-life impairment in depressive and anxiety disorders", Am J Psychiatry, 162, pp.1171~1178 (2005)
  11. Locker D, "Measuring oral health: a conceptual framework", Community Dent Health, 5, pp.3~18 (1988)
  12. Cheon BC, "Factors influencing older people's quality of life", Korean Public Health Res, 31, pp.124~138 (2005)
  13. Heun R, "Internal and external validity of the WHO well-being scale in the elderly general population", Acta Psychiatr Scan, 99, pp.171~178 (1999)
  14. 양순봉, "노인요양시설에 있는 노인환자의 구강실태 및 치료수요도", 대한치과보철학회지, 46(5), pp.455~469 (2008), 대한치과보철학회
  15. Jang KW, "Oral health survey method", pp.40~48 (2007), Komoomsa
  16. Miller PD Jr, "A classification of marginal tissue recession", Int J Periodontics Restor Dent, 5, pp.8~13 (1985)
  17. Kim YS, "Diagnosis and prescription of halitosis patients", KDA News, 1979, pp.28~29 (2011)
  18. "Korea sratistics information system (KOSIS):statisics DB, Korean standard classification of diseases (2010)"[URL]
  19. Yesavage JA, "Development and validation of a geriatric depression screening scale: a preliminary report", J Psychiatr Res, 17, pp.37~49 (1982)
  20. Jung IK, "A study of standardization of Korean form of geriatric depression scale (KGDS)", J Korean Geriatr Psychiatry, 1, pp.61~72 (1997)
  21. Slade GD, "Derivation and validation of a short-form oral health impact profile", Community Dent Oral Epidemiol, 25, pp.284~290 (1997)
  22. 2013 status of elderly welfare facilities, "Ministry of Health & Welfare", Ministry of Health & Welfare, 5~ (2013)
  23. Trends in oral health status: United States, 1988-1997 and 1999-2004, "Centers for Disease Control and Prevention National Center for Health Statistics", Centers for Disease Control and Prevention, 8~17 (2004)
  24. Kang HK, "A survey on the oral health conditions according to dental health behaviors of elderly people in community", J Agric Med Community Health, 30, pp.263~277 (2005)
  25. 이가령, "농촌지역 노인의 의치만족도", 농촌의학.지역보건, 35(1), pp.56~66 (2010), 한국농촌의학.지역보건학회
  26. 정영미, "배우자 유무에 따른 노인의 기분상태, 일상생활활동 및 노화에 대한 태도", 성인간호학회지, 17(4), pp.656~667 (2005), 성인간호학회
  27. 한경순, "수도권지역 성인에서 구취와 치주상태의 관련성", 대한구강보건학회지, 34(1), pp.50~57 (2010), 대한예방치과·구강보건학회
  28. 조은덕, "구취에 영향을 미치는 요인", 대한구강보건학회지, 36(4), pp.272~281 (2012), 대한예방치과·구강보건학회[DOI]
  29. 이호성, "노인의 건강상태와 의료비부담 관련요인에 대한 연구", 한국노년학, 24(2), pp.163~179 (2004), 한국노년학회
  30. 이미숙, "도시거주 노인의 만성질환과 우울증세의 상관성 및 사회관계망의 효과에 대한 연구", 보건과 사회과학, (27), pp.5~30 (2010), 한국보건사회학회
  31. Touhy TA, "Spiritual caring: end of life in a nursing home", J Gerontol Nurs, 31, pp.27~35 (2005)
  32. Locker D, "Developing short-form measures of oral health-related quality of life", J Public Health Dent, 62, pp.13~20 (2002)
  33. 박정란, "65세 이상 노인의 구강건강관리요구도가 구강건강영향지수(OHIP-14)에 미치는 영향", 한국치위생학회지, 11(6), pp.961~971 (2011), 한국치위생학회
  34. 장종화, "거주유형별 노인의 OHIP-14 영향요인 비교", 한국비교정부학보, 16(3), pp.401~416 (2012), 한국비교정부학회
  35. Develop strategies for promoting oral health research, "Korea Institute for Health and Social Affairs (KIHASA)", Korea Institute for Health and Social Affairs (KIHASA), ~ (2000)
  36. 김은희, "일부지역 노인종합복지관 노인들의 주관적 구강상태와 구강건강영향지수(OHIP-14)와의 관련성", 한국산학기술학회논문지, 14(9), pp.4349~4358 (2013), 한국산학기술학회[DOI]

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