• 한국치위생학회지
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• 제16권4호
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• pp.585-590
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• 2016

Objectives: The purpose of the study was to investigate oral health-related behaviors of some elementary school students by installation of toothbrushing facility. Methods: A self-reported questionnaire was completed, out by 377 elementary school students with toothbrushing facility, and by 260 elementary school students with no toothbrushing facility in M city from November to December, 2015. The data were analyzed by ${\chi}^2$-test, t-test and stepwise multiple regression analysis using SPSS 12.0 program. The questionnaire comprised toothbrushing practice(2 items), satisfaction of toothbrushing facility(1 item), oral health knowledge(4 items), fluoride recognition(1 item), and necessity of fluoride mouthrinse(1 item). Results: The level of oral health knowledge was high in toothbrushing facility school. But toothbrushing practice was higher in school of no toothbrushing facility(63.8%) than the school with toothbrushing facility(49.1%)(p<0.001). The number of brushing times a week was also higher in school of no toothbrushing facility(1.98 times) than the toothbrushing facility school(1.59 times)(p=0.011). The dominant reason for no brushing was not recognition(65.8%) in toothbrushing facility school, lack of places(61.3%) in non toothbrushing facility school. Conclusions: In order to improve the oral health in elementary school students, it is necessary to provide toothbrushing education and toothbrushing facility in elementary schools.

• 한국치위생학회지
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• 제14권2호
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• pp.173-179
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• 2014

Objectives : The purpose of this study is to provide the basic data for the development of oral health education program and to make schoolchildren practice the right oral health care behaviors. Methods : Data were collected from 259 elementary school students including 134 boys and 125 girls in Busan from November 26 to December 20, 2012. The groups were tooth brushing group and dental clinic group. All statistical analyses were analyzed by frequency analysis and chi-square test using SPSS 18.0 program. Results : School dental clinic group showed higher awareness level of fluoride and sealant effect of prevention(p=0.000). Toothbrushing facility group showed higher awareness level of brushing tooth(p=0.011). School dental clinic group showed higher awareness level of fluoride toothpaste(p=0.000). Both school dental clinic group and toothbrushing facility group showed higher awareness level of oral health education(p=0.001). School dental clinic group showed higher awareness level for tooth brushing method after education(p=0.000). Both school dental clinic group and toothbrushing facility group showed higher level of education. Conclusions : School dental clinic group showed higher level for oral health knowledge and toothbushing facility group showed high level for oral health behavior. Both School dental clinic group and toothbrushing facility group showed higher level of oral health education and tooth brushing method after education. Both school dental clinic group and toothbrushing facility group proved to promote oral health. Activation of school toothbrushing facility is very important to change the oral health workforce.

• 한국학교보건학회지
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• 제19권2호
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• pp.49-57
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• 2006

Purpose：The purpose of this study is to analyze the relationship between mothers' oral health knowledge level and oral health behavior and their children,s oral health behavior. Methods：The subjects in this study were 980 mothers and their children of fourth grade, fifth grade and sixth grade in an elementary school in Daegu city, Korea. The data were collected by a structured questionnaire from 26 June to 30 June, 2006. Collected data were analyzed into frequency, One-Way ANOVA, T-test, and correlation analysis using SPSS 10.0 program. Results：First, the mothers, oral health knowledge was significantly associated with their children,s perception of benefit, seriousness and barrier. Second, the mothers, oral health behavior was significantly associated with their children,s frequency of toothbrushing and visiting at dental care facility. Third, the mothers, toothbrushing frequency was significantly associated with their children,s toothbrushing frequency. Fourth, the mother's visiting at dental care facility were significantly associated with their children's visiting at dental care facility. Conclusion：The mothers, oral health knowledge was significantly associated with oral health belief of their children and the mothers, oral health behavior was significantly associated with oral health behavior of their children. Consequently it was necessary to encourage mothers and their children to take part in oral health education programs and oral health projects.

• 한국치위생학회지
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• 제12권4호
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• pp.723-732
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• 2012

Objectives : This study aims to analyze the tasks, recognition and obstacles in operation of school dental clinics and to examine opinions on installation, operation and prerequisites for toothbrushing facilities. Methods : It conducted a survey t o the persons in charge at 378 school dental clinics in Korea and total 127 sheets, excluding incompletely answered data, were used for analysis by using SPSS 18.0. Results : Two regular dental hygienists visit school dental clinics 2-3 times per week and work 4-6 hours per week on average. Their tasks include oral health education, toothbrushing instruction, oral examination, sending school newsletters, and dental sealants. The obstacles of operation include excessive workload other than the work for the school dental clinic, lack of dentists, and lack of cooperation of principals and teachers in school. The persons in charge think that the chief task of the school dental clinic is the continuous oral health management, and it effectively affects students' oral health improvement. Most of them were for the installation of toothbrushing facilities. They said that it will be effective in students having an adequate toothbrushing habit and their toothbrushing rate increasing higher. They thought that if the school dental clinic is changed to toothbrushing facilities, it will improve students' oral health management. The prerequisites for toothbrushing facilities are the support of manpower in charge, principal's support, and development of operational programs. Conclusions : The most effective function of school dental clinics is constant oral health management. However, when public health doctors are reduced and dental sealants get included in health insurance, the budget of local government will decrease and then it will eventually reduce the work of school dental clinics. Therefore, it is needed to enhance support for school dental clinics or install a toothbrushing facilities rather than a school dental clinic.

• 한국치위생학회지
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• 제17권3호
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• pp.527-537
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• 2017

Objectives: The purpose of this study was to examine the practice of oral hygiene behaviors and oral health status of long-term care facility residents and to analyze the factors related to salivary hemoglobin level which can predict active periodontal disease. Methods: From 30th October 2015 to 7th January 2016, a questionnaire was provided to 63 participants and their dental plaque and saliva samples were collected to assess the levels of salivary hemoglobin and dental plaque acidogenicity. In order to analyze the factors related to salivary hemoglobin level, multiple linear regression analysis was performed. Results: Toothbrushing was most frequently performed by the participants themselves (98.4%) and toothbrushing was performed after eating breakfast (81.3%). 68.8% of participants reported brushing their tongue. 35.9% of participants perceived having bad teeth, and 87.5% had high dental caries activity. The percentages of participants with hyposalivation and ${\geq}0.20{\mu}g/ml$ salivary hemoglobin level were 45.3% and 59.4%, respectively. The salivary hemoglobin level was significantly higher in the group in which stimulated salivary flow rate was ${\leq}0.70ml/min$, dental plaque acidogenicity was superior, and perceived having bad teeth (p<0.05). There was also a tendency for the salivary hemoglobin level to increase with age (p<0.05). Conclusions: Oral health status of the long-term care facility residents was still not improved, and the characteristics of salivary volume and dental plaque were important factors affecting salivary hemoglobin level. Therefore, it is necessary to operate an oral hygiene intervention program by oral health professionals in such facilities in order to provide residents with effective oral care aligned with their respective needs. Furthermore, it is necessary for caregivers to complete mandatory oral health education to improve the oral hygiene status of the long-term care facility residents.

• 치위생과학회지
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• 제16권2호
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• pp.118-126
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• 2016

이번 연구에서는 양치시설의 전국적 확산과 이를 통한 아동의 구강보건행태 개선 및 구강건강향상을 위하여 양치시설 설치 및 운영 효과를 극대화할 수 있는 표준설계방안 및 운영방안의 근거를 마련하고자, 초등학교와 보건소 내 양치시설의 설치 및 운영 담당자를 대상으로 초점집단연구를 수행한 결과, 기존 양치시설 설치 및 운영관리에 대해 다음과 같은 문제점과 의견을 파악할 수 있었다. 양치시설의 설치 및 운영에 따라, 학생들이 구강건강관리의 필요성을 크게 느끼고, 칫솔질 시행률이 크게 높아졌으나, 양치시설 담당교사의 관심 및 의지에 따라 양치시설의 관리상태가 크게 좌우되었다. 양치시설 등의 구강건강관리 사업은 보건교사와 보건소 담당자 모두에게 중요하게 느껴지지만, 한정된 인력과 다른 업무의 비중을 고려했을 때 우선순위에서 밀려나는 것으로 나타났다. 양치시설의 위치가 급식소와 가까이 있는 경우에 학생들의 접근성이 좋았고, 교실형보다는 복도형이나 교실 내 양치시설에 더 쉽게 접근할 수 있는 것으로 나타났다. 양치시설 설계 및 설치 시 배수관의 크기, 개수대의 높이 및 깊이, 온수, 수도꼭지 등을 종합적으로 고려해야 하는데, 특히 여러 학생이 동시에 사용 시 물의 역류를 방지하기 위해 배수관의 크기를 크게 하고, 개수대의 깊이를 깊게 하여 물이 밖으로 튀는 것을 방지해야 하며, 개수대의 높이는 학생의 학년별 체격에 따라 달리 해야 한다고 응답하였다. 양치시설의 효율적인 홍보 및 관리 방안이 마련되어야 하고, 학생들의 칫솔질 실천율 증가와 효율적인 양치시설의 관리를 위해 학부모(가정)와 담임교사(학교)를 대상으로 한 교육이 필요한 것으로 나타났고, 양치시설 운영관리 주체는 학교가 되고 설계 및 설치 주체는 보건소가 되어야 한다는 의견이 많았다. 그러므로, 학생들의 실질적인 구강건강증진을 위해서는 양치시설의 담당자의 의견을 바탕으로 기존 문제점을 보완함으로써 양치시설의 접근성, 기능성, 안전성 및 이용자 만족도를 제고할 수 있는 양치시설 설계와 관련된 공통된 도면이나 운영관리, 홍보 매뉴얼을 마련해야 할 것이며, 이로써 아동의 구강건강증진과 구강건강행태 개선에 실질적인 기여를 할 수 있을 것이다.

• 한국치위생학회지
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• 제7권1호
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• pp.1-13
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• 2007

In Korea, respect for the aged and filial devotion is treated as basic ethics for human life, and family takes care of the aged person mainly. Nowadays, family support on the aged person is prioritized than the others. However, number of aged person is growing, and family, which is used to protect the aged, becomes nuclear through industrialization. In addition, social advancement of female induces weakened supporting function of family, and all these issues generate the problem of protection for the aged as significant social problems. Author conducted oral inspection and questionnaire for the aged in some welfare facilities in Gyeongnam location from December 2005 to February 2006 to improve quality of life and oral hygiene of the aged. Through gathered data, the actual condition of oral hygiene management on the aged person in welfare facility was evaluated as fundamental data for project development on oral hygiene of aged person. Through the analysis of inspected data, the following conclusions are derived. 1. Management status of oral hygiene is mostly not good, and toothbrushing per day is 'one time' for the most cases. 2. In free-of-charge facility, monthly allowance is 'under 50 thousand won' for the most cases. 3. Time for visiting oral treatment facility is on 'when toothache is occurred' for the most cases. For treatment content, 'prosthetic dentistry' takes 36.8% in charged facility, and 'tooth extraction' is 27.0% for free-of-charge facility. 4. Average DMFT index of the aged in charged facility is 16.81, and free-of-charge facility is 21.71. 5. Average number of functional teeth in charged facility is 15.22, and free-of-charge facility shows 7.29. 6. Average number of remained teeth in charged facility is 15.71, and the umbe in free-of-charge facility is 9.04. 7. Average number of extractable teeth in charged facility is 0.48, and for free-of-charge facility, the number goes up to 1.70.

• 한국산학기술학회논문지
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• 제18권6호
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• pp.524-537
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• 2017

본 연구는 장기요양시설 노인의 삶의 질에 관련된 요인을 알아보기 위하여 조사대상자의 인구사회학적 특성, 건강관련행위특성, 구강건강영향지수(OHIP-14), 신체적 기능(ADL, IADL) 및 정신적 기능(CES-D, MMSE-K)과 삶의 질(WHOQOL-BREF)과의 관련성을 분석하였다. 조사대상은 장기요양인정자로 판정받은 장기요양시설급여노인 602명으로 하였으며, 2016년 5월 1일부터 6월 30일까지의 기간 동안에 구조화된 설문지를 이용한 직접 면접조사와 구강검사를 실시하였다. 연구결과, 조사대상자의 삶의 질은 남성보다 여성에서, 생활비조달을 본인이 하는 경우보다 자녀가 조달하거나 정부의 보조를 받는다는 군에서, 요양기간이 길수록, 비음주군보다 음주군에서, 규칙적인 운동을 한다는 군보다 하지 않는다는 군에서, 식사를 규칙적으로 한다는 군보다 하지 않는다는 군에서, 주관적인 건강상태가 건강하다는 군보다 건강하지 않다는 군에서, 1일 칫솔질 횟수가 적을수록, 구강건조증이 없다는 군보다 있다는 군에서, 구강건강영향지수(OHIP-14)가 낮을수록, 신체적 기능(ADL, IADL)이 낮을수록, 정신적 기능(CES-D, MMSE-K)이 낮을수록 유의하게 낮았다. 특히 삶의 질은 다른 요인보다 건강관련행위특성과 정신적 기능(CES-D, MMSE-K)에 의해 더 큰 영향을 받고 있는 것으로 나타났다. 따라서 장기요양시설 노인의 삶의 질을 증진시키기 위해서는 바람직한 건강관련행위를 비롯하여 우울 및 인지기능장해를 예방하기 위한 노력이 필요할 것으로 생각된다.

• 대한심미치과학회지
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• 제28권2호
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• pp.116-126
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• 2019

Objectives: 현재 장애인의 구강건강은 구강건강전문인력인 치과위생사가 아닌 사회복지사가 책임지고 있는 실정이다. 장애인 복지시설에 상주하는 사회복지사에게 올바른 구강건강 관리방법을 제공함으로써 장애인 구강건강의 형평성 제고를 도모하고자 한다. Methods: 2019년 4월 13일부터 2019년 4월 20까지 서울시 송파구에 위치한 'o' 장애인 복지시설에 거주하는 1급 지적장애인을 대상으로 식후 치과위생사 4명과 사회복지사 4명이 잇솔질 시행 후 구강환경관리능력지수(PHP Index)를 측정하여 비교하였다. 사전에 사회복지사 4명에게 잇솔질(회전법)을 교육하였으며, 잇솔질 방법과 검사 측정 도구를 통일하였다. 대상자의 구강보건지식을 평가하기 위해 자기기입식 설문지를 사용하였고, 구강보건지식점수 및 구강환경관리능력지수(PHP index) 점수의 평균, 대상자의 일반적 특성에 대해 Microsoft Office Excel ver.2016 을 이용하여 빈도 및 백분율 산출하였다(N%). Results: 치과위생사와 사회복지사의 구강보건지식 조사에서 모든 문항에서 치과위생사가 높은 점수를 나타냈다. 치과위생사와 사회복지사가 지적장애인을 대상으로 잇솔질(회전법) 실시 후 구강환경관리능력지수(PHP Index)를 비교했을 때 연령별, 성별 모든 분류에서 치과위생사의 구강환경관리능력지수(PHP Index)가 낮게 나타났다. 2차에 걸쳐 치과위생사와 사회복지사가 지적장애인을 대상으로 잇솔질(회전법) 실시 후 구강환경관리능력지수(PHP Index)를 비교했을 때 1차, 2차 모두 치과위생사의 구강환경관리능력지수(PHP Index)가 낮게 나타났다. Conclusions: 이상의 결과를 종합해 볼 때, 장애인들의 구강건강관리를 위해 치과위생사가 사회복지사보다 구강건강관리능력이 더 효율적인 것으로 나타났다. 따라서 장애인들의 입소시설에 치과위생사가 구강건강관리전문 인력으로 배치되어 장애인 및 사회복지사의 교육을 담당할 수 있는 환경이 조성되어야하며, 치과위생사를 양성하는 대학의 교육과정에도 장애인의 특성을 이해하는 교과목이 개설되어 전문성이 제고되어야 한다.