서울 일부 지역 노인의 주관적 구강건강상태와 주관적 구강증상과의 관련성
Relationship of Subjective Oral Health Status to Subjective Oral Symptoms for the Elderly in Some Seoul Area
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참고문헌
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초록
본 연구는 노인의 주관적 구강건강상태와 주관적 구강 증상의 관련성을 조사하여, 노인의 구강건강 향상을 위한 노인구강보건사업개발의 기초자료를 확보하기 위하여 실 시하였다. 2008년 6월부터 9월까지 서울 소재 경로당을 방문하여 편의표본추출법으로 노인 200명을 선정하였으 며, 개별 면접조사법으로 자료를 수집하여 통계 처리한 결과 다음과 같은 결론을 얻었다. 1. 주관적인 구강증상에서 저작시 어려움, 구강건조, 구 취는 가끔 느낀다는 응답이 각 32.0%, 38.5%, 40.5%로 나타났으며, 구강내 통증, 악관절 이상의 경 험, 잇몸질환의 경험 은 거의 없다라는 응답이 각 44.5%, 69.0%, 46.0%로 높게 나타났다. 2. 구강내 잔존 치아수는 평균 13.71개로 나타났다. 3. 성별에 따른 주관적 구강증상에서 성별과 악관절 이 상(p = 0.000), 구강건조(p = 0.001), 구취 (p = 0.006) 에서 통계학적으로 유의한 관계를 보였으며, 남자가 여자보다 구강증상을 경험 하고 있는 것으로 나타났 다. 4. 저작능력(p = 0.000), 구강내 통증(p = 0.010), 악관절 이상(p = 0.010), 구강건조(p = 0.001)와 주관 적 구강 건강상태와는 통계적으로 유의한 차이를 보여 구강 이 건강하지 않은 노인이 구강 증상을 경험하고 있 는 것으로 나타났다. 잔존 치아 수는 건강하지 않은 노인이 적 었으며, 유의한 차이를 보였다(p = 0.000). 5. 치아수가 많을수록 저작능력(p = 0.000)과 구강건조 의 경험(p = 0.000)을 적게 하고 있음을 알 수 있었고, 치아수가 많을수록 잇몸질환의 경험(p = 0.007)이 많은 결과를 보였으며, 유의한 차이를 보였다. 또한 구강건강상태가 좋을수록 저작능력(p = 0.000), 구강 내 통증(p = 0.004), 구강건조(p = 0.000), 구취의 경 험(p = 0.008)이 적었으며 통계학적으로 유의한 관계 가 있었다. 본 연구결과를 통해 노인이 인지하는 구강건강상태와 구강증상과의 관련이 있으며, 잔존하는 치아의 수와 주관 적 구강증상도 관련성이 있음을 알 수 있었다. 따라서 노 인의 자연치아를 유지하기 위하여 구강병의 예방적 활동 과 구강건강상태 인지 수준을 향상시킬 수 있도록 계속구 강건강관리제도와 구강보건교육프로그램이 절실히 필요 하다고 사료 된다.
Abstract
The purpose of this study was to help improve oral health care planning for the elderly in an effort to promote the oral health of elderly people in preparation for aging society. The subjects in this study were 200 elderly people who were selected by random sampling from senior centers in Seoul. An interview was conducted to gather data from June to September 2008, and the data collected were analyzed.: 1. The mean number of residual tooth was 13.71. 2. Concerning connections between gender and subjective oral symptoms, gender had a statistically significant relationship to temporomandibular joint dysfunction(p=0.000), dry mouth(p=0.001) and halitosis(p=0.006). The men underwent more oral symptoms than the women. 3. As for the relationship of mastication(p=0.000), oral pain(p=0.010), temporomandibular joint dysfunction(p=0.010) and dry mouth(p=0.001) to subjective oral health state, the elderly people who were not in a good oral health suffered more oral symptoms, and the gap between them and the others was statistically significant. 4. A larger number of tooth led to less mastication difficulties, less dry mouth and more gingival diseases, and the relationship between the factors was statistically significant. A better oral health state led to less mastication difficulties, less oral pain, less dry mouth and less bad breath, and the relationship between the factors was statistically significant. Through this study the oral health the elderly people perceive wss concerned with oral symptom, and the number of residual teeth also had links to subjective oral symptoms. Therefore, to maintain original teeth of the elderly people, the management system of oral health and the education program for oral health in order to prevent disease relateded with oral and enhance the perception standard of oral state are indispensably necessary to the elderly people.
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