• 한국의료질향상학회지
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• 제9권2호
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• pp.230-240
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• 2002

Background : The purpose of this study was to develop, implement and evaluate the pharmacist intervention program designed to identify and correctly adjust the dosage of $H_2$-receptor antagonists ($H_2RA$) in renally impaired patients and promote timely conversion of $H_2RA$ from IV to PO therapy. Methods : The study population consisted of renally impaired patients who received $H_2RA$ therapy from April 9 to May 8, 2001 at Hallym Medical Center. Each morning a specifically developed software program identified patients with serum creatinine (Scr) greater than 1.2 mg/dl or age greater than 65 years. The pharmacist, then screened the pharmacy profiles of the identified patients to determine if the patient was on $H_2RA$. For these patients on $H_2RA$ with renal impairement the creatinine clearance (CrCl) was calculated using Cockroft & Gault equation. The pharmacist determined the proper dosage for each identified patients based on the calculated CrCl and the oral dosage that would be appropriate for whom IV therapy was no longer indicated. Result : A total of 149 cases (101 patients) were monitored during the study period. The dosage was inappropriately prescribed for renal function in 61 of 149 cases (41%), and of those, pharmacist made recommendations for 58 cases of which 33 cases (57%) were accepted by the physicians. The administration route of H2RA was inappropriately used as IV in 22 of 53 cases (42%), and pharmacist made recommendations for those 22 cases of which 15 cases (68%) were accepted. Conclusion : Monitoring of patients with renal dysfunction by a pharmacist improved the dosing of $H_2RA$ and a dosing program of patients with renal impairment would be of benefit to other clinicians and institutions seeking to optimize patient care.

• 한국학교ㆍ지역보건교육학회지
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• 제11권2호
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• pp.13-28
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• 2010

Objectives: The purpose of this study was to examine health status and health behavior of adolescents by socioeconomic characteristics. Methods: Secondary analysis of the 2008 Korea National Health and Nutrition Examination Survey was conducted for 836 adolescence respondents. Results: First, the score of health status was 3.75 and high in 12-15 ages, living together with parents and private medical insured person. The score of oral health status was 2.85 and high in 12-15 ages, employed health insured, living together with parents. Second, dental treatment need was high in female, low income and dental checkup high in 12-15 ages and high income. Influenza vaccination was high in 12-15 ages. Diet contents was good in high income, living together parents and private medical insured and having breakfast was high in male, 12-15 ages, high income, living together with parents and private medical insured person. Third, smoking experience was high in male, low income, living together with single father or mother and drinking age was high in high income family. Forth, sinusitis was high in high income and small pox was high in low income. Conclusion: There might be many differences in the health status and health behavior of adolescents by sex, age, house income, type of family, private medical insurance. Our findings suggest that the need to develop appropriate health education program for high health problem behavior and intervention strategies for socioeconomic specified groups at greater risk.

• 한국융합학회논문지
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• 제8권11호
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• pp.215-222
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• 2017

본 연구는 성인 비만자를 대상으로 구강관리행태와 치주질환 유병을 분석하여 관련 요인을 규명하고자 실시하였다. 국민건강영양조사 제6기 2차의 원시자료를 활용하여 최종 4381명의 성인을 추출하였고 체질량지수, 잇솔질횟수, 음주, 흡연 및 구강건강상태와 행태에 대한 관련성을 확인하고자 SPSS 통계프로그램을 이용하여 변수의 가중치를 적용하고 빈도 및 카이제곱 검증과 다중 로지스틱 회귀분석을 실시하였다. 그 결과 잇솔질횟수가 많을수록 치주질환 유병률은 낮아졌고, 체질량지수가 높을수록 치주질환 유병률은 높아지는 것을 확인하였다. 체질량지수는 잇솔질 횟수가 영향을 주며 두 변수는 궁극적으로 치주질환을 유발하는 요인으로 작용하였다. 이번 연구를 통해 세계적인 건강이슈인 비만의 경우 구강관리에 더욱 관심을 기울여야 하며 구강보건관리 프로그램이 개발되어져야 한다.

• 한국융합학회논문지
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• 제10권6호
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• pp.59-64
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• 2019

본 연구는 구강관리용품 중 가장 대표적인 칫솔과 치약에서 이용자가 얻고자 하는 관련검색어를 통하여 이용자가 기대하는 선택정보를 구글 트렌드를 활용, 분석하여 이를 구강관리용품에 대한 교육의 기초자료로 제공하고자 한다. 구글 트렌드에서 제공하는 최초 시점인 2006년부터 2018년 현재(9월)까지의 시기에서 영문 Toothbrush와 Toothpaste를 검색한 뒤 인기순으로 정렬하여 노출되는 관련 검색어 각 25개 총325개의 검색어를 연도별로 수집하였다. 그 후 이용자가 기대하는 검색기능을 파악하는 검색어 세부분석방법과 빅데이터 프로그램 넷마이너를 활용한 단어 네트워크 분석의 두가지 방법으로 분석하였다. 연구 결과 전 세계적으로 Toothbrush에 대하여 브랜드에 대한 기대와 관심이 높았으며 Toothpaste에 대하여 치약의 기능에 대한 기대와 관심이 높았다. 이를 통해 구강교육의 동기부여를 높이기 위해 칫솔은 브랜드, 치약은 치약의 기능에 대한 지식과 정보를 활용하고 제공함으로써 환자의 흥미를 높이는 것이 효과적으로 판단된다.

• 지역사회간호학회지
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• 제15권1호
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• pp.44-55
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• 2004

Purposes: Purposes of this study were to assess the needs of health education of residents and to determine the difference according to their general characteristics in a community. Method: Subjects consisted of 599 residents who live in the vicinity of M Catholic University, S dong, M city, Jeollanam do. Data were collected by 6 research assistants, using a self reported questionnaire from July 1, 2003 to July 31, 2003. Results: Subjects were mostly female (58.8%). 20 30 years old(45.2%), married (70.1%), high school graduates (42.1%), have an occupation(73.1%). have incomes less than 1.000,000 won(54.2%) and have a religion(59.8%). and the family type of the subjects was primarily nuclear(64.1%). The need for education about 'family health care management and medical examination' was the highest in 8 domains. The need for education about 'cancer' was the highest and 'family health care', 'stress and strategies', 'introduction of medical examination' and 'oral care' followed in 41 items. The differences in the needs of health education in all domains was found according to subjects' general characteristics. Conclusion: Further research is needed to develop a health education program based on participants' needs and general characteristics.

• 대한소아치과학회지
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• 제35권1호
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• pp.102-109
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• 2008

2004년 보건복지부에서 시행한 전국 장애인 구강보건실태조사 자료 중 만 6-17세 사이의 소아 청소년 장애인 677명을 대상으로 하여 장애유형을 신체장애, 정신지체 및 감각장애로 분류한 후 이들의 치아우식증 실태를 파악하여 다음과 같은 결론을 얻었다. 소아 청소년 장애인들의 전체 평균 우식경험영구치지수와 우식경험영구치면지수는 각각 3.06개 및 5.24면이었고, 각 연령대별 우식경험영구치지수와 우식경험영구치면지수는 6-8세는 0.90개 및 1.45면, 9-11세는 2.32개 및 3.76면, 12-14세는 3.63개 및 6.33면 그리고 15-17세는 4.93개 및 8.35면이었다. 또한 소아.청소년 장애인들의 우식경험영구치지수에 유의한 영향을 미친 변수로는 연령, 잇솔질 횟수 및 잇솔질 의존도 그리고 저작 및 기능장애이었다. 연령이 증가할수록(b=1.34, p<0.001), 잇솔질 횟수가 적을수록(b=-0.27, p=0.034), 잇솔질을 자력으로 하는 경우에(b=-1.43, p<0.001), 그리고 구강 내에 저작 및 기능장애가 있는 경우에(b=1.24, p=0.011) 우식 경험영구치지수가 유의하게 높았다. 또한 우식경험영구치면지수에 유의한 영향을 미친 변수는 연령, 잇솔질 횟수 및 잇솔질 의존도로, 연령이 증가할수록(b=2.49, p<0.001), 잇솔질 횟수가 적을수록(b=-0.66, p=0.024) 그리고 잇솔질을 자력으로 하는 경우(b=-1.75, p=0.042)에 우식경험영구치면지수가 유의하게 높게 나타났다. 따라서 우리나라 소아 청소년 장애인들의 치아우식증의 진행과 중증도를 감소시키기 위해 각 연령대별로 보다 효과적인 잇솔질 교습을 포함한 구강건강증진 프로그램을 개발하여 적용하는 것이 필요한 것으로 사료되었다.

• 한국치위생학회지
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• 제15권1호
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• pp.47-54
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• 2015

Objectives: The aim of this study was to investigate the factors related to dental caries and periodontal disease in Korean adults. Methods: The subjects were 5,149 adults over 19 years old who participated in the 5th Korea National Health and Nutrition Examination Survey 2012. Data were analyzed by chi-square test and logistic regression analysis using SPSS 18.0 statistical package program. The questionnaire consisted of 17 questions of independent variables and 2 kinds of dependent variables including dental caries and periodontal diseases by direct interview. The independent variables included 5 questions of general characteristics, 3 questions of health behavior, 5 questions of oral health behavior, and 4 questions of chronic diseases diagnosed by the doctors. Results: The prevalence rate of dental caries was higher in those who did not regularly work out and did not receive regular checkups including dental floss and dental brush use. The prevalence rate of periodontal diseases was higher in male adults, smokers, and those who were obese and had diabetes mellitus, poor oral health care habit without using dental floss and inter-dental brush. Conclusions: In order to prevent the dental caries in the adults, it is very important to do regular exercise and regular dental checkup. The best ways of dental caries prevention include tooth brushing after meal with use of dental floss and inter-dental brush. This study suggests that dental health promotion can be enhanced by smoking cessation, ideal body weight maintenance, timely tooth brushing after meal, and use of dental floss and inter-dental brush.

• 한국치위생학회지
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• 제15권1호
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• pp.63-71
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• 2015

Objectives: The purpose of the study is to investigate the relationship between bone mineral density and remaining teeth in Korean adults. Methods: Using National Health and Nutrition Examination Survey(KNHANES) 5th Year 1(2010), 1,985 adults over 50 years old having bone mineral density test were selected. Male adults were 883, and female adults were 1,102. The raw data consisted of general characteristics of the subjects, bone density data, and oral examination data. The questionnaire consisted of general health survey, laboratory examination study, and nutrition study. Data were analyzed using SPSS 18.0 program for multiple regression analysis, ANOVA, t-test. The variables included general characteristics of the subjects, health behavior, diet habit, and oral health behavior. General characteristics consisted of gender, age, residence area, education level, marital status, monthly income, and vocation. Health behavior consisted of smoking, alcohol drinking, body mass index(BMI), physical activity, and mental health. Diet habit consisted of frequency of meal, milk, coffee, and calcium ingestion. Oral health behavior consisted of frequency of tooth brushing, use of oral health care devices, and oral examination. Systemic diseases were measured by the questionnaire for hypertension, diabetes mellitus, and hyperlipidemia. Bone density was measured in T-score of femoral bone, neck of femur, and lumbar vertebrae. Bone density was classified into normal($T-score{\geq}-1.0$), osteopenia(-2.5 < T-score < -1.0), and osteoporosis ($T-score{\leq}-2.5$). The remaining teeth were measured by the differences between normal teeth and missing teeth. Results: Smoking and age are the most influencing factors on the number of remaining teeth and bone density(p<0.01)(p<0.05). Those who had higher bone density, younger age, and nonsmoker significantly had more remaining teeth. Those who were men, diabetic, lowly educated women, and low birth weighted persons tended to have less number of teeth(p<0.01). Conclusions: The study suggested that there were significant differences between men and women according to the oral health management behavior and systemic disease control. Proper management of the oral health and good quality of bone mineral density can reserve the remaining teeth through the whole life.

• 한국치위생학회지
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• 제7권4호
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• pp.419-431
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• 2007

The setting of dental hygiene clinics is very important to dental hygiene education, which is the place not only to educate students but also to care clients. The purpose of this study is to provide basic research material for improvement of dental hygiene care system in dental hygiene clinics by analyzing the client satisfaction. A questionnaire survey by means of self-entry method was conducted to find out satisfaction of the client, who was visited to the dental hygiene clinics in the department of dental hygiene, Yonsei University. An analysis of frequency, one way ANOVA and T-Test were performed through SPSS 12.0K program. 1. Most clients were mainly composed of students in Wonju College of Medicine. 2. The clients visited for scaling(85.8%) and oral examination(9.73%) were much than treatment(4.42%). 3. Clients aged 21 to 25 were relatively lower in satisfaction with the facilities, system, attitude than any other ages. 4. The dental hygiene students are the lowest group in satisfaction with the facility, system, attitude than medical and nursing students. 5. The clients satisfaction with dental hygiene clinics was decreased in reverse proportion to visiting frequency. 6. Most of the clients pointed out the problems of appointment system(54.0%) and fee(23.0%), which should be improved than any other operation conditions. 7. Most of the clients were not satisfied with chair time and pain during care. 8. Most clients recognized to receive the better care service than other dental offices(81.3%). Especially, they paid attention to oral health education using phase-contrast microscope. 9. Many clients were dissatisfied with facilities of the dental hygiene clinics(71.7%). The problems of appointment system(54.0%) and chair time of dental hygiene care services(63.6%) had also inconvenienced to clients. The dental hygiene clinics in school play a crucial role in dental hygiene education to foster the student to be competent as a professional dental hygienist in the future. Therefore, well-organized dental hygiene care program based on dental hygiene process is essential. It is also required to improve the environment of dental hygiene clinics including facilities, appointment system and fee etc.

• 한국치위생학회지
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• 제18권4호
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• pp.441-453
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• 2018

Objectives: The purpose of this study was to contribute to the development of basic data for establishing and expanding the dental health centers in the future by examining the awareness of the dental health center establishment and the level of dental health knowledge in the school. Methods: A survey was conducted from April 2017 with 336 students over 10 years old in South Korea to investigate the awareness of the dental health center establishment in the school and their dental health knowledge level. The results were summarized as follows. Statistical analysis of the collected data was performed using the SPSS WIN 21.0 statistical program. Results: It was necessary to establish the dental health centers in the school with their establishment rate of 82.8%, and the reason for the establishment of the dental health center was the possibility of regular checkup with the highest at 43.6%. In the school, 62.8% answered no experience of dental health education with the highest rate. Dental health education in the school was answered to be necessary with 91.0% the most prevalent one. Factors affecting the recognition of the expected effect of establishing the dental health center in the school, it is expected that if the establishment of the oral health center is needed and the oral health education is needed in the school, And the perception of the effect is increased. Conclusions: 91% of the respondents considered that dental health education was necessary and 83% answered they needed dental hygiene. However, only 37.2% of the students experienced dental health education in the school. Therefore, it is necessary to expand the dental health center establishment, and to develop the foundation of life dental health care through regular dental examination and proper brushing education.