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치매 노인의 구강건강관리실태 및 문제점에 관한 질적 연구

A qualitative study on the present conditions and problems of oral health care in senile dementia patients

한국치위생학회지 2019년 19권 4호 p.601 ~ 614
정은서 ( Jung Eun-Seo ) - 신한대학교 치위생학과

최윤영 ( Choi Youn-Young ) - 신한대학교 치위생학과
이경희 ( Lee Kyeong-Hee ) - 신한대학교 치위생학과

Abstract


Objectives: The purpose of this study was to investigate the present conditions and problems of oral health care in senior citizens with dementia using a qualitative research method, through focused group interviews.

Methods: Data was collected for approximately one month from May 2019. The subjects were divided into two groups: care workers and family caregivers. Fifteen participants were included in the study.

Results: In-depth interviews with the care workers revealed the following three categories: characteristics of senile dementia patients, oral health care in senile dementia patients, and oral health care education. In-depth interviews with the family caregivers revealed the following four categories: characteristics of senile dementia patients, oral health care in senile dementia patients, oral health care education, and burden of care. The central themes common to both the care workers and family caregivers were the challenges owing to the characteristics of senile dementia patients, poor health condition of the senile dementia patients, difficulty in oral health care of the senile dementia patients, the desire to receive oral health care education and related information, and to access the information more easily. Additional central themes specific to the care workers were, the applicability of the intervention programs, variability between the facilities, and the problems of oral health care education. An additional central theme specific to the family caregivers was the burden of care.

Conclusions: It is necessary to provide oral health care education and information to care workers and family caregivers of senile dementia patients, and to manage and support the dental health professionals ready to care for senile dementia patients. In addition, support to the family caregivers should not be limited only to the financial aspects, but also consider the psychological and emotional difficulties.

키워드

구강건강관리; 노인; 부양가족; 요양보호사; 치매
Careworker; Dementia; Dependents; Elderly; Oral health care
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KCI