ISSN : 0376-4672
Purpose: The institutionalized elderly have placed the most vulnerable state, and the report about the oral health status of the institutionalized elderly was scarce. The aims of the current study were to investigate the oral health status of institutionalized elderly. Materials and methods: The survey of the oral health status was carried out on 487 institutionalized elderly from 4 longterm care facilities of Seoul metropolitan city, Gyunggi province, and Gangwon province in Korea. Results: The prevalence of dental caries, root caries, and dental calculus of the institutionalized elderly was 19.2%, 15.3%, and 23.7%, respectively. The percentage of edentulism among the institutionalized elderly was 26.2%. Those who had poor oral hygiene and tongue coating were 43.9% and 90.5%, respectively. The percentages wearing complete and removable partial denture on maxilla were 12.8% and 3.3%, respectively. The percentages wearing complete and removable partial denture on mandible were 7.8% and 5.6%, respectively. The percentages of institutionalized elderly needing complete and removable partial denture on maxilla were 29.7% and 27.2%, respectively. The percentages of institutionalized elderly needing complete and removable partial denture on mandible were 24.5% and 30.9%, respectively. Conclusion: The oral health stuatus of institutionalized elderly was poor. For the oral health promotion of elderly in longterm care facilities, it is essential to educate nurses and caregivers about the importance of the oral health and oral hygiene method.
1. 건강보험심사평가원, 국민건강보험공단. 2012 건강보험통계연보. Available at http://www.hira.or.kr/cms/open/04/02/03/01/__icsFiles/afieldfile/2012/12/10/2011.pdf
2. Choi JS, Lee M. Psychometric properties of a Korean measure of person-directed care in nursing homes. Research on Social Work Practice. 2013 ;24(6):676-684.
3. 김미혜, 이은영, 박지혜, 김민경. 장기요양보장 인프라 확대정책의 집행요인에 관한 연구-노인요양시설을 중심으로. 사회복지연구. 2009;40(3):5-40.
4. 신리혜, 배은경, 최성호, 박인임, 오오야먀다카시, 정문규. 한국노인요양시설 구강 위생 현황과 일본노인요양보험법비교를 통한 치과의사의 역할과 전망. 대한치과보철학회지. 2008;46(1):83-91.
5. 양순봉, 문홍석, 한동후, 이호용, 정문규. 노인요양시설에 있는 노인환자의 구강실태 및 치료수요도. 대한치과보철학회지. 2008;46(5):455-469.
6. 박명숙. 노인요양시설 간호인력의 구강간호 제공실 태 및 교 육 요 구 도 . 노 인 간 호 학 회 지 . 2010;12(1):72-80.
7. 조남인, 박소영, 이흥수, 오효원. 서울시 일부 노인요양기관 종사자의 구강보건지식 및 행태. 대한구강보건학회지. 2013;37(1):16-24.
8. 박소영, 조남인, 주현정, 이선호, 오효원, 이흥수. 일부 노인요양원 종사자의 재원노인에 대한 구강건 강 관 리 행 태 . 대 한 구 강 보 건 학 회 지 . 2013;37(4):200-207.
9. 김설희, 김춘희, 손가연, 양송이, 조미숙, 오상환. 일부 노인요양시설 종사자의 노인구강건강관리 인지도 조사. 한국치위생학회지. 2014;14(5):715-721.
10. 임진섭, 최재성, 이민홍. 상황이론에 기반 한 노인요양시설의 거주자중심케어(Resident-Centered Care) 발생경로에 관한 연구. 한국노년학. 2012;32(1):25-49.
11. Lee M, Choi JS, Lim J, Kim YS. Relationship between staff-reported culture change and occupancy rate and organizational commitment among nursing homes in South Korea. The Gerontologist. 2013;53(2):235-245.
12. World Health Organization. Oral health surveys:basic methods - 5th edition. World Health Organization. 2013. Available at http://www. who.int/oral_health/publications/9789241548649/en/
13. Shimizu T, Ueda T, Sakurai K. New method for evaluation of tongue-coating status. Journal of Oral Rehabilitation. 2007;34(6);442-447.
14. 여지영, 정형선. 구강검진 및 필요치과진료 수진의 결정요인: 경제적 접근성과 지리적 접근성 간의 상호작용효과 분석. 보건경제와 정책연구. 2012;18(4):109-126.
15. 의료법. Available at http://www.law.go.kr/lsInfoP.do?lsiSeq=167740&efYd=20150128#0000
16. 과징금증부과처분취소. 대법원 2011.4.14. 선고2010두26315 판결 Available at http://www.law. go.kr/precInfoP.do?precSeq=149512
17. 복지부“의료기관 이외 진료행위는 모두 의료법위반”. 메디컬투데이 2013년 8월 27일. 신은진 기자(ejshin@mdtoday.co.kr). Available at http://www.mdtoday.co.kr/mdtoday/?no=228746