• 치위생과학회지
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• 제11권2호
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• pp.107-119
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• 2011

본 연구는 구강보건 업무를 담당하는 치위생과 학생을 대상으로 구강건강신념이 구강보건행태에 미치는 영향을 파악함으로써 올바른 구강건강 관리를 유도하고 바람직한 구강건강신념을 갖도록 하며 구강보건 분야로 활용하고, 기초자료를 마련할 목적으로 연구를 하였으며 서울에 위치한 1개 대학의 치위생과 1학년과 2학년 재학생을 대상으로 총 163명을 조사연구를 시행하였다. 조사방법은 구조화된 자기기입식 설문조사를 실시하였으며, 연구모형은 독립변수인 구강건강신념과 종속변수인 구강보건행태로 구성하였다. 본 연구의 결과는 다음과 같다. 1. 연구의 조사대상자들의 일반적 특성을 살펴보면 성별로는 남성 1.2%, 여성 98.8%로 대다수가 여성으로 구성되었으며, 연령별로는 19세 이하가 31.9%, 학년은 1학년이 47.9%, 2학년이 52.1%, 종교는 기독교 26.4%, 기타 없음이 52.1%, 가정에서 의사소통이 원할하다가 87.7%, 경제수준은 하 13.5%, 세대주 학력은 대졸 이상50.3%, 세대주 직업은 자영업이 28.2%로 파악되었다. 2. 구강건강신념수준 및 구강보건행태수준을 파악하기 위한 연구결과, 감수성 2.18, 심각성 2.10, 유익성 .22, 중요성 3.93, 장애도 3.06으로 나타났다. 3. 구강건강신념이 구강보건행태 유무에 미치는 로지스틱 회귀분석결과, 구강건강신념이 치과의료이용 유무에 미치는 영향에서는 연령, 경제수준, 감수성, 중요성 등 4개 변인(P<0.05), 검진목적 치과의료이용 경험유무에 미치는 영향에서는 종교유무, 심각성 등 2개 변인(P<0.05), 예방목적으로 치과의료이용 유무에 영향을 미치는 변인으로는 연령, 경제수준, 직업, 심각성 등 4개변인(P<0.05), 구강병예방 행위로서 치과의료이용 유무에 영향을 미치는 변수로는 연령, 경제수준, 심각성등 3개 변인(P<0.05), 구강병예방 목적으로 치과의료이용 유무에 영향을 미치는 변수로는 연령, 직업, 심각성 등 3개변인(P<0.05), 치석제거 유무에 미치는 영향 변수로는 연령, 경제수준 등 2개 변인(P<0.05), 잇솔질 횟수 정도에 영향을 미치는 변수로는 학력, 종교, 직업 등 3개 변인으로 나타났다 (P<0.05). 4. 구강건강신념이 구강보건행태에 미치는 다중회귀분석결과, 구강건강신념 중 치과의료 이용 횟수의 설명력은 17.0%, 중요성, 감수성, 경제수준이 유의한 정의 영향을 미치는 것으로 나타났으며, 검진목적 치과의료 이용 횟수의 설명력은 13.3%, 종교, 경제수준, 가정소통이 유의한 정의 영향을 미치는 것으로 나타났으며, 예방목적 치과 의료 이용횟수의 설명력은 16.9%, 종교, 심각성, 경제수준이 유의한 정의 영향을 미치는 것으로 나타났다. 구강병예방행위로서 치과의료 이용횟수의 설명력은 17.8%, 심각성, 종교, 경제수준, 가정소통이 유의한 정의 영향을 미치는 것으로 나타났으며, 구강병예방 진료횟수의 설명력은 17.2%, 감수성, 종교, 경제수준, 직업이 유의한 영향이 나타났으며, 치석제거 횟수의 설명력은 6.1%, 종교, 경제수준이 유의한 영향을 나타냈다. 잇솔질 횟수의 설명력은 19.5%, 심각성, 학년, 직업이 유의한정의 영향을 미치는 것으로 나타났다. 이상과 같은 결과를 기초로 보다나은 구강보건증진을 위한 구강건강신념을 변화 시킬 수 있는 방안이 우선적으로 검토되어야 할 것이다.

• 치위생과학회지
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• 제12권1호
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• pp.7-13
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• 2012

비판적 사고는 치위생 교육과 실무에서 요구되는 핵심역량으로 인식되고 있다. 본 연구는 비판적 사고 능력 중 비판적 사고 성향이 학업성적에 따라 차이가 나타나는지를 알기 위해 2개교의 치위생(학)과 재학생 252명을 대상으로 비판적 사고 성향과 학업성적을 조사하여 다변량 공분산분석에 의해 비교한 결과 다음과 같은 결론을 얻었다. 1. 조사대상자의 비판적 사고 성향 평균은 3.46이었으며, 학업성적 상위권 집단의 비판적 사고 성향 전체 평균은 3.63로서 중위권(3.46), 하위권(3.41) 집단에 비해 유의하게 높았다(p=009). Scheffe 방법에 의한 사후검정 결과 상위권과 하위권 집단 사이에 유의한 차이가 나타났다(p=0.009). 2. 비판적 사고 성향의 하위요인인 지적열정/호기심, 자신감, 객관성, 건전회의성, 지적공정성, 신중성 등 6개 요인을 종속변수로 선택하고, 연령을 공변량으로 입력한 다변량 공분산 분석 결과 다변량 검정 결과 학업성적 집단에 따라 다변량 통계량이 유의한 차이가 나타났으며(p=0.001), 지적열정/호기심에서 학업성적 상,중,하 집단 사이에 유의한 차이가 나타났다(p=0.036). 3. 학업성적 집단 사이의 지적 열정/호기심에 대한 차이를 Scheffe의 방법에 의해 사후검정한 결과 상위권집단과 중위권 집단 사이(p=0.027)와 상위권 집단과 하위권 집단 사이(p=0.002)에 유의한 차이가 나타났으나, 중위권 집단과 하위권 집단 사이에는 유의한 차이가 나타나지 않았다. 치위생(학)과 학생들의 학업성적에 따른 비판적 사고성향을 분석한 결과, 성적에 따라 비판적 사고능력에는 지적 열정/ 호기심에서 차이가 있었으나, 그 차이는 크지 않았다(Wilks의 람다=0.914, F(6, 24)=1.869, p=0.001, 부분 에타제곱=0.044). 치과위생사의 비판적 사고능력은 업무범위 안에서 해결해야 하는 대상자의 '문제'와 '원인'의 관계를 진술하는 '치위생진단문'과 치과위생사가 제공해야할 예방, 치료, 교육에 관한 '중재 계획'으로 비판적 사고 과정의 결과이다. 따라서 치위생(학)과 학생들의 임상적 판단과 의사결정을 위한 비판적 사고 능력이 증진할 수 있는 교육체계가 마련되어야 한다고 사료된다.

• 대한간호학회지
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• 제25권2호
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• pp.372-389
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• 1995

The frequency with which administration of chemotherapy for gynecological cancer treatment is used has increased along with the use of surgery and radiotherapy Among the various side effects of chemotherapy, stomatitis causes a problem of function and sensation in the oral cavity. This oral discomfort can be categorized into two components ; perceived oral symptoms and observed oral symptoms. If the oral problem continues, it may cause infection, bleeding and nutritional deficiencies. As a result of this condition, compliance with the treatment process can be affected as well as the prognosis for the cancer patients. But as the oral discorrfort usually appears after chemotherapy, it is often not reported to the health care personnel as a patient problem. Without problem identification of the oral discomfort and ability to assess the problem, effective intervention cannot be planned. Therefore, this study was conducted to identify the pattern and the degree of oral discomfort due to cancer chemotherapy and thus to provide data for identification of the patient problem and for nursing assessment. The design of this study was a longitudinal de-scriptive study The subjects were in - patients who received chemotherapy under the diagnosis of gynecological cancer between Mar. 15, 1994 and May 15, 1994 at a general hospital in Seoul, Korea. The number of subjects was 64 and they were divided into two groups, one of 41 (A : 5FU & Neoplatin), the other of 23(B : Neoplatin, Cytoxan, Adriamycin), according to the treatment regimen. The data were collected for 24 days using self-re-port instruments. The instruments were the 「Perceived Oral Symptom Assessment Tool」 and 「Observed Oral Symptom Assessment Tool」 developed by this researcher. Data were analyzed using the SPSS-PC program, ANOVA, t-test, paired t-test and the Pearson Correlation Coefficient were applied. The results of this study are as follows : 1. In A regimen the peak time for perceived oral symptom scores was the fifth day after chemotherapy, and the tenth day for observed oral symptom scores. Both of the problems started on first day of chemotherapy and were not resolved completely until the 24th day after treatment. 2. In B regimen, the peak time for perceived oral symptom scores was on the seventh day after chemotherapy, and the eighth day for observed oral symptom scores. It was noted that perceived oral symptom scores were higher than observed oral symptom scores consistently for 24 days. Both also started on first day of chemotherapy, and were not resolved completely until the 24th day after chemotherapy. 3. There were no differences statistically in perceived oral symptom scores between A and B regimen. The loss of appetite and xerostomia caused the most severe discomfort in both of these two groups. 4. The were no differences statistically in observed oral symptom scores between the A and B regi moil. In the A regimen, the highest observed symptom scores were the lips, gingiva, tongue and buccal membrane in that order. But in the B regimen, the highest observed symptom scores were tongue, lips, buccal membrane and gingiva in that order. 5. In A regimen, the patients who had gingival edema and dentures had significantly higher perceived oral symptom scores. And those who had gingival edema and bleeding, foul odor and aphthous stomatitis had significantly higher observed oral symptom scores. 6. In B regimen, the patients who had the experience of stomatitis in the last course of chemotherapy had significantly higher perceived oral symptom scores. Those who had gingival edema had significantly higher observed oral symptom scores. 7. In the A regimen there was no correlation between lab values for lymphocytes and albumin with perceived oral symptom scores and observed oral symptom scores. In the B regimen, there was a significant negative correlation between lymphocytes and albumin with the observed oral symptom scores, but not between perceived oral symptom scores and lymphocytes and albumin values. In conclusion, the nurse should expect that the patient undergoing chemotherapy will complain severely about subjective discomfort and before objective physical change is observed. Also the patients who have chronic oral problems such as dentures, gingival edema and bleeding, foul odor, aphthous stomatitis will complain of severe oral discomfort due to chemotherapy.

• 농촌의학ㆍ지역보건
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• 제38권3호
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• pp.174-181
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• 2013

이 연구에서는 위암검진 참여 현황을 파악하고, 수검률에 영향을 미치는 요인 중 사회경제상태 지표인 소득, 교육수준과 위암 수검률의 관련성을 알아보고자 하였다. 이 연구는 2009년과 2010년 전라남도 지역사회 건강조사 자료를 이용하였으며 40세부터 69세까지 21,220명을 대상으로 분석하였다. 사회경제상태와 위암 수검률과의 관련성은 로지스틱 회귀분석을 이용하여 분석하였다. 연령별 암 수검률은 40대 52.1%, 50대 63.7%, 60대 67.3%로 연령에 따라 증가하였다. 교육 수준이 높을수록 위암 수검률에 대한 교차비는 증가하였다(무학을 포함한 초등학교 졸업을 기준으로 중학교 졸업 OR=1.21; 95% CI=1.07-1.37, 고등학교 졸업 이상 OR=1.41; 95% CI=1.26-1.58). 또한 소득이 높을수록 위암 수검률에 대한 교차비도 증가하였다(2사분위 OR=1.14; 95% CI=1.02-1.28, 3사분위 OR=1.30; 95% CI=1.13-1.48, 4사분위 OR=1.62; 95% CI=1.44-1.84). 소득수준에 따른 위암 검진율은 연령대에 따라 다른 양상을 보였다. 이러한 차이는 40대에서 가장 높았다(40대 2사분위 OR=1.26; 95% CI=1.03-1.54, 3사분위 OR=1.49; 95% CI=1.20-1.86, 4사분위 OR=2.03; 95% CI=1.65-2.50, p for interaction=0.05). 낮은 사회경제상태는 낮은 위암 수검률과 관련이 있었으며, 특히 40대에서 사회경제상태에 따른 위암 수검률 차이가 크게 나타났다. 사회경제상태에 따른 위암 수검률 격차를 줄이기 위해서는 연령대별로 검진 형평성 달성을 위한 정책적, 환경적 지원이 요구될 것으로 보인다.

• 치위생과학회지
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• 제5권2호
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• pp.45-49
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• 2005

본 연구는 구강보건의 전문적 지식과 관리능력을 습득한 치과위생사의 현재 자기구강건강 관리능력을 파악하여 치과위생사의 구강관리 능력을 평가하고 공중구강보건의 현장과 치과임상의 현장에서 그 시기에 알맞은 구강보건교육과 예방치과처치의 담당자로서 보다 효과적인 구강보건교육방법을 제시하기 위한 기초자료를 제공하고자 2002년 4월 1일부터 5월 15일까지 설문 조사한 결과 다음과 같은 결론을 얻었다. 1. 설문에 응답한 조사대상자의 연령은 20-24세가 52.7%, 25-29세가 38.5%였고 81.1%가 미혼이었다. 근무처는 치과의원이 55.6%, 치과병원이 34.3%를 차지했고 근무연수는 0-2년차가 38.5%, 3-5년차가 36.7%였으며 근무처에 종사하는 치과위생사 수는 4명 이상이 74.6%로 나타났다. 2. 구강위생 지식에서는 치면열구전색과 치면세마가 $3.82{\pm}.39$로 점수가 가장 높았고 그 다음이 잇솔질 교습으로 $3.70{\pm}.53$, 불소도포 $3.70{\pm}.48$, 구강보조용품 사용방법 $3.52{\pm}.63$ 순으로 나타났다. 3. 자기구강위생 관리실태에서는 치과위생사들의 현재 자신의 구강건강상태에 대한 주관적 평가에서 조사대상자의 과반수 이상이 '보통이다' 혹은 '건강하다'라고 지각했다. 잇솔질 횟수로는 전체적으로 3회가 62.1%로 가장 많았고 잇솔질 방법으로는 rolling법이 85.2%로 가장 많이 실시되고 있었다. 사용하는 칫솔의 종류로는 중간모 69.2%, 부드러운 모 28.4%순이었으며 잇솔질 시간으로는 49.7%가 3분이라고 가장 많이 응답하였다. 잇솔질 시기로는 점심식사 후가 27.8%, 아침식사 후가 23.8%로 가장 높게 나타났으며 사용하는 치약에 불소함유 유무는 '예'라고 응답한 수가 66.3%로 가장 높게 나타났고 '잘 모르겠다'가 19.5%, '아니오'라고 응답한 수가 14.2%순으로 나타났다. 사용하고 있는 구강보조용품으로는 구강양치액이 23.1%로 가장 많았다. 치실이나 치간칫솔 사용 여부는 78.1%가 사용한다고 응답하였고 1일 1-2회 사용이 42.4%였으며 1회 소요시간은 1분 미만이 53.8%로 나타났다. 본인의 구강건강관리 활동으로는 식사후 껌저작이 17.2%로 가장 많았고 정기적 치과방문이 8.3%, 금연이 5.3%순으로 나타났다. 결과적으로 치과위생사의 경우 교육기관에서 전문적인 이론 및 임상실습으로 일반인보다는 구강건강관리가 잘 이루어지고 있었으나 아직도 불소나 예방치료에 대한 지식과 관리 측면에서는 미흡한 부분이 있었다. 구강보건을 책임지는 전문가적 한사람으로서 일반인과 환자들에게 본보기가 될 수 있도록 스스로가 자신의 구강건강 상태를 향상시키기 위해 끊임없이 노력하는 자세가 필요하며 이러한 실천은 환자 개개인에게 적절한 구강건강행위의 변화 및 구강건강관리의 중요성과 필요성을 알 수 있게 동기를 유발시킬 수 있도록 구강보건교육에 반영되고 응용되어져야 된다고 사료된다.

• 간호행정학회지
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• 제2권1호
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• pp.35-56
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• 1996

Nowerdays, the increase of traffic accidents and old age population make the Femoral Neck Fracture(FNF) patients increase. By the improvement of education and standard of living the patients demand better medical service than before. This study is designed to give practical help for the FNF patients by observing their hospital life and establish practical nursing strategies for the FNF patients. For these purposes the Ethnographic Participant Observation was adopted. By this study is focused on the hospital life patient's view. For this end, the field study adopted orthopedic ward in the C University Hospital with 400 beds in Seoul. The object patients of the study were twelve patients. The patients experienced five stages : Embarrassment, Conflict, Stability, Independent, and Extension Stage. The findings and prepared nursing strategies are stated as follows. First, in the Embarrassment Stage they suffered embarrassment, anxiety, pain, they could not do ordinary things. The patients who accidental fractures had anxiety from unfamiliar tests and from hospitalization itself. They lamented that they could not ordinary things, and do nothing but obeying the hospital, and endure the pain. They recognized the changed environment and resigned themselves to life in the ward. In this stage, full openness by the nurses is needed. Second, the attribute of the Conflict Stage were conflict, fear, curiosity, belief, reflection. When they sign the consentment form, they experience conflicts about the possibility of complication, fear of recovery from anesthesia, curiosity about the operation procedure, post - operation state, reflection on their past life, and promise to care for their family members after discharge and keep their religious life faithfully. And they accepted the operation depending on God, believing in modern medicine, and the surgeon. Asking for their changed informations, they expected positive results from the operation. In this stage, an empathic attitude by the nurses is needed. Third, the attribute of the Stability Stage were relief, gratitude, difficulty with excretion, and pain. When they awoke from anesthesia, they felt relief because of a the end of the operation, but they experienced extreme pain, difficulty of excretion in bed. They accepted the changed environment and expected recovery. In this stage, support by the nurses is needed. Fourth, the attributes of the Independence Stage were freedom, exercise, nurturing, anxiety, and discomfort. When they ambulated and exercised, they experienced freedom. They showed exhibited weakness of the digestive organs and discomfort hospital's space, structure, and facilities, the delay of medical certificate issue the lack of prompt response by the medical agents. They ate nurturious food and felt anxiety on the end of hospital life and returning to their ordinary life. They showed the independence of overcoming their environment by increasing exercise and expected their discharges. In this stage, respect by the nurses is needed for the patients to, overcome their environment and prepare for their independence. Fifth, the attributes of the Extension Stage were pessimism, isolation, dissatisfaction, and pain. Accompanied injury and old age made their ward life extend to over seven weeks. They exhibited weariness, melancholy, skeptisis, general pessimistic feeling, and desperation caused by their isolated life. They experienced the digestive discomfort caused by the prolonged medication and psycological pain caused by long-time hospitalization. As a, result, their dissatisfaction on the human, physical, and systematic environments had been increased. They acquired critical power and sought for something to do spending their time. They expected vaguely about the returning of their ordinary life. In this stage, counseling is needed by the nurse to overcome positively their psychological, social, and physical problems. The process of the FNF patient's ward life starts from the dependent state, when they are hospitalized, and gradually progresses to self-fulfillment in order to keep independent life. As a result, the FNF patients showed "Response in Challenge" or "Adaptation in Conflict" through their experiences of social, physical, and psychological difficulties.

• 대한간호학회지
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• 제25권1호
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• pp.61-79
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• 1995

When children are admitted to hospital, they have to adapt to new and unfamiliar stimuli. Children may respond with fear to stimuli such as pain or unfamiliar experiences. One goal of nursing is to help hospitalized children to adapt effectively to their hospital experience. Accordingly, nurses need to assess childrens' fears of their hospital experience to contribute to the planning of care to alleviate these fears. The problem addressed by this study was to identify and measure hospital-related fears(hereafter called HRF) in hospitalized school-aged children. The study was conceptualized with Roy's model. A descriptive qualitative approach was used first, followed by a quantitative approach. This study was conducted from November 30, 1989 to January 12, 1991. The sample consisted of 395 hospitalized school-aged children selected through an allocated sampling technique in nine general hospitals. The HRF questionnaire (three point likert scale ) was developed by a delphi technique. The data were analyzed by an SAS program. Factor analysis was used for the examination of component factors. Differences in the HRF related to demographic variables were examined by t-test, analysis of variance and the Scheffe test. The crude scores of the HRF scale were transformed into T- scores to calculate the standard scores. The results included the following : 1. Forty-four items were derived from 188 statements identifying the childrens' hospital-re-lated fears. These items clustered into 14 factors, fear of injections, operations, bodily harm others' pain, medical rounds, physical examinations, medical staff, disease process, blood and X-rays, drugs and cockroaches, tests, harsh discipline from parents or staff, being absent from school, and separation from family. The 14 factors was classified into four categories,'pain','the unfamiliar','the un-known' and 'separation'. 2. The reliability of the HRF instruments was .92(Cronbach's alpha). In the factor analysis, Cronbach's alpha coefficients for the 14 factors ranged from .84 to .86 and Cronbach's alpha coefficients for the four categories ranged from .70 to .84. Pearson correlation coefficient scores for relationships among the 14 factors ranged from ,11 to .50, and among the four categories, from ,44 to ,63, indicating their relative independence. 3. The total group HRF score ranged from 45 to 130 in a possible range of H to 132, with a mean of 74.51. The fears identified by the children were, in order, injections, harsh discipline by parents or staff, bodily harm, operations, medical staff, disease process, and medical rounds ; the least feared was others' pain. The fear item with the highest mean score was surgery and the lowest was examination by a doctor. HRF scores were higher for girls than for boys, and for grade 1 students than for grade 6 students. HRF scores were lower for children whose fathers were over 40 than for those whose fathers were in the 30 to 39 age group, and whose mothers were over 35 than for those whose mothers were in the 20 to 34 age group. HRF scores were lower when the mother rather than any other person stayed with the child. The expressed fear of pain, the unfamiliar, the un-known and of separation directs nurses' concern to the threat felt by hospitalized children to their concept of self. This study contributes to the assessment of fears of hospitalized children and of stimuli impinging on those fears. Accordingly, nursing practice will be directed to the alleviation of pain, pre-admission orientation to the hospital setting and routines, initiation of information about procedures and experiences and arrangments for mothers to stay with their children. Recommendations were made for further research in different settings and for development and testing of the instrument.

• 지역사회간호학회지
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• 제10권1호
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• pp.53-69
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• 1999

A descriptive correlation study was done to provide a basic data for comprehensive nursing care by analyzing the relationship between spiritual wellbeing, hope and perceived health status of the elderly. 195 respondents who lived at their homes and 148 respondents who lived at the facilities for elders such as nursing homes and elder's rehabilitation centers were selected and their age was over 60 years old. Paloutzian and Ellison(1982)'s spiritual wellbeing scale, Nowotny(1989)'s hope scale and Northern Illinois University's health self rating scale was used. From August 10th to August 25th, 1998, ready made questionnaires were handed out by researcher to those who can fill it out and for those who cannot fill out the questionnaires alone, the researcher read it and finished by interview. This study used Pearson's correlation coefficient for the hypothetic test and the average point and standard deviation of spiritual wellbeing, hope, and perceived health status were checked. To find out the difference between spiritual wellbeing, hope, and perceived health status by general characteristics ANOVA and Tukey test were used. The results are as follows : 1. The mean score for spiritual wellbeing of the elders was 42.27($SD{\pm}9.67$) in a possible range of 20-80. The average point of spiritual wellbeing was 2.11($SD{\pm}0.97$) point to 4 point full marks. The mean score of religious wellbeing was 21.37($SD{\pm}7.02$) and that of existential wellbeing was 20.90($SD{\pm}4.63$) in a possible range of 10 - 40. The average point of religious wellbeing was 2.14($SD{\pm}0.70$)points and existential wellbeing was 2.09($SD{\pm}0.46$) points to 4 point full marks. 2. The mean score for hope was 67.16($SD{\pm}12.28$) in a possible range of 29-116. The average point of hope was 2.31($SD{\pm}0.42$) points to 4 point full marks. 3. The mean score for perceived health status was 8.72($SD{\pm}2.49$) in a possible range of 4-14. 4. In testing the hypothesis concerning the relationship between spiritual wellbeing and hope, there was a statistically positive correlation(r=0.5209, p=0.0001). 5. In testing the hypothesis concerning the relationship between spiritual wellbeing and perceived health status, there was a statistically positive correlation(r=0.1427, p=0.0081). 6. In testing the hypothesis concerning the relationship between hope and perceived health status, there was a statistically positive correlation(r=0.2797, p=0.0001). 7. There were significant differences in spiritual wellbeing according to sex, religion, and present occupation. 8. There were significant differences in hope according to residential places, age, religion, educational level, family status, average monthly pocket money. 9. There were significant differences in perceived health status according to residential places, sex, age, educational level, present occupation and family status. From the above results it can be concluded that: There was a positive correlation between spiritual wellbeing and hope, spiritual wellbeing and perceived health status, hope and perceived health status. When the nurse implicate the nursing intervention which can be promote the spiritual wellbeing and hope, elder's perceived health status also can be improved.

• 한국직업건강간호학회지
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• 제7권2호
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• pp.164-176
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• 1998

This study deals with the current medical utilization for migrant workers and the characteristics of them. The purpose of this study is to provide the basic information to establish proper medical policy. For the study self-made questionnaire was used, which was answered by 453 migrant workers working in the area of manufacturing and non-technical work in 10 cities like Seoul, Inchon, Namyangju, Sungnam, Kwangju, Pyungchon, Kunpo, Kimpo, Masuk in Kyungki-do and Chunan in Chungchungnam-do. Besides, 303 medical records of those who had visited free medical check-up center were analyzed. The period of accumulating data is 6 months, from November 1st, 1996 to April 30th, 1997. The characteristics of migrant workers and current medical utilization are analyzed by percentage and the relation between characteristics and current medical utilization were analyzed using ${\chi}^2$-test, t-test, ANOVA. The finding of this study was as follows : 1) The number of nationality was 16. The first majority was Philippians as 32.0%. Among 16 nationalities Southeastern and Northern Asians were 48.9%, Southwestern Asian was 46.5%, the rest was 7.3%. Men were 81.0%, those who are aged from 26 to 30 were 39.0%, Graduatee from high school 92.7%, Christians 56.3%, unmarried 55.4% and salary from 600,000 Won to 800,000 Won 53.8% averaging monthly payment 669,810 Won. As for their residence, those who resided over 3 years were 31.9% and the illegal residence reached 77.4%. As for Korean language, those who speak in middle level were 5.6%. 2) As for kind of work and circumstances, manufacturing was 81.1%, 4 off-days per month 72.2% and 9-10 working hours per day 42.1%. As for accommodation, residence in fabric was 62.6% and one or two members as roommate 40.2%. 3) The characteristics of health behavior showed that 89.4% of migrant workers had 3 meals, 70.9% of them did not drink alcohol, 73.5% of them did not smoke. 4) As a characteristic of health status, 71.8% of them perceived of their health. 76.1% thought that they had no illness before coming Korea. Among them who recognized their illness, those who had problem in circulatory system was 35.3%, respiratory system ENT 19.1% and nervous system 19.1%.66.2% of those having illness had already had sickness when coming to Korea. 5) During last one month, 79.2% of them were known as ones having no illness. Among the sick, those who had problem in circulatory system was 31.6%, nervous system 23.7% and respiratory system 21.1%. 60.3% of the sick were not cured at that time. 6) Sorting the symptom of those who visited free medical check up, dental care was 24.2%, orthopedic 14.0% and digestive system 13.8%. Teethache was 34.4%, stomach problem 11.6%, upper respiratory inflammation 10.2% and back pain 5.9%. Averagely they visited free medical check up 1-2 times. According to symptom, epilepsy 25.5 times, heart and vascular disease 9 times, constipation 2.8%, neurosis 2.38 times and stomach problem 2.34 times. 7) The most frequently visited medical service by migrant workers was hospital. The most mentioned reason was good healing as 36.3%. The medical service satisfied migrant workers mostly was hospital as 64.3%. The reason of satisfaction was also good healing as 45.9%. 8) 77.2% of respondents did not spend money for medical check. Average monthly medical cost was 25,100 Won, 3.7% of income. Those who had no medical security was 73.4%. In their case, 67.7% got discount from hospital or support from working place and religious organization. 9) As for the difference of medical utilization according for the characteristics of migrant workers, legal workers and no-Korean speaker used hospital more frequently. 10) Those who were satisfied most of all with the service of hospital were female workers, hinduists and buddhists, legal workers or manufacture workers. 11) Christians, those who have 3 meals or recognize themselves as healthy ones mostly had no illness. As a result, the most of migrant workers in Korea are from Asia. They are good educated but are working in manufacturing and illegal. Their average income is under 700,000 Won which in not enough for medical cost. They have no medical security and medical fee is supported by religious organization or discounted. Considering these facts the medical policy by government is to be established.

• 한국치위생학회지
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• 제7권2호
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• pp.135-151
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• 2007

The purpose of this study was to examine the work environments of dental hygienists, to find out about what problems there were with their work environments and ultimately to help improve their work environments. It's basically intended to pave the way for furthering the welfare and interests of dental hygienists. The subjects in this study were dental hygienists who were selected by random sampling from among the members of Korean Dental Hygienists Association. Approximately 20 percent of the members each were selected from every region across the nation, and their work environments were investigated in consideration of the kind of their workplaces, service area, career and field of duties. As for the demographic characteristics of the dental hygienists investigated, there were differences between those who worked in the field of health care and the clinical workers. More of the former were older and married, and the former was ahead of the latter in career and education as well. Regarding working hours and leave of absence by kind of workplace, the number of regular average holidays was different according to their place of employment. Dental hospitals(6.66 days) and dental clinics(6.81 days) gave their employees less days off on the whole, whereas public dental clinics(19.29 days) granted the dental hygienists the longest leave of absence. Also, there was a broad gap in the number of regular average holidays among different regions in the nation. The dental hygienists who worked in Gangweon province enjoyed the longest holidays(10.88 days), while those on Jeju Island took the shortest vacation(4.46 days). Concerning monthly mean pay by place of employment, those who worked in public dental clinics were paid the best, and the dental hospital employees received the smallest pay. Their monthly mean pay significantly varied with the kind of their workplaces. As to connections between service area and pay level in the event of the dental hygienists with a four-year career, those who served in Seoul were paid the best(1,820,800 won), followed by Gyeonggi province(1,795,800 won), Gyeongsang province(1,604,200 won), metropolitan cities(1,424,800), Gangweon province(1,300,000 won) and Jeolla province(1,016,700 won). In regard to the starting pay in the different areas, the starting pay was largest in Seoul(1,501,800 won) and smallest in Jeolla province(904,000 won). Concerning work environments by place of employment, the dental hygienists in public dental clinics, general hospitals and university hospitals were far older than the others, and the career of the former was much larger than that of the latter. As to the number of regular leave of absence, public dental clinics, general hospitals and university hospitals were different from dental hospitals and clinics in that regard as well. Concerning monthly pay, public dental clinics paid their employees the best, and dental hospitals and clinics were ahead in terms of pay raise. But the reason seemed that public dental clinics and general hospitals increased the pay of their employees based on a fixed wage system and according to a fixed rate at the same time. As for relations between career and work environments, the pay of the dental hygienists differed with their career. The amount and rate of pay raise were largest for those whose career was between four years and less than six years, and smallest for those whose career was between seven years and less than nine years. The above-mentioned findings of the study suggested that in order to give dental hygienists better treatment, pay and welfare benefits should urgently be improved, and that it's required to take actions to boost their job satisfaction. Besides, they should be given more chances to receive education or to take training courses in pursuit of self-development, and how to narrow gaps in work environments among different regions or fields should carefully be considered.