두경부암 환자의 방사선치료 증례에서 맞춤형 자가 불소겔 도포 순응도와 구강건강 관련 삶의 질 간의 상관관계
The Relationship between Compliance with Self- Fluoride Gel Application and Oral Health-related Quality of Life in Patients undergoing Irradiated Irradiation Patients for Head and Neck Cancer Therapy
권영은, 배광학, 백대일, 김용각, 진보형, 김현덕,
소속 상세정보
권영은 ( Kwon Young-Eun ) - 서울대학교 치의학대학원 예방치학교실
배광학 ( Bae Kwang-Hak ) - 서울대학교 치의학대학원 예방치학교실
백대일 ( Paik Dai-Il ) - 서울대학교 치과대학 예방치학교실
김용각 ( Kim Yong-Kack ) - 한국원자력의학원 구강악안면외과
진보형 ( Jin Bo-Hyoung ) - 서울대학교 치의학대학원 사회치의학
김현덕 ( Kim Hyun-Duck ) - 서울대학교 치의학대학원 사회치의학
KMID : 0355420090330020153
Abstract
Objectives :The objectives of this study were to research the quality of life in the patients receiving radiotherapy for the head and neck cancer, and to evaluate the caries-preventive effect of fluoride gel application using a custom tray.
Methods :The subjects of this study were 28 irradiated patients, > 18 years of age, who had been treated for head and neck cancer from between 1998 to and 2007, aged 18 years or older andthe patients used the a customized fluoride carrier in order to apply fluoride gel for six > 6 months and over. Each patients were was interviewed regarding their attitude to self- fluoride application using a custom tray and evaluated their quality of life using OHIP-14 (Oral Health Impact Profile-14 (OHIP-14) was determined. Then, the patients were classified into two groups and a comparative analysis was performed.
Results :Self-consciousness about the preventive effects of fluoride application using a custom tray and the quality of life score using the OHIP-14 represented was higher in the compliance group (p<0.01). Among each subscale of OHIP-14, the compliance group hads more a greater improvement ind quality of life than compared to the non-compliance group, the functional limitations, like such as worsened a decreased sense of taste, and pronunciation difficulties, and psychological discomfort, (p<0.01) is were frequent problems (p<0.01).statistically significant. The correlation between satisfaction measurement, self-consciousness about the preventive effects of self fluoride application, and quality of life score has had a positive tendency (p<0.01), and the degree of self- consciousness for the dental treatment requireds had as negative relationship with the satisfaction measurement (p<0.01).
Conclusion :Self-fluoride gel application using a custom tray has positive effects on the quality of life in the patients receiving radiotherapy for the head and neck cancer.
키워드
두경부암;방사선치료;방사선우식증;삶의 질;OHIP-14
head and neck cancer;OHIP-14;quality of life;radiotherapy;radiation caries
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