• Title/Summary/Keyword: Dental care needs

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Development and Application of a Nursing Assessment Tool for Senior Center Nurses (노인복지관 간호사를 위한 간호사정조사도구 개발 및 적용)

  • Ko, Ha Na;Song, Misoon
    • Perspectives in Nursing Science
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    • v.13 no.2
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    • pp.96-109
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    • 2016
  • Purpose: The purposes of this study were to develop a nursing assessment tool for senior center nurses, and to test its feasibility and content validity. Methods: The study utilized a psychometric test design. Preliminary items were developed based on geriatric health needs and Gordon's 11 domains of functioning health. Initially, the tool was evaluated for content validity and feasibility. Then, it was administered among 195 older adults in a senior center by a gerontological nurse practitioner. Data were analyzed to describe the nursing problems of the senior center older adults. Results: The final version of the nursing assessment tool consisted of 27 items. The internal consistency, measured with the Cronbach's ${\alpha}$, was .74. The result of the assessment showed that senior center older adults had high nursing needs in the area of management of chronic diseases (hypertension, diabetes, and lipids), dental care, community relations, safety, elder abuse, health behaviors (such as drinking), mental health (depression, suicide, and cognitive function), and health consultations. Conclusion: The new tool was feasible for use with senior center participants, and it was evaluated as having high content validity by senior center nurses.

Health Knowledge, Health-Guidance Execution and Health-Education Needs of Parents of Preschoolers (학령전기 아동 부모의 아동 건강지식 정도, 건강습관 지도이행도 수준 및 건강교육 요구도 조사)

  • Seo, Hyun-Mi;Jeon, Mi-Yang;Choi, Na-Young
    • Journal of Korean Public Health Nursing
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    • v.23 no.2
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    • pp.207-218
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    • 2009
  • Purpose: In an attempt to develop a parental health improvement education program for day care children, survey questions were devised to measured the extent of parental health knowledge, health-guidance execution and needs. Method: Participants were 727 parents whose children attended daycare centers in J province informed consent was provided prior to participation. Result: Respondents were overwhelmingly (91.6%) mothers. Questions with high percentage of incorrect answers were "What should I do if my child swallows harmful drugs, bleach or detergents?" (98.1%) and "What should I do if insects or other bugs enter my child's ear?" (96.6%). In most cases, parental health-guidance execution exceeded 90% except in response to the survey question "Does your child have a dental check-up every 6 months" (51%). Taken together, parental education is necessary concerning growth and development (12.8%), nutrition (12.1%), healthy life styles (10.3%) and general health issues (10.0%). Conclusions: Parental health knowledge about preschooler's health varies with degree of income, education and type of employment. Consideration of these variables is important in a parental health education program.

The Relationship between Life Style and Periodontal Health Status (생활습관과 치주건강상태의 관련성)

  • Ryu, Hae-Gyum;Lee, Jung-Hwa
    • Journal of dental hygiene science
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    • v.13 no.4
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    • pp.418-425
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    • 2013
  • This study was investigated in order to provide basic data for prevention of periodontal disease and maintenance through proper lifestyle by finding the relevance of periodontal health with lifestyle habits. Data were collected from total of 326 subjects in their forties and fifties by using questionnaire and examination of periodontal health status. Results were analyzed by using IBM SPSS Statistics 19.0. The smoking status were statistically significant to gingival index (p<0.01), pocket depth (p<0.001), and clinical attachment loss (p<0.001). Smoking amount per day were statistically significant to gingival index (p<0.05), pocket depth (p<0.01), and clinical attachment loss (p<0.001). Duration of smoking were statistically significant to gingival index (p<0.05), pocket depth (p<0.01), and clinical attachment loss (p<0.001). Drinking cycle were statistically significant to gingival index (p<0.05), and clinical attachment loss (p<0.05). It is investigated that smoking (p<0.05) influence on clinical attachment loss. Dental care institute needs to make patients be aware of the fact that excessive smoking and drinking affect the periodontal health status for prevention of periodontal disease and maintenance of oral health. Therefore systematic educational programs to stop smoking and drinking should be prepared.

Awareness and Satisfaction of Health Insurance Coverage of Dental Scaling (건강보험의 치석제거 급여 범위 확대에 대한 인식 및 만족도에 관한 연구)

  • Hwang, Youn-Jung;Cho, Young-Sik;Lee, Su-Young
    • Journal of dental hygiene science
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    • v.15 no.5
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    • pp.620-627
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    • 2015
  • The purpose of this study was to identify the factors associated with medical care utilization, the level of recognition, satisfaction, revisit and recommendation after implementing the expanded health insurance coverage of dental scaling. A questionnaire survey was conducted and analyzed among 608 adults living in Seoul and Gyeonggi-do April 1st to 30th, 2014. The results of the survey are as follows: 76.9% of the respondents know the expanded health insurance coverage, which is influenced by educational background and monthly income. The level of satisfaction, revisit and recommendation intention is affected meaningfully by educational background. Two factors, high school graduate or less and dental hygienist, meaningfully affect patients' satisfaction with scaling, and recommendation from others and Internet searching contribute to revisit. High school graduate or less is also one of the factors affecting the intention of recommendation, along with recommendation from others, Internet searching, scaling by a dental hygienist, and oral hygiene education before scaling. Summing up the results, patient's satisfaction and intention to recommend are high when dental hygienists provide oral hygiene instruction prior to scaling. This study suggests that dental hygienists help patients feel comfortable before treatment by building rapport with them. In addition, it is required that consistent efforts for quality improvement in scaling be sustained, that the patient's needs be identified to increase their satisfaction with scaling, and that studies to verify relevant factors be conducted.

A MULTICENTER RETROSPECTIVE STUDY OF OUTPATIENT INTRAVENOUS SEDATION FOR DENTAL TREATMENTS (치과 치료를 위한 외래 정주진정 법에 대한 다기관 후향적 임상연구)

  • Jung, Se-Hwa;Baik, Sang-Hyun;Roh, Hyun-Ki;Kang, Na-Ra;Im, Jae-Jung;Lee, Byung-Ha;Jeon, Jae-Yoon;Hwang, Kyung-Gyun;Shim, Kwang-Sup;Park, Chang-Joo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.5
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    • pp.394-400
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    • 2009
  • Purpose : On outpatient facilities, our sedation protocol focuses on the intermittent bolus injections of midazolam intravenously, according to patient's and operator's needs during the dental treatment. This multicenter retrospective study was aimed to prove the efficiency and safety of our sedation protocol. Patients and Methods : In three centers using the same outpatient sedation protocol for dental treatment (Division of Oral and Maxillofacial Surgery/Department of Dentistry in Hanyang University Medical Center, S-plant Dental Hospital. and Grand Oral and Maxillofacial Surgery), total 937 patients had various dental treatments under intravenous conscious sedations with independent patient monitoring from March 2006 to March 2009. By reviewing charts, we analyzed the results of sedation and dental treatment, retrospectively. Results : Our sedation protocol had no severe postoperative complications requiring admission. while showing good compatibility with almost all dental treatments, with acceptable satisfaction of both patients and operators. Conclusion : We assure that our sedation protocol can be used efficiently and safely on routine outpatient basis. We also hope that this study will provide the concrete concepts to common dental practitioners, who desire to perform sedation for dental treatment.

DENTAL CHARACTERISTICS OF A PATIENT WITH INCONTINENTIA PIGMENTI : A CASE REPORT (색소실조증 환자의 치과적 특성 : 증례보고)

  • Song, Jihyeo;Lee, Koeun;Song, Je Seon;Lee, Jaeho;Choi, Hyung-Jun
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.2
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    • pp.88-91
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    • 2018
  • Incontinentia pigmenti(IP), or Block-Sulzberger syndrome is a rare X-linked dominant genodermatosis that affects almost in female infant and is usually lethal for males in utero. IP is characterized by four cutaneous stages and is frequently associated with dental, ocular, central nervous system and structural anomalies. Dental problems are congenital missing of teeth, delayed eruption, abnormal crown shape. We reported a case of 5 year-old female with IP. She had congenital missing of multiple primary and permanent teeth, accessory cusp and cone-shaped crowns. Systemically, she had a problem of retina and hyperpigmented macules on her trunk and extremities as typical character of IP. As the syndrome involves many different medical problems and needs comprehensive consideration. Dental care should be performed in a multidisciplinary consultation system.

Survey on Oral Health Awareness by Pneumoconiosis Patients of Care Hospitals (요양병원 진폐환자의 구강건강인식 조사)

  • Oh, Na-Rae;Yoon, Sung Uk;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.16 no.6
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    • pp.387-393
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    • 2016
  • This study was conducted to examine the oral health awareness, needs of dental treatment and the oral and maxillofacial pains targeting pneumoconiosis patients of care hospitals for the purpose of providing basic data for preparing a plan to improve the oral health of patients plagued with pneumoconiosis. As the subjects of survey, total 120 patients who have agreed to the research among the patients of three care hospitals, were enrolled between March and July in 2015. As the result of the study on the factors that influence the oral health perception, it was verified that the persons of an average monthly income of 2 million won or more, were shown to have significantly better oral health awareness than the subjects of monthly earning of less than 2 million won (p<0.05), thus showing that the oral health awareness by the people of monthly income of more than 2 million won, was 0.77 times higher compared to the others. Therefore, in order to improve the oral health awareness of pneumoconiosis patients, the economic stability of the patients should be taken into account as a priority when examining the oral health policy decisions and it was recommended that the survey and research on the oral health of patients with pneumoconiosis can be done in amore systematic manner.

Conditions and Performance of Quality Improvement Activity in Korean Dental Hospitals (치과의료 질 향상활동 현황과 개선활동 만족도)

  • Kim, Han-Na;Kim, Ho;Kim, Hae-Young
    • Journal of dental hygiene science
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    • v.13 no.4
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    • pp.359-368
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    • 2013
  • This study aimed to evaluate conditions and performance of quality improvement (QI) activity in Korean dental hospitals. Twenty one representative dental hospitals in Korea were selected by the selection criteria. A questionnaire was implemented to measure awareness, perceived needs, educations, conferences, works, activating/obstructive factors and satisfaction related to QI activities. Satisfaction score range from 0 (lowest) to 5 (highest) among 329 dental hygienists who worked in the selected 21 dental hospitals. Implementation rate of programs on external customer satisfaction was the highest 59.9% in QI activities, and reduction of expenses (59.4%), Improvement in health care quality (58.7), risk management (52.8) were followed, while improvement in work efficiency (46.5) showed the lowest implementation rate. The most influencing factor accelerating QI activities was 'active participation of hospital workers' (54.7%), and 'effort to improve customer satisfaction' (44.7%) followed. The most influencing QI related obstructive factor was 'lack of QI-related manpower and support' (47.1%). A balanced development including QI programs with lower implementation rates is necessary. Encouraging participation of workers may be the most important in developing dental QI activities further.

Community periodontal index treatment needs in relation to dental health care of migrant worker (이주 노동자의 구강건강관리에 따른 치주치료요구도)

  • Jung, Myung-Hee;Kim, Ju-Yeong
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.4
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    • pp.553-567
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    • 2007
  • Migrant Worker are rapidly increasing in Korea since 1990. They are nowadays main sources of laborer groups engaging in medium-sized factories. The purpose of this study is to provide the basic information to establish proper oral health policy. Dental caries and periodontal disese are the most common disease that occur in the mouth. Periodontal disease is the most common disease in humans and the biggest reason for the loss of the teeth in the adult population. The CPITIN has been developed jontly by the international Dental Federation and the World Health Organization. CPITN is now an established index of level, of periodontal condition in populations for which specific intervention might be considered. This study was conducted to obtain the information regarding to CPITN of migrant workers located in Daegu, Questionaire survey was carried out for 289 workers from July 9 to August 8, 2006. Total survey was 289, 224 males and 65 females. The result was as follows: First, The number of nationality was 14. The first majority was China as 31.8% Among 14 nationalities were Cambodia 18.0%, Vietnam 12.8%, Sri Lanka 12.1%, Indonesia 7.3%, Nepal 4.2%, the other 13.8%, those who are aged from 20 to 29 were 43.9%, and salary from 1,000,000 won to 1,490,000 won 51.2%.(as for their residence, those who resided) over 3 years were 42.6% and not insured reached 68.5%. Second, more than 93.4% of the subjects need periodontal treatment, only 4.9% of non-smoker was health periodontal states, four times frequency of tooth brushing per a day was 16.7%. Third, 28.7% of migrant workers had experienced visit of dental clinic, and 22.9% had received treatment of decayed tooth. Fourth, It is difficult for them 65.1% of them to visit dental clinic in korea, the First was a communication problem and the second was time. Fifth, Most of them didn't have a oral health education but 85.1% of them said that they wish they attend oral health education. We conclude that the situation of migrant workers was very bad considering their working conditions, circumstances, and health condition. According to this study, more than 93.4% of the people need periodontal treatment. Besides they didn't have accurate knowledge about prevention of periodontal disease. Therefor our considering these facts, the policy of dental health by government should be established for migrant workers.

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Factors upon revisit and intention of recommendation for dental care service (치과의료 재이용 및 권유의사 관련 요인)

  • Lee, Hyang-Nim;Shim, Hyung-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.2
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    • pp.317-326
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    • 2012
  • Objectives : This study aims to examine satisfaction of dental treatment and revisit and intention of recommendation to dental patients and to supply as a basic resource for dental management improvement. Methods : 645 dental patients to dental hospitals in G City were subjects of this study. 27 dental hospitals were randomly chosen per 5 or 6 in 5 Districts. The intention of the survey was explained to 645 patients and it was agreed to have questionnaire survey. Questionnaire survey was carried out for 2 weeks in April 2011. Total 593 were used for the analysis except for insufficient answer sheets. The analysis was executed by using SPSS 18.0 and the results are as follows. Results : 1. The highest figures are as follows: female was 53.29% in sex, 20-29 age group was 44.52%, graduates of university were 38.62%, students were 28.50%, monthly family income with 300-399 million won was 31.70%. As to the treatment, dental caries were highest with 46.21% followed by scaling with 40.81%. As to the number of visit, 39.80% were over 5 times, and as to the opportunity to use, 29.34% answered it because it is close to home. 2. As to satisfaction, male was 4.15, over 60years old was 4.58, self-employed was 4.33, friendship with dentist as opportunity to use was 4.37. And as to revisit intention, over 60 years old was 4.60, over postgraduate in education level was 4.38, self-employed was 4.43, over 5 times visit was 4.32, and fame as opportunity to use was 4.39 which were the highest. As to the intention of recommendation to others, female was 4.24, over 60 years old was 4.65, self-employed was 4.36, friendship with dentist as opportunity was 4.43 which were the highest and showed significant differences (p<0.05). 3. As to patient satisfaction, there were strong relevance between revisit intention and intention of recommendation with 0.769 and 0.744 respectively. And, as to revisit intention, it had significant relation with revisit intention with 0.791. 4. The explanatory power of the regression analysis on the factors affecting revisit intention was 61.20%. The revisit intention was high when the satisfaction of dental hospital was high (${\beta}$=0.767, p<0.001), the number of visit (${\beta}$=0.026, p<0.01), reason for a visit (${\beta}$=0.070, p<0.01), education level (${\beta}$=-0.063, p<0.05) and occupation (${\beta}$=0.078, p<0.05). 5. The explanatory power of the regression analysis on the factors affecting intention of recommendation was 59.9%. The intention was taken patients satisfaction(${\beta}$=0.601, p<0.001), dental hygienist's kindness (${\beta}$=0.218, p<0.001), female (${\beta}$=0.079, p<0.05), reason for a visit(${\beta}$=-0.059, p<0.05), dissatisfaction treat(${\beta}$=0.084, p<0.05), dentist's kindness (${\beta}$=-0.080, p<0.05), age (${\beta}$=0.054, p<0.05). Conclusions : To improve revisit rate of patients, the refurbishing hospital facility, treatment and kindness of dental hygienists and satisfaction of treatment must be improved. And it also needs to accept complaint from female patients in a positive manner, and understand and correct complaints actively from the perspective of patients.