장기요양노인환자들에 대한 구강체조가 구강기능 향상에 미치는 영향 = Effect of regular oral exercise on oral function in elderly patients with Long-term care

다국어 초록 (Multilingual Abstract)

Objectives. The purpose of this study was to provide basic data for development of oral exercise for the elderly under the long-term care insurance system in Korea from December 2007 to June 2008. Methods. Fifty three patients of a nursing facility in Ch`onan were selected to be the intervention group, and fifty two patients of a nursing facility in Geochang, Gyeongsangbuk-do were recruited to be the control group. Both groups were provided with the oral exams and oral function exams, only that the intervention group performed the oral exercise five times per week for three months. Results. After the experiment, statistically significant differences between the two groups were observed. First, the repetitive swallowing test showed a different result between the two groups by 2.2 in the intervention group after the program while it declined by 0.1 in the control group (p<0.01). The number of phonation showed a contrast between the two groups: an increase by 4.4 for the intervention group and a decrease by 0.2 for the control group, with adjusted baseline status (p<0.01). Salivation was also influenced: an increase by 6.4mm from the intervention group and an increase by 0.4mm from the control group were shown (p<0.01). The maximum opening showed an increase by 0.4cm and a decrease by 0.3cm for the intervention group and the control group, respectively, with adjusted baseline status (p<0.01). Lastly, the right cheek ballooning function test showed a decline in capacity by 7.7% in the control group and an improvement by 22.6% in the intervention group (p<0.05). Conclusions. These results supported that the three-month oral exercise improves oral function amongst the elderly.

참고문헌 (Reference)

1 김기록, "한국 노인의 구강건강 실태조사" 호서대학교 2001

2 이윤희, "일부 노인장기요양환자의 구강실태 및 구강기능" 한국보건교육·건강증진학회 25 (25): 55-65, 2008

3 백병주, "소아의 최대개구량에 관한 연구" 대한소아치과학회 28 (28): 593-599, 2001

4 보건복지부, "노인장기요양보험제도" 보건복지부 12-14, 2008

5 원영순, "노인의 구강상태와 식습관 및 건강의 관계" 연세대학교 2003

6 이정환, "구강-인두성 연하곤란 환자에서 구강-인두의 운동기능 장애" 38 (38): 9-14, 2001

7 구강보건교재개발위원회, "공중구강보건학. 제1판" 고문사 294-, 2005

8 小口和代, "機能的嚥下障害スクリ－ニングテスト「反復唾液嚥下テスト」(Repetitice Saliva Swalowing Test:RSST)の検討, 正常値の検討." 37 : 378-382, 2000

9 小口和代, "機能的嚥 下障害スクリ－ニングテスト「反復唾液嚥下テスト」(Repetitice Saliva Swalowing Test:RSST) の検討, 妥当性の 検討" 37 : 383-388, 2000

10 菊谷武, "介護予防のための口腔機能向上マニュアル" 建帛社 31-39, 2006

11 高知市保建所 建康づくり課, "かみかみ百歲体操と口腔ケア" 建帛社 26-33, 2006

12 Mezitis M., "The normal range of mouth opening" 47 : 1028-1029, 1989

13 JoAnne R., "The effects of lingual exercise on swallowing in older adults" 53 (53): 1483-1489, 2005

14 Agerberg G., "Maximal mandibular movements in young men and woman" 67 (67): 81-100, 1974

15 Hirano H., "Masticatory ability in relation to oral status and general health on aging" 3 : 48-53, 1999

16 Fiatarone Fiatarone M., "Exercise training and nutritional supplementation for physical frailty in very elderly people" 330 : 1769-1775, 1994

17 Shibata H., "An overview of the tokyo metropolitan institute of gerontology longitudinal interdiciplinary study on aging" 8 : 98-108, 2000

18 Hirano H., "Activity of oral care. 3rd ed." Hicarinokuni 6-8, 2007