• 한국융합학회논문지
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• 제10권5호
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• pp.333-340
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• 2019

본 연구의 목적은 Qraycam을 이용한 구강환경검사, 구강보건태도 및 구강건강관리 행동점수의 전 후비교를 통하여 구강보건교육의 효과를 분석하고자 하였으며, 단일집단 사전 사후 연구설계로 진행되었다. 2018년 9월부터 12월 중순까지 실험 중재를 위한 실습대상자 33명과 구강보건교육 선호도 조사를 위한 학생 33명을 연구대상으로 하였다. 자료의 분석은 IBM SPSS 24.0 Ver을 이용하였고, 통계적 검정을 위한 유의수준은 0.05로 하였다. 그 결과, Qraycam을 사용한 중재 전 후의 구강환경 검사인 O' Leary index와 구취농도는 유의하게 감소하였다(p<.001). 중재 전 후에 따른 구강보건태도 점수와 구강건강관리 행동점수는 통계적으로 유의하게 높게 나타났다(p<.001). 학생들의 구강보건교육 선호도 중 "구강보건교육에서 유용하다"와 "치태를 인지하고 결정하는 능력이 좋다"는 항목에서 Qraycam을 사용하는 경우 만족도는 유의하게 높게 나타났다(p<.001). 결론적으로, 치과임상현장에서 Qraycam 사용을 통한 구강보건교육은 치과위생사들의 구강보건교육 효과를 증진시키기 위한 방법이 될 수 있을 것이다.

• 한국치위생학회지
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• 제18권5호
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• pp.665-674
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• 2018

Objective: The purpose of this study was to reduce the burden on dental hygienists in performing dental hygiene processes in the clinic. This study systematically analyzed dental hygiene problems and dental hygiene planning according to the oral condition of patients by applying an oral health care program based on the dental hygiene process. Methods: This study analyzed influential factors of 17 dental hygiene problems and 12 dental hygiene plans according to the oral health index and charts of 185 patients. This study was approved by the Institutional Review Board (IRB No. 1041449-201801-HR-003) of Silla University. The frequency of dental hygiene problems and dental hygiene planning was analyzed and correlations among the oral health index, dental hygiene problems, and dental hygiene planning were analyzed. Results: The higher the bleeding on probing score was, the more scaling was planned. The higher the calculus rate was, the more air-jet and jaw joint disorder prevention education was planned. The higher the O'Leary index was, the more dietary education and air-jet was planned. The higher the Simplified Oral Hygiene Index was, the more air-jet and jaw joint disorder prevention education was planned. The higher the Periodontal Screening and Recording index was, the more scaling and professional tooth cleaning was planned (p<0.05). Conclusions: The burden of oral preventive duties on dental hygienists will be minimized by systematically establishing problems and planning of dental hygiene according to patients' oral health index scores. Therefore, it is expected that dental hygienist can actively use the dental hygiene process in oral health care programs.

• 여성건강간호학회지
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• 제14권4호
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• pp.290-296
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• 2008

Purpose: The O'Leary Symptom Index and Problem Index(ICSI/ICPI) have been used widespread in clinical studies and research. This research was aimed to determine the reliability and validity of the ICSI/ICPI-K that was translated into Korean. Methods: The research design was a methodological study to test the measurements. Subjects were 301 elderly women in Seoul, Chungnam and Gyungbuk. They were recruited through a formal announcement and they responded after informed consent. Data was analyzed with SPSS 15.0. The internal consistency was assessed by Cronbach's alpha coefficient and the criterion validity was assessed by Pearson correlation with the Geriatric Depression Scale(GDS) and inter-subscales. Results: The elderly women were on average 74.3 years old. As to the reliability of the scale, ICSI/ICPI-K had a Cronbach alpha of .832. In addition, the results showed that ICSI/ICPI-K was valid through the Pearson correlation. That is, the ICSI-K and ICPI-K had a significant relationship with GDS(r=.295; r=.374, respectively) and strong correlations of subscale to subscale(ICSI-K & ICPI-K: r=.676). The most common symptom of the lower urinary tract by the ICSI/ICPI-K was nocturia 249(83.3%) followed by frequency 187(62.8%), urgency 148(49.8%). and pelvic pain 71(23.9%) in the elderly women. Conclusion: We can conclude that the ICSI/ICPI-K is reliable and valid in Korean elderly women. It needs to be evaluated in the clinical area.

• 한국치위생학회지
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• 제14권3호
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• pp.363-370
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• 2014

Objectives : The purpose of the study is to investigate the effect of the oral hygiene care program in stroke patients. Methods : The subjects were 62 stroke patients of rehabilitation department in Youngnam University Hospital in Daegu. The study was carried out from January, 2010 to October, 2010. Intervention group was 35 and the control group was 31 patients. Tooth brushing instruction, oral health education and scaling were implemented in all patients at baseline. This program was conducted 5 times during hospitalization in intervention group. Results : In the intervention group, the mean age was 59.2 years, and women accounted for 66.7% and the control group consisted of 72.4% of women and mean age was 58.5 years. The average of the number of permanent teeth with experience of dental caries, the values of dental calculus index, plaque index, bleeding index and tooth mobility were 11.88, 11.79, 9.91, 3.16 and 1.16, respectively. The control group showed 10.21, 11.79, 9.91, 3.16 and 1.16, respectively. The proportion of subjects whose CPI was higher than 3 accounted for 97%, and the O'Leary index score was 38.6 in the intervention grou. The control group showed 100% and 38.79. Conclusions : Oral condition improved significantly in the intervention group in the third session. These findings may provide essential information for oral health program planning and implementation.

• 보건교육건강증진학회지
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• 제26권2호
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• pp.25-33
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• 2009

Objectives: Smoking is related to periodontal disease and periodontal therapy. So the aim of this study was to investigate the effects of professional tooth cleaning and plaque control instruction (PT & PCI) for smoking behavior. Methods: A total of 151 adults were investigated using the O'Leary Plaque Index (PI), $L\ddot{o}e$ & Silness gingival index (GI) and the number of sextants possessing periodontal pocket (SPP). And adults were given a through dental scaling and Watanabe method for dental plaque control. Follow up examination were conducted after 3 months and compared the pre and post- status. The collected data were analyzed with t-test, paired t-test and one-way analysis of variance. Results: Regardless of smoking behavior, improving effects were identified after PT & PCI on PI, GI and SPP in the whole population. However, the effects of GI improvement were significant in the smoking group alone; those of PI improvement were most significant in the non-smoking group; and those of SPP improvement were more significant in non-smoking and pre-smoking groups than in the smoking group. The shorter period of smoking and the smaller amount of smoking, the greater effects of PT & PCI by smoking-related characteristics. Conclusion: Smoking cessation instruction should necessarily be included in oral health education in that smoking is an important factor to consider in prevention of periodontal diseases and periodontal therapies.

• 치위생과학회지
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• 제12권2호
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• pp.163-170
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• 2012

전문가치면세정술과 세균막관리교육이 임플란트 주위염 감소에 미치는 효과를 분석하기 위하여 2009년 12월 9일부터 2011년 1월 31일까지 상 하악 대구치부위에 임플란트 식립 후 보철치료까지 완료한 80명의 부분 무치악 환자와 이들에게 식립된 193개의 임플란트를 대상으로 실험군과 대조군을 추출하였다. 실험군은 Watanabe method로 전문가치면세정술을 실시한 후 같은 방법으로 잇솔질교육을 하였고, 대조군에게는 엔진을 이용한 치면연마와 회전법으로 잇솔질 교육을 실시하였으며, 시작일 이후 3, 6, 9개월 재내원하여 반복시행하였고, 치면세균막 검사, 치은염 검사, 임플란트 변연골소실량 검사를 실시하여 다음과 같은 결론을 얻었다. 1. 전문가치면세정술과 세균막관리교육을 적용한 실험군은 대조군에 비해 6개월 후와 9개월 후에서 치면세균막지수와 치은염지수가 유의하게 낮았고(p<0.05), 변연골소실량에서는 실험군(0.15 mm)이 대조군(0.24 mm)보다 낮아(p=0.155) 차이가 있을 수 있었으며, 전문가치면세정술과 세균막관리교육은 치면세균막지수와 치은염지수에 영향력 있는 요인으로 분석되었다. 2. 임플란트 특성에서 치면세균막지수는 상악이 하악보다 3, 6, 9개월 후에서 유의한 수준으로 낮았고(p<0.05), 기능부하 12개월 이하 군이 13개월 이상 군보다 6개월 후에서 낮았으며(p<0.05), 변연골소실량은 시작일과 9개월 후에서 이회법 시술방식이 일회법 시술방식보다 낮았고, 기능부하 12개월 이하 군이 13개월 이상 군보다 낮게 나타났다(p<0.05). 이상의 결과를 종합해 볼 때 Watanabe method를 이용한 전문가치면세정술과 세균막관리교육은 임플란트 주위염을 예방하고 발생된 임플란트 주위염을 개선하는데 효과적인 방법이라고 할 수 있다. 따라서 임플란트 주위염으로 인한 실패를 감소시킬 수 있는 방법으로 전문가치면세정술을 주기적으로 실시하고, 환자 개인별 적합한 잇솔질 방법을 지속적으로 교육하는 임플란트 계속관리제도 도입에 대한 고려가 필요할 것으로 사료된다.

• 한국치위생학회지
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• 제14권1호
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• pp.25-32
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• 2014

Objectives : The purpose of this study was to investigate the oral hygiene status before and after the dental hygiene care performance to patients by the dental hygienists. Methods : Subjects were 55 adults visiting to dental clinics in Chungnam. The patients agreed to undergo a dental hygiene care performance. A skilled dental hygienist provided dental hygiene care performance including periodontal status, halitosis and oral hygiene status. Results : The periodontal pocket depth was compared before and after the performance. The depth dropped from 4.02 mm to 2.81 mm, and the value of halitosis dropped from 45.78 bbv to 35.76 bbv. The O'Leary index of the patients dropped form 49.37 to 32.84, and all the differences were statistically significant. Conclusions : Proper use of oral hygiene supplies and regular dental checkup can prevent periodontal diseases. This study will provide the useful information of the effective application of dental hygiene care performance.

• 한국치위생학회지
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• 제14권2호
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• pp.147-154
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• 2014

Objectives : The purpose of the study is to identify the efficiency of total dental care(TDC) internship program. Methods : Dental hygiene students participated in the total dental care(TDC) internship program for 4 weeks in dental clinics practice. A self-reported questionnaire was filled out from June to July in 2012. The questionnaire consisted of oral health condition and dental care services by the students, dentists, and dental hygienists after TDC internship program. Results : Satisfaction degree of the students was $3.92{\pm}0.68$ points. The patients satisfied with TDC internship program and it was helpful to their dental health care(4.0 points). There were significant changes in tooth brushing method, frequency and O'Leary plaque index. Satisfaction degree of the dentists was 4.09 points and that of the dental hygienists was 3.80 points. Conclusions : TDC internship program is very helpful for the students not only to play an outstanding role in their dental care activities after employment but also to establish the real identity of the dental hygienist.

• 한국치위생학회지
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• 제14권3호
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• pp.417-424
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• 2014

Objectives : The purpose of the study is to develop and to evaluate the oral health education program using computer assisted instruction(CAI) for the elementary school students. This study was carried out from November, 2012 to February, 2013. Methods : The subjects were 188 elementary school students of the first, second, and third grades in Buk-gu, Busan. The education was provided as computer assisted instruction and conventional classroom education. Three trained dental hygienists recorded three times of knowledge of oral health, oral health attitude, oral health behaviors and the plaque control index(O'Leary index). Results : CAI group showed high score of oral health knowledge of 6.74 points, 8.62 points and 8.38 points(p<0.01). In oral health attitude, the scores were 7.40 points, 8.01 points, and 7.99 points(p<0.05). In oral health behavior, the scores were 5.47 points, 6.14 points, and 5.61 points(p<0.05). The plaque control index was 22.59 points, 19.69 points, and 21.44 points(p<0.01). Conclusions : CAI education program of this study showed the effective education for the elementary school students. So the CAI education program can be useful and disseminated to the community project.

• 치위생과학회지
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• 제12권1호
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• pp.39-44
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• 2012

본 연구는 치면세균막 관리 프로그램에 의한 치면세균막 감소 효과 및 관리 난이도를 알아보기 위하여 충남지역에 위치한 N대학교 치위생학과에서 2006년부터 2011년까지 학생들이 제출한 임상치위생 증례보고서의 대상자 158명의 기록 가운데 가운데 본 연구에 적절하지 않은 기록을 제외하고 총 131부(82.9%)의 진료기록부를 최종분석에 사용하였다. 1. 치면세균막 관리 프로그램 수행 시 방문 차수에 따른 치면세균막 감소효과를 확인한 결과 2회 방문자(p=0.001), 3회, 4회, 5회, 6회 방문자(p<0.001)는 각각 방문 횟수가 많을수록 치면세균막 지수가 유의하게 감소하였다. 하지만 7회 방문한 대상자의 경우에는 감소된 정도가 통계적으로 유의하지 않았다(p=0.142). 2. 치면세균막 관리 프로그램의 최종방문 시 치아 부위별 치면세균막 지수 평균을 비교하기 위하여 치아 부위를 순/협면, 설/구개면, 인접면으로 분류했을 때에는 설면/구개면의 치면세균막 지수가 26.5%로 가장 높았다. 3. 상/하악의 치면세균막 지수를 측정한 결과 상악과 하악의 치면세균막 지수 간 유의한 차이가 나타났다(t=-2.501, p=0.014). 순/협면, 설/구개면, 인접면의 치면세균막 지수에 대한 분석 결과 순/협면, 설/구개면, 인접면의 치면세균막 지수는 유의한 차이를 보였다(Wilks의 람다=0.686, F=26.329, p<0.001). 육분악의 치면세균막 지수를 확인한 결과 각 부위별로 유의한 차이가 있는 것으로 나타났다(Pillai의 트레이스=0.166, F=4.443, p=0.001).