• 중환자간호학회지
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• 제11권3호
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• pp.12-22
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• 2018

Purpose : This methodological study develops an oral health assessment tool for critically ill patients. Method : From February 15 to April 30, 2014, this study was conducted to test the validity and reliability of the tool at two general hospitals and three medical and surgical intensive care units (ICUs) in Seoul, Korea. Results : The result of the intraclass correlation coefficient to test the between-observer reliability by analyzing the oral health assessment scores before and after oral nursing care showed that .93 of before oral care and .90 of after oral care. The correlation coefficient values of .68 (p<.001) and .71 (p<.001) before and after providing oral nursing care, respectively, indicated the presence of a statistically significant correlation between the tool and the criterion. Using the paired t-test, the differentiated validity of the tool was tested in patients who had developed pneumonia after entering the ICU. A statistically significant difference in scores was found between the time of entering the ICU and that of developing pneumonia (t=-8.73, p<.001), which provided evidence for the differentiated validity of the tool. Conclusions : Since the validity and reliability of the tool developed in this study were verified, this tool can be used to assess the oral health conditions of critically ill patients.

• 대한치위생과학회지
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• 제4권1호
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• pp.53-64
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• 2021

Background: The elderly in long-term care facilities tend to have a diminished oral health status, with a high prevalence of dental caries and periodontal disease, as reduced cognitive function, joint mobility, and gait ability hinder the performance of oral hygiene. To improve the oral health of the elderly at long-term care facilities, it is necessary to have precise guidelines for oral health care and assessment; however, such guidelines are not readily available. Therefore, the present study aimed to develop an oral care assessment tool with verified reliability and validity. Methods: The participants in this study were 100 elderly patients at a care facilities and 10 clinical dental hygienists. Collected data were analyzed using the descriptive statistics, content validity index, and inter-rater reliability, as well as the analyses of intra-class correlation coefficient. Results: After a review of relevant literature, a preliminary questionnaire comprised of seven questions related to the evaluation of oral health was formed. After revising and supplementing the questions through a content validity test, a total of nine questions were selected. Conclusion: The novel assessment tool developed for the present study is anticipated to allow analyses of the level of problems related to oral health care before routine and professional care. Moreover, regular oral health status check-ups will enable the early diagnosis and treatment of diseases.

• 한국치위생학회지
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• 제13권5호
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• pp.713-726
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• 2013

Objectives : The purpose of this study is to develop a job performance assessment tool for dental hygienists. Methods : The development consisted of three steps. The first step was to construct the contents of the assessment tool and a pretest questionnaire. In the second step, validity and reliability tests were done and modified for the pretest questionnaires and an assessment tool was made. The third step was verification of the assessment tool. A total of 678 data from the dental hygienists were analyzed to verify the validity and reliability. The assessment tool consisted of two areas such as job performance and competency/attitude: the job performance area covered four sub-areas including oral health education, preventive dental care, assistance for dental treatment, and administrative management. Results : The number of questions and reliability test result for each sub-area were as follows. Reliability coefficient for oral health education (10 questions) was 0.899, preventive dental care (8 questions) was 0.861, assistance for dental treatment (18 questions) was 0.915, administrative management (8 questions) was 0.919, competency of dental hygienists (11 questions) was 0.947, and attitude of dental hygienists (15 questions) was 0.955. Cronbach ${\alpha}$ coefficient for reliability of total 70 questions of the assessment tool was 0.980. Conclusions : The validity of the assessment tool was verified by three steps and the reliability proved to be significant. Consequently the assessment tool was found to be useful as an objective and valid job performance assessment tool for the dental hygienists.

• 보건의료산업학회지
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• 제6권1호
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• pp.185-193
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• 2012

This study is to observe the effect of oral health of elderly on overall health status and social activity to provide basic data for oral health improvement program for the elderly and development of related policies. The survey was conducted from July 25th to July 29th, 2011, and used 145 copies for this research analysis. As a result of correlation analysis, it is observed that all of 4 sub factors of Geriatric Oral Health Assessment Index have significant static correlation with overall health status of elderly and social activity also has significant static correlation with oral health. As a result of regression analysis, the functional limitation out of sub factors showed significant positive effect on health status and psychological effect has significant positive effect on social activity. Based on the above result, it is observed that, at the time of rapidly entering to an aging society, the life quality related to oral health of elderly which is part of overall health and overall health status and social activity areas that are recognized by the elderly have significant correlation. And, it is important to understand the factors of oral health affecting health status and social activity. Based on the result of this study, more researches on the development of oral health program and development of assessment tool that can be easily employed should be made.

• 한국치위생학회지
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• 제16권3호
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• pp.355-362
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• 2016

Objectives: This study aimed to develop a tool for assessing foreigners' understanding of oral health information in Korea called the Test of Korean Functional Health Literacy in Dentistry(TOKFHLiD) and examined validity and reliability of the tool. The TOKFHLiD consists of two literacy assessment parts: Dental Information Sentence(DIS) aims to assess one's literacy of sentences containing oral health information. Dental Information Document(DID) aims to assess one's numeracy and literacy of documents containing oral health information. Methods: Twenty eight preliminary questions were developed based on various medical care literature such as the agreement to diagnosis and treatment and the treatment precautions. DID using 14 preliminary questions was developed based on the appointment card, the treatment schedule, and labels on oral care products. The 42 preliminary questions in the DIS and the DID were subsequently put through four separate expert reviews, in which questions with content validity score of less than 0.8(13/15 points) were corrected and modified by five dental experts and then were corrected for language errors by two Korean language experts. The preliminary assessment tool was tested on 153 Koreans, and ${\chi}^2$ test was performed on the ratio of respondents who comprehended each question, the ratio of respondents who chose the correct answer for each question with a significance level of 0.05. Results: Of the 42 preliminary questions, 1 question in DIS and 1 question in DID, for which the ratio of Korean respondents who chose the correct answers did not exceed the acceptable level of 80%, were excluded and a final assessment tool was completed with 40 questions. Conclusions: Following the development and application of the tool, examination of the TOKHLiD for validity and reliability revealed that this assessment tool is adequate for assessing oral health information literacy of foreigners who are using oral hygiene medical services in Korea.

• 한국컴퓨터정보학회논문지
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• 제27권6호
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• pp.131-137
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• 2022

연령이 증가함에 따라 구강 즉, 치아와 치주도 노화가 시작되어 그에 따른 준비 과정이 필요하다. 그 준비과정은 20대부터 지식, 태도, 행동으로 이루어지는 구강보건교육이 이루어져 구강건강관리가 계속적으로 시작되어야 하는 중요한 시기이다. 이에 경기도에는 있는 한 치과의원에 내원하여 치료 후 구강건강관리실에서 계속관리를 받고 있는 환자들을 연구대상으로 임상치위생과정을 설계하기 위하여 치위생사정의 데이터 분석을 하고자 하였다. 치위생사정 도구로는 인적사항 및 전신병력을 기본으로 하여 치과방문경험, 치주검사(bleeding on probing; BOP), 구취검사, 위상차현미경으로 구강 세균 관찰, 치면세균막 검사(O'Leary index)를 시행하였다. 대상자의 치과방문 경험이 있는 대상자는 75.4%이고, 경험이 없는 경우는 24.6%로 나타났고, 치주검사 결과는 전반적으로 출혈이 있는 경우가 76.3%로 나타났다. 예방적 구강관리에서 20대의 치위생사정 단계는 중요한 첫 단추이다. 이 때 부터 본인의 구강상태를 스스로 책임질 수 있도록 체계적으로 습관화되어야 하는 중요한 연령이다. 따라서 본 연구에서는 20대 대상자의 구강검사를 통해 치위생사정 결과를 도출해 보고 그에 따른 구강보건교육 및 구강건강 관리에 있어서 임상치위생과정 중 치과위생사의 치위생수행 능력 역량 개발에 대한 기초자료로 제시하고자 한다.

• 치위생과학회지
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• 제9권3호
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• pp.303-310
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• 2009

본 연구는 단축형 OHIP14 도구를 통하여 노인요양병원에 입원중인 ADL환자들을 대상으로 그들의 삶의 질올 측정한 결과 다음과 같은 결론을 얻었다. 1. 성별, 배우자, 틀니만족, 통증, 재활자기시도에 따른 OHIP14와의 관계에서는 틀니만족과 통증유무가 통계적으로 유의한 의미가 있는 것으로 나타났다. 2. 장애기간, 주관적 구강상태, 치료필요성, 경제적수준, 입원결정, 질병명, 결혼상태, 종교 및 학력에 따른 OHIP14와의 관계에서는 주관적 구강상태, 치료필요성, 입원결정, 질병 명, 결혼상태, 학력에 따라 통계적으로 유의한 의미가 있는 것으로 나타났다. 3. OHIP14에 유의한 영향을 미치는 요인으로서는 치료 필요성이 47.1%로 가장 높게 설명력을 나타내었으며, 처치 치아수, 주관적 구강상태, 배우자, 의도의 순으로 영향을 끼치는 것으로 나타났다.

• 임상간호연구
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• 제17권1호
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• pp.113-122
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• 2011

Purpose: This study was conducted to develop and evaluate an oral care protocol for cancer patients receiving chemotherapy. Methods: The participants in this study were cancer patients in Severance hospital in Seoul. A total of 31 patients were assigned to the experimental group, and 29 patients to the control group. Data were collected from August 1 to October 5, 2010. The protocol included definition and symptom of oral mucositis, self-check method of oral status, prophylactic method of oral mucositis (oral care, eating habits, and gargling) and management of oral mucositis. Oral Assessment Guide (OAG) was used as the measurement tool of oral mucositis in this study, Oral Care Performance Scale was used as the measurement tool of oral care performance status. Data were analyzed with a $x^2-test$ and t-test, and repeated measures ANOVA, using SPSS/WIN 18.0 program. Results: Patients in the experimental group receiving the oral care protocol had a significant difference (t=-2.938, p=.005) in the oral care performance compared to the control group. However, there was no significant difference (F=1.255, p=.274) in the oral mucositis status between two groups. Conclusion: This study showed that the oral care protocol could improve oral care performance status for the patients under chemotherapy.

• Journal of Korean Academy of Oral Health
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• 제42권4호
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• pp.229-237
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• 2018

Objectives: The purpose of this study was to examine oral health literacy in a sample of Korean of 5th and 6th grade elementary school children. Methods: Data were obtained from a convenience sample of 274 $5^{th}$ and $6^{th}$ grade children from two elementary schools located in Seoul and Uijeongbu. The oral health literacy assessment tool for children of Korea (OHLC-K) takes approximately 11 minutes to complete, and consists of 20 self-report questions with a score range of 0 to 20. Item analysis, descriptive statistics, correlation and multiple linear regression were performed using SPSS 23.0 and testAn 1.0. Results: The lowest and highest percentage of correct answers were found in "Definition of periodontal disease (19.3%)" and "Definition of halitosis (92.7%)," respectively. The mean score for oral health literacy was found to be $14.95{\pm}2.83$, corresponding to a score of approximately 75% correct answers. The correlation coefficient for Korean and OHLC-K scores was high (r=.73, P<.01). In the multiple linear regression, oral health literacy was associated with grade and gender. Conclusion: The present findings revealed that a quarter of the subjects were likely to misunderstand oral health information. Oral health education is indispensable to all children and, therefore, it is necessary to pay greater attention to children who exhibit poor oral health literacy.

• 대한치과의사협회지
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• 제52권8호
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• pp.456-463
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• 2014

Caries Management by Risk Assessment (CAMBRA), published by California Dental Association in 2003, is a customized caries care system that classifies individuals' caries risk into 4 risk groups based on objective evidences and provides chemical treatments targeted for each caries risk level. However, this system was not only developed but also optimized for situation in the United States, resulting into many limitations to be used in Korea, and thus Korean CAMBRA (K-CAMBRA) that considers the clinical situation in Korea needs to be developed. K-CAMBRA includes various techniques that are newly developed in order to overcome the limitations. First, Q-ray, a new optical technology, is utilized in order to avoid the subjectivity of visual inspection during assessment of disease indicators and risk factors. Moreover, Cariview? that reflects the paradigm shift in cariology as a new form of caries assessment kit is used. In addition, considering the situation in Korea, where it is impossible to use high concentration fluoride product, Oral pack with a customized tray is added to increase the contact time of chemical substance. CAMBRA is believed to be the key clinical tool that overcomes the limitations of the paradigm of the conventional restoration-based surgical model of dentistry. Furthermore, it can be expected that Korean dentists can act as oral physicians who are able to control and care individuals' caries risk rather than operative experts who only care about the outcome of caries.