[논문]커뮤니티케어 기반 방문구강관리 중재에 의한 노인의 구취 농도 변화

Myeong-Hwa Park; Min-Sook Jeong; Jong-Hwa Jang

doi:10.13065/jksdh.20230010

커뮤니티케어 기반 방문구강관리 중재에 의한 노인의 구취 농도 변화
Changes in concentration of VSCs after home oral care interventions based on community care in older adults 원문보기

JKSDH : Journal of Korean Society of Dental Hygiene = 한국치위생학회지, v.23 no.2, 2023년, pp.91 - 103

Myeong-Hwa Park (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)

초록
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연구목적: 초고령 사회 도래로 2019년부터 지역사회 통합돌봄 선도사업(커뮤니티케어)이 추진되고 있다. 본 연구는 커뮤니티케어 사업 기반의 방문 구강건강 관리 중재를 통한 노인의 구취 감소 및 구강 건강 상태가 향상된 증례보고이다. 연구방법: 재가방문에 의해 치과의사가 구강검사를 한 후 치과위생사가 2인 1조로 주 1회 총 12회 맞춤형 노인 구강관리 중재 프로그램을 수행하였다. 돌봄 노인 73명 중 3명을 선정하여 구강건강 상태의 변화를 관찰하고 구취 농도를 측정하였다. 연구결과: 돌봄 노인 모두 주관적 구강건강 및 구강위생 상태가 호전되었다. 구취농도는 증례 1의 경우 중재 전 44.5 ROV로 나타났으나, 9주 후 15.5 ROV로 급격히 감소하였다. 준와상상태인 증례 2는 중재 전 14.5 ROV에서 중재 후 12 ROV로 구취가 감소하였다. 증례 3의 구취농도는 중재 전 6.5 ROV에서 9주 후 6 ROV로 비슷하게 나타났다. 결론: 방문 구강건강관리 중재활동은 전반적으로 구취 예방 및 구강건강 상태 향상에 효과적이었다. 따라서 구취뿐만 아니라 다양한 전신질환을 앓고 있는 노인 개개인의 특성에 따른 맞춤형 방문 구강건강관리의 활성화 방안 마련이 필요하다고 제시된다.

Abstract ▼ AI-Helper

Objectives: This case study was conducted to assess changes in the concentration of volatile sulfur compounds (VSCs) of older adults following home oral health care interventions based on community care. Methods: The participants were three elderly people with the halitosis. An oral health intervention programs including oral massage, oral hygiene care, and oral muscle training strenghtening were conducted for 12 weeks. Halitosis was measured using an oral malodor-checking device. Results: The program showed positive effects on changes in halitosis. The concentration of VSCs of the first case decreased rapidly from 44.5 Refres Oral Volume (ROV) on pre-test to 15.5 ROV on the first post-test. In the second case, the score decreased from 14.5 ROV on pre-test to 12 ROV on 2nd post-test. In the third case, the score decreased slightly from 6.5 ROV on pre-test to 6 ROV on the first post-test. Conclusions: Oral health care interventions contributed to decreasing the concentration of VSCs and improving the quality of life of older adults. The active promotion and customization of these programs are required.

주제어

표/그림 (10)

그림 Fig. 1. Procedure of visiting oral hygiene care intervention according to week *Post-test 1,2: survey+halitosis measurement+saliva test
표 Table 1. General characteristics of participants
그림 Fig. 2. Activity sheet for visiting oral hygiene care intervention
그림 Fig. 3. Activities and/or related materials for visiting oral hygiene care intervention **Mouth muscle massage designed by Min-Sook Jeong: For this information, please refer to the following url. (HYPERLINK https://www.youtube.com/watch?v=9vcu5sNuEuk YouTube Video provided by Korea Association for Oral Health)
표 Table 2. Level of muscle elasticity
그림 Fig. 4. REFRES SX-105 (Oral malodor checking device)
그림 Fig. 5. A case of oral care for a 91-year-old woman wearing a overdenture; (a) Oral hygiene care; (b) Intraoral and extraoral massage & mouth stretching exercises; (c) Tongue pressure training
그림 Fig. 6. Change in the concentration of volatile sulfur compounds (VSCs)
그림 Fig. 7. A case of oral care for a 76-year-old man with mouth breathing; (a) Before & After home oral care interventions; (b) Oral status & oral hygiene intervention activities; (b-1) Gingival bleeding; (b-2) Food impaction; (b-3) Tartar removal; (b-4) Oral health education; (b-5) Tooth mobility
그림 Fig. 8. A case of oral care for a 87-year-old man who has the dried tongue; (a) Before oral hygiene intervention; (b) Intraoral and extraoral massage; (c) After home oral interventions

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표제어: PCR

동의어: Packet Collision Rate

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