대전 동구 보육원생의 구강건강 및 구강건강관련 삶의 질

Oral Health and Quality of Life of the Orphans in Dong-gu, Daejeon

  • 궁화수 (건양대학교 의과학대학 치위생학과) ;
  • 송은주 (대전광역시 동구보건소) ;
  • 황수정 (건양대학교 의과학대학 치위생학과)
  • Koong, Hwa-Soo (Department of Dental Hygiene, College of Medical Science, Konyang University) ;
  • Song, Eun-Joo (Daejeon Dong-gu Public Health Center) ;
  • Hwang, Soo-Jeong (Department of Dental Hygiene, College of Medical Science, Konyang University)
  • 발행 : 2013.09.30

초록

본 연구는 대전 동구 보육원생 대상 계속구강건강관리사업의 효과를 평가하고자 대전 동구 보육원생 109명을 대상으로 하여 2012년 7~8월에 구강검사와 COHIP를 비롯한 설문조사를 실시하였다. 2010년 국민구강건강실태조사 대전시 표본과 대전 동구에 거주하고 보건소 계속구강건강 관리사업을 받지 않은 아동의 자료를 검정값으로 이용하여 일표본 검정을 하였으며, 연구 결과는 다음과 같다. 1. 계속구강건강관리사업을 받은 보육원 9~12세 아동과 13~18세 청소년은 우식경험영구치수에 있어서 대전시 12세, 15세 표본과 각각 비교하여 차이가 없으나, 13~18세 청소년은 대전시 15세 표본과 비교하여 우식치아수와 우식치면수가 유의하게 많았다(p<0.001). 2. 계속구강건강관리사업을 받은 보육원 9~12세 아동은 보건소 계속구강건강관리사업을 받지 않은 아동과 비교하여 치면세균막지수는 유의하게 적어서(p<0.001), 잇솔질 방법을 올바르게 수행하고 있는 것으로 판단되었다. 3. 계속구강건강관리사업을 받은 보육원 13~18세 청소년은 대전시 15세 표본과 비교하여 유의하게 적은 잇솔질 횟수, 많은 치은출혈삼분악수를 보여(p<0.001), 연령이 증가하면서 자가구강건강관리가 부족한 것으로 판단되었다. 4. 계속구강건강관리사업을 받은 보육원 9~12세 아동은 보건소 계속구강건강관리사업을 받지 않은 아동과 비교하여 아동 구강건강관련 삶의 질(COHIP) 총점과 자기이미지와 학교환경의 항목에서 부정적이었다(p<0.05). 따라서, 보육원생의 구강건강증진을 위해서는 현재 발생되어 있는 우식치면수의 감소가 필요하므로 구강병예방사업과 더불어 구강병치료사업이 추가되어야 한다. 연령이 증가할수록 구강건강이 악화되는 양상을 나타내므로 청소년은 아동과 분리하여 청소년에 맞는 구강보건교육, 보육원내의 구강보건행동에 대한 지속적인 모니터링과 심리적 지지가 필요하다.

The aim of this study was to examine the effectiveness of oral health promotion program in a group of 9~18-year-old children and adolescents living in four orphanages in Dong-gu, Daejeon. The program was based on oral disease prevention program including oral health education, fluoride application and scaling every six months. Oral health status of total 109 orphans was examined by one dentists who were trained in 2010 Korean National Oral Health Survey. Dental caries index, community periodontal index and modified patient hygiene performance index (M-PHP) were checked using dental unit chair. Child oral health impact profile (COHIP) and subjective oral health recognition survey were carried out. Compared with data of 2010 national sample, the mean of decayed, missing and filled teeth showed no difference between the subjects and test values, but the means of decayed teeth, decayed surface, toothbrushing frequency of the subjects showed to become worse with advancing years in spite of oral health promotion program. COHIP, subjective oral health status showed lower than test values, too. In M-PHP and Calculus index, the subjects showed better by periodic oral health education and scaling. We suggest that oral health promotion program for orphans include oral disease treatment program as well as preventive program to improve oral health of orphans efficiently. And, oral health promotion program has to be connected with psychological support for improving quality of life of orphans.

키워드

참고문헌

  1. Kim HY: Children in orphanage and social responsibility. Korean J Child Stud Spring Symposium 153-170, 1999.
  2. Child Welfare Law. Retrieved May 3, 2013, from http://www.law.go.kr/lsInfoP.do?lsiSeq=137039&efYd=20130323#0000(2013).
  3. Kang KM: Actual conditions of child welfare centers according to changes in family structure and roles of christian counselling. Bible & Theology 46: 209-234. 2008.
  4. Lee SH. Discussion: Children in orphanage and social responsibility. Korean J Child Stud Spring Symposium 172-180, 1999.
  5. Kim KH: Case study of emotional stability in adolesecents in orphanage. Unpublished master's thesis, Ewah Womans University, Seoul, 2000.
  6. Khare V, Koshy A, Rani P, Srilatha S, Kapse SC, Agrawal A: Prevalence of dental caries and treatment needs among the orphan children and adolescents of Udaipur distract, Rajasthan, India. J Contemp Dent Pract 13: 182-187, 2012.
  7. Ojahanon PI, Akionbare O, Umoh AO: The oral hygiene status of institution dwelling orphans on Benin City, Nigeria. Nigeria. J Clin Pract 16: 41-44, 2013.
  8. Al-Jobair AM, Al-Sadhan SA, Al-Faifi AA, Andijani RI: Medical and dental health status of orphan children in central Saudi Arabia. Saudi Med J 34: 531-536, 2013.
  9. 2012 Child Welfare Institution. Retrieved April 20, 2013, from http://www.mw.go.kr/front_new/jb/sjb0601vw.jsp?PAR_MENU_ID=03&MENU_ID=03160501&page=1&CONT_SEQ=276148(2012).
  10. Ministry of Health & Welfare: Korean National Oral Health Survey 2010. Ministry of Health & Welfare, Seoul, pp.3-413, 2010.
  11. Broder HL, Wilson-Genderson M: Reliability and convergent and discriminant validity of the child oral health impact profile. Community Dent Oral Epidemiol 35(Suppl 1): 20-31, 2007. https://doi.org/10.1111/j.1600-0528.2007.0002.x
  12. Broader HL, Mcgrath C, Cisneros GJ: Questionnaire development:face validity and item impact testing of the child oral health impact profile. Community Dent Oral Epidemiol 35(Suppl 1): 8-19, 2007. https://doi.org/10.1111/j.1600-0528.2007.00401.x
  13. Ahn YS, Kim HY, Hong SM, Patton LL, Kim JH, Noh HJ: Validation of a Korean version of the Child Oral Health Impact Profile (COHIP) among 8- to 15-year-old school children. Int J Paediatr Dent 22: 292-301, 2012. https://doi.org/10.1111/j.1365-263X.2011.01197.x
  14. Cho MJ, Koong HS, Hwang SJ, Song EJ, Choi YK: Effect on oral health and child oral health-related quality of life through school-based toothbrushing program in school after 42 months. J Dent Hyg Sci 12: 139-144, 2012.
  15. Estrella MR, Boynton JR: General dentistry's role in the care for children with special needs: a review. Gen Dent 58: 222-229, 2010.
  16. Kumar S, Goyal A, Tadakamadla J, Tibdewal H, Duraiswamy P, Kulkarni S: Oral health related quality of life among children with parents and those with no parents. Community Dent Health 28: 227-231, 2011.
  17. Freitas-Fernandes LB, Navaes AB Jr, Feitosa AC, Novaes AB: Effectiveness of an oral hygiene program for Brazilian orphans. Braz Dent J 13: 44-48, 2002.
  18. Muralidharan D, Fareed N, Shanthi M. Comprehensive dental health care program at an orphanage in Nellore district of Andhra Pradesh. Indian J Dent Res 23: 171-175, 2012. https://doi.org/10.4103/0970-9290.100421
  19. Kang EY: A study on the effect of perceived childcare attitudes of care worker's on adaptation to school life of children in the institutions. Unpublished master's thesis, Dong-A University, Busan, 2002.
  20. Kim JY: Oral Health care states of oraphans and its relation with DMFT-rate. Unpublished master's thesis, Yeungnam University, Daegu, 2005.
  21. Park JH: Oral-related life quality of children living in center for child welfare by using the oral health impact profile. Unpublished master's thesis, Chungnam National University, Daejeon, 2012.