Activities of daily living and oral hygiene status of older Korean patients in a long‐term care facility

Objectives This study investigated the relationship between oral hygiene conditions, activities of daily living (ADL) and cognitive ability in older Korean patients in long‐term care facilities. Methods Ninety older persons (65+) were randomly sampled from a possible 112 residents in a single facili...

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Bibliographic Details
Published in:International journal of dental hygiene 2017-05, Vol.15 (2), p.154-160
Main Authors: Seo, H‐Y, Jeon, J‐E, Chung, W‐G, Kim, N‐H
Format: Article
Language:English
Subjects:
Activities of daily living
Activities of Daily Living - classification
Aged
Aged, 80 and over
dental hygiene profession
dental hygienists
Dentistry
Disability Evaluation
Female
Homes for the Aged
Humans
Hygiene
Long term health care
long‐term care
Male
Nursing Homes
older persons
oral hygiene
Oral Hygiene Index
Republic of Korea
Statistics as Topic
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Summary:Objectives This study investigated the relationship between oral hygiene conditions, activities of daily living (ADL) and cognitive ability in older Korean patients in long‐term care facilities. Methods Ninety older persons (65+) were randomly sampled from a possible 112 residents in a single facility. They participated in a 2‐month‐long survey. The Korean Modified Barthel Index was used to measure the ADL, and cognitive ability was measured using the Mini‐Mental State Examination, Korean version. Oral hygiene status was measured using the Simplified Oral Hygiene Index and the Tongue Coating Index (TCI). Results Older participants with complete dependence manifested significantly poorer oral hygiene (P < 0.05). Scores on the TCI were significantly higher in participants who were dentulous with partial dependence (P < 0.05). A multiple regression analysis showed that dependence and being dentulous significantly predicted poorer oral hygiene (P < 0.05). Conclusions This study suggests that older participants with complete dependence had poor oral hygiene on tooth surfaces, while participants with partial dependence had poor tongue hygiene. In addition, dentulous older participants had poorer tongue hygiene than edentulous ones. This indicates the need to assess tooth status and provide oral care services via ADL in long‐term care facilities.
ISSN:1601-5029
1601-5037
DOI:10.1111/idh.12194