디지털융복합연구 (Journal of Digital Convergence)

  • 제11권12호
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  • Pages.607-614
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  • 2013
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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만성신부전증 환자의 자가 구취인식이 구강건강관련 삶의 질에 미치는 영향

Effect of self awareness of halitosis on the quality of life related to oral health in patients with chronic renal failure

  • 조은숙 (원광대학교 대학원 보건학과)
  • Cho, Eun-Suk (Dept. of Public Health, Graduate School of Wonkwang University)
  • 투고 : 2013.11.05
  • 심사 : 2013.12.20
  • 발행 : 2013.12.28
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초록

본 연구는 혈액투석 중인 만성신부전증 환자들의 자가 구취인식이 구강건강관련 삶의 질에 미치는 영향을 파악하여 국내에서는 매우 드문 만성신부전 환자의 구강관련 기초자료로 사용하고자 실시하였다. 연구대상은 2013년 6월부터 7월까지 전주시에 위치한 혈액투석 전문병원에서 혈액투석 중인 만성신부전증 환자에게 설문조사를 실시하였다. 자가 구취 인식에 따른 구강 증상에서는 지난 한 달 동안 치아 아픔 증상, 잇몸에 피가 남, 혀 또는 뺨 아픔 증상, 입안 건조 증상에 유의한 차이가 나타났고, 구강기능 상태에서는 음식 씹는데 불편, 발음의 어려움, 상실된 치아 유무에 유의한 차이가 나타났다. 구강건강관련 삶의 질에서는 기능적 제한, 신체적 동통, 심리적 불편, 신체적 능력저하, 심리적 능력저하, 사회적 능력저하, 사회적 불리에 유의한 차이가 나타났다. 만성신부전 환자에서 인식한 구취가 구강건강관련 삶의 질에 미치는 영향요인 분석한 결과, 심리적 불편(B=-2.028, p<.01), 사회적 능력저하(B=2.596, p<.01), 사회적 불리(B=-2.173, p<.01)에 영향을 미치는 것으로 나타났다. 따라서 자가 인식한 구취는 심리적, 사회적으로 부정적인 영향을 미치므로 급격히 증가하고 있는 신부전 환자들에게 중요하게 고려할 요인이다.

This study has been conducted to investigate the effect of self awareness of halitosis on the quality of life related to oral health in patients with chronic renal failure undergoing hemodialysis and use basic data related to oral health of patients with chronic renal failure which is very rare in Korea. In terms of oral symptoms based on awareness of halitosis, there were significant differences in symptoms of teeth pain in the past one month, bleeding gums, symptoms of tongue or cheek pain, dry mouth, In terms of status of oral functions, there were significant differences in discomfort upon chewing foods, difficulty of pronunciation and presence of lost teeth. As the results of analysis of effect of self awareness of halitosis on the quality of life related to oral health in patients with chronic renal failure, it was shown that there were significant effects in psychological discomfort(B=-2.028, p<.01), poor social skills(B=2.596, p<.01) and social disadvantage(B=-2.173, p<.01). Thus, because self awareness of halitosis gives psychologically and socially negative effects, it could be an important factor to patients with renal failure whose number is rapidly increasing.

키워드

참고문헌

  1. J.C.Jeong, S.H.Choi, M.S.Song, C.H.Jun, H.M.Kim, D.H.Jeong, Kaposis' Sarcomanof the oral cavity in renal transplanted patient; A case report, J, Kor, Oral Maxillofac, Surg, 29,186-190, 2003
  2. Y.K.Kim, Systemic disease and oral health, Dental Clinical, Vol.28, No.10, pp.934-935, 2008.
  3. L.M. Sreebny and A.Vissink, Dry mouth, Wiley-Blackwell, 2010.
  4. M.R.Lee, J.S.Choi, Self-reported halitosis and the associated factor in adult, The korean society of dental hygiene Sience, Vol.13, No.2, PP.142 -150, 2013.
  5. J .S .Han, J .H. Hong, J. S. Choi, Factors associated with self-assessment of halitosis in adult, J Korea Contents, Vol.11, No.12, pp.347-356, 2011. https://doi.org/10.5392/JKCA.2011.11.12.347
  6. M.M.Bornstein, B.L.Stocker, R.Seemann, W.B.Buurgin, and A. Lussi, Prevalence of Halitosis in Young Male Adults: A Study in Swiss Army Recruits Comparing Self-Reported and Clinical Data, J Periodontol, Vol.80, No.1, pp.24-31, 2009. https://doi.org/10.1902/jop.2009.080310
  7. C. Scully, M. El-Maaytah, S. R. Porter, and J. Greenman, Breath Odor: Etiopathogenesis, Assessment and Management, Eur J Oral Sci, Vol.10, No.4, pp.287-293, 1997.
  8. T. Oho, Y. Yoshida, Y. Shimazaki, Y. Yoshihiro, Y. Yamashita, and T. Koga, Characteristics of Patients Complaining of Halitosis and the Usefulness of Gas Chrom atography for Diagnosing Halitosis, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, Vol.91, No.5, pp.531-534, 2001. https://doi.org/10.1067/moe.2001.112543
  9. A. Bosy, Oral Malodor: Philosophical and Practical Aspects, J Can Dent Assoc, Vol.63, No.3, pp.196-201, 1997.
  10. F. Romano, E. Pigella, N. Guzzi, and M.Aimetti, Patients' Self-Assessment of Oral Malodour and Its Relationship with Organoleptic Scores and Oral Conditions, Int J Dent Hyg, Vol.8, No.1, pp.41-46, 2010. https://doi.org/10.1111/j.1601-5037.2009.00368.x
  11. A. Eldarrat, J. Alkhabuli, and A. Malik, The Prevalence of Self-Reported Halitosis and Oral Hygiene Practices among Libyan Students and Office Workers, Libyan J Med, Vol.3, No.4, pp.170-176, 2008. https://doi.org/10.4176/080527
  12. L. McKeown, Social Relations and Breath Odour, Int J Dent Hygiene, Vol.1, No.4, pp.213-217, 2003 https://doi.org/10.1034/j.1601-5037.2003.00056.x
  13. Slade G.D, Dervation and validation of a short form oral health impact profile, Comunity Dent Oral Epidemiol, Vol.25, No.4, pp.284-290, 1997. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x
  14. M.Kiran, N.Arpak, E.Unsal, M.F.Erdogan, the effect of improved periodontal health on metabolic control in type2 diabets mellitus, J clin periodontal, Vol.32 , No.3, pp.266-272, 2005. https://doi.org/10.1111/j.1600-051X.2005.00658.x
  15. J.B.Kim, K.Y.Nam, W.G.Chung, Y.N.Kim ,H.J.Noh, S.O.Jang, H.S.Jeon, J.H.Yoo, J.H.Chung, B.W.Kim, A Clinic study on the care of oral complication in the admission patients with major renal diseases, KAMPRS, Vol.26, No.2, pp.175-182, 2004.
  16. Liu X.N, Shinada K, Chen X.C, Zhang B.X, Yaegaki . K, Kawaguchi Y: Oral malodor related parameters in the Chinese general population. J Clin Periodontol 33, pp.31-36, 2006. https://doi.org/10.1111/j.1600-051X.2005.00862.x
  17. C.M.Bollen, T.Beikler, Halitosis-the multidis ciplinary approach, Int J Oral Sci 4, pp.55 -63, 2012. https://doi.org/10.1038/ijos.2012.39
  18. I. Kleinberg, M.S.Wolff, D.M. Codipilly, Role of saliva in oral dryness, oral feel and oral malodour, Int Dent 52, pp.236-240, 2002. https://doi.org/10.1002/j.1875-595X.2002.tb00932.x
  19. S.Koshimune, S.Awano, K.Gohar, E. Kurihara, T.Ansai, T.Takehara, Low salivary flow and volatile sulfur compoundsin mouth air, Oral Surg Oral Med Oral Pathol Oral Radiol Endod 96, pp.38-41, 2003. https://doi.org/10.1016/S1079-2104(03)00162-8
  20. N.Suzuki, M.Yoneda, T.Naito, T.Womoto, T.Hirofuj I, Relationship between halitosis and psychologic status, Oral Surg Oral Med Oral Radiol Endod 101, pp.542 -547, 2008.
  21. A.Leao, A.Sheiham, Relation between clinic dental status and subjective impact on daily living, J Dent Res, Vol.74, No.7, pp.1408- 1413, 1995. https://doi.org/10.1177/00220345950740071301
  22. S.H.Yu, Y.I.Kim, H.S.Lee, Oral health-related quality of life in the elderly with removable denture, The Journal of the Korean Academy of Dental Health, Vol.32 , No.4, pp.575-586, 2008.
  23. H.J.Kim, Relationship between quality of life and industial workers´oral health evaluation using OHIP, Doctor's thesis Keimyung University , 2004.
  24. M.J.Fernandes, D.A.Ruta, G.R.Ogden, N.B. Pitts, S.A.Ogston, Assessing oral health-realated quality of life in general dental practice in scotland: validation of the OHIP-14, Community Dent Oral Epidemiol, Vol.34, No.1, pp.53-62, 2006. https://doi.org/10.1111/j.1600-0528.2006.00254.x

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  1. Analysis of the Influence of Physical and Mental Function, and Oral Health Impact Profiles on Quality of Life in the Elderly People in Long-term Care Centers using the Structural Equation Model vol.17, pp.4, 2016, https://doi.org/10.5762/KAIS.2016.17.4.500