Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
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The Relationship Between Knowledge of Oral Health and Actual Condition on Oral Health Care of Diabetic Patients

당뇨병 환자의 구강건강지식 정도와 구강관리실태의 관련성

  • Kim, Ki-Eun (Dept. of Dental Hygiene, Eulji University) ;
  • Han, Ji-Hyoung (Dept. of Dental Hygiene, Beakseok of Culture University)
  • 김기은 (을지대학교 치위생학과) ;
  • 한지형 (백석문화대학 치위생과)
  • Received : 2009.08.03
  • Accepted : 2009.09.15
  • Published : 2009.09.30
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Abstract

The aim of this study is understanding the relationship between degree of knowledge and actual condition on oral health care to raise people's attention on oral health care and to develop a oral health care program and respondents are 121 diabetes patients. The conclusion of this study is as follows; 1. In terms of degree of Knowledge, women have better knowledge on dental healthcare than men. People aged between 20 and 50 have relatively good knowledge and the longer patients fight against diabetes the more they know about oral healthcare. 2. In actual oral healthcare condition, only 21.5% of patients use rolling method. Patients who have good knowledge have relatively high frequency of dental treatment. Most patients see dentists for their oral healthcare consultation. 3. All the respondent group hesitate to have dental treatment because of expensive cost. Surprisingly. most patients with good knowledge answers that diabetes has nothing to do with dental disease. 4. In terms of degree of knowledge and having oral healthcare program, diabetes patients who are having programs has better knowledge. 5. Respondent group which has middle level of knowledge in oral healthcare give high marks on oral healthcare but does not show statistical significance.

본 연구는 당뇨병 환자들의 구강건강지식 정도 및 구강관리실태와의 관련성을 파악하여 구강건강에 대한 교육의 필요성 도출과 구강건강교육 프로그램을 개발하는데 필요한 기초 자료로 활용하고자 당뇨병 환자 121명을 대상으로 설문 조사한 자료를 통하여 다음과 같은 결론을 얻었다. 1. 일반적 특성에 따른 구강건강 지식정도는 여자가 남자보다 높았고, 연령별로는 20개 이하와 50대 이상인 집단에서 구강건강 지식이 높았으며, 당뇨 유병기간이 길수록 지식정도가 높은 것으로 조사되었다. 2. 구강관리실태 중 잇솔질 방법은 전체 연구 대상자의 21.5%만이 회전법이라 답하였으며, 구강건강 지식정도가 상인 경우 당뇨 진단 후 치과치료 경험이 많았으며, 구강질병 상담자는 치과의사가 가장 많은 것으로 나타났다. 3. 연구 대상자가 치과치료를 망설이는 이유로는 모든 집단에서 '치료비용이 비싸서'라고 답하였고, '당뇨와 구강질환이 상관이 없어서'라는 항목의 경우 구강건강 지식정도가 상인 집단에서 가상 높게 나타났다. 4. 구강건강 지식정도와 구강건강교육 여부의 경우 구강건강 교육용 받았었거나, 받고 있는 당뇨병 환자일수록 구강건강 지식정도가 높게 나타났다. 5. 구강건강 지식정도가 중인 집단에서 대부분의 구강관리행위에 높은 점수를 부여하는 것으로 조사되었으나 통계적 유의성을 보이지 않았다.

Keywords

References

  1. American Diabetes Association: Standards of medical care in diabetes-2006. Diabetes Care 29:S4-S42, 2006.
  2. Korea National Statistical Office: The cause of death statistics. Korea National Statistical Office, Deajun, p37, 2000.
  3. Mandel ID: Relation of saliva and plaque to caries. J of Dent Res 53(2): 246-266, 1974. https://doi.org/10.1177/00220345740530021201
  4. Murrah VA: Diabetes mellitus and associated oral manifestations. J Oral Pathol 14(4): 271-281, 1985. https://doi.org/10.1111/j.1600-0714.1985.tb00494.x
  5. Mealey BL, Rethman MP: Periodontal disease and diabetes mellitus bidirectional relationship. Dent Today 22(4): 107-113, 2003.
  6. Kwon YH: Diabetes mellitus and periodontal disease. K. H. M. 14(3,4):237-244, 1998.
  7. Tsai C, Hayes C, Taylor GW: Glycemic control of type 2 diabetes and severe periodontal disease in the US adult population. Community Dent Oral Epidemiol 30: 182-192, 2002. https://doi.org/10.1034/j.1600-0528.2002.300304.x
  8. Sandherg GE, et al.: Type 2 diabetes and oral health a comparison between diabetic and non-diabetic subjects. Diabetes Res Clin Pract 50(1): 27-34, 2000.
  9. Kim HS: A clinical study on the periodontal status of the pattern with diabetes mellitus. Master's Thesis of Graduate School of Chosun University, pp.4-9, 1992.
  10. Lee KD, Lee HK: EMFT Index, periodontal index and oral hygiene status in diabetic patients. Yeungnam Univ. J. of Med. 22(1): 62-71, 2005.
  11. Kim NH: A study on the oral health status in diabetic patients. Master's Thesis of Graduate School of KyungHee University, pp.13-39, 2001.
  12. Lee JH: Oral condition in diabetes mellitus. Master's Thesis of Graduate School of Dentistry Development Yeungnam University, pp.26-27, 2006.
  13. Hwang JM: A study on relationship among the oral health knowledge, oral health behavior and oral health status of elderly people. Master's Thesis of Graduate School of Hanyang University, p53, 2006.
  14. Kim SJ: Relationships between the knowledge, attitude, and behavior about the dental health and the dental health conditions in elementary student. Master's Thesis of Graduate School of Pusan National University, pp.45-46, 2003.
  15. Lee HN: Study on the oral health knowledge and behavior patients who visited dental clinics. Master's Thesis of Graduate School of Chosun University, pp.33-35, 1999.
  16. Korean diabetes Association. Diabetes. Seoul, pp.221-231, 1995.
  17. Mackenzie H, Richard S, Millard D: Interrelated effects of diabetes, arteriosclerosis and calculus on alveolar bone loss. J Am Dent Assoc 66: 191-198, 1963.
  18. Barnett ML et al.: Absence of periodontitis in a population of insulin-dependent diabetes millitus patients. J Periodontol 55: 402-405, 1984. https://doi.org/10.1902/jop.1984.55.7.402
  19. Katz PP et al.: Epidemiology and prevention of periodontal disease in individuals with diabetes. Diabetes Care 14(5): 375-385, 1991. https://doi.org/10.2337/diacare.14.5.375
  20. Shlossman M: Diabetes mellitus and periodontal disease - A current perspective. Compend Contin Educ Dent 15(8): 1018-1032, 1994.
  21. Taylor GW: Periodontal treatement and its effects on glycemic control : A review of the evidence. Oral Surg Oral Med Oral Pathol Radiol Endod 87: 311-316, 1999. https://doi.org/10.1016/S1079-2104(99)70214-3
  22. Christgau M et al.: Healing response to non-surgical periodontal therapy in patients with diabetes mellitus: Clinical, microbiological, and immunologic results. J Clin Periodontol 25: 112-124, 1998. https://doi.org/10.1111/j.1600-051X.1998.tb02417.x
  23. Chang KW: The effects of did habits on oral condition. Jinju college of nursing Journals 14(2):45-64, 1991.
  24. Lee YS: An analysis of oral condition in IDDM Patients using insulin. Master's Thesis of Graduate School of Yeonse University, pp.35-37, 1992.
  25. Larry W et al.: Bacteria as risk marker for periodontitis. J British Dent 149: 67-73, 1980.