구강간호교육이 노인요양시설 돌봄제공자의 구강간호 지식, 태도 및 행위와 재원노인의 구강위생에 미치는 효과 = The Effects of Oral Care Education on Caregivers’ Knowledge, Attitude, & Behavior toward Oral Hygiene for Elderly Residents in a Nursing Home

다국어 초록 (Multilingual Abstract)

Purpose: To investigate the effects of oral care education on knowledge, attitudes & behavior of caregivers in oral care and oral hygiene for residents in nursing homes. Methods: In this quasi-experimental study, the intervention group (n=27) of residents received oral care from intervention group caregivers (n=28) who had received 6 weeks of oral care education. The control group (n=27) of residents received usual oral care from control group caregivers (n=26). Data on knowledge, attitude, and behavioral change in oral health care by the caregivers and plaque index & halitosis of the residents were collected. Data were analyzed using SPSS WIN 16.0. Results: 1) Scores on caregivers’ knowledge (p<.001) and behavior (p<.001) for oral care were higher in the intervention group 6 and 12 weeks. The caregivers’ attitude (p<.001) score for oral care was higher in the intervention group 12 weeks. 2) The plaque index (p=.004) and halitosis (p=.002) of the nursing home residents were lower in the intervention group than the control group at 6 and 12 weeks. Conclusion: Oral care education programs for caregivers are effective in improving the oral hygiene of elderly residents in nursing homes through enhancement of caregivers’ knowledge, attitude, and behavioral change.

참고문헌 (Reference)

• 1 박명숙, "지역사회 노인의 구강건조증 정도 및 구강건강관련 삶의 질 영향요인" 한국간호과학회 40 (40): 747-755, 2010
• 2 정승희, "정유를 이용한 구강자가간호가 재가노인의 구강건강에 미치는 효과" 한국간호과학회 36 (36): 84-93, 2006
• 3 모현숙, "장기요양시설 간호제공자의 구강건강관리에 대한 지식과 영향요인" 기본간호학회 15 (15): 428-437, 2008
• 4 양순봉, "노인요양시설에 있는 노인환자의 구강실태 및 치료수요도" 대한치과보철학회 46 (46): 455-469, 2008
• 5 김승희, "광주광역시 일부 시설거주노인과 자가거주노인의 구강건강실태조사" 대한구강보건학회 31 (31): 366-375, 2007
• 6 "Še list of long-term care institutions"
• 7 Park, M. S, "Še eŽects of oral health care education for care providers in a long-term care facility" Seoul National University 2010
• 8 Thean, H, "dental awareness of nursing home staff in Singapore-a pilot study" 24 : 58-63, 2007
• 9 O’Leary, T. J, "The plaque control record" 43 (43): 38-, 1972
• 10 Xiaojing, L, "Systemic disease caused by oral infection" 13 : 547-558, 2000
• 11 Cohen, J, "Statistical power analysis for the behavioral sciences (2nd ed.)" Lawrence Erlbaum Associates 1988
• 12 Macentee, M. I, "Provision of mouth-care in long-term care facilities: An educational trial" 35 : 25-34, 2007
• 13 Sim, S, "Periodontitis and the risk for non-fatal stroke in Korean adults" 79 : 1652-1658, 2008
• 14 Reed, R, "Oral health promotion among older persons and their care providers in a nursing home facility" 23 : 73-78, 2006
• 15 Wårdh, I, "Oral health care-a low priority in nursing: In-depth interviews with nursing staff" 14 : 137-142, 2000
• 16 Frenkel, H. F, "Oral health care education and its effects on caregivers’ knowledge and attitudes: A randomised controlled trial" 30 : 91-100, 2002
• 17 Sweeney, M. P, "Oral health care and status of elderly care home residents in Glasgow" 24 : 37-42, 2007
• 18 Coleman, P., "Oral care provided by certified nursing assistants in nursing homes" 54 : 138-143, 2006
• 19 Woo, C., "Korean version of CERAD assessment packet" Seoul National University Press 2003
• 20 "Korean modi‡ed Barthel index"
• 21 Frenkel, H. F., "Improving oral health in institutionalised elderly people by educating caregivers: A randomised controlled trial" 29 : 289-297, 2001
• 22 Peterson,P.E, "Global policy for improvement of oral health in the 21st century-Implications to oral health research of world health assembly 2007, World Health Organization" 37 (37): 1-8, 2009
• 23 Chalmers, J, "Evidence-based practice guideline, oral hygiene care for functionally dependent and cognitive impaired older adults" The University of IOWA Gerontological Nursing Interventions Research Center Translation and Dissemination Core 2002
• 24 Choi, H. S, "Evaluation of the health status and dietary intakes of the elderly in rural areas by dental status" Dankook University, 2009
• 25 Sjogren, P., "Evaluation of dental hygiene education for nursing home staff" 66 : 345-349, 2010
• 26 Paulsson, G, "Evaluation of an oral health education program for nursing personnel in special housing facilities for the elderly" 18 : 234-242, 1998
• 27 Petola, P, "Effects of 11-month interventions on oral cleanliness among the long-term hospitalized elderly" 24 : 14-21, 2007
• 28 Nicol, R., "Effectiveness of health care worker training on the oral health of elderly residents of nursing homes" 33 : 115-124, 2005
• 29 Simons, D, "An evaluation of an oral health training programme for carers of the elderly in residential homes" 188 (188): 206-210, 2000
• 30 McConnell, E. S, "Academic-practice partnerships to promote evidence-based practice in long-term care: Oral hygiene care practices as an exemplar" 55 (55): 105-95, 2007