Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
권호 표지

The Associated Factors with Xerostomia in Patients with Systemic Diseases

일부 전신질환자에서 구강건조증의 관련요인 분석

  • Kim, Sun-Ju (Department of Dental Hygiene, College of Health and Sciences, Cheongju University) ;
  • Choi, Jun-Seon (Department of Dental Hygiene, College of Health Science, Gachon University)
  • 김선주 (청주대학교 보건의료대학 치위생학과) ;
  • 최준선 (청주대학교 보건의료대학 치위생학과)
  • Received : 2013.09.27
  • Accepted : 2013.10.24
  • Published : 2013.12.31
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Abstract

The purpose of this study was to evaluate the factors related to xerostomia in patients with systemic diseases, and the results were analyzed through t-test, ANOVA, and multiple linear regression analysis. There were 62 respondents (56.9%) who reported dry mouth and the season of the most severe dry mouth was reported to be the highest during winter. According to the analysis made in the relationship of xerostomia with the awareness of general health and health behavior, the group that understood their own health poorly, had more than two kinds of diseases, and had been administered more than two kinds of daily medication showed higher xerostomia. Also, those who experienced desperation, had high dryness in other parts of the body, and heavy snoring were more aware of xerostomia (p<0.05). According to the analysis made in the relationship between xerostomia and awareness of oral health state, the group that understood their oral health poorly and had pain in the oral mucous membrane and halitosis was more aware of xerostomia (p<0.05). According to the analysis made in the relationship between quality of life and xerostomia, the group that showed high level of problem in daily living and stress and were self-conscious and felt tense due to halitosis reported more xerostomia (p<0.05). Finally, xerostomia was most correlated with consciousness of the eyes of others due to halitosis followed by the number of transferred systemic diseases and stress level. Based on such results, xerostomia was understood to be an obstacle in maintaining favorable social life and health. Since xerostomia was shown to be related to the number of transferred systemic diseases, the dental professions are asked to further improve their understanding not only on oral health but also systemic diseases. Therefore, these efforts are expected to prevent xerostomia and reduce various complications caused by xerostomia.

본 연구는 전신질환자를 대상으로 구강건조감 인식도의 관련요인을 분석하고자 실시하였다. 경기도에서 소재하는 의원 중 편의표본추출법에 의해 선정된 3곳에 2013년 1월 16일부터 2013년 4월 15일까지 방문한 전신질환에 이환된 환자 109명을 대상으로 설문조사를 실시하였으며, t검정과 일원배치분산분석 및 다중선형회귀분석을 시행한 결과 다음과 같은 결론을 얻었다. 1. 전반적인 구강건조감 인식도를 조사한 결과 평상시 구강건조 증상이 있다고 응답한 자는 62명(56.9%)이었고, 없다는 47명(43.1%)이었으며, 구강건조가 심한 계절은 겨울이 29명(46.8%)으로 가장 높았다. 2. 전신건강상태 인식도, 건강행동과 구강건조감의 관련성을 분석한 결과 건강하지 않다고 인식하고 이환된 전신질환과 매일 복용 약물 수가 2개 이상인 집단에서 구강건조감이 더 높았다. 또한 절망감 인식 경험이 있고 구강 외 신체건조감이 높으며 코골이가 심할수록 구강건조감을 더 많이 인식하였다(p<0.05). 3. 구강건강상태 인식도와 구강건조감의 관련성을 분석한 결과 구강이 건강하지 않다고 인식하고 구내 점막 통증과 구취가 있는 집단에서 구강건조감을 더 많이 인식하였다(p<0.05). 4. 삶의 질과 구강건조감의 관련성을 분석한 결과 일상생활 장애도와 스트레스 수준이 높으며, 구취로 인해 남의 시선을 의식하고 신경을 쓰는 집단에서 구강건조감을 더 많이 인식하였다(p<0.05). 5. 구강건조감과 관련된 요인들의 연관성의 강도를 분석한 결과 구강건조감은 구취로 인한 타인의 시선의식(${\beta}=0.311$)과 가장 연관성이 높았고, 다음은 이환된 전신질환 수 (${\beta}=0.304$), 스트레스 수준(${\beta}=0.285$)의 순이었다(p<0.01). 이상의 연구결과로 볼 때 구강건조감은 원만한 사회생활과 건강을 유지하는 데 장애요인으로 작용할 수 있음을 추측할 수 있었다. 또한 구강건조감은 이환된 전신질환 수와 강한 연관성이 있는 것으로 나타났으므로 치과의료인력은 구강영역 뿐 아니라 전신질환과 치료제 등 전신에 대한 이해도를 더욱 높여야 한다. 또한 전신질환에 이환된 환자들의 구강진료시 구강건조 상태를 매회 평가하고 원인을 파악하는 등 구강건조에 대한 지속적인 모니터링이 수반되어야 할 것이다. 이러한 과정은 구강건조의 예방과 이로 인한 인한 구강 내외 합병증을 감소시킬 뿐 아니라 건강증진 및 삶의 질을 향상시키는 데 있어 긍정적인 효과를 나타낼 것으로 생각된다.

Keywords

Acknowledgement

Supported by : 가천대학교

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