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Content analysis of daily tooth cleaning service records by caregivers in a long-term care facility

백지현 1,  HYE JU LEE 2,  최호준 2,  최지혜 3,  김나경 3,  곽정민 3,  Han, Dong-Hun 4,  NAM-HEE Kim 5

1연세대학교 대학원
2서울대학교 치의학대학원
3연세대학교 치위생학과
4서울대학교
5연세대학교

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ABSTRACT

Objectives: The purpose of the study was to investigate the content analysis of daily tooth cleaning service records by caregivers ina long-term care facility. Methods: The data were analyzed by qualitative research based on content analysis of the daily records of the processes and resultsof daily tooth cleaning service. Twenty caregivers provided tooth, gum and denture cleaning service after breakfast, lunch, anddinner to 48 elderly residents. The study lasted about two weeks(from August 4 to August 20, 2014). The researcher reconstructedthe language by repeatedly reviewing the caregivers statements in the records. The content categories were derived from the recordsthrough a reiterative manual comparative analysis. Using constant comparison method, reconstructed meanings were incorporatedinto various meanings and reanalyzed by final categories called as analytic coding. In order to validate the reliability, 6 times ofdiscussion made the common meanings through a master’s degree student and a dental hygiene professor. Results: The caregivers identified lack of understanding and ability to recognize the functional physical and mental changes in theelderly. The elderly had difficulty in recognizing silent communication and daily tooth cleaning. The caregivers were so strenuous intaking care of the daily tooth cleaning service for the elderly. At last, they gave up the daily tooth cleaning service and took on it tothe guardians. They found that there was no social supporting network for oral health of the elderly residents. Conclusions: Caregivers had insufficient understanding of the functional physical and mental changes in the elderly residents, andthey had difficulty providing daily tooth cleaning service to the elderly due to poor skill and abilities.

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