• 한국치위생학회지
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• 제16권6호
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• pp.1057-1066
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• 2016

Objectives: The purpose of the study was to investigate the correlation between personal temperament, dental visit, and dental fear among adults. Methods: A self-reported questionnaire was completed by 400 adults visiting dental clinics from April to June, 2016. The questionnaire consisted of general characteristics of the subjects, dental fear, and temperament. Data were analyzed by t test, chi-square test, chi-square test, and pearson's correlation analysis using SPSS v. 23.0. Results: The first impression of dental clinics had an impact on dental fear (p<0.001). The negative image on the dental clinics increased dental fear of the visitors. There was a significant difference between the purpose of dental visit and dentla fear. Conclusions: The positive image of the dental clinics can solve the dental fear due to treatment in the adults. The dental consumers should try to have the comfortable attitude toward dental clinic in case of visit.

• 한국치위생학회지
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• 제21권1호
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• pp.53-63
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• 2021

Objectives: The purpose of this study was to determine the relationship between conscious sedation, a moderate sedation method used to reduce dental fear, and anxiety. Methods: The previously developed modified dental anxiety investigation scale (MDAS) and dental fear investigation scale (DFS) were investigated using a self-administered survey for adults aged 19 to 65 years old who visited a dental clinic located in Daegu City from April to November 2020. Those who met the ASA Recommendation Level 1 to 2 were the subjects of this study. The participants were evaluated using the sedation severity rating scale (OAA/S) during the implementation of conscious sedation. A lot of 106 valid questionnaires were analyzed using SPSS. Results: Dental fear and anxiety decreased significantly after dental care with conscious sedation. Dental fear after dental care accompanied by conscious sedation was statistically significant in females, those under the age of 40, those with a bachelor's degree or higher, and those who weighed 60 kg or less. Conclusions: Dental care using conscious sedation was found to have an effect on the reduction of dental fear after the dental procedure. Dental fear can occur in people of all ages, and, regardless of the individual's general and physical characteristics, conscious calming is considered an effective intervention for dental fear in all adults.

• 시큐리티연구
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• 제55호
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• pp.97-116
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• 2018

우리나라는 급격한 국가 발전으로 인해 지역사회에서는 다양한 사회병리현상이 발생하면서 범죄의 양상이 점점 흉포화, 저연령화 되어 가고 있다. 2017년 7월 강릉 여중생 폭행사건, 2017년 9월 부산 여중생 폭행 사건 등 끔찍한 사건들이 연달아 학생들 사이에서 발생하였다는 것에 국민들의 공분을 일으켰으며, 학교폭력 가해자에 대한 강력한 처벌과 소년법 폐지 청원 등 학생들을 대상으로 한 범죄통제 정책에 국가적으로 많은 관심을 가지게 되었다. 이처럼 날이 갈수록 저연령화 되어 가고 있는 학교폭력을 예방하고 학생들의 범죄 두려움을 제거하여 안전한 환경에서 학업에 열중할 수 있는 환경 조성을 위해 다양한 정책적 노력이 필요한 현실이다. 따라서 본 연구에서는 초등학생들의 지역 범죄통제 거버넌스에 대한 인식이 범죄두려움에 미치는 영향을 실증 분석한 결과를 바탕으로 향후 학교폭력 및 소년범죄 예방과 학생들의 범죄두려움을 효과적으로 감소시킬 수 있는 시사점을 제시하였다. 연구 결과 첫째, 초등학생들이 인식하는 지역 범죄통제 거버넌스와 범죄두려움 중 일반적 두려움을 분석한 결과 경찰에 대한 신뢰가 일반적 두려움에 매우 유의한 영향을 미치는 것으로 나타났다. 둘째, 초등학생들이 인식하는 지역 범죄통제 거버넌스와 범죄두려움 중 구체적 두려움을 분석한 결과 경찰에 대한 신뢰, 사회적 유대, 경찰과 주민의 친밀도가 구체적 두려움에 매우 유의한 영향을 미치는 것으로 나타났다. 따라서 지역 범죄통제 거버넌스 구축을 실시하면 학교폭력 예방과 범죄두려움 감소에 영향을 주어 학생들이 안전한 환경에서 학업에 열중할 수 있는 환경 조성에 도움을 줄 수 있다는 점에서 본 연구는 활용이 가능하다.

• 한국치위생학회지
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• 제12권1호
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• pp.57-65
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• 2012

Objectives : The purpose of this study is to seek analysis of related factors for dental fear and to know the fear component affecting the treatment of the dental treatment. Methods : Total of 320 females and males aging from 10 to 40 years old with dental treatments done from May to July 2010 have participated with self-entry survey method utilizing the Dental Fear Survey questionnaire. The data received was analyzed using the descriptive statistic, t-test, ANOVA and multiple correlation analysis with level of significance as p<0.05. Results : The dental fear factor were significantly high in woman by $2.79{\pm}0.92$ and in 40's age group by $2.82{\pm}0.84$ (p<0.05). Participants with frequent tooth ache, experiencing pain while treating the tooth ache and breaking the dental treatment appointment showed higher fear factor. Thoughts of having poor dental health condition caused bad influence on fear factor. Overall, the factors affecting the fear of the dental treatments were gender, an ache while treating, number of missed appointment, and distrust of the dentist, stimulation factor were the factors affecting the treatment. Conclusions : The fear factors in the dental treatment were higher with gender, related characteristics of the oral health and distrust of the dentist. Therefore accurately recognizing the sensitive patient with dental treatment, proper management of the toothache, effort to increase the creditability of the doctors and separately treating patient customized for each individual patient will reduce the fear of the dental treatment.

• 호스피스학술지
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• 제5권2호
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• pp.75-85
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• 2005

The objective of this research is to provide the basic material for effective hospice care by analyzing the recognition of families who have terminally ill patients over death. To do so, this research is designed to investigate the general tendency toward death and changes after hospice care. To analyse the initial status of the recognition about the death, questionnaires were provided to the families of the terminally ill patients who were taken hospice care from June 1st, 2005 to September 10th, 2005 at Saemmul Hospice. The same questionnaires were distributed to research some changes of the recognition of the death after 3 weeks. As the Data Analysis Methodology, SPSS v.10.0 statistics program were utilized. The summary of this research is as follows. First, by gender, it is analyzed that women have more fear than men in terms of incompetence sense after death. By religion, Christians have less fear than other religious people in terms of fear toward after death and general sense of death. Second, those who experienced deaths of close family members, relatives, friends for the past 3 years have more fear toward the moment of death than those who did not experience it. Third, statistically valid difference was found in terms of fear toward the moment of death, fear toward incompetence, fear toward after death, and fear toward death before and after the hospice care was taken. Based on the result of this research, terminally ill patients' families facing death have shown significant differences on fear and incompetence before and after hospice care was offered. It is necessary that the hospice care should be settled more professionally by expanding the opportunities of hospice care and institutionalizing the system. In addition, hospice activities which are focused on providing hope after death and facing death with dignity and peace should be expanded increasingly as the family members who experienced deaths showed higher degree of fear and powerlessness and Christians have less fear toward death with the help of biblical influence. It is also required that hospice care specialized in recognizing the importance of terminal cancer patients and their families at the same time.

• 대한소아치과학회지
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• 제34권2호
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• pp.341-348
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• 2007

치과의사는 진료실에서 불안이나 치과공포증을 가지는 환자들을 자주 만나게 된다. 치과의사들은 환자의 불안과 공포를 해결하기 위하여 여러 가지 비약물적인 방법을 먼저 고려하게 된다. 그러나 약물을 사용하는 다양한 치과 내 진정요법이 치과공포증 환자에게 더 효과적일 수 있다. 저자는 4명의 치료 증례를 통해 가벼운 아산화질소 흡입진정으로부터 전신마취 등의 방법으로 성인 치과공포증 환자에 대처하였던 과정을 소개하고자 한다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제21권4호
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• pp.369-376
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• 2021

In adult patients with dental phobia, dental treatment may be difficult, or may not be possible. Depending on the level of fear or anxiety, non-pharmacological or pharmacological behavior management techniques are used in the dental treatment of such patients. Among the pharmacological behavior management techniques, minimal sedation, that is, the lowest depth of sedation, can be easily obtained in adult patients using oral sedatives, does not require special equipment or tools, and does not affect ventilatory and cardiovascular function. Diazepam is an anxiolytic drug belonging to the benzodiazepine family that, in addition to relieving anxiety, produces muscle relaxation, and is a representative drug used in adult patients with fear of dental treatment. Herein, we report the case of a 50-year-old woman with severe dental fear who successfully underwent long-term dental treatment in approximately 20 visits with minimal sedation using oral diazepam. In addition, we reviewed the considerations for the use of benzodiazepines for minimal sedation.

• 한국치위생학회지
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• 제17권3호
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• pp.369-380
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• 2017

Objectives: The purpose of this study is to investigate the effect of preventive treatment experience on scaling fear level. Methods: A total of 259 adults who had visited the dental clinic were analyzed. The results were summarized as follows. Statistical analysis of the collected data was performed using the SPSS WIN 20.0 statistical program. The general characteristics, scaling experience, and the characteristics of the subjects were analyzed. Frequency of scaling according to general characteristics was analyzed by independent sample t-test, Scaling fears according to treatment experience were tested by t-test. Correlation analysis was performed for scaling fears according to the reliability of dental hygienist. Regression analysis was carried out to investigate factors affecting scaling fear. Results: Level of fear during scaling was higher in females (3.03) than in males (2.54) and that after scaling was scored higher in females (2.68) than in males (2.34) by general characteristics (p<0.001). The adults who were not healthy in oral health showed the highest levels of fear during (3.29) and after (3.00) scaling by oral health status (p<0.001). Adults who had brushing education experience showed lower fear level than those who did not after scaling (p<0.01) according to the experiences of preventive treatments. With respect to the correlation of trust level to the dental hygienists with the scaling fears, it showed higher in the trust level (-0.688) as lower level of scaling fear (-0.642) in the scaling (p<0.01). Confidence level of dental hygienist (-0.661), brushing education experience (-0.121), and oral health status (-0.121) were influenced upon the regression analysis. Conclusions: Oral health education and dental hygiene education are increasing. It is thought that active efforts are needed to promote and maintain oral health.

• 혜화의학회지
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• 제21권2호
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• pp.113-120
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• 2013

The object of this study was to investigate the relation between variables that is related to the general characteristics, fear of falling and falls efficacy. Data were collected from a convenience sample of 105 elders. Fear of falling and falls efficacy are measured structured questionnaires each. This study analyzed by SAS program. There was a significant difference of fear of falling according to education level(p=.003), body mass index(p=.016). There was a significant difference of falls efficacy according to gender(p<.001), education level(p=.047), body mass index(p=.019), number of chronic disease(p=.021). Fear of falling and age(r=0.23, p=.018) had significant positive correlations in the elders. Falls efficacy and number of chronic disease(r=-0.26, p=.010) had significant negative correlations in the elders. Fear of falling and falls efficacy are mutually contradictious concept. Also, both are important for the health of elderly. This result can be used for the elderly care and development of the program for the improvement of the falling efficacy.

• 한국치위생학회지
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• 제14권6호
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• pp.881-886
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• 2014

Objectives: The purpose of the study was to investigate the related factors to dental fear in some adults. Methods: A self-reported questionnaire was filled out by 320 adults in Seoul and Gyeonggi-do from April to June, 2013. Except 14 incomplete answers, data were analyzed by SPSS 18.0 program. The questionnaire consisted of general characteristics of the subjects(7 questions), dental fear related factor(18 questions), distrust for dentist(15 questions), and distrust for dental hygienist(11 questions). The instrument for dental treatment fear was Dental fear Survey(DFS) adapted from Kleinknecht and partly modified by Choi. Out of 20 questions, 18 questions were reconstructed and score by Likert 5 scale. Higher score means higher dental fear. Cronbach alpha was 0.959 in the study. The distrust for dentist and dental hygienist was adapted from Choi and reconstructed and score by Likert 5 scale. Higher score means higher distrust for dentist and dental hygienist. Cronbach alpha was 0.937 in distrust for dentist and 0.874 in distrust for dental hygienist in the study. Results: Those who experienced dental pain tended to have dental fear. The reasons for dental fear were as follows; bad breath(2.96 out of 5 points, hereafter represented as of 2.96/5), dental caries(2.88/5), missing teeth(2.87/5) and tooth pain(2.77/5). The distrust for the dentist was the main dental fear in the adults. Conclusions: The dental fear was closely related to gender, experience of dental pain, oral symptoms and distrust for the dentist. As the psychological pain in the patients was mainly influenced by the trustful atmosphere, it is necessary to make the patient easy before treatment.