• 한국산학기술학회논문지
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• 제17권3호
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• pp.407-413
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• 2016

본 연구는 어머니의 구강보건지식과 유아구강관리 행태를 파악하여 효과적으로 수행할 수 있도록 하여 유아구강건강을 향상시키기 위해 시도되었다. 연구대상은 D시의 198명의 어머니를 대상으로 설문조사를 하였으며, 자료 분석은 SPSS/PC 20.0을 이용하여 기술통계, 상관관계 Pearson's correlation coefficients으로 분석하였다. 본 연구의 결과를 비추어 볼 때, 구강질병은 심각한 문제라고 인식하고 있었으며, 치과의사에게 정기적으로 방문하는 것은 매우 중요하다고 인식하였다. 아이의 충치가 진행되는 것으로부터 지킬 수 있다는 확신에 대한 인식에 따른 구강보건지식의 상관관계는 어떠한 항목에서도 유의성을 보이지 않았다(p>0.05). 1년에 한 번씩 아이를 치과에 데려갈 수 있을지에 대한 확신에 대한 구강보건지식의 상관관계는 불소가 치아에 효과적이다 라는 구강보건지식과 처음 치과에 방문 시기에서 음의 상관관계를 보였다. 또한, 아이가 치통을 느낄 때 치과에 데려갈 수 있을지에 대한 확신에 대한 구강보건지식의 상관관계는 유아용 음식과 음료에는 설탕이 무첨가되어 있다는 지식과 상관관계를 보였다 (p<0.05). 본 연구는 구강건강지식 및 인식도를 향상시켜 유아구강건강을 증진시키고 자하는 방안을 모색하는 기초자료로 활용될 수 있을 것이다.

• 지역사회간호학회지
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• 제22권2호
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• pp.212-222
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• 2011

Purpose: This study was conducted to survey children's health status and need of customized visiting health care services in one province. Methods: The participants in this study were 237 caregivers of infants and preschoolers. Data were collected at the participant's home or public health center. Results: Many of the children did not receive developmental screening tests or dental examinations. In the beneficiary group, the prenatal checkup rate and children's vaccination rate were lower, and caregivers had more health problems than the other groups. On the assessment of home safety, unsafe conditions were more frequently found in the beneficiary group. The caregivers in the beneficiary group showed lower child rearing confidence than the other groups, and wanted customized visiting health care services most in the areas of developmental screening, regular health check-up and counseling, nutritional supplementation, and oral health care. Conclusion: These results indicate that it is necessary for children and parents in poverty to be provided with professional home visiting interventions for the promotion of child health and prevention of developmental problems and diseases. These findings can be used for developing future customized visiting health care service programs for infants and children in this community area.

• 한국치위생학회지
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• 제10권1호
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• pp.157-172
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• 2010

Objectives : This study is to grasp the efficacy, locus of control, oral disease management beliefs, etc and to make a close inquiry the relevance between theses key figures and oral health promotion practice for a teacher and oral care about children and to provide the basic materials of oral health education for the teachers of infant nursery. Methods : This study was made from July to September in 2009 to nursery teacher by having the self-report questionnaire for teachers of infant nursery who are performing nursry school tearcher. Total 187 questionnaire were distributed and among these, 167 questionnaire excluding 20 questionnaire of incomplete responses were statistically analyzed with SPSS12.0. Results : The efficacy is highly in a married person(p=0.001) according to the teacher's age(P=0.006), perceived good oral status(p=0.001) according to the oral conditions and has the significant difference. The internal locus of control is highly in a married person(p=0.006) according to the teacher's age(P=0.037) and the marital status and has the significant difference statistically. The external locus of control is the highest(p=0.038) in the age of 40 among teacher's age and has the significant difference statistically. The oral disease management beliefs is the highest in the age of 20 ~ 29(p=0.001), highly in married(p=0.003) and has the significant difference according to the marital status and perceived good oral status(p=0.045) according to the oral conditions. There has no significant difference in the efficacy, the internal locus of control, the external Lotus of Control, oral disease management beliefs following by the infant oral care after taking medicines and oral care of infants after tooth brushing. Conclusions : Therefore, the oral health promotion activities should be induced by educating the nursery teacher and it needs to spread out the oral care education with the development to operate practically. It is considered in need of the infant oral care which is not burden on to the nursery teacher but helpful to the infant by connecting the subjects of dental hygiene and oral health education training.

• 대한소아치과학회지
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• 제24권1호
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• pp.220-234
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• 1997

The purpose of this study was to investigate the knowledge and attitude of a group of mothers who had infants about baby bottle tooth decay(BBTD) and dental caries prevention. The sample consisted of 261 mothers who had infants from 6 to 36 months from certain areas of Dae-jeon city. The mothers were asked to answer a questionnaire which included a series of questions regarding general information cencerning the infant and his mother, knowledge about BBTD and methods of prevention using fluoride, knowledge about behavioral risk factors contributing to caries of the infant, attitude toward oral health care of the infant, opinions regarding the effectiveness of methods to prevent dental caries and sources of oral health information. he results of this study were as follow. 1. 85.4% of the respondents thought that prolonged bottle feeding would harm the teeth of the infant, but 77% of the respondents had never heard of baby bottle tooth decay. 2. Levels of knowledge about methods of prevention using fluoride were relatively low and there were significant relationships between the levels of this knowledge and the educational level of the respondents(P<0.05). 3. Only 7.3% of the respondents thought that prolonged breast feeding would harm the teeth of the infant. 4. Overall oral health care of the infants was relatively insufficient. 5. Only 28.7% of the respondents selected either when the first tooth erupt or deciduous dentition complete as the time a infant should first be seen by a dentist. 6. 64.6% of the respondents thought that toothbrushing should be instituted once the first tooth appears. 7. Among the six methods of preventing caries in infants, respondents ranked the effective of fluoride lower than making regular dental visits and reducing intake of sugared foods. 8. Most frequently cited sources of information about dental health were newspapers, magazines and books(65%), followed by friends, neighborhoods and families (55%).

• 치위생과학회지
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• 제11권4호
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• pp.319-324
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• 2011

보육시설의 보육교사를 대상으로 세치제 사용과 칫솔질 지도 시 간과하고 있는 문제점을 파악하여 보육교사를 위한 구강보건 교육 프로그램 개발 시 기초자료를 제공하고자 보육교사의 칫솔질지도에 관한 실태를 조사한 결과는 다음과 같다. 1. 보육교사들의 구강보건교육 수혜 여부를 조사한 결과 59.6%가 받은 적이 없는 것으로 나타났으며, 구강보건교육을 받은 대상자의 15.4%가 보육교사 연수를 통해 교육을 받은 것으로 조사되었다. 2. 보육교사의 55.1%가 적정 치약 사용량에 대해 교육받지 못한 것으로 나타났으며, 68.8%가 적정 치약사용량이 칫솔모 길이의 반 만큼이라고 응답하였다. 3. 칫솔질 지도 행태로 어린이 혼자서 칫솔질 하게 한다가 31.4%로 나타났다. 4. 칫솔질 권장 시기 교육에서 91.7%가 식사 후에만 칫솔질을 하도록 권유하는 것으로 조사되었다. 5. 보육교사들의 구강보건교육 수혜여부와 칫솔질 권장시기 교육, 칫솔질 지도 행태, 치약삼킴 예방지도 그리고 적정 치약사용량과 같은 칫솔질 지도내용과 인식과의 상관성은 통계적으로 유의하지 않았지만(p>0.05), 구강보건교육 수혜여부와 구강건강에 대한 태도와의 상관성은 통계적으로 유의한 것으로 조사되었다(p=0.01). 이상의 결과로 보육시설의 보육교사들이 올바른 칫솔질지도를 못하는 것으로 생각된다. 따라서 보육교사를 위한 구강보건교육 전문가의 체계적이고, 정확한 구강보건교육이 필요하며, 보건교육사의 구강보건교육 수혜가 개인의 구강건강에 대한 태도변화에만 그치는 것이 아니라 유아를 대상으로 칫솔질 지도 시에도 반영될 수 있도록 지속적이며, 반복적인 구강보건교육이 보육교사를 대상으로 이루어질 수 있는 경로가 필요할 것으로 사료된다.

• Child Health Nursing Research
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• 제20권3호
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• pp.196-204
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• 2014

목적 본 연구의 목적은 영유아의 구강건강 관리 실태를 파악하기 위해 구강건강에 대한 부모의 지식, 태도 및 실천을 분석하여 영유아 구강건강 유지 및 증진을 위한 프로그램의 기초자료를 마련하기 위함이다. 방법 본 연구는 서술적 조사연구로, 서울시의 행정 5개 권역별 1세 아동의 수에 따라 비례표집하여 5개 소아청소년과와 2개 보건소에 방문한 생후 11개월부터 16개월 사이의 영유아 부모 380명을 대상으로 한국 영유아 구강건강 평가도구를 사용하여 설문조사하였다. 2010년 10월 11일부터 29일까지 자료수집을 하였고, 수집된 자료는 SPSS WIN 17.0 program을 이용하여 분석하였다. 결과 영유아 부모는 주로 인터넷, 육아서적, 지인을 통해 자녀의 구강 건강에 대한 정보를 얻었다. 영유아 부모는 자녀의 구강건강에 대해 올바른 태도를 가지고 있지만 구강건강에 대한 지식이 부족하고 실천 정도가 낮았다. 영유아 구강건강 지식과 태도는 정적상관관계가 있었다. 영유아 구강건강 지식은 부모의 연령, 학력, 수입, 영유아 월령에 따라 차이가 있었고, 태도는 부모의 학력과 수입에 따라 차이가 있었다. 실천은 부모의 나이, 수입, 주 돌봄자, 영유아 월령에 따라 차이가 있었다. 결론 영유아 구강건강 유지 및 증진을 위해서 영유아 부모와 주 돌봄자를 대상으로 지식 함양과 자신감을 향상시키고 구강건강 실천을 효과적으로 할 수 있도록 영유아 구강건강에 대해 정확한 정보를 제공하고 구강 건강관리 방법에 대해 구체적인 방법을 교육하는 중재가 필요하다.

• Clinical and Experimental Pediatrics
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• 제64권3호
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• pp.130-135
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• 2021

Background: The clinical significance of lip-tie, or a tethered maxillary frenulum, remains under debate. Clinicians and parents are often perplexed when deciding whether procedures available to relieve a seemingly tight or severe maxillary frenulum are needed. Purpose: No previous studies have assessed the consequences of not subjecting a tethered maxillary frenulum in newborns to surgical intervention. This study aimed to contribute the first prospective trial on this topic with a relatively extended follow-up of these newborn infants. Methods: This prospective observational questionnaire-based cohort trial was performed in a community setting and aimed to determine whether lip-tie is associated with an increased likelihood of eventual feeding or oral disorders. Results: The convenience sample comprised of 61 consecutively arriving infants with concomitant tethered frenula who were treated at the clinic for various reasons. This cohort was compared with a random sample of 66 age-matched children for a mean follow-up period of 6.42 years. Infants undergoing oropharyngeal procedures were excluded. Awareness of a deviation in oral structures was reported by 18% of the study group versus 0% of the controls. Mothers participating in the study group (24.6%) less frequently recalled painful nipples or discomfort during breastfeeding than those in the control group (47.0%) (P<0.01). There were no intergroup differences in other types of feeding difficulty, dental hygiene, pronunciation, or speech development. Conclusion: Our findings suggest that a tethered labial frenulum is not associated with an increase in breastfeeding disturbances or oral disorders. These data encourage clinicians to question the need to intervene in cases of tethered maxillary frenula.

• 기본간호학회지
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• 제18권2호
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• pp.160-167
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• 2011

Purpose: The purpose of this study was to identify the effects of an oral stimulation program on premature infant's transition from tube feeding to bottle feeding, decrease in desaturation during feeding, and early discharge. Methods: This quasi-experimental study was performed in one neonatal intensive care unit (NICU) of an university hospital. The control group data (n=69) were obtained from June 2008 to May 2009, and the experimental group data (n=67), from June 2009 to May 2010. The oral stimulation program (OSP) was provided daily before feeding for the experimental group until transition to bottle feeding was completed. Results: The OSP group began bottle feeding earlier and were on complete bottle feeding earlier than control group. Discharge delay due to feeding desaturation was lower than for the control group. Conclusion: The results indicate that OSP for premature infants was helpful in transition from tube feeding to bottle feeding and early discharge and thus can contribute health and development in premature infants.

• 대한소아치과학회지
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• 제27권2호
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• pp.292-299
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• 2000

전반적인 유아의 구강관리에 관한 보호자의 인지도를 알아 보고, 이를 통한 구강관리에 대한 동기유발을 목적으로 1998년 7월부터 1998년 8월까지 삼성서울병원 소아과에 내원한 아동과 강남구 일원동 일대 유치원 및 어린이집 8곳의 만 3세 이하아동 350명의 보호자를 대상으로 시행한 설문 조사를 통해 다음과 같은 결과를 얻었다. 1. 남성보다는 여성이, 그리고 교육정도가 높을수록 치과 지식정도가 높았으며, 연령이나 경제 수준과는 무관하게 나타났다. 2. 치아의 생성시기에 대해 응답자의 59%가 태아기라고 답하였다. 3. 구강관리 시작시기는 응답자의 76%가 맹출 전이라고 하였으며, 63%가 실제로 만 1세 미만에 구강관리를 시작한다고 하였다. 4. 구강관리 방법에 대해 응답자의 70%가 거즈를 사용한다고 하였다. 5. 응답자의 57%가 만 1세 이후에도 계속 수유한다고 하였다. 6. 우유병 우식증에 대한 인지도는 45%로 나타났다. 7. 유치수복의 필요성에 대하여서는 90%가 필요하다고 하였으며, 31%에서 최초의 치과내원시기를 만 2세 경이라고 하였다. 8. 47%의 보호자가 치아우식이 감염성 질환임을 인식하지 못하였다. 9. 응답자의 33%만이 임신 중 치과 검진을 받았다고 하였고, 소아과나 산부인과에서 구강관리에 관한 지도를 받은 것은 11% 뿐이었다. 10. 주로 육아서적에서 유아의 구강관리에 관한 정보를 얻는 것으로 나타났다. 11. 보호자들의 전반적인 치과지식과 실천정도는 유아들에게 적절한 구강관리를 제공하기에 충분치 않은 것으로 나타났다.

• 여성건강간호학회지
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• 제8권2호
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• pp.301-313
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• 2002

The purpose of this study was to develop the frame for standardized manual for Sanhujoriwon by finding out the status of the management of women & newborn in Sanhujoriwon, like postpartum care center. The subjects were 95 staffs of 22 Sanhujoriwon agreed on oral consent, in Seoul and Bundang, Korea. Data were collected from Sep. 15 to Oct. 24, 2001. The instrument used for this study was a structured questionnaire consisted of 16 items of general characteristics & educational characteristics about postpartum care, 31 items of degree of management of women's postpartum care (Cronbach's $\alpha$.93 ), 24 items of degree of management of newborn's care(Cronbach's $\alpha$.94 ), 10 items of methods of management of women's postpartum care, 8 items of methods management of newborn's care. The data were analyzed by the SPSS/PC+ program using frequency, percentage, mean, standard deviation, t-test, ANOVA and Pearson correlation coefficient. The results of the study were as follows ; 1. The mean of the degree of management for postpartum women was 4.1. The mean score for the degree of management of general postpartum care for women was 4.00 & traditional postpartum care(Sanhujori) was 4.20. The degree of management of traditional postpartum care was higher than general postpartum care for women. 2. The degree of management for newborn : The mean score for the degree of management of newborn was 4.37. 3.There was a strong positive correlation between general postpartum care and traditional postpartum care($r=.744^{**}$), and postpartum mother care and newborn care($r=.798^{**}$). 4.The basic frame for the management of the women and newborn in Sanhujoriwon. 1) For women: Integrated postpartal care Physical management : Vital sign & BP check, contraction of uterus, form and amount of lochia, management of personal hygiene, management of breast & breast-feeding, management of postpartum exercise, prevention of infection, symptom & sign of high risk and prevention & management of high risk condition; Emotional-psychological management: assessment and management of mother-baby attachment, emotional state; Educational management : education of vaccination schedule, urinary incontinence, rearing infant, breast-feeding ; and Environmental management : temperature, humidity, disinfection, cleaning, light, infection control integrated with 6 principles of Sanhujori. 2) For newborn Physical management : check of vital sign, management of umbilical cord, jaundice, prevention of infection, management of diaper rash; Emotional-psychological management : assessment of sleep, crying, activity, response of mother-baby attachment; and Environmental management : temperature, humidity, disinfection, cleaning, light, infection control integrated with 6 principles of Sanhujori. In conclusion Sanhujoriwon must be health care center for the postpartum women and newborn. Therefore, the establishment of various laws and regulations in such a way to meet the realistic needs of Sanhujoriwon as a health care center for women and infants future health should be done. The standardized management manual based on the results is absolutely required above all.