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Effects of Oral Care Interventions on Oral Health and Oral Health-related Quality of Life among Denture-wearing Older Adults

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KMID : 0367020210330010076
ÀÓÂùÈñ ( Lim Chan-Hee ) - Pusan National University Graduate School Department of Nursing

ÀÌÇØÁ¤ ( Lee Hae-Jung ) - Pusan National University College of Nursing
¹Ú°¡Àº ( Park Ga-Eun ) - Pusan National University Graduate School Department of Nursing

Abstract

Purpose: This study investigates the effects of oral care interventions on oral health and oral health-related qualityof life in denture-wearing older adults.

Methods: A nonequivalent control group pretest-posttest design was utilized. There were 26 participants in the experimental group and 30 in the control group. Participants were aged 65 or older,residing at long-term care facilities for more than six months, using dentures, able to brush their teeth, followgymnastics without jaw joint problems, and cooperate in the measurement of bad breath. The oral care interventionsconsisted of brushing teeth, denture management, and mouth gymnastics and was performed three times/week, for20 minutes/session, for a total of 4 weeks. The x2 test, Fisher's exact test, repeated measures ANOVA, andindependent t-test using SPSS/WIN 22.0 program were analyzed.
Results: The performance of brushing teeth(F=27.66, p<.001), denture management (F=38.23, p<.001), and mouth gymnastics (F=5.12, p=.016) significantlyincreased with time up to the fourth week. After the interventions, significant differences were found between groupsin subjective oral health status (t=5.87, p<.001), dry mouth (t=-9.24, p<.001), bad breath (t=-3.37, p<.001), and oralhealth-related quality of life (t=-6.46, p<.001).

Conclusion: The oral care interventions, including a self-administeredoral care checklist, can improve the motivation for oral care performance, oral health behaviors, oral health status,and oral health-related quality of life among older adults. Broader application of the intervention is warranted.
KeyWords
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Aged, Dentures, Oral health, Quality of life
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