지역사회 노인의 구강건조증 정도 및 구강건강관련 삶의 질 영향요인 = Degree of Dry Mouth and Factors Influencing Oral Health-related Quality of Life for Community-Dwelling Elders

다국어 초록 (Multilingual Abstract)

Purpose: This study was conducted to investigate the degree of dry mouth and oral health-related quality of life and to identify factors contributing to oral health-related quality of life for community-dwelling elders. Methods: A descriptive correlational study design was used. Participants were 156 older adults from two senior welfare centers. Data were collected on February 21, 22 and 29, 30, 2009 using structured questionnaires. Enter type multiple regression analysis was used to identify factors influencing oral health-related quality of life according to general and oral health characteristics. Results:There were significant differences in oral health-related quality of life according to living arrangement, insurance, smoking,number of natural teeth, and denture type. The oral health-related quality of life had significant correlations with the number of chronic disease, number of medications, and dry mouth. Factors influencing oral health-related quality of life for community-dwelling older adults were dry mouth, number of chronic disease, and medical aid, which explained about 47.9% of total variance. Conclusion: These results indicate that in order to promote oral health-related quality of life for older adults, prevention or management of chronic diseases as well as oral health and dry mouth are needed for this population,and especially economically poor elders.

참고문헌 (Reference)

1 장문성, "한국노인의 자가보고 치주건강상태와 구강건강관련 삶의 질의 연관성" 대한치주과학회 36 (36): 591-600, 2006

2 장종화, "의치장착 노인의 구강건조증이 주관적 구강건강인지도에 미치는 영향" 대한구강보건학회 30 (30): 438-446, 2006

3 박정숙, "노인 건강증진대학 프로그램이 노인의 건강증진 행위, 건강상태 및 삶의 질에 미치는 효과" 한국간호과학회 34 (34): 1194-1204, 2004

4 김귀분, "개인회상요법이 노인의 우울, 사기 및 삶의 질에 미치는 영향" 한국간호과학회 36 (36): 813-820, 2006

5 Guggenheimer, J, "Xerostomia: Etiology, recognition and treatment" 134 : 61-69, 2003

6 Cassolato, S. F, "Xerostomia: Clinical aspects and treatment" 20 : 64-77, 2003

7 Thomson, W. M, "The xerostomia inventory: A multi-item approach to measuring dry mouth" 16 : 12-17, 1999

8 Slade, G. D, "Social impact of oral conditions among older adults" 39 : 358-364, 1994

9 So, J. S, "Prevalence and severity of dry mouth in the Korean elderly" Seoul National University 2005

10 Jung, Y, "Oral health, nutrition, and oral health related quality of life among Korean older adults" 34 (34): 28-35, 2008

11 U.S. Department of Health and Human Services, "Oral health in America: A report of the surgeon general"

12 Coleman,P, "Opportunities for nursing-dental collaboration:Addressing oral health needs among the elderly.Nursing" 53 : 33-39, 2005

13 Ciancio, S. G, "Medications’ impact on oral health" 135 : 1440-1448, 2004

14 Fox, P. C, "Management of dry mouth" 41 : 863-875, 1997

15 Petersen, P. E, "Improving the oral health of older people: The approach of the WHO global oral health programme" 33 : 81-92, 2005

16 Coleman, P, "Improving oral health care for the frail elderly:A review of widespread problems and best practices" 23 : 189-199, 2002

17 Gerdin, E. W, "Impact of dry mouth conditions on oral healthrelated quality of life in older people" 22 : 219-226, 2005

18 Ikebe, K, "Impact of dry mouth and hyposalivation on oral health-related quality of life of elderly Japanese" 103 : 216-222, 2006

19 Lee, J, "Dry mouth in the Korean elderly: Association factors, and impact on oral health related quality of life" Seoul National University 2006

20 Turner, M. D, "Dry mouth and its effects on the oral health of elderly people" 138 : 15S-20S, 2007

21 Locker, D, "Dental status, xerostomia and the oral health related quality of life of an elderly institutionalized population" 23 : 86-93, 2003

22 Gonsalves, W. C, "Common oral conditions in older persons" 78 : 845-852, 2008

23 Matear, D. W, "Associations between xerostomia and health status indicators in the elderly" 126 : 79-85, 2006

24 Field, E. A, "Age and medication are significant risk factors for xerostomia in an English population, attending general dental practice" 18 : 21-24, 2001

25 이명선, "65세 이상 일부 노인의 Oral Health Impact Profile의 타당도 및 신뢰도" 대한구강보건학회 29 (29): 210-221, 2005

26 Korea National Statistical Office, "2008 Statistics on the aged"

27 The Korea Institute for Health and Social Affairs, "2004 A national survey on the living status and welfare needs of the aged"