한국치위생학회지 (Journal of Korean society of Dental Hygiene)

  • 제24권3호
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  • Pages.209-218
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  • 2024
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  • 2287-1705(pISSN)
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  • 2288-2294(eISSN)
한국치위생학회 (Korean Society of Dental Hygiene)
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노인 대상 스마트폰 앱 콘텐츠를 이용한 구강 근력 강화 훈련의 기능 개선 효과

Effects of smartphone app-based oral muscle strength training on functional improvement in the elderly

  • Kyeong-Hee Lee (Department of Dental Hygiene, Shinhan University) ;
  • Yoon-Young Choi (Department of Dental Hygiene, Shinhan University) ;
  • Eun-Seo Jung (Department of Dental Hygiene, Shinhan University) ;
  • Hyun-Young Moon (St. Hugh Hospital, Speech Therapy Lab) ;
  • Mi-Sook Yoon (Department of Dental Hygiene, Shinhan University) ;
  • Kyeong-Jin Lee (Department of Dental Hygiene, Shinhan University)
  • 투고 : 2024.05.07
  • 심사 : 2024.05.22
  • 발행 : 2024.06.30
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초록

연구목적: 본 연구는 스마트폰 앱을 이용한 구강근력 강화훈련 교육 콘텐츠를 개발하고 노인들에게 적용한 후 효과를 살펴보고자 하였다. 연구방법: 훈련은 2023년 8월 말부터 10월 초까지 6주 동안 총12회를 적용하였다. 수행 장소는 참여 대상자의 소속기관이며, 1회당 소요시간은 약60분이었다. 연구결과: 구강건강 증진 효과는 치면세균막(p<0.05), 치은염(p<0.001), 설태(p<0.01), 타액분비량(p<0.001)에서 유의한 차이를 보였다. 프로그램 실시 전에 비해 치면세균막은 0.69 감소, 치은염은 0.99 감소, 설태는 1.11 감소, 타액 분비량은 0.73 증가하였다. 사후 두 그룹간의 비교에서도 치면세균막(p<0.001), 치은염(p<0.001), 설태(p<0.05)는 유의한 차이를 보였다. 구강근력 강화 효과는 전방부 혀 근력(p<0.001)과 후방부 혀 근력(p<0.01)에서 유의한 차이를 보였다. 전방부 혀 근력은 5.25 증가, 후방부 혀 근력은 6.82 증가하였다. 결론: 본 연구에서 개발한 스마트폰 앱 콘텐츠는 일상생활에서 노인의 구강건강 증진에 유용하게 활용될 수 있을 것으로 생각되며, 이를 위해서는 개발된 콘텐츠를 알리고 노인들이 잘 활용할 수 있도록 훈련하는 과정이 필요하다.

Objectives: This study aimed to develop educational content for a smartphone app on oral muscle training and examine its effects on the elderly population. Methods: A total of twelve training sessions were delivered through the smartphone app over a six-week period, from late August to early October 2023. Each session lasted approximately 60 minutes. Participants were followed up after the program. Results: The experimental group showed significant improvements in oral health before and after using the smartphone app. These improvements included decreased dental plaque (p<0.05) by 0.69 units, decreased gingivitis (p<0.001) by 0.99 units, decreased tongue plaque (p<0.01) by 1.11 units, increased salivary secretion rate (p<0.001) by 0.73 units, increased hard palate strength (p<0.001) by 5.25 units, and increased soft palate strength (p<0.01) by 6.82 units. Compared to the control group, the experimental group showed significant improvements in dental plaque (p<0.001), gingivitis (p<0.001), and tongue coating (p<0.01). Conclusions: This study found that oral muscle strengthening training using the smartphone app effectively improved oral health in the elderly. The developed app content has the potential to be a valuable tool for promoting oral health in this population within their daily routines. However, further efforts are needed to ensure clear communication and effective utilization of the training program through user training or educational materials.

키워드

과제정보

This project was conducted with the support of the National Research Foundation of Korea, funded by the government (Ministry of Science and ICT) (No. 2022R1A2C2010905).

참고문헌

  1. Kang WS, Kim MS, Ko JU. Effects of the smartphone information use and performance on life satisfaction among older adults. J Korean GeronSoc2013;33(1):199-214.
  2. Shin YJ, Koo MJ. An explorative study on computer education for older adults and their life satisfaction. IJACE 2010;13(4):119-47. http://doi.org/10.22955/ace.13.4.201011.119
  3. Kwak MJ, Roh SE, Kwak YG. The effect of informatization education satisfaction of elderly welfare center on elderly information usage and life satisfaction. JKoreaContAssoc2017;17(3):486-95.https://doi.org/10.5392/JKCA.2017.17.03.486
  4. Shin JW, Kwon JS. An evaluative study on communication enhancement program through social network service of older adults in the community. JKoreanFamSocWork2017;58:151-79.https://doi.org/10.16975/kjfsw.2017.58.006
  5. Kim YS. A study on relationships between health concern, health attitude and subjective health status, health practice of older adults [Master's thesis].Seoul: Seoul National University,2002.
  6. Lee HJ, Lee YS, Nam YO. Comparison of effectiveness on knowledge improvement before and after the oral health education: focusing on foreign students. JKoreanSocDentHyg2016;16(1):85-92.https://doi.org/10.13065/jksdh.2016.16.01.85
  7. Laguna L, Sarkar A, Artigas G, Chen J. A quantitative assessment of the eating capability in older adults individuals. Physiol Behav 2015;147:274-81.https://doi.org/10.1016/j.physbeh.2015.04.052
  8. Marshall TA, Warren JJ, Hand JS, Xie XJ, Stumbo PJ. Oral health, nutrient intake and dietary quality in the very old. J Am Dent 2002;133(10):1369-79.https://doi.org/10.14219/jada.archive.2002.0052
  9. Sagawa K, Furuya H, Ohara Y, Yoshida M, Hirano H, Iijima K, et al. Tongue function is important for masticatory performance in the healthy elderly: a cross-sectional survey of community-dwelling elderly. J Prosthodont Res 2019;63(1):31-4. https://doi.org/10.1016/j.jpor.2018.03.006
  10. Health Promotion Division of Health Center, KAMIKAMI oral exercise and oral care. Kochi city, Japan;2007:1-8.
  11. Robbins J, Gangnon RE, Theis SM, Kays SA, Hewitt AL, Hind JA. The effects of lingual exercise on swallowing in older adults. J Am Geriatr Soc 2005;53(9):1483-9. https://doi.org/10.1111/j.1532-5415.2005.53467.x
  12. Kim BH, Chung EJ. Oropharyngeal dysphagia in older adults. 2003;20(2):64-77. https://doi.org/10.1111/j.1741-2358.2003.00064.x.
  13. Choi YY. Jung ES, Lee KJ, Moon HY, Yoon MS, Lee KH. Effectiveness of virtual reality-based oral muscle strength training on oral function in aged. J Korean Soc Dent Hyg 2024;24(2):121-30. https://doi.org/10.13065/jksdh.20240013
  14. Kang H. Sample size determination and power analysis using the G*power software. J Educ Eval Health Prof 2021;18:17. https://doi.org/10.3352/jeehp.2021.18.17
  15. Park JH, Kwon YC. Standardization of Korean version of mini-mental state examination (MMSE-K) for use in older adults. Part II. Diagnostic validity. J Korean Neuropsychiatr Assoc 1989;28(3):508-13.
  16. Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ 1990;54(11):680-7. https://doi.org/10.1002/j.0022-0337.1990.54.11.tb02481.x
  17. Locker D, Matear D, Stephens M, Lawrence H, Payne B. Comparison of the GOHAI and OHIP-14 as measures of the oral health-related quality Of life of the elderly. Community Dent Oral Epidemiol 2008;29(5):373-81. https://doi.org/10.1111/j.1600-0528.2001.290507.x
  18. O'Leary TJ, Drake RB, Naylor JE. The plaque control record. J Periodontol 1972;43(1):38. https://doi.org/10.1902/jop.1972.43.1.38
  19. Winkel EG, Roldan S, Van Winkelhoff AJ, Herrera D, Sanz M. Clinical effects of a new mouthrinse containing chlorhexidine, cetylpyridinium chloride and zinc-lactate on oral halitosis. a dual-center, double-blind placebo-controlled study. J Clin Periodontol 2003;30(4):300-6. https://doi.org/10.1034/j.1600-051X.2003.00342.x
  20. Lὅe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 1963;21(6):533-51. https://doi.org/10.3109/00016356309011240
  21. M Navazesh, C M Christensen. A comparison of whole mouth resting and stimulated salivary measurement procedures. J Dent Res 1982;61(10):1158-62. https://doi.org/10.1177/00220345820610100901
  22. Adams V, Mathisen B, Baines S, Lazarus C, Callister R. Reliability of measurements of tongue and hand strength and endurance using the Iowa oral performance instrument with healthy adults. Dysphagia 2014;29(1):83-95. https://doi.org/10.1007/s00455-013-9486-5
  23. Kim MY, Jun HJ. The effects of smartphone use on life satisfaction in older adults: the mediating role of participation in social activities. J Korean Geront Soc Wel 2017;72(3):343-70. https://doi.org/10.21194/kjgsw.72.3.201709.343
  24. Jung ES, YY Choi, Lee KH. Effects of integrative cognitive function improvement program on cognitive function, oral health, and mental health in older people: a randomized clinical trial. Int J Environ Res Public Health 2022;19(21):14339. https://doi.org/10.3390/ijerph192114339
  25. Jung ES, Lee KH, Seo SY. Effects of the integrated cognitive function improvement program on cognitive function and oral and mental health of middle-aged people: an application of non-face-to-face arbitration. J Korean Soc Dent Hyg 2023;23(1):43-53. https://doi.org/10.13065/jksdh.20230005
  26. Lee KH, Jung ES, Choi YY. Effects of lingual exercises on oral muscle strength and salivary flow rate in elderly adults: a randomized clinical trial. Geriatr Gerontol Int 2020;20(7):697-703. https://doi.org/10.1111/ggi.13944
  27. Streckfus CF, Bigler LR. Saliva as a diagnostic fluid. Oral Dis 2002;8(2):69-76. https://doi.org/10.1034/j.1601-0825.2002.1o834.x
  28. Cho EP. Impact of oral function improving exercise on the oral function and quality of life in the elderly[Doctoral dissertation]. Daejeon: ChungnamNationalUniversity,2009.
  29. Takahashi M, Koide K, Arakawa I, Mizuhashi F. Association between perioral muscle pressure and masticatory performance. J Oral Rehabil 2013;40(12):909-15. https://doi.org/10.1111/joor.12105
  30. Nathalya de FF, Andrea RM, Fernanda CF, Mariana RN, Elton M, Renata MMMF. The effects of lingual training: a systematic review with meta-analysis. Codas 2023;35(5):e20210324. https://doi.org/10.1590/2317-1782/20232021324pt