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최근 소개된 손목형 심박수 측정 장치의 유용성에 관한 연구

Study on the Validity of Recently Introduced Wrist Watch Type Heart Rate Monitoring Device

  • 유승훈 (단국대학교 치과대학 소아치과학 교실)
  • Yoo, Seunghoon (Department of Pediatric Dentistry, School of Dentistry, Dankook University)
  • 투고 : 2014.01.28
  • 심사 : 2014.02.06
  • 발행 : 2014.02.28

초록

소아 환자가 치과 진료실에서 느끼는 불안감과 공포에 의해 발생하는 스트레스를 측정하기 위한 다양한 방법이 있다. 치료받은 환아나 보호자를 통한 설문을 이용하는 방법과 생체 반응을 측정하는 방법이 가장 많이 사용되고 있다. 스트레스와 관련한 심박수를 측정하는 방법으로 가장 많이 사용하는 것은 포화도 측정기가 있으나 움직이는 소아에게는 적절하지 못한 문제가 있다. 이러한 단점을 극복하기 위해 최근 개발되어 소개된 손목형 심박수 측정 장치(Alpha, MIO, USA)를 포화도 측정기(MP110, MECKIS, Republic of Korea)와 비교하였으며 이를 위해 10명의 성인을 대상으로 안정시와 운동 직후의 심박수를 두 기기를 동시에 장착하여 측정된 데이터를 Wilcoxon Singed Rank test를 시행하였다(p < 0.05). 두 기기에서 측정된 데이터 간의 유의한 차이가 없었다(p < 0.05).

There are several ways to analyse stress resulting from anxiety and fear within dental treatment for children. Surveying questionnaires and monitoring biologic reaction are the most common ways for evaluating stress. Pulse oximeter is a popular device for detecting heart rate but not appropriate for moving children. In this study, we compared a recently introduced wrist- watch type heart rate monitor(Alpha, MIO, USA) with a pulse oximeter(MP110, MECKIS, Republic of Korea) for 10 attendants with two conditions including resting state and excited state after exercise. Data were analyzed using Wilcoxon Signed Rank test and there is no statistical difference between two devices(p < 0.05).

키워드

참고문헌

  1. Klingberg G, Broberg AG : Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int, J Paediatr Dent, 17:391-406, 2007. https://doi.org/10.1111/j.1365-263X.2007.00872.x
  2. Winer GA : A review and analysis of children's fearful behavior in dental settings. Child Dev, 53:1111- 1133, 1982. https://doi.org/10.2307/1129002
  3. De Los Reyes A, Kazdin AE : Measuring informant discrepancies in clinical child research. Psychol Assess, 16:330-334, 2004. https://doi.org/10.1037/1040-3590.16.3.330
  4. Cuthbert MI, Melamed BG : A screening device: children at risk for dental fears and management problems. ASDC J Dent Child, 48: 432-436, 1982.
  5. West GA, Reid KH, Bastawi AE : Autonomic Responses to Dental Procedures in Pedodontic Patients During a Standard Restoration Session. J Dent Res, 62:728-732, 1983. https://doi.org/10.1177/00220345830620060801
  6. Beck FM, Weaver JM 2nd : Blood pressure and heart rate responses to anticipated high-stress dental treatment. J Dent Res, 60:26-29, 1981. https://doi.org/10.1177/00220345810600010501
  7. Liau FL, Kok SH, Chang HH, et al. : Cardiovascular influence of dental anxiety during local anesthesia for tooth extraction. Oral Surg Oral Med Pathol Oral Radiol Endod, 105:16-26, 2008. https://doi.org/10.1016/j.tripleo.2007.03.015
  8. Michels N, Sioen I, De Henauw S, et al : Children's heart rate variability as stress indicator: associationwith reported stress and cortisol. Biol Psychol, 94: 433-440, 2013. https://doi.org/10.1016/j.biopsycho.2013.08.005
  9. Costin A, Costin N, Marchlinski F. et al. : Effect of exercise on heart-rate response to mental stress in teenagers. Eur J Prev Cardiol, 20:593-596, 2013. https://doi.org/10.1177/2047487312444369
  10. Houser MM, Rosen L, Craig WA, et al. : Exercise heart rate monitors for anxiety treatment in a rural primary care setting: a pilot study. Fam Med, 45: 615-621, 2013.
  11. Kim HN, Baik BJ, Kim JG, et al. : Pulse Rate and Oxygen Saturation in Children druing Routine Restorative Dentistry. J Korean Acad Pediatr Dent, 35(1):65-72, 2008.
  12. Chu JA, Frey LM, Matthews JA, et al. : Memories of childhood abuse: dissociation, amnesia, and corroboration. Am J Psychiatry, 156:749-755, 1999.
  13. Jeffrey A, Avery DR, McDonald RE : McDonald's and Avery's dentistry for the child and adolescent, 9th ed. Mosby, St. Louis, 225, 2011.
  14. Yoo SH, Kim EH, Kim JS, et al. : Comparative Study of Several Type Pulse Oximeter and Oxygen Saturation Extracted from Them, J Korean Acad Pediatr Dent, 27(4):494-498, 2000.
  15. Jang IH, Sim KB : Ring-type Heart Rate Sensor and Monitoring system for Sensor Network Application, Journal of Korean institute of intelligent systems, 17:619-625, 2007. https://doi.org/10.5391/JKIIS.2007.17.5.619
  16. Anderson JA : Respiratory monitoring during pediatric sedation: pulse oximetry and capnography. Pediatr-Dent, 10:94-101, 1988.