Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
권호 표지
DOI QR코드

DOI QR Code

Changes in oral health status and function among older adults through professional oral care and rehabilitation exercises

전문적인 구강관리와 재활운동을 통한 노인의 구강건강 상태와 기능의 변화

  • Ae-Jin Jeong (Department of Dental Hygiene, Ulsan College) ;
  • Nam-Sook Kim (Department of Dental Hygiene, Masan University) ;
  • Jung-Hwa Lee (Department of Dental Hygiene, Dong-eui University)
  • Received : 2024.06.07
  • Accepted : 2024.07.14
  • Published : 2024.08.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: To develop a program that combines the oral health promotion program for the elderly and to investigate the effect of improving oral function by applying the oral health promotion program to elderly people using welfare facilities. Methods: From June to October 2022, a total of 29 elderly individuals utilizing welfare facilities in the Gyeongnam region were recruited. The control group underwent surveys and objective oral health assessments. The experimental group participated in an oral health promotion program, consisting of oral functional rehabilitation exercises and expert oral health management, conducted once a week for 8 weeks at the facilities. Objective oral health assessments were conducted before, during (at 4 weeks), and after (at 8 weeks) the intervention period for both groups. Results: As a result of the oral health promotion program, it was confirmed that there was an improvement effect in bad breath (p<0.001), saliva secretion amount (p<0.001), orbicularis oculi muscle (p<0.001), and plaque index (p<0.001). Conclusions: A revitalization plan is needed so that the efficient oral health promotion program for the elderly can be reflected as a systematic and professional community care oral health management program.

연구목적 : 본 연구는 노인의 구강건강증진 프로그램 개발 및 적용에 따른 구강건강상태 개선효과를 확인하고, 노인의 구강건강증진 프로그램에 대한 기초자료를 제공하고자 하였다. 연구방법: 부산광역시 부산진구 D노인복지시설 이용 노인과 부산, 울산지역을 포함한 경남지역의 노인복지시설 이용 노인 29명을 대상으로 하였으며, 실험군은 8주동안 매주 1회 시설을 방문하여 전문가 구강관리(스펀지 브러쉬, 변형바스법, 와타나베법, 치간칫솔, 잇몸마사지)를 제공하였고, 매일 구강기능향상운동(코끼리 피리 불기와 껌 저작)을 시행하도록 하였다. 연구결과: 구취는시행 전 2.47점에서 시행 후 0.53점으로 감소하였고, 타액분비량은 시행 전 6.33점에서 시행 후 7.27점으로 증가하였으며, 타액완충능은 시행전 5.13점에서 시행 후 8.07점으로 증가하였다. 구륜근력은 시행 전 0.64점에서 시행 후 1.57점으로 구륜근력이 증가하였으며, 치은출혈지수는시행 전 18.11점에서 시행 후 9.94점, 치면세균막지수는 시행 전 27.69점에서 시행 후 12.63점으로 감소하여 노인을 대상으로 실시한 전문가구강관리와 구강기능향상 운동 프로그램이 노인의 구강건강증진과 향상에 효과가 있는 것으로 확인되었다. 결론: 고령화시대 건강한 노인의 구강건강 뿐만 아니라 삶의 질 향상을 위해 노인의 건강증진 방안의 일환으로 전문가 구강관리와 구강기능향상 운동 프로그램을 적극 활용할 수 있는 방안이 모색되어져야 할 것이다.

Keywords

Acknowledgement

This paper was an excerpt from Ae-Jin Jeong thesis for doctoral dissertation in 2022.

References

  1. Health insurance review and assessment service Korea. Trends and factors of increase in health insurance elderly care expenses from 2010 to 2015 [Internet]. Health insurance review and assessment service Korea policy trends.[cited 2022 Jan 02]. Available from: https://repository.hira.or.kr/bitstream/2019.oak/1096/2/2010-2015%EB%85%84%20%EA%B1%B4%EA%B0%95%EB%B3%B4%ED%97%98%20%EB%85%B8%EC%9D%B8%EC%A7%84%EB%A3%8C%EB%B9%84%EC%9D%98%20%EC%B6%94%EC%9D%B4%20%EB%B0%8F%20%EC%A6%9D%EA%B0%80%EC%9A%94%EC%9D%B8.pdf.
  2. Jang JH, Cho JW, Kim YJ, Ki JY, Jo KS, Kim JR, et al. Preliminary study for the development of a visiting oral healthcare intervention program For the elderly based on community healthcare. J Korean Acad Oral Health 2020;44(3):166-72. https://doi.org/10.11149/jkaoh.2020.44.3.166
  3. Kim YG. Geriatric dental hygiene care. Seoul: Komoonsa;2020:46-253.
  4. Yasny J, Silvay G. Geriatric patients: oral health and the operating room. J Am Geriatr Soc 2010;58(7):1382-5. https://doi.org/10.1111/j.1532-5415.2010.02919.x
  5. Yun JH, Lim KO, Relationship between the number of remaining teeth and multimorbidity in Korea older adults (KNHANES 2014-2018). J Next-generation Convergence Technology Association 2022;6(3):445-52. https://doi.org/10.33097/JNCTA.2022.06.03.445
  6. Jo SR,Cho JW, Jang JH. Effect of probiotics intake on oral environment changes of the elderly in long-term care facilities. J Korean Soc Dent Hyg 2020;20(5):753-62. https://doi.org/10.13065/jksdh.20200069
  7. Korea Institute for Health and Social Affairs. 2014 Survey on public health nutrition [Internet]. Sejong: Ministry of Health & Welfare; 2022.[cited 2021 May 05]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
  8. Kim JH, Kim HY. Effects of an oral self-care program on the elderly's xerostomia and oral health-related quality of life. J Korean Acad Community Health Nurs 2018;29(3):382-92. https://doi.org/10.12799/jkachn.2018.29.3.382
  9. Rhyou KS, Yang YH. Characteristics and clinical outcomes of elders with aspiration pneumonia. J Korean Gerontol Nurs 2018;20(1):45-55. https://doi.org/10.17079/jkgn.2018.20.1.45
  10. Moon SH. Effect of integrated oral health care program for older adults in long-term care facilities [Doctoral dissertation]. Seoul: Hanyang University, 2018.
  11. Choi SM. The effects of professional oral health care on oral health states of long-term care patients in geriatric hospital [Doctoral dissertation].Daegu: Yeungnam University, 2011.
  12. Lee GY. Development and evaluation of professional oral care program for elderly in long-term care facilities [Doctoral dissertation]. Seoul: Seoul National University, 2017.
  13. Lee JH, Kwon HK, Lee YH, Lee MH, Lee HK. Effect of regular oral exercise on oral function in elderly patients with long-term care. J Korean Acad Oral Health 2010;34(3):422-9.
  14. Kim NS, Lee JH. Effects of tongue strength training program combined with oral exercises on swallowing disorder swallowing ability and tongue pressure in the elderly. J Korean Soc Dent Hyg 2023;23(2):105-13. https://doi.org/10.13065/jksdh.20230011
  15. Jang JY, Lee DH. Effects of oral health promotion program on oral function in the elderly. Korean J Health Ser Manag 2016;10(4):141-51. https://doi.org/10.12811/kshsm.2016.10.4.141
  16. Kwon HS, Kim CS, Oh SH, Lee MO, Lee SM, Lee JH, et al. Oral rehabilitaion. 4th ed. Seoul: Jisung; 2018:85-6.
  17. Lee EK, Jun HJ, Kim MJ, Park JW, Ko SJ. A review of recent clinical studies of transcutaneous electrical nerve stimulation on xerostomia - pubmed and domestic studies. J Int Korean Med 2022;43(3):375-86. https://doi.org/10.22246/jikm.2022.43.3.375
  18. Joung SA. Effects of normal saline solution mouthwash on oral health status, xerostomia, Halitosis and salivary pH in elders in long-term care facilities. J Korean Gerontol Nurs 2017;19(3):173-83. https://doi.org/10.17079/jkgn.2017.19.3.173
  19. Kim YS, Shin KH, Park JR, Chung SH, Choi HS .The effect of oral function improvement with oral exercise program by elderly people. J Korean Soc Dent Hyg 2016;16(4):559-66. https://doi.org/10.13065/jksdh.2016.16.04.559
  20. Park JH, Sohng KY. Comparison of oral care interventions on oral status for intubated intensive care unit patients. J Korean Acad Fundam Nurs 2010;17(3):324-33.
  21. Munro CL, Grap MJ, Jones DJ, McClish DK, Sessler CN. Chlorhexadine, toothbrushing and preventing vetilator ssociated pneumonia in critically ill adults. Am J Crit Care 2009;18(5):428-37. https://doi.org/10.4037/ajcc2009792
  22. Jeon YJ, Choi JS, Han SJ. The effect of dry mouth improvement by oral exercise program in elderly people. J Korean Soc Dent Hyg 2012;12(2):293-305. https://doi.org/10.13065/jksdh.2012.12.2.293
  23. Jang KA, Kim GE, Heo SE. The effect of professional oral care by time point on oral health status of inpatients in a nursing hospital. J Korean Society of Oral Health Science 2019;7(3):92-7. https://doi.org/10.33615/jkohs.2019.7.3.92