• Journal of agricultural medicine and community health
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• v.34 no.1
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• pp.34-46
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• 2009

Objectives: This study was conducted to estimate health service weight for resource allocation and performance monitoring using Basic Priority Rating System. Methods: The Health service would be classified according to New Health Plan 2010, and Burden of disease collected from preceding studies. The data of severity of health problem and effectiveness of intervention were collected through the survey of experts' suggestion. The health service weight was estimated in the formula which is Basic Priority Rating System. Results: In the result of analysis, the health service weight of Infectious disease was ranked highest at 58.97% followed by Anti-smoking campaign(14.07%), Hypertension(3.87%), Diabetes mellitus(3.40%), Cancer(2.90%), Cardiovascular-Cerebrovascular diseases(2.86%), Physical activity(2.10%), Moderate drinking(2.07%), Medical examination(1.92%), Mental health promotion(1.72%), Serious mental illnesses(1.62%), Nutrition(1.52%), Oral health promotion(1.15%), Oral diseases(1.10%), Addiction(0.73%). Conclusions: We think the result of this study provides a rational basis for resource allocation and performance monitoring of health service.

• Journal of dental hygiene science
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• v.18 no.6
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• pp.357-366
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• 2018

The purpose of this study was to evaluate the validity of dental hygienist job according to judgment standard of medical practice in medical law. In this study, we conducted a self-administered questionnaire survey to evaluate the validity of dental hygienist job for 12 professors of dental college in Gangneung-Wonju National University from November 10 to 20, 2017. We investigated whether the dental hygienist job conforms to the three criteria of medical practice such as disease prevention and treatment, patient care, and health hazard. The response rates were scored and classified into four categories according to the final score. As a result of this study, dental hygienist job are classified into four categories according to judgment standard of medical practice. The higher the level of the category, the higher the degree of difficulty, and the higher the level of expertise and skills required. More than 50% of respondents answered that measuring the gingival pocket, bleeding on probing, professional tooth cleaning, oral health education, counseling after dental treatment are all three criteria for medical treatment. And these were classified into Level 4 group which requires the difficulty and expertise in the final score 4.3. It is necessary to develop and utilize standardized guidelines on the level of knowledge, education, and qualification standards required for dental practice in order to effectively allocate work among the dental personnel while ensuring the health rights of patients in the dental clinic field in Korea. In addition, there is a need to evaluate the various aspects of cost effectiveness, dental health service productivity, and health promotion contribution to dental hygienist jobs, And based on this evidence, it is necessary to continue to expand and adjust the dental hygienist job and to reorganize the dental workforce system.

• Journal of dental hygiene science
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• v.14 no.4
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• pp.580-588
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• 2014

Fluoride use is the best and widespread method for dental caries prevention. The aim of this study was to investigate experience and recognition of fluoride for caries prevention focusing on majors in one university. Four hundred twenty-four university students were selected by convenience sampling with informed consent and answered the questionnaire by self recording type. The subjects except dental hygiene students knew about purpose of fluoride use (84.6%), over the count fluoride rinse (63.2%), fluoride toothpaste (61.5%), professional fluoride application (56.4%) and water fluoridation (43.6%). They experienced over the count fluoride rinse (67.5%), school fluoride rinse (45.3%), professional fluoride application (30.8%), fluoride toothpaste (28.2%) and water fluoridation (12.0%). The main information paths about fluoride were university lectures among dental hygiene students and internet and mass media, followed by nurse-teachers among non dental hygiene students. The ratios of intention to use fluoride were: 67.8% in dental hygiene, 34.9% in health, 51.4% in non-health in case of professional fluoride application for oneself, 93.1% in dental hygiene, 48.0% in health, 50.4% in non-health in case of professional fluoride application for their children, 79.0% in dental hygiene, 51.3% in health, 55.8% in non-health in case of water fluoridation. The subjects to experience and recognize fluoride for caries prevention had more positive intention to use fluoride. The answers of students majoring in health or medical care were not different from non-health, except dental hygiene. Dental professionals should try to let the public know about fluoride use for caries prevention through mass media and internet as well as individual education in dental clinics.

• Journal of dental hygiene science
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• v.11 no.6
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• pp.497-503
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• 2011

The purpose of this study was to examine the effect of a program geared toward improving elderly people's oral function. After a program was provided to the selected elderly people free of charge for three months, they were asked to rate their own oral function to see whether they underwent any changes after their participation in the program, and their oral function was tested to obtain objective data. The collected data were analyzed by the statistical package SPSS WIN 18.0. The findings of the study were as follows: As for changes in their self-rated indicators of oral function, they faced less troubles in most of the oral function items after they participated in the program, and there were statistically significant differences in some of the items. As a result of making an objective evaluation of their oral function, they underwent a little change in salivary flow rate from 1.19 to 1.30, though the change was not statistically significant. In terms of opening, they showed a statistically significant rise of scores from 4.22 to 4.53, and they also showed a statistically significant rise of scores in pronunciation from 30.52 to 38.88. Regarding satisfaction with the program, they gave 4.48 to the program, which implied that they were greatly satisfied with the program. The abovementioned findings suggest that oral health experts and program providers should try to encourage elderly people to keep on taking oral health programs with interest. Currently, oral exercise programs are conducted in some public health centers and in the field of clinical dentistry, and it's required to offer more oral exercise programs as community exercise programs for the elderly.

• Korean Journal of Health Education and Promotion
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• v.12 no.1
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• pp.128-150
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• 1995

본 연구의 목적은 중학생의 보건교육에 대한 요구도를 살피기 위해 먼저 현재 자신이 알고 있는 보건지식에 대한 만족도와 보건교육에 대한 필요도 및 이에 영향을 미치는 요인에 대해 알아보고, 이와 관련하여 보건지식에 대한 만족도와 보건교육에 대한 필요도가 보건교육 요구도에 미치는 영향을 분석해 보는 데 있다. 연구를 위한 조사대상으로 경기도 소재 M, S 중학교의 1,2학년 전체 학생 688명을 선정하였고, 1994년 12월 1일부터 15일까지 자기기입식 설문지를 통해 보건교육에 대한 요구도를 조사하였다. 본 연구의 결과는 다음과 같다. 1. 조사대상자의 분포는 남학생이 59.3%, 여학생이 40.7%였고, 자신의 건강상태에 대해 건강하다고 응답한 학생이 78.9%, 건강하지 않다고 응답한 학생이 21.1%였다. 또한 현재 알고 있는 보건지식에 대해 만족한다고 응답한 학생은 68.2%였고, 31.8%의 학생이 만족하지 않는다고 응답하였다. 보건교육에 대한 필요도에 대해서는 92.7%의 학생이 필요하다고 응답하였다. 2. 보건교육에 대한 요구도에서는 첫째, 보건교과설정에 대해 45.6%가 찬성하였고, 둘째, 보건교육 실시시기에 대해서는 82.8%가 유치원 및 국민학교에서부터 시작되어야 한다고 하였다. 셋째, 보건교육의 적정시간에 대해 82.4%가 1주일 또는 1달에 1-2시간이라고 하였으며, 넷째, 보건교육 담당교사에 대해서는 63.2%가 보건교육 전문가가 담당하여야 한다고 응답하였다. 다섯째, 보건교육 내용에 대한 선호도 순위는 구급처치, 안전교육, 영양, 환경, 음주와 흡연 및 약물남용, 구강보건, 개인위생, 식품위생, 전염병관리, 성교육, 건강과 운동, 정신건강, 비전염성질환 관리, 공중보건, 의료기관의 기능 순이었다. 3. 현재 알고 있는 보건지식에 대한 만족도에 영향을 미치는 변수로는 성(p<0.01). 형제순위(p<0.05), 아버지의 학력(p<0.01), 어머니의 학력(p<0.01), 학업성적(p<0.05)이었으며, 보건교육 필요도에 영향을 미치는 변수는 성(p<0.05), 어머니의 학력(p<0.05), 학업성적(p<0.01)이었다. 4. 현재 알고 있는 보건지식에 대한 만족도에 따라 보건교육에 대한 요구도에 차이가 나타났다. 보건지식에 대해 만족하고 있지 못한 비만족군의 경우 보건교과의 설정에 대해 만족군보다 더 적극적으로 찬성하였고(p<0.05), 보건교육의 실시 시기에 대해서는 유치원 시기부터가 적정하다고 응답하였다(p>0.01). 보건교육의 내용선정에 있어서도 만족군과 비만족군간의 차이가 나타났는데, 만족군의 경우는 안전교육, 건강과 운동, 공중보건, 비만족군의 경우는 성교육을 요구하였다(p<0.05). 5. 보건교육에 대한 필요도에 따라 보건교육에 대한 요구도에 차이가 나타났다. 보건교육이 필요하다고 응답한 필요군의 경우 보건교과의 설정에 대해 적극적으로 찬성하였다(p<0.01). 또한 필요군은 보건교육의 실시 시기에 대해 유치원 시기부터가 적정하다고 응답한 반면, 보건교육이 필요하지 않다고 한 비필요군의 경우는 중학교 이후부터 적정하다고 응답하였다(p<0,01). 보건교육의 내용선정에 있어서도 음주와 흡연 및 약물남용, 식품위생, 건강과 운동, 비전염성질환 예방을 제외한 내용에서 필요군과 비필요군간의 차이가 나타났다(p<0.05).

• Journal of dental hygiene science
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• v.17 no.2
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• pp.87-98
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• 2017

The purpose of this study was to understand the effectiveness of oral health education (OHE) or oral hygiene instruction (OHI) involving professional plaque control/removal, as compared to conventional plaque control/removal. By means of a systematic review of the literature, in the review of literature by using systematic method, Korean articles of plaque control including OHE or OHI, were studied in order to analyze and conclude the literature to enhance oral health. We found that self and professional plaque control/removal, in addition to tooth brushing instructions, decreased incidence and prevalence of loss of teeth. Taken together, professional mechanical plaque removals were most effective 4~5 visits every 1~2 weeks. Use of disclosing agent was more effective than oral education or model education. In line with oral hygiene education, professional brushing, oral prophylaxis, scaling and root planing, it was advisable to repeat the training according to the characteristics of the patient. Routine OHE or OHI would be help to increase to oral health. For a quality of life related oral health, reliability and validity of data are needed to develop and its data should be applied to dental health insurance policy.

• Journal of Korean society of Dental Hygiene
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• v.14 no.2
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• pp.181-187
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• 2014

Objectives : The purpose of this study is to investigate the effect of oral health education conducted by a dental hygienist in order to provide some information on intensive oral health education to elementary school students. Methods : Subjects were the students of J and M elementary schools in Seoul from October 28 to November 16, 2011. Oral health education was provided by a dental hygienist, and then they took the PHP test again to verify the effect of the oral health education. Results : Concerning changes in PHP scores after the oral health education, the scores of the students dropped from 2.34 in the pretest to 1.85 in the posttest(p<.001). As to changes in PHP scores by grade after the oral health education, the third graders and sixth graders got 2.40 and 1.36, respectively. Regarding satisfaction level with the oral health education, they got 4.07 out of five points. Among the items of satisfaction with the oral health education by grade, there were significant gaps in a change of toothbrushing method(p<.001) and a change of dietary control(p<.001) by grade. Conclusions : The finding of the study showed that both the third and sixth graders had less score in the PHP test and credibility to the effectiveness of the oral health education by the dental hygienist.

• Journal of dental hygiene science
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• v.10 no.5
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• pp.387-394
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• 2010

Objectives: According to variety rapid change of working environment of dental clinics, dental hygienist faced of many job stress in their working place. The aim of this study was to analyze the stress factors. Methods: 206 participants of dental hygienist that working from each a section in Gwang-ju analysed the Job stress questionnaire as used self written. Results: The stress related of job factors was the highest score from 20-25 years old(p<0.05), score from dental clinic under ten persons, score from single women(p<0.05), score from 1 to 3 years old on job career, score from cases without home economic to support. The stress related of the patients was the highest score from 20-25 years old(p<0.05), score from dental clinic under ten persons, score from single women, score from 1 to 3 years old on job career(p<0.05), score from cases live with parents. Conclusions: These results suggest that, on dental hygienists working in the dental clinic and hospital, the stress of job activities have significant effects on dental hygienists. Therefore, it is recommended that the stress is being systematically reduced methods.

• Journal of Korean Dental Hygiene Science
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• v.6 no.1
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• pp.51-63
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• 2023

Background: This study involved a geriatric oral care expert who developed the competencies of students in the Department of Dental Hygiene and conducted preliminary research to develop an effective curriculum. Methods: A questionnaire was conducted in the last week of class targeting students who took courses in geriatric dentistry, geriatric dental hygiene, and practice. In order to confirm the educational effect according to the differences in the geriatric dental hygiene curriculum, the differences in students' achievement of major competencies, awareness of the geriatric dental hygiene process, class satisfaction, and ageism were analyzed. Results: Regarding major competency attainment, 'communication competency' was significantly higher in PBL education that combined theory and practice than that theory-oriented PBL education (p=0.038). For ageism, the tendency to avoid older adults was low in PBL education, which combined theory and practice, and was statistically significant (p=0.040). For class satisfaction, the rate of responding 'very high' for the 'class atmosphere' was significantly high (p=0.025) for PBL education that combined theory and practice. Conclusion: The PBL teaching method can be useful as a geriatric dental hygiene curriculum. However, it would be more effective to create a curriculum so that education in geriatric dental hygiene care practice can be combined with theory rather than a theoretical education alone.

• Journal of Korean Academy of Nursing
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• v.18 no.1
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• pp.44-69
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• 1988

보건의료기술이 고도로 발달되었다 하더라도 의료의 혜택이 필요할 때 누구에게나 언제든지 제공될 수 없는한 전체 국민의 건강요구를 포괄적으로 충족시킬 수 있는 제도나 방법이 필요하게 된다. 본 연구는 사회 집단의 최소 단위인 가정을 중심으로 수행되고 있는 지역사회 가정간호의 합리적 수행에 필요한 기초자료를 얻기 위하여 가정간호 요구의 사정 및 가정간호 수행에 관하여 연구하였다. 가정 간호(Home Nursing Care, Home Health Care)는 추후관리를 받아야 할 대상자, 고령자, 만성질환자에게 규격화되어 있는 병원간호를 가정이라는 친숙한 분위기에서 개별적으로 제공되는 가정 중심의 심리적 안정은 물론 시간과 경비를 절감하는 효과적 간호수단이다. 본 연구의 목적은 첫째 우리나라 농촌가정의 가정간호의 요구는 무엇이며 그 요구의 원인은 무엇인가\ulcorner 둘째, 농촌가정에서 가지고 있는 상병에는 어떠한 것이 있으며 행하여 지고 있는 가정간호의 내용에는 어떤 것들이 있는가\ulcorner 셋째, 가정간호 수행자는 누구이며 이에 대한 수혜자의 만족도는 어느 정도인가\ulcorner 본 연구의 방법은 1985년 6월 18일 부터 8월 7일 까지 C군에 거주하는 주민중 11개소 보건진료소가 소재한 반의 주민 전체 1,027명 중 상병자 159명과 30세 이상의 인구 440명, 가구주 239명을 대상으로 가정방문을 통한 면접으로 질문지를 기록케 하여 자료를 수집하였다. 연구의 도구는 첫째 간호요구의 측정을 위한 도구로 Virginia Henderson의 기본간호활동 14가지를 기초로 지역주민 50명과 현직 간호원 50명에게 개방질문으로 얻은 내용을 중심으로 제작하였으며 둘째, 가정간호수행에 대한 도구로 Orem의 간호이론 중 간호방법 5가지를 근거로 개발하였다. 본 연구의 내용은 보건진료원에 의하여 사정된 간호요구와 그 원인들을 인간의 기본요구 영역별로 분류하여 가정간호진단을 위한 지역사회 가정간호사정 및 진단도구로 쓸 수 있도록 개발하였으며, 상병자에 대한 가정간호 수행은 수행빈도와 수행내용에 따른 수행자와 수행 만족도를 측정하였다. 1. 가정간호요구에 대하여 1) 가정간호요구 측정은 신체영역 중 몸을 청결히 하고 몸차림을 단정히 하여 피부를 보호하기 내용에서 더위나 추위에 대하여 옷을 맞추어 조절하기의 요구, 적절한 식사와 수분섭취하기 내용에서 배변의 요구, 또한 몸을 움직이고 바람직한 체위를 유지하기 내용에서 한가지 자세를 계속하기의 요구가 높았고 정상호흡하기 내용에는 일상활동시 호흡에 대한 요구가 높은 편이었다. 사회, 심리, 영적 간호요구 영역에서는 자신이 신앙에 따라 예배하기 내용에서 신앙으로 어려움을 극복하려는 요구가 높았으며 여러가지 오락의 형태를 취하여 이에 참여하기 내용에서는 취미생활의 요구가 높았다. 2) 가정간호요구는 연령이 높을수록 높았고 성별로는 여자의 가정간호요구가 남자보다 높았으나 내용별 요구의 차이는 없었다. 2. 가정간호수행에 대하여 1) 가정에서 수행되는 가정간호내용으로는 직접간호가 가장 많이 수행되었으며 내용으로는 구강청결, 옷 갈아 입기, 투약, 음식투여, 대ㆍ소변보기의 빈도가 많았다. 건강한 환경제공의 간호수행내용에서는 적당한 실내온도 유지하기의 빈도가 많았으며 안내와 지도내용에서는 투약요령 알기의 빈도가 많았으며, 보호와 지지내용과 교육의 간호수행내용에서는 현 상태 인정하기와 투약 방법에 대한 교육하기의 간호수행빈도가 가장 많았다. 2) 간호수행자에 있어서 직접간호 수행은 본인 스스로 하는 빈도가 가장 많았으며 안내와 지도 및 교육의 간호수행은 전문가가 많았고 보호와 지지간호는 가족이 많았고 건강한 환경제공간호는 배우자에서 더 많았다. 3) 간호수행자에 대한 만족도는 직접간호 방법에서는 가족이, 안내와 지도는 배우자가, 보호지지, 건강한 환경제공 및 교육에서는 전문가에 의한 간호수행 만족도가 높았다. 4) 상병상태에 따른 주 증상은 관절통 요통이 가장 많았고 상병자는 남자가 많았고 주 중상에 대한 성별간의 큰 차이는 없었다. 이상 가정간호요구와 정도 및 가정간호 수행의 내용을 기반으로 가정간호사업의 시행이 시급하다는 결론을 내릴 수 있었으며 가정간호사업의 시행을 위한 제도적 보완개선책이 요구된다고 결론을 지을 수 있다.