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The Impact of Oral Health Impact Profile(OHIP-14) of Subjectively Reported Oral Status in the Elderly

일부지역 노인종합복지관 노인들의 주관적 구강상태와 구강건강영향지수(OHIP-14)와의 관련성

  • Received : 2013.07.01
  • Accepted : 2013.09.06
  • Published : 2013.09.30

Abstract

This study aimed to examine the relation between subjective oral hygiene status of the elderly and oral health impact profile and to present it as basic data for the improvement of quality of life and oral care. The study subjects were 231 elderly people aged 65 and over. This study measured the oral health behavior and subjective oral hygiene status based on cross analysis by calculating the median of OHIP-14 to divide the above-median group into a subgroup and the below-median group into a superordinate group. Correlation and regression analyses were performed to examine the effects on the oral health impact profile. The oral health impact profile according to oral health behaviors was not significant. The oral health impact profile based on the subjective oral hygiene states is currently affected by oral hygiene status, masticatory problems, toothache, xerostomia and halitosis. As a result of regression analysis to confirm the effect on the oral health impact profile, much experience of masticatory problems, toothache, xerostomia and gum diseases is the most influential. This shows that the subjective oral hygiene status is not healthy as the oral health impact profile is high. It is considered necessary to establish an oral health promotion program to improve the quality of life of the elderly and active oral care methods in the future.

본 연구는 노인의 주관적 구강상태와 구강건강영향지수와의 관련성을 알아보고, 이를 통해 삶의 질 향상 및 구강관리 방안을 위한 기초자료로 제시하고자 하였다. 2011년 5월부터 6월까지 조사, 연구대상은 65세이상 노인 231명으로 하였다. OHIP-14의 중위값을 산출하여 중위값(2.08) 보다 높은 그룹을 상위그룹으로, 평균보다 낮은 그룹을 하위그룹으로 나누어 구강보건행태와 주관적인 구강상태를 교차분석으로 측정하였고, 구강건강영향지수에 영향을 미치는 요인을 알아보기 위해 상관분석과 회귀분석을 실시하였다. 구강보건행태에 따른 구강건강영향지수는 유의하지 않았으며, 주관적 구강상태에 따른 구강건강영향지수는 현재 구강상태, 저작지장, 치통, 잇몸질환, 구강건조증, 구취 항목이 구강건강영향지수에 영향을 주고 있었다. 또한 구강건강영향지수에 영향을 미치는 요인을 확인하기 위한 회귀분석결과 저작지장, 치통, 구강건조증, 잇몸질환 경험이 높을수록 가장 영향을 미치는 것으로 나타났다. 이는 구강건강 영향지수가 높을수록 주관적 구강상태가 건강하지 못하다는 것을 알 수 있었다. 향후 노인의 삶의 질 향상을 위한 구강건강증진 예방프로그램 개발과 적극적인 구강관리 방안이 필요할 것으로 사료된다.

Keywords

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