• 성인간호학회지
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• 제29권3호
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• pp.278-289
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• 2017

Purpose: This study was designed to investigate whether there were differences among three oral care protocols on participants' oral health status (oral status, dry mouth, halitosis, saliva pH, microorganism growth in oral cavity) and tooth stain. The three protocols were: 1) oral solution of 4% normal saline, 2) 0.1% Chlorhexidine and 3) Tantum. Methods: A nonequivalent control group pretest-posttest design was utilized. A total of 55 elderly patients residing at long-term care facilities(19 in the 4% normal saline group, 17 in the 0.1% Chlorhexidine group, 19 in the Tantum group) received oral care daily for four weeks. Data were analyzed using SPSS/WIN 22.0 program. Results: The halitosis (${\chi}^2=10.71$, p=.005) and saliva pH (${\chi}^2=6.84$, p=.033) scores were significantly improved after the oral care with 4% normal saline. Conclusion: These findings indicate that if elderly patients in long-term care facilities have complaint of the discomfort of using Chlorhexidine or Tantum, 4% normal saline is as effective at the other two. This can also be cost effective as there were no differences among the protocols in oral status, dry mouth, tooth stain or microorganism growth in oral cavity.

• 한국치위생학회지
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• 제9권1호
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• pp.1-14
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• 2009

The purpose of this study was to examine the oral health care aware-ness of pregnant women and their actual oral health care in an effort to provide information on how to assist pregnant women to have the right knowledge on oral health and improve their oral health care. The subjects in this study were pregnant women who used obstetrics and gynecology hospitals or participated in pregnancy/child-rearing programs in the region of P. After a self-administered survey was conducted in July and August 2008, the following findings were given: 1. As for the best case of oral health care, the largest number(77.2%) of the pregnant women investigated brushed all the teeth, gums and tongue when they did toothbrushing. The smallest number of the women(6.8%) spent three minutes or more brushing their teeth. 2. As to dental treatment experience during pregnancy by age, 27.0 percent of the age 26-30 group had ever received dental treatment during pregnancy, which was higher than the rates of the other age groups with the same experience. 3. Regarding the necessity of oral health education geared toward pregnant women, 94.1 percent of the age 26-30 group and 96.3 percent of the group of age 31 and up felt the need for that, which were significantly higher than 72.7 percent of the age 20-25 group who agreed to the necessity of that education. 4. As to connections between oral health status and oral health care, the women who were in good oral health got 6.60 on oral health care. They scored significantly higher than those who were in a moderate state of oral health and who were in bad oral health, as the latter two groups respectively got 5. There was a significant correlation between oral health state and oral health care and between oral health knowledge and oral health care. The better oral health status led to better oral health knowledge, and the better oral health knowledge was followed by better oral health care. 6. As for factors affecting oral health care, oral health knowledge had the largest impact on that, followed by age, oral health status, experience of receiving oral health education for pregnant woman, dental treatment experience during pregnancy, monthly income and stress caused by oral diseases. Given the findings of the study, oral health education should be provided in light of the special physical and mental state of pregnant women. They should be encouraged to receive possible dental treatment during pregnancy if necessary, and they should learn about how to cope with a dental disease in case of develop it.

• 치위생과학회지
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• 제15권5호
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• pp.612-619
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• 2015

본 연구는 구강건강상태가 전신질환에 미치는 영향을 알아보려는 목적 아래 KNHANES 제6기 1차년도(2013년) 자료를 활용하여 19세 이상 성인을 대상으로 구강건강상태와 류마티스 관절염의 관련성을 파악하였고, 다음과 같은 결과를 도출하였다. 류마티스 관절염과 치주상태 관련성을 교차 분석으로 확인한 결과 통계적으로 유의한 관련성이 나타나지 않았으며, 류마티스 관절염과 치아상실은 통계적으로 유의한 관련성을 보였다(p=0.001). 류마티스 관절염에 미치는 영향을 알아보기 위해 로지스틱 회귀분석을 실시하였다. 치주상태는 류마티스 관절염에 미치는 영향이 없는 것으로 나타났고, 치아상실의 개수가 19~28개인 사람은 0~8개인 사람보다 류마티스 관절염의 위험이 약 3배, 9~18개인 사람은 0~8개인 사람보다 류마티스 관절염의 위험이 약 2배 높은 것으로 나타나 치아상실 개수가 많을수록 류마티스 관절염의 위험성이 높은 것으로 나타났다(p<0.05). 치주상태와 치아상실을 동시에 로지스틱 회귀모델에 적용하여 분석한 결과 같은 결과를 나타냈으며, 통제변수를 보정한 로지스틱 회귀분석결과는 통계적 유의성이 나타나지 않았다. 골밀도 검사를 비롯한 임상검사와 약 복용 등의 염증상태에 대한 진행 정도를 파악하고 보다 체계적인 분석이 이루어져야 할 것이며, 구강건강상태와 류마티스 관절염의 관련성에 관한 양방향성 연구가 활발히 진행되어 두 질환 사이의 명확한 매커니즘이 규명되어야 할 것이다.

• 한국산학기술학회논문지
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• 제14권1호
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• pp.206-213
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• 2013

본 연구는 구강건강 증진을 위한 구강건강신념의 형성을 위해서 결혼이주여성들은 대상으로 구강보건교육 프로그램을 개발 실시하여 구강보건교육 실시 전과 실시 후가 구강건강 지식 및 태도에 어떤 효과가 있는지 진단해보고 실제적으로 구강상태를 조사하여 구강건강증진 어떤 변화가 있는지 알아보고자한다. 다문화가족지원센터에서 2012년 3월 26일에서 2012년 6월 30일까지 연구대상자는 실험집단, 통제집단 각각 51명으로 구성되었고, 구강지식과 인식을 사전-사후 조사했으며 인식에 변화가 있어 치과를 방문한 사람을 추후 조사하여 구강상태를 조사하여 대응표본t검증, 반복측정 변량분석을 실시하였다. 그 결과 구강보건 인식에서는 구강상식, 치주질환, 치아우식증, 잇솔질 영역에서 향상 나타났고 구강보건지식에서는 치주질환, 치아우식증, 잇솔질, 불소, 구취영역에서 구강보건인식에서 향상 나타났다. 우식경험영구지수(DMFT index)변화 즉 우식경험 미처치 치아수 (DT index)가 줄어들고 우식경험 처치치아수 (FT index) 늘어났다. 이상의 결과와 같이 본 연구에서 개발한 국제결혼이주 여성을 위한 구강보건 교육 프로그램은 결혼이주여성들의 구강보건인식. 지식 등의 변화를 가져왔으며 지식의 변화는 행동의 영향을 주어 치주상태, 우식경험 영구치지수의 변화도 있었다. 이는 결혼이주여성의 구강보건을 위한 교육프로그램의 중요성을 보여주고 있으며, 추후 구강보건교육 프로그램 개발을 위한 정보를 제공하여 다양한 측면에서 구강보건교육 프로그램이 개발되어 예방과 치료를 병행할 수 있게 되어야할 것이다.

• 한국치위생학회지
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• 제12권1호
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• pp.201-212
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• 2012

Objectives : The purpose of this study was to examine about workers' oral health status and oral health behavior practice. Methods : Questionnaire survey was carried out targeting 331 workers within the industrial complex of Jeonju city in 2011. As a result of surveying and analyzing workers' oral health status, habit related to oral health, activity restriction, which is oral disease phase, and oral health practice level by using SPSSWIN 12.0. Results : 1. Workers' experience of visiting dental hospital(clinic) for the past one year was indicated to be the highest with 64.9% in the working period with 10 years-under 20 years(p<0.001). Experience of scaling was indicated to be averagely 38.8%. 2. The oral health status perceived by workers was the highest with 40.5% in 'having something abnormal'. A problem was the highest with 28.0% in 'dental caries'. A cause was indicated to be 42.6% in 'because of being naturally weak in tooth or the gum.' The biggest reason for having failed to receive the dental treatment at a proper time was indicated to be the highest with 24.8% in 'because of feeling burdensome about dental expense. '3. 58.4% of male workers were smoking. The use of dental hygiene device was the highest with 40.6% in mouth-rinse. 4. Absence caused by oral disease was indicated to be the highest with 13.8% in the household income in more than 3,500,000won, thereby having shown the significant difference(p<0.05). Early leaving was indicated to be the highest 13.9% in more than 50s age, thereby having shown the significant difference(p<0.05). Also, as for factors of absence and early leaving, a pain was the highest with 64.7%. 5. Workers' oral health practice level was the highest with 2.85 points in 'Brushing teeth before going to bed'. Conclusions : Synthesizing these findings, the oral management could be known to be made negligently in the workers with the older age, the lower academic background, and the lower income. The institutional foundation is considered to be necessary for which the oral health education can be efficiently performed in addition to a need of periodic oral examination for these classes.

• 대한치과기공학회지
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• 제36권1호
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• pp.51-62
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• 2014

Purpose: Recently our country is rapidly aging population is growing. In the oral cavity of the elderly status of oral health-related quality of life to evaluate any impact. Methods: The survey used structured self administered questionnaires from April to May in 2011 in Daejeon and Chungcheong provinces to 277 people, analysis of the general characteristics of a frequency analysis method, the difference between the quality of life T/F test, whether oral self-according to the quality of life healthy oral health effects of the multiple regression analysis. Results: Award comes on the number of residual value, lower age all the more, smaller monthly income was small, but significant difference between them was no difference between gender. Residual value according to the number of differences in the quality of life of physical pain upper, physical disability, the lower the physical pain, physical disability, psychological disability were significant differences in degradation. Depending on oral maxillary prosthesis fitted to physical pain, psychological discomfort, physical disability, the lower the functional limitation, physical pain, there was a significant difference in physical disability. Conclusion: Status of the oral cavity of the elderly factors affecting the quality of life remaining in the lower dimensions, upper and lower prosthetics, self-aware state of oral health in order to improve the quality of life of elderly oral health education to be strengthened to increase the residual value, reducing their own prosthetic perceived oral health is health, so they feel it should be for the development of health education programs for the elderly should be.

• 융합정보논문지
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• 제10권12호
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• pp.191-200
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• 2020

본 연구는 노인들의 교육과 소득정도에 따른 구강건강상태 및 관리행태와 치과이용행태를 파악하여, 노인구강건강 증진에 대한 정책과 제도를 마련하기 위한 근거자료를 제시하고자 실시하였다. 자료조사는 2019년 8월 19일부터 2019년 10월 25일까지 대전지역에 거주하는 노인 224명을 대상으로 실시하였으며, 수집된 자료는 chi-square test와 logistic regression analysis 등으로 분석하였다. 그 결과 구강건강상태 및 관리행태는 틀니사용, 임플란트사용, 구강위생용품사용, 구강보건교육경험, 구강건강관리방법에서 교육과 소득정도에 따라 유의한 차이를 보였다. 치과이용행태도 교육과 소득정도에 따라 유의한 차이를 보였으며, 연령, 교육 정도, 임플란트사용 여부, 치과이용의 주된 이유가 치과이용에 영향을 미치는 요인으로 나타났다. 이에 본 연구를 토대로 교육 및 소득정도를 고려한 국가적 차원의 제도적 방안이 마련되어 노인들의 구강건강의 삶의 질이 향상될 수 있기를 기대한다.

• 한국치위생학회지
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• 제9권3호
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• pp.344-356
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• 2009

To identify subjective health status of senior citizens' oral health following senior citizens' general characteristics and knowledge and behavior for the oral hygiene, this research conducted individual interview with 237 senior citizens in some parts of Seoul. The results are as follows. 1. Degree of senior citizens' knowledge on the oral hygiene is about Middle. Among the categories on the senior citizens' knowledge on the oral hygiene, teeth's brushing was the highest while knowledge on fluorine was the lowest. 2. Senior citizens who feel that their oral health is healthy when it comes to the subjective health state of senior citizens' oral health following behavior for the oral hygiene, brush their teeth, three times in a day, for more than three minutes (p<.01). Moreover, senior citizens who feel that their oral health is healthy brush different corners of the tongue when brushing (p<.01). 3. In case of knowledge on the oral hygiene following general characteristics, knowledge on the oral hygiene was higher when economic status was higher (p<.01). In case of living expenses, knowledge on the oral hygiene was higher for the senior citizens with pay or income (p<.01). 4. In case of behavior for the oral hygiene, women tended to act for the oral hygiene more than men. As for the method for raising living expenses, senior citizens who receive basic social security check or those at the highest tier tended to act less for the oral hygiene (p<.01). 5. Senior citizens who answered that their oral health is healthy when it comes to the subjective health state of senior citizens' oral cavity tended to have high knowledge on the oral hygiene (p<.01). In conclusion, subjective health status of senior citizens' oral health is higher when the knowledge on the oral hygiene and behavior for the oral hygiene are higher. Accordingly, it is necessary to develop and execute oral hygiene training program to change senior citizens' behavior incrementally and the dental hygienists who can conduct this training should be actively attracted into the senior citizens' oral hygiene training.

• 치위생과학회지
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• 제15권5호
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• pp.642-649
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• 2015

이 연구는 대구 지역 일부 청소년을 대상으로 구강건강상태와 구강건강 관련 삶의 질에 대해 조사하였으며, 청소년의 구강건강 관련 삶의 질에 미치는 요인에 대해 분석하였다. 연구 대상자 중 주관적 구강건강 상태에 대해서 나쁘다고 생각하는 청소년은 24명(20.2%), 보통은 67명(56.3%), 좋다고 생각하는 청소년은 28명(23.5%)이었고, 1년 내 구강 내 통증을 느낀 적이 있다고 응답한 청소년은 72명(60.5%), '없다'는 47명(39.5%)이었다. 구강건강 관련 삶의 질의 점수는 최하 14~70점까지로 연구 대상자의 평균 총 점수는 $64.76({\pm}6.71)$점으로, 점수가 높을수록 구강 문제로 인한 삶의 질의 영향이 낮은 것이다. 청소년의 구강건강 관련 삶의 질에 영향을 미치는 요인은 1년 내 구강 내 통증 경험이 있을수록 구강건강 관련 삶의 질이 낮은 것으로 나타났으며, 주관적 구강건강 상태, 학년 순으로 영향이 있는 것으로 나타났다. 일생 동안 신체적, 정신적 변화가 가장 많은 청소년 시기의 삶의 질은 매우 중요하다. 이러한 삶의 질에 구강건강이 미치는 영향에 대해 조사한 연구로 매우 의미 있는 연구이며, 청소년의 구강건강 불편 증상을 최소화하기 위한 노력이 필요할 것으로 생각된다.

• 한국치위생학회지
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• 제11권2호
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• pp.293-301
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• 2011

Objectives : The aim of the trial was to study the effect of plaque control(tooth brushing instruction) for oral health improvement on periodontitis patients. Methods : 30 patients(35~65 years) with advanced periodontal disease were subjected to a baseline examination including assessment of oral hygiene status(O'leary index), gingival condition(bleeding). the assessment were repeated after 2, 4, 6 weeks. cognitive, behavioral and clinical outcomes were assessed in the primary care setting by questionnaire and clinical oral examination. Results : The oral hygiene status expressed as the individual mean percentage of tooth surfaces with plaque 59.3% at baseline and 21.2% after 6 weeks(p<0.001). The gingival bleeding status expressed as the individual mean point of interdental papilla 3.8 at baseline and 1.9 after 6 weeks(p<0.001). Also, the patients self-assessment about correct tooth brushing behavior was 3.9(5-point likert scales), satisfaction of plan practices 4.1(5-point likert scales), efficacy of tooth brushing instruction 8.7(10-point likert scales). Patients wanted to continuous participation. Conclusions : A verification of effect after individualized oral health instruction and repeated dental plaque control represented to significance on plaque control score, oral care practice and oral health recognition. The important oral care step against periodontal disease is to establish good oral health habits. Also, oral health behavior recognition is more important for the practice of oral health. Therefore professional plaque control and tooth brushing instruction absolutely need in improving oral health.