• Journal of Korean Academy of Nursing
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• v.18 no.2
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• pp.211-219
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• 1988

운동학습이론인 감각운동 통합이론을 본 연구의 개념적 틀로하여 한방병원에 입원한 뇌졸중 환자 중 구강인두 기능이 저하된 환자를 대상으로 감각운동자극이 구강인두 기능에 미치는 효과를 조사하기 위하여 1988년 3월초부터 5월 중순까지 예비실험 연구하였다. 감각운동자극을 주기 전에 구강인두기능을 시정하고 대상자 전원에게 저하된 구강인두기능에 따라 감각운동자극을 선택하여 하루 3번 매식후 30분전에 주었으며, 이를 일주일 동안 계속하였다. 일주일 후 다시 구강인두기능을 측정하여 자극을 주기전, 후의 기능정도를 paired t-test로 비교 분석하였으며 다음과 같은 성적을 얻었다. 1. “자극을 주기 전보다 준 후에 머리와 목운동 조절점수가 높을 것이다”라는 제1가설은 지지되었다(t＝-2.71, df＝5, p＝.042). 2. “자극을 주기 전보다 준 후에 씹는 능력이 증가되었으나, 통계적으로는 유의하지 않았다(t＝-2.00, df＝5, p＝.102). 3. “자극을 주기 전보다 준 후에 입술운동의 조절점수는 높을 것이다”라는 제3가설은 지지되었다(t＝-4.77, df＝5, p＝.005). 4. “자극을 주기 전보다 준 후에 혀 운동 조절점수가 높을 것이다”라는 제4가설은 지지되었다(t＝-3.61, df＝5, p＝.015). 5. 자극을 주기 전보다 준 후에 연하능력이 증가되었으나 통계적으로는 유의하지 않았다(t＝-2.24, df＝5, p＝.076). 이상의 결과로 감각운동자극은 연하장애환자의 구강인두기능을 증진시키는데 효과적인 방법이라고 할 수 있다.

• Therapeutic Science for Rehabilitation
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• v.12 no.3
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• pp.61-77
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• 2023

Objective : This study analyzed the correlation between cognitive function and oral health-related quality of life (OHQoL). Methods : Demographic and clinical characteristics were extracted and utilized for subjects aged 45 years or older who participated in the 8th Korean Longitudinal Study on Aging in 2020. The dependent variable was the Geriatric Oral Health Assessment Index, and the independent variable was the level of cognitive function classified by the Mini-Mental State Examination scores. The analysis method used inverse probability of treatment weighting (IPTW). Then, the association between cognitive function and OHQoL was analyzed by multiple regression analysis. Results : Among the participants, 4,367 (71.40%) had normal cognition, 1,155 (18.89%) had moderate cognitive impairment, and 594 (9.71%) had severe cognitive impairment. As a result of analysis by applying IPTW, there was a negative correlation between the cognitive function group and OHQoL (normal vs. moderate: β = -2.534, p < .0001; normal vs. severe: β = -2.452, p < .0001). Conclusion : After propensity score matching, mild cognitive impairment showed a more negative association than severe cognitive impairment. Therefore, patients with cognitive impairment require oral health management education to improve OHQoL regardless of the level of cognitive impairment.

• Journal of the Korea Convergence Society
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• v.7 no.2
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• pp.69-75
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• 2016

The research had an investigation of relevance between functional oral health literacy, oral health knowledge, and oral health behaviors of college students. Survey of 410 students in K city college done from June 22 to 26, 2015 was analyzed, and the final analysis subject was 398 students. The result were 281(70.6) students with experience of oral health education, 117(29.4) students without experience of education, and there were 194(48.7) students who had difficulty several times with the material and explanation while attending the education, and 128(32.2) students who had difficulty a few times. Scores of functional oral health literacy were low for more than half of the college students. The higher the functional oral health literacy score, the higher oral health knowledge was shown, and oral health knowledge turned out to be affecting functional oral health literacy. Therefore, an effective program for delivering oral health knowledge to improve low functional oral health literacy of college students must be developed.

• Journal of dental hygiene science
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• v.11 no.3
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• pp.265-272
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• 2011

The purpose of this study is to compare oral hygiene status between young adult group and older adult group and to suggest a pathway model of oral health level in self-assessed. Subjects were totally 80 people with young adult group and the older adult group. The data, which was collected by surveying for one month from July 1, 2010 to July 30, was analyzed with SPSS VERSION 19.0 and AMOS 19.0. Oral hygiene test and questionnaire survey were carried out from targeting. 1. The young adult group and older adult group had the same quality in oral health level score and living habit. 2. The oral hygiene status in young adult and older adult group was same in 7 items(58.33%) out of 12 items. 3. Oral health level score in self-assessed of young adult group could be explained with 34% by 3 variables. Older adult group could be explained with 26% by 2 variables. 4. In young adult, the fitness of path model was very good with 0.96 in CFI, 0.94 in TLI, and 0.00 in RMSEA. In older adults, the fitness of path model was very good with 1.00 in CFI, 1.15 in TLI, and 0.00 in RMSEA. This might imply if TMJ disorder level and number of infection is neglected in young aldults, mastication function will be significantly effected in older adults. Thus, development and management of health education program is needed based on self-assessment oral health level by young adults group and older adults group.

• Journal of dental hygiene science
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• v.14 no.4
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• pp.488-494
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• 2014

The purpose of this study is to analyze the association of oral health of the elderly and oral health quality of life. The subjects of this study were 282 participants who received the fluoride application and the scaling service through program targeting elderly people carried out by a public health center located in Gyeongsangbuk-do Province. Data were collected from January 2011 to December 2011. The result of comparing subscale scores of quality of life related to oral health depending on socioeconomic characteristics showed that functional limitation scores were lower as educational level got higher. The result of comparing subscale scores of quality of life related to oral health depending on status of oral health and frequency of tooth brushing showed that quality in functional limitations, physical pain, psychological discomfort, physical disability, psychological disability, social disability and handicap scores were lower as the number of cavities got more. The result of multiple regression analysis to identify the factors affecting the quality of life related to oral health showed that the number of cavities and installation of denture were significant variables. The results of this study showed that there was significant association of oral health status and oral health related quality of life of the elderly. In order to maintain the oral health related quality of life, it is important to keep many number of residual teeth even if a person gets older and to support the installation of dentures if necessary.

• Journal of dental hygiene science
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• v.15 no.3
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• pp.325-332
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• 2015

The aim of this study was to investigate the relationship between the oral health status of elderly under visiting health care and their oral health-related quality of life. The subjects were 300 elderly under visiting health care program over 65 years old in Asan city and they were interviewed. The result showed that average Geriatric Oral Health Assessment Index (GOHAI) score was 37.36 and the lowest scored question was 'never satisfied with the oral condition'. In GOHAI related to oral health behaviors, unmet dental treatment experience was statistically significant (p<0.001). In overall GOHAI, number of remaining teeth (p<0.001) and the age had statistical significance and men had higher score in pain and discomfort (p<0.05), under age of 74 limited function factors score was high (p<0.01). The number of remaining teeth had statistical significances in most factors except pain and discomfort (p<0.001). The factors affecting GOHAI were age (p<0.05), number of remaining teeth (p<0.001) and perceived health state (p<0.001). In order to improve oral health-related quality of life of elderly receiving visiting oral health care services, it is necessary to increase denture support by securing budgets and developing oral health promotion programs at the local government level.

• The Journal of the Korea Contents Association
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• v.19 no.5
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• pp.455-463
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• 2019

This study aimed to find out the effects of oral health education between the experiment group and the control group upon motivating them using oral facial program in 56 subjects including 29 members in the experiment group and 26 in the test group. With the collected data, Wilcoxon signed rank test was performed to understand the difference before and after the program. OHBI in the experiment group showed significantly higher than the control group (p<0.05), mean values after the program with $9.57{\pm}1.44$ and $8.68{\pm}1.46$ points in the experiment group and the control group, respectively. Mean QHI score in the experiment group was $1.00{\pm}.14$ points after the program while that in the test group was $1.03{\pm}.23$, demonstrating lower in the experiment group but not statistically significant. Mean scores of program satisfaction level were $4.13{\pm}.17$ and $3.94{\pm}.22$ points in the experiment group and the control group, respectively, demonstrating statistically significant. Based on the study results, the effects of oral health education using orofacial program showed the differences between the groups in dental plaque index and oral health behavior index. It is worth to use the oral facial exercise program as a tool for improving the authoring function and oral hygiene.

• Journal of Convergence for Information Technology
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• v.11 no.2
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• pp.181-187
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• 2021

This study was conducted to identify the factors affecting the satisfaction of patients undergoing dental implant surgery and to improve the satisfaction after the procedure. According to the study results of 178 dental implants patients who visited the dental hospital, regarding changes made before and after the implant procedure, 1.07 in terms of the masticatory function, while the social function evolved 0.7 points. In addition, the psychological function showed transformation 0.97 points. Furthermore, it will be necessary to make constant management through education and counseling regarding effective oral health management methods posterior to the implant procedure.

• Journal of Korea Entertainment Industry Association
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• v.13 no.7
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• pp.449-459
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• 2019

The purpose of this study was to evaluate the status of oral health care in dementia patients living in long-term care facilities and to investigate the effects of this on swallowing function and swallowing-quality of life. The subjects were 60 demented patients who were admitted to long-term care facilities in Gwangju and Jeonnam provinces. Their Oral Health Assessment Tool(OHAT), Clinical Dysphagia Scale(CDS), and Oral Health Impact Profile 14(OHIP-14) were measured. The results of this study were as follows: First, the effect of oral health care on dentition patients using long-term care facilities on swallowing function and swallowing-quality of life was significantly different according to oral care score (p<.05)(p<.01). Second, the relationship between oral health care and swallowing function of dementia patients and swallowing-quality of life. was examined. As a result, oral health care of dementia patients was affected by swallowing function (r=.405, p<.01) the swallowing-quality of life (r=.462, p<.01) and swallowing function were significantly correlated with swallowing-quality of life (r=.351, p<.01). Therefore, the oral health care of users of long-term care facilities was closely related to swallowing function and swallowing-quality of life.

• 재활복지
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• v.22 no.1
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• pp.141-156
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• 2018

The purpose of this study was to examine changes in the swallowing function with chronic stroke patient. Ten chronic stroke patients with dysphagia followed up for 3 months. Eight normal age match subjects were also participated. A total of 18 participated in this study and they were classified into two groups (stroke patient group and normal control group). Participants underwent videofluoroscopic swallowing examination. The swallowing function was evaluated over time. Oral transit duration, pharyngeal transit duration, laryngeal response duration, Modified Barium Swallowing Impairment Profile ($MBSImP^{TM(c)}$), and Functional Oral Intake Scale (FOIS) were applied. Chronic stroke patient group were showed significantly longer oral transit duration, pharyngeal transit duration and laryngeal response duration than normal control group at baseline. After 3 months in stroke patient group, the mean oral components score of MBSImP (1~5) significantly decreased and the mean score on FOIS increased compared to baseline. In conclusion, oral swallowing function and oral intake function improved by the 3 month evaluation. These results describe changes in swallowing function with chronic stroke patients over time and provide basic informations to understand dysphagia.