한국치위생학회지 (Journal of Korean society of Dental Hygiene)

  • 제23권1호
  • /
  • Pages.13-23
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  • 2023
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  • 2287-1705(pISSN)
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  • 2288-2294(eISSN)
한국치위생학회 (Korean Society of Dental Hygiene)
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재가 방문구강관리 중재에 의한 시청각장애 노인의 구강건강상태 변화

Changes in the oral health status of older adults with visual and hearing impairments through home oral health care intervention: a case report

  • 윤해수 (단국대학교 대학원 보건학과) ;
  • 정민숙 (한국일차보건의료학회) ;
  • 장종화 (단국대학교 대학원 보건학과)
  • Hae-Soo Yoon (Department of Public Health Science, Graduate School of Natural Science, Dankook University) ;
  • Min-Sook Jeong (The Korean Academy of Primary Health Care) ;
  • Jong-Hwa Jang (Department of Public Health Science, Graduate School of Natural Science, Dankook University)
  • 투고 : 2023.01.11
  • 심사 : 2023.02.03
  • 발행 : 2023.02.28
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초록

Objectives: This case study was conducted to assess the changes in the oral health status of older individuals with hearing and visual impairments through home oral health care based on community care. Methods: The participants were two older adults with hearing and visual impairments. Through home visits, an oral health intervention program, including oral hygiene care and training on strengthening of oral function, was conducted once a week for 5 months. Dental hygienists performed special oral health interventions such as dental plaque control through individual tooth brushing and interdental care, training on strengthening of intraoral and extraoral muscle function, and denture care for the individuals with visual-hearing impairments. Results: The overall periodontal health status and oral muscle function improved in older adults with hearing and visual impairments. In the case of the visually impaired individuals, changes in the oral health status were oral mucosal moisture (30.1 and 37.2 points before and after intervention, respectively), salivary secretion (3.5 and 4.0 cm before and after intervention, respectively), and maximum tongue pressure (20.5 and 26.2 kPa before and after intervention, respectively). Changes in the oral health status of the hearing impaired individuals increased from 28.3 points before the intervention to 38.4 points after the intervention, and the maximum tongue pressure increased from 1.85 kPa to 23.5 kPa after the intervention. Conclusions: Oral health intervention activities contributed to improving the periodontal health and oral function of older adults with hearing and visual impairments. To improve their overall and oral health, it is necessary to prepare measures to activate customized oral health intervention programs.

키워드

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