Adapting Oral Health Care Guidelines for Nursing Home Residents in South Korea

요양시설노인을 위한 구강간호 임상실무지침 수용개작

  • Received : 2014.12.15
  • Accepted : 2015.03.25
  • Published : 2015.06.30


Purpose: This study attempted to adapt evidence-based oral health care guidelines for nursing home residents in South Korea. Methods: The manual for guideline adaptation, version 2.0, developed by the Korean National Evidence-based Healthcare Collaborating Agency was applied. On the basis of a comprehensive literature review of current research and multidisciplinary panel discussion on adapting such guidelines, we developed evidence- based guidelines for oral health at nursing homes. Results: The guidelines have three domains: oral assessment, oral hygiene care, and support and facilities. Oral assessment includes recommendations on the frequency of and tools for conducting oral health assessment. Oral hygiene care involves recommendations for care of natural teeth, denture care, xerostomia, and behavioral problems. Support and facilities refer to six components of the support system provided by facilities to encourage oral hygiene care among nursing home residents. Conclusion: These adapted guidelines could be an effective method to improve oral hygiene among nursing home residents.



Supported by : 한국연구재단


  1. Awano, S., Ansai, T., Takata, Y., Soh, I., Akifusa, S., Hamasaki, T., et al. (2008). Oral health and mortality risk from pneumonia in the elderly. Journal of Dental Research, 87(4), 334-339.
  2. Chalmers, J. M. (2000). Behavior management and communication strategies for dental professionals when caring for patients with dementia. Special Care in Dentistry, 20(4), 147-154.
  3. Chalmers, J., & Johnson, V. (2002). Evidence-based practice guideline, oral hygiene care for functionally dependent and cognitive impaired older adults. The University of IOWA Gerontological Nursing Interventions Research Center Translation and Dissemination Core.
  4. Coker, E., Ploeg, J., Kaasalainen, S., & Fisher, A. (2013). A concept analysis of oral hygiene care in dependent older adults. Journal of Advanced Nursing, 69(10):2360-71.
  5. Coleman, P. (2002). Improving oral health care for the frail elderly: A review of widespread problems and best practices. Geriatric Nursing, 23(4), 189-198.
  6. Coleman. P., & Watson, N. M. (2006). Oral care provided by certified nursing assistants in nursing homes. Journal of the American Geriatrics Society, 54(1), 138-143.
  7. Craig, J. V., & Smyth, R. L. (2011). Evidence-based practice manual for nurses. St. Louis, MO: Elsevier Health Sciences.
  8. Fallon, T., Buikstra, E., Cameron, M., Hegney, D., Mackenzie, D., March, J., et al. (2006). Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city. International Journal of Evidence Based Healthcare, 4(3), 162-179.
  9. Feder, G., Eccles, M., Grol, R., Griffiths, C., & Grimshaw, J. (1999). Clinical guidelines: Using clinical guidelines. British Medical Journal(Clinical Research Ed.), 318(7185), 728-730.
  10. Fiske, J., Griffiths, J., Jamieson, R., & Manger, D. (2000). British Society for Disability and Oral Health(BDSH) Working Group. Guidelines for oral health care for long-stay patients and residents. The Gerodontology, 17, 55-64,
  11. Institute of Medicine. (1992). Guidelines for clinical practice: From development to use. Washington DC: National Academic Press.
  12. Joen, M. Y., & Choi, M. A. (2002). Effect of fall prevention program(FPP) on gait, balance and muscle strength in elderly women at nursing home. Journal of Korean Biological Nursing, 4(1), 5-23.
  13. Joshipura, K. J., Hung, H. C., Rimm, E. B., Willett, W. C., & Ascherio, A. (2003). Periodontal disease, tooth loss, and incidence of ischemic stroke. Stroke; a Journal of Cerebral Circulation, 34(1), 47-52.
  14. Kim, S. H., Jung, J. A., Lee, B. J., & Kim, D. K. (2007). Comparison oral health status of the elderly people lived in nursing home with private home in Gwangju metropolitan city. Journal of Korean Academy of Dental Health, 31(3), 366-375.
  15. Kim, S. Y., Kim, N. S., Shin, S. S., Jee, S. M., Lee, S. J., & Kim, J. Y. (2011) Manual for guideline adaptation version 2.0.
  16. Kim, Y. H. (2008). Effects of the physical activity promotion program on physical function and quality of life in elderly. Journal of Korean Biological Nursing, 10(2), 11-18.
  17. Lee, E. O., Lim, N. Y., Park, H. A., Lee, I. S., Kim, J. I., Bae, J .E., et al. (2009). Nursing research and statistic analysis. Paju: Sumoonsa.
  18. Li, X., Kolltvei, K. M., Tronstad, L., & Olsen, I. (2000). Systemic diseases caused by oral infection. Clinical Microbiology Reviews, 13(4), 547-558.
  19. Madianos, P. N., Bobetsis, G. A., & Kinane, D. F. (2002). Is periodontitis associated with an increased risk of coronary heart disease and preterm and/or low birth weight births? Journal of Clinical Periodontology, 29(s3), 22-36.
  20. Ministry for Health, Welfare and Family Affairs. (2009). 2009 The list of long-term care institutions. Retrieved May 10, 2013 from
  21. Ministry of Health & Welfare. (2008). Textbook of education for care aids. Seoul: Dulsaem.
  22. NHS Quality Improvement Scotland. (2005). Working with dependent older people to achieve good oral health, Retrieved August 10, 2013 from
  23. Park, M. S. (2010). Educational needs in the provision of oral care by nursing staff in long-term care facility for elderly people. Journal of Korean Gerontological Nursing, 12(1), 72-80.
  24. Park, S. Y., Cho, N. I., Ju, H. J., Lee, S. H., Oh, H. W., & Lee, H. S. (2013). Oral health care provided by nursing home employees to elderly residents. Journal of Korean Academy of Oral Health, 37(4), 200-207.
  25. Pearson, A., & Chalmers, J. (2004). Oral hygiene care for adults with dementia in residential aged care facilities. The Joanna Briggs Institute Reports, 2, 65-113.
  26. Petersen, P. E., & Yamamoto, T. (2005). Improving the oral health of older people: The approach of the WHO global oral health programme. Community Dentistry and Oral Epidemiology, 33(2), 81-92.
  27. Registered Nurse's Association of Ontario. (2008). Nursing best practice guideline, oral health: Nursing assessment and interventions. Retrieved May 9, 2013 from
  28. Sim, S., Kim, H., Moon, J., Zavras, A. I., Zdanowicz, J., Jang, S., et al. (2008). Periodontitis and the risk for non-fatal stroke in Korean adults. Journal of Periodontology, 79(9), 1652-1658.
  29. Xiaojing, L., Kristin, M., Kolltveit, L. T., & Ingar, O. (2000). Systemic disease caused by oral infection. Clinical Microbiology Reviews, 13, 547-558. 547-558.2000
  30. Yang, S. B., Moon, H. S., Han, D. H., Lee, H. Y., & Jung, M. K. (2008). Oral health status and treatment need of institutionalized elderly patients. Journal of Korean Academy of Prosthodontics, 46(5), 455-468.

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