노인요양시설 요양보호사를 위한 구강간호교육프로그램 개발 및 효과 = Development and Effectiveness of an Oral Care Education Program for Caregivers in Long-Term Care Facilities

다국어 초록 (Multilingual Abstract)

This study developed an oral care education program to enhance oral health management competency among caregivers in long-term care facilities and evaluated its effects on caregivers’ oral health management knowledge, self-efficacy, attitudes, and performance. A nonequivalent control group pretest–posttest quasi-experimental design was employed. Participants included 60 caregivers (30 each in the experimental and control groups) recruited through convenience sampling from two long-term care facilities. The program was developed based on the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) model and comprised five sessions combining lectures and hands-on practice. Pretest data were collected from July 25 to 31, 2025, and posttest data were collected from September 1 to 5, 2025, one week after completion of the five-week intervention. Data were analyzed using SPSS WIN 28.0 with descriptive statistics, the Shapiro–Wilk test for normality, chi-square tests or Fisher’s exact tests, independent t-tests, and analysis of covariance (ANCOVA). The homogeneity of regression slopes was examined prior to conducting the ANCOVA.
The main findings were as follows:
1. After controlling for baseline knowledge score, education level, and prior oral care education experience, the experimental group showed significantly higher posttest oral health management knowledge than did the control group (F=12.99, p<.001).
2. After controlling for baseline self-efficacy score and education level, no significant difference was observed in oral health management self-efficacy between the two groups (F=1.13, p=.292).
3. After controlling for baseline attitude score and education level, no significant difference was observed in oral health management attitude between the two groups (F=0.97, p=.329).
4. After controlling for baseline performance score, total work experience, and the number of residents in charge, no significant difference was observed in oral health management performance between the two groups (F=0.01, p=.906).
In conclusion, although the oral care education program developed in this study was effective in improving oral health management knowledge among caregivers in long-term care facilities, no statistically significant effects were observed for self-efficacy, attitudes, or performance. These findings indicate a need to provide repeated practice-based education to strengthen caregivers’ practical competence in oral health management and to establish institutional and environmental support at the facility level to ensure sustained performance.

목차 (Table of Contents)

• 목 차 ⅰ
• 표 목 차 ⅲ
• 그림목차 ⅳ
• Ⅰ. 서 론 01
• 1. 연구 필요성 01
• 2. 연구 목적 04
• 3. 연구 가설 04
• 4. 용어 정의 05
• Ⅱ. 문헌고찰 08
• 1. 노인요양시설 입소 노인의 구강관리 현황 08
• 2. 노인요양시설 요양보호사의 구강관리 역할 10
• 3. 구강간호교육프로그램 및 효과 12
• Ⅲ. 연구 방법 15
• 1. 연구 설계 15
• 2. 연구 대상 16
• 3. 연구 도구 17
• 4. 연구 진행 절차 20
• 1) 구강간호교육프로그램 20
• (1) 분석단계 22
• (2) 설계단계 26
• (3) 개발단계 28
• (4) 실행단계 34
• (5) 평가단계 35
• 5. 자료 수집 방법 36
• 6. 윤리적 고려 36
• 7. 자료 분석 방법 37
• Ⅳ. 연구 결과 38
• 1. 연구 대상자의 동질성 검정 38
• 2. 가설 검정 47
• Ⅴ. 논의 51
• Ⅵ. 결론 및 제언 57
• 참 고 문 헌 59
• 영 문 초 록 68
• 부 록 71