• 한국치위생학회지
• /
• 제16권3호
• /
• pp.373-381
• /
• 2016

Objectives: The purpose of the study is to investigate the awareness toward use and service contents of long term care for the elderly. Methods: A self-reported questionnaire was completed by 296 adults from August 13 to October 20, 2014. The questionnaire consisted of general characteristics of the subjects, awareness toward long term care insurance for the elderly, awareness toward long term oral health care services, use of long term care service and use intention for the long term care insurance. Data were analyzed by SPSS 18.0 program. Results: Those who were aware of the long term care insurance accounted for 55.4 percent. Approximately 50 percent of the respondents recognized long term care service items, home visit care, home visit bathing, and home visit nursing. Most of the respondents had information of long term care services by way of mass media and direct contact. Only 13.4 percent of the respondents were aware of the oral health service in the long term care insurance. The subjects were aware of denture cleaning, oral cleaning and oral health education out of oral health service in order; and oral health services that needed to be offered were denture cleaning, oral health education and professional toothbrushing. They reported that dental hygienists were the most important manpower that offered the efficient oral health care services. They answered that professional manpower and financial support are required for oral health services. The positive thinking to long term care insurance accounted for 89.2 percent and 91.3 percent had use intention for oral health services. Conclusions: Many elderly people have mastication or dysphagic problems due to systemic diseases. Therefore, it is necessary to announce the long term care insurance and long term care services for the elderly people.

• 대한인간공학회:학술대회논문집
• /
• 대한인간공학회 1997년도 춘계학술대회논문집
• /
• pp.203-211
• /
• 1997

본 연구는 기온$15^{\circ}C{\pm}1^{\circ}C$ $26^{\circ}C{\pm}1^{\circ}C$,습도$55%{\pm}5%$ 환경조건에서 손가락 끝마디 부분을 얼음물에 침지시킨후 구강온과 4부위 피부온, 손가락끝 피부온, 전신온냉감, 전신쾌적감, 손가락 끝 동통감의 변화를 젊은 남자 피험자와 노인남자 피험자를 대상으로 비교측정하고자 하였다. 본 학회에서는 젊은 남자피험자 그룹에 대하여 보고하고자 한다. 결과는 다 음과 같다. $15^{\circ}C{\pm}1^{\circ}C$에서 4부위 피부온을 보면 가슴과 상완은 손가락끝 침지시 약간 하강하고 다시 상승하지만 대퇴와 하퇴에서는 하강하고 그 상태가 유지된다. 특히 하퇴의 경우는 급격히 하강하는 경향을 보이고 있다. 손가락끝 피부온은 손가락 침지와 동시에 급격한 하강을 나타내나 손가락을 꺼낸후에 손가락 침지전의 온도로 회복되지는 않았다. 평균피부온을 보면 손가락 침지시 하강하는 경향을 보이고 있다. 전신 쾌적감은 약간 불쾌하게 나타났고, 전신온냉감은 서늘하다고나타났고 손가락끝의 동통 감은 매우 아프다고 나타났다. $26^{\circ}C{\pm}1^{\circ}C$에서 4부위 피부온을 보면 가슴 상완대퇴 하퇴 모두 손가락끝 침지시 약간 하강하고 낮은 상태로 유지되는 경향을 보이고 있다. 손가락끝 피부온은 손가락 침지시 급격한 하강을 나타내었고 손가락을 꺼낸후에도 침지의 온도로 회복이 되었다. 평균피부온은 손가락 침지후에 약간 하강하였지만 큰 차이는 없었다. 전신쾌적감은 약간 쾌적하게 나타났고 전신온냉감은 약간 따뜻하다라고 나타났으며 손가락끝의 동통감은 약간 아프다고쪽으로 나타났다.때문에 이를 디자인에 곧바로 적용시키기 어려운 점이 있다. 이에 본 연구는 기존의 바용성 평가를 위한 분석도구들이 갖는 문제 점들 해결하여 제품의 사용자 인터페이스 디자인 개발과정에서 활용할 수 있는 평가 분석도구를 개발하는 것을 목표로 한다. 이를 위해 첫째, 다양한 유형의 정보를 포함하는 비디오 정보를 선정하였따. 둘째, 데이터를 다양한 측면에서 추출할 수 있는 Data logger를 개발하였다. 셋째, 데이터를 시각적으로 정리하고 분석할 수 있는 도구를 제안한다. 마지막으로 인터페이스 디자인에서 여러 가지 디자인안을 도출해 내는 작업에 이용할 수 있는 종합화과정을 개발한다. 이러한 일련의 과정이 통합된 컴퓨터 시스템 안에서 이루어지도록 프로그램을 개발하여 정보의 유용성을 높일 수 있도록 한다.at the entropy index as a measurement of inter-business relatedness is not significant but technological relatedness index is significant. OLS estimates on pooled data were considerably different from FEM or REM estimates on panel data. By introducing interaction effect among the three variables for business portfolio properties, we obtained three findings. First, only VI (Vertical integration) has a significant positive correlation with ROS. Second, when using TFP growth as an depende

• 한국치위생학회지
• /
• 제7권1호
• /
• pp.15-30
• /
• 2007

The main objective of this study is to investigate the improvement of the quality of dental health based on the dental service satisfaction factors of the old dental prosthesis patients of more than 60 years of age who use the dental institutes including dental hospital, clinic, and public health center and to identify the interest in the dental prosthesis as changing paint. Across the country through a questionnaire survey of a question and answer type conducted by the trained dental hygienists or dentist's. Major results of the empirical analysis are as follows. 1. looking at variation of the variables of socio-demographic features of the respondents, the group of female, age distribution of 60-65, average monthly income of 0.5-1 million Won, and schooling background of college showed significant difference. And the prosthesis treatment in terms of the purpose of isiting a dental institute, and the dental clinic in terms of the type of visiting dental institute showed a remarkably significant difference. 2. looking at variation of variables of the general features of the respondents, a prosthesis satisfaction service in terms of age showed significant difference: a prosthesis satisfaction service, dental staffs' service and dental facilities' service in terms of average monthly income showed significant difference: the entire conditions except for the dental facilities' service in terms of schooling and general features showed significant difference: and in terms of the purpose of visiting dental institute, it showed no significant difference. In terms of a visiting dental institute, the prosthesis satisfaction service, dental facilities, overall level of satisfaction, result of treatment, word of mouth and revisit showed significant difference. 3. looking at variation of the variables of post-installation prosthesis satisfaction of the respondents, the prosthesis satisfaction service, dentist's dental service, staffs' service, dental facilities' service and revisit in terms of the prosthesis type: and the prosthesis satisfaction service, word of mouth, revisit and overall level of satisfaction from the perspective of serious concern showed significant difference. The prosthesis satisfaction service and dentist's service in terms of the solving the economic burden: and the entire variables in terms of dissatisfaction elements showed a similar level of significant difference 4. in regard to the satisfaction of dental service and the change of the recognition of prosthesis patients, it was revealed that the level of dental prosthesis satisfaction of the respondents was closely related to the dentist's service, staffs' service, and dental facilities' service. Finally, looking at the influence of the dental service on the treatment result, satisfaction, word of mouth, revisit and the overall satisfaction level, it was revealed that they had a great impact on the prosthesis satisfaction service.

• 대한치과기공학회지
• /
• 제33권4호
• /
• pp.413-425
• /
• 2011

Purpose: This study conducted a survey on the elderly with physical debilities, who are in a medically vulnerable social class, to examine closely their demo-sociological characteristics, unmet needs, dental states, and living qualities and satisfaction levels relating to oral health and social supports to them, and also to prepare the basis for effective public medical policies and health improvement programs aimed at improving the quality of life for the elderly with physical debilities. Methods: Twenty-two elderly care facilities within Jeju Special Self-Government Province participated in the survey. Between 11 January and 5 March 2010, a total of 250 elderly persons(65 and over) with physical debilities were interviewed and their dental health was checked. Results: The results of the survey are as follows. The need for social support for dental care of the elderly with physical debilities was high in the medical institution-supported service (49.6%). The unmet needs for physical care were high in bathing (49.6%) and using public transportation (71.6%). More than half of these surveyed had ten or fewer teeth. The survey found that 31.6% of the participants experienced problems eating, due to poor dental health. Concerning quality of life, 30.5% of those surveyed experienced physical pain. Conclusion: In summary, the ages of the survey participants directly relates to the degree of behavioral debility experienced. The more debility a participant exhibits, the greater is the need for social support and dental care. The dental health of a participant directly relates to a higher quality of life. Good dental health of a participant translate to better quality of life. In light of the fact that the elderly with physical debilities suffer from a lack of accessibility to medical care and worse oral health than do other elderly persons, it is essential to increase accessibility to medical institutions that can provide such services as door to door dental care. Current insurance policies, funding for denture insurance, and free denture and denture-upgrade programs desperately need to be expanded. Therefore, to improve effectively the quality of life for the elderly with physical debilities civil dental medical resources should be encouraged to provide inclusive and prevention-focused medical care. In the public domain, door to door dental care services and cooperation with civil dental care resources need to be improved to increase impartial accessibility to dental medical institutions.

• Journal of Oral Medicine and Pain
• /
• 제32권4호
• /
• pp.383-396
• /
• 2007

노화가 미각기능에 미치는 영향에 관해서는 아직도 많은 논란이 계속되고 있다. 노인에게서 보이는 미각기능의 감퇴를 정상적인 노화현상으로 보는 시각과 약물사용이나 타액분비의 감소에 의한 결과로 보는 시각이 교차하고 있으며, 또한 미각 기능을 평가하는 방법에 따라 서로 다른 주장이 제기되기도 하였다. 저자들은 노화가 초역치 미각강도에 미치는 영향을 구명하기 위해서 본 연구를 시행하였으며, 약물사용에 의한 영향을 배제하기 위해서 장기적인 약물사용의 병력이 없는 20대의 여성 30명과 40-50대의 여성 31명을 피검자로 선택하여 염화나트륨, 설탕, 구연산, 염산키니네 수용액에 대한 초역치 미각강도를 소리자극을 이용한 규모짝짓기 방법으로 측정한 다음 그 결과를 서로 비교하였으며, 40-50대 여성에 대해서는 또한 폐경의 여부와 타액분비량의 다과에 따른 차이를 비교하여 다음과 같은 결론을 얻었다. 1. 한국인 40-50대 여성은 20대 여성에 비해 저 농도의 염화나트륨 수용액과 저 농도의 설탕 수용액에 대한 초역치 미각강도가 감소되었으며, 고농도의 염화나트륨 수용액과 고농도의 설탕 수용액, 그리고 모든 농도의 구연산 수용액과 염산키니네 수용액에서는 차이가 없었다. 2. 한국인 40-50대 여성에서 폐경으로 인한 초역치 미각강도의 변화는 나타나지 않았다. 3. 한국인 40-50대 여성에서 타액분비량의 다과에 따른 초역치 미각강도의 변화가 염화나트륨 수용액, 설탕 수용액, 염산키니네 수용액에 대해서는 나타나지 않았다. 4. 한국인 40-50대 여성에서 타액분비량이 적은 군이 많은 군에 비해 저 농도의 구연산 수용액에 대한 초역치 미각강도가 높게 나타났다.

• Journal of Periodontal and Implant Science
• /
• 제36권3호
• /
• pp.591-600
• /
• 2006

Purpose: This study assessed the impact of self-reported periodontal health on the oral health-related quality of life among elderly Koreans. Methods: Four hundred twenty one elderly Koreans in Seoul and suburban areas were selected with a cluster (institution) sampling method, and were requested to take oral examinations and finish questionnaires on the Oral Health Impact Profile-14(OHIP-14). and self-reported periodontal health status, such as periodontal symptoms, self-rated periodontal health and periodontal treatment need. As the dependent variable, OHIP-14 showed a positive skewed distribution (skewness: 1.17), we transformed to square-root form to apply parametric analyses. Bivariate analysis by t-test and ANOVA, and multivariate analysis with the two-level regression model accounting clusters were implemented. Results: Mean age of the subjects was 74.6 years and 66.5% were women. Fourteen items of OHIP-14 were summarized to one factor explaining 78.6% of total variance and produced the Chronbach alpha coefficient of 0.92. Results from the multivariate model, adjusting for age, sex, type of institutions, ability to pay, and number of teeth present, showed significantly lower OHIP-14 with reporting less than 3 periodontal symptoms (p(O.OOO1), rating their own periodontal health as above average level (p=O.0144), and thinking they don't need any periodontal treatments in the near future (p=O.0148), than their counterparts. The intraclass-corrrelation estimated by the final model was 0.028. Conclusion: This study demonstrates a significant association between self-reported periodontal health status and the oral health-related quality of life.

• 대한한의진단학회지
• /
• 제17권3호
• /
• pp.189-202
• /
• 2013

Objectives The aim of this study is to analyze the characteristics of the tongue coating pattern in the elderly patients with xerostomia. Methods Ninety-six elderly patients with xerostomia were recruited by advertisement and they visited the oral diseases clinics at Kyung Hee University Korean Medicine Hospital and Kyung Hee University Hospital at Gangdong from November, 2011 to August, 2013. After signifying the assent, the subjects who passed screening were enrolled this study. The subjects were evaluated on their clinical characteristics of xerostomia using visual analogue scale for xerostomia, dry mouth questionnaire, unstimulated salivary flow rate. In addition, Yin-deficiency questionnaire was used to evaluate the Yin-deficiency state and Winkel tongue coating index and Digital Tongue imagin system were used to measure the tongue coating of patients. Results The proportion of women was higher than that of men, and there were few smokers in this study population. This population had chronic and relatively severe xerostomia symptoms. Also, thin coating pattern was showed in this elderly patients with xerostomia and this result was regarded to the influence of Yin-deficiency. The thin coating patten was observed in the group with higher Yin-deficiency score. There was no difference in tongue coating between the hyposalivation and normosalivation group. Conclusion In the elderly patients with xerostomia, Yin-deficiency is might be considered as one of the main cause of xerostomia. Hence, it is thought that this patients showed the thin coating pattern. This results could be used in diagnosis and treatment for the elderly patients with xerostomia in traditional Korean medicine.

• 보건행정학회지
• /
• 제31권1호
• /
• pp.74-90
• /
• 2021

Background: It is getting important to improve the oral health status of the elderly because oral health status may affect their health status of the whole body. In this respect, we aimed to explore the association of oral health status and behavior factors with self-rated health status by sex. Methods: Using the data from the 7th Korea National Health and Nutrition Examination Survey for health surveys and oral examinations (2016-2018), we analyzed a total of 3,070 people aged 65 or older (men: 1,329; women: 1,741). Our dependent variable, self-rated health status, was divided into two groups: not good (bad and very bad) and good (very good, good, and fair), whereas our independent variables of interest were oral health status and behavior factors. In addition to descriptive analysis and the Rao-Scott chi-square test, reflecting survey characteristics, we conducted hierarchical multivariable logistic regression analyses adjusted for socio-demographics and health status and behavior factors. All analyses were stratified by sex. Results: The proportion of people having 'not good' self-rated health was 36.5% in women but 24.5% in men. In a model adjusted for all covariates, the self-rated health status showed significant association with the self-rated oral health status. For example, in men, the risk of having 'not good' self-rated health was high in people having 'poor' (odds ratio [OR], 5.31; 95% confidence interval [CI], 2.34-12.03) self-rated oral health status and in those having 'fair' (OR, 4.03; 95% CI, 1.68-9.70) in comparison with those having 'good' self-rated oral health status. Dental status regarding speaking difficulty seemed to be very important in influencing self-rated health status. For instance, in women, compared to people having 'no discomfort' speaking difficulty, the risk of having 'not good' self-rated health was high in people having 'not bad' (OR, 1.60; 95% CI, 1.14-2.24) and 'discomfort' (OR, 1.79; 95% CI, 1.30-2.47) speaking difficulty. The covariates significantly associated with the risk of having 'not good' self-rated health were: physical activity, chronic disease, stress, and body mass index in both sexes; health insurance type and drinking only in men; and economic activity only in women. Conclusion: Oral health status and behavioral factors were associated with self-rated health status among the elderly, differently by sex. This suggests that public health policies toward better health in the elderly should take their oral health status and oral health behaviors into account in a sex-specific way.

• 치위생과학회지
• /
• 제17권2호
• /
• pp.123-133
• /
• 2017

본 연구에서는 국제적인 치위생계의 임상실무와 교육의 표준인 치위생 관리 과정을 기반으로 표준화된 치위생 교육기관인 미국 폰즈스쿨의 임상치위생학 교육과정에 대해 심층분석 함으로써 국내 실정에 맞는 임상치위생학 교육과정의 표준화 방안에 대해 고찰해 보고자 하였다. 2015~2016년 폰즈스쿨의 임상치위생학은 모두 'Dental Hygiene Clinical Practice (DHYG)'라는 과목명으로 운영되었고, 실습의 비중이 매우 컸으며, 실습강의는 교수 1명당 학생 5명이 한 팀으로 운영되었다. 폰즈스쿨의 학과 목표는 브릿지포트 대학교의 미션에 따라 설정되었고, 폰즈스쿨의 임상치위생학 교육목표 또한 폰즈스쿨의 학과 목표에 기반하여 설정되었다. 또한, 임상치위생학의 교육목표는 ADHA에서 제시한 치위생임상 실무표준에 따라 개발되었고, 이를 기반으로 임상치위생학 교육을 통해 달성해야 하는 임상 핵심역량과 세부역량을 제시하고 있었다. 임상치위생학 교육내용은 다양한 대상자에게 적절한 치위생 관리 과정을 제공하기 위한 이론 및 실습으로 구성되었고, 특히, 졸업 후 실제 임상 현장에서 수행하게 될 업무에 대한 실습내용이 다뤄졌다. 학생은 대상자/환자별로 수행한 술식에 문서를 작성하여 교수자와 함께 검토 및 보완작업을 통해 치위생 임상역량을 높이고자 하였다. 실습내용 중 치위생 관리 과정 실습은 필수적으로 어린이, 청소년, 성인, 노인, 특별환자를 대상으로 선정해야 하며, 구강 상태에 따라 중등도 이상의 치주환자를 포함해야 했다. 이론평가는 지필고사 혹은 사례연구 발표 등으로 이루어졌고, 실습평가는 주로 임상역량의 달성 정도에 따라 평가되었다. 특히 교수자의 로테이션 평가를 실시하였는데, 이를 통해 모든 학생의 임상역량 달성 정도를 파악하고 부족한 역량에 대해 개선방안을 함께 모색하는 과정을 수행하였다. 본 연구는 ADHA에서 제시하는 치위생임상 실무표준에 따라 운영되고 있는 표준화된 임상치위생학 교육과정을 심층적으로 분석함으로써 향후 우리나라 임상치위생학의 개선방향을 모색하기 위한 기초 자료로 제시될 수 있을 것이라 판단되었다.