• 치위생과학회지
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• 제17권6호
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• pp.508-515
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• 2017

본 연구는 건강한 성인 33명을 대상으로 예방관리프로그램의 핵심인 PMTC를 활용하여 구강건강의 변화를 치면세균막지수와 치은염지수를 통하여 관찰하여 최적의 관리주기를 찾아보고자 연구를 실시한 결과, 다음과 같은 결론을 얻었다. 첫째, 주기에 따른 치면세균막관리점수와 치은염지수를 비교한 결과, 4차 방문에서 가장 구강위생관리가 잘되고 있는 것으로 나타났고 치은염지수도 가장 좋게 나타났다(p<0.05). 하지만 3개월 follow-up에서 구강위생상태는 나빠졌다(p<0.05). 그러나 3개월, 6개월 follow-up에서는 1차 방문보다 구강위생이 향상된 상태를 보였다(p<0.05). 이는 매주 반복된 구강위생관리학습에서는 효과를 보였으나 올바른 구강위생관리능력이 배양되지 않은 상태에서 이행된 계속관리주기는 적절하지 못하였다. 하지만 예방관리프로그램의 효과는 있음을 확인할 수 있었고 재교육의 중요성을 인지할 수 있는 결과였다. 둘째, 평균 치은염지수에서 1차 방문부터 3차 방문으로 이행될수록 치은염지수의 차이가 크게 나타났다(p<0.05). 그러나 4차 방문의 치은염지수는 3차 방문보다 개선되지 않은 경향을 보였다(p>0.05). 이는 PMTC를 3회 이상 적용하였을 때 잇몸건강에 효과가 나타남을 알 수 있었다. 셋째, 연구 종료 후 문진 결과, 프로그램 경험에 따른 피험자들의 구강위생상태와 잇몸건강에 영향을 미치는 동기부여방법은 1차 방문에서는 '위상차현미경', follow-up에서는 '평가지수'가 구강위생관리력을 향상시키는 경향을 보였다. 그리고 피험자들의 54.5%가 프로그램 경험 후 1개월 단위를 추천하는 적정 관리주기로 응답하였다. 이상의 결과에서 PMTC 중심의 예방관리프로그램의 운영은 구강위생상태를 개선하는 데 효과가 있었음을 알 수 있었다. 하지만 4차 방문과 계속관리를 비교한 연구결과와 프로그램 경험 후 문진에서 조사된 피험자들의 응답을 통하여 올바른 구강위생관리능력이 배양되지 않은 상태에서의 적정 관리주기는 1개월인 것으로 생각된다. 그리고 예방관리프로그램의 경험에 따른 문진에서 피험자들의 구강위생관리력에 영향을 미치는 동기부여방법으로 위상차현미경과 평가지수가 구강위생관리력을 향상시키는 경향을 보이는 것으로 조사되어 위상차현미경의 사용과 구강위생상태의 평가는 필요하며 평가된 내용을 문자 전송하는 방식의 도입 또한 필요할 것으로 생각된다. 그래서 향후 추가 연구에서는 환자의 특성에 따른 구강위생관리를 위한 태도 변화를 유도하기 위한 학습기간에 대한 연구를 통하여 적정 관리주기에 대한 심도 있는 연구는 필요하리라 생각된다.

• 한국치위생학회지
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• 제13권4호
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• pp.685-692
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• 2013

Objectives : Rapid aging is a big social issue and aging influences on the quality of life in elderly people. Oral health in elderly people related to the general health condition and it is necessary to improve the quality of life in the elderly people. The aim of the study is to investigate the influencing factors of oral health in the elderly people. Methods : Self-reported questionnaire included general characteristics, subjective health and oral condition and denture use. Subjects were 177 elderly people in Gumi, Korea. SAS (Ver.9.2) Program was used for the collected data to perform frequency analysis, cross tabulation, t-test and ANOVA. Results : Higher subjective oral health score were found in younger age, highly educated, high income, and married elderly people. Elderly people who were older and had low education and low income tended to use denture Conclusions : It is necessary to develop oral health care management and prevention program for the elderly people.

• 한국치위생학회지
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• 제16권3호
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• pp.409-415
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• 2016

Objectives: The purpose of the study is to investigate the correlation between stress and oral health in some high school students. Methods: The subjects were 224 students from three high schools in Daejeon, Daecheon, and Incheon. from November to December, 2015. A self-reported questionnaire was filled out from November to December, 2015. The questionnaire consisted of general characteristics of the subjects, awareness toward stress, stress-coping pattern, oral health-related quality of life and oral health care. Data were analyzed by SPSS 18.0 program. Results: In the analysis of academic stress level by the general characteristics and stress level, higher stress group showed higher experience in stress expectation(high group 16.43, subgroup 9.21), internal stress(high group 13.97, subgroup 6.16), expression type stress(high 10.06, sub-4.95). The higher stress group had emotional stress management in stress-coping pattern and less experience in difficulty of tooth brushing, chewing discomfort, and oral health-related quality of life management(p<0.001). Conclusions: The stress had a negative impact on the oral health related quality of life. The high school students should be able to manage the physical and mental stress. It is necessary to provide the continuous oral health care management against the stress by the dental hygienists.

• 한국치위생학회지
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• 제13권3호
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• pp.403-410
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• 2013

Objectives : This study aims to provide the basic data for the maintenance and management of healthy implants through finding out the educational experience of toothbrushing and the oral hygiene management for the implant patients and to determine the maintenance measure. Methods : From April 1 to october 1, 2012, 250 patients in the dental clinic in Daejeon completed the self-reported questionnaire. Results : As for the educational experience of toothbrushing, 66.4 percent received the training for toothbrushing and 33.6 percent had not received the training for toothbrushing. Those who brushed three times a day accounted for 74.1 percent. Those who received the training for toothbrushing comprised 56.0 percent and took regular check up of every 6 months. Approximately 50.0% received regular scaling service every 6 months. Periodical medical check up comprised 55.6% among those who received toothbrushing education. Approximately 63.9% thought that periodical medical check up is the most important to maintain oral health. Conclusions : There were important factors for oral health. They were tooth-brushing, the utilization of various oral hygienic products, and the awareness of importance of oral hygiene management. The customized education program for the general public should be implemented as regular as possible.

• 대한치위생과학회지
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• 제5권2호
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• pp.155-164
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• 2022

Background: By regulating the factors that contribute to oral diseases in a healthy way, oral health can be maintained and prevented. Methods: The general characteristics, PHP index, oral health behavior, and clinical periodontal index of each group were calculated by frequency analysis, and a cross-analysis (χ² test) was conducted to assess the homogeneity of the general characteristics, oral health behavior, and clinical periodontal index of the study subjects. An Oral bacteriological examination was performed by gargling with saliva. Results: The expert periodontal prevention group showed a decrease in the copy number of periodontal disease causative bacteria, and A. actinomycetemcomitans, P. gingivalis, T. forsythus, andT. denticolashowed a significant difference before and after treatment (p=0.021). In the periodontal treatment group, A. actinomycetemcomitans, P. gingivalis, T. forsythus, andT. denticolaall showed a decrease in copy number, but there was no significant difference. Conclusions: This study showed professional periodontal prevention management had some effect on periodontal bacterial reduction.

• 한국치위생학회지
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• 제24권3호
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• pp.229-242
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• 2024

Objectives: The purpose of this study was to explore and analyze experiences with home-visiting oral health education in vulnerable populations and to provide foundational data necessary for the development of preventive strategies for oral health promotion among these patients. Methods: Using a phenomenological research, in-depth interviews were conducted between August 29 and October 31, 2023 with 20 vulnerable individuals participating in the Home Visit Oral Health Education Program under the Gwangju+ Gwangsan Integrated Care Service project spearheaded by the Gwangju Medical Welfare Cooperative. Results: After analyzing the contents of the participants' experiences, 130 meaningful words and 14 subcategories were identified and categorized into five major themes. Participants expressed discomfort when chewing or swallowing food and felt burdened by visits to the dentist. Although they experienced considerable loneliness because they spent a significant amount of time alone, they enjoyed communicating through visitation care and expressed gratitude for receiving oral health education. Conclusions: Oral health education through home visits cam increase awareness of oral health management among vulnerable populations and serve as an important means of improving their quality of life.

• 보건의료산업학회지
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• 제6권2호
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• pp.15-23
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• 2012

In this study, oral health promotion behaviors of employees, daily frequency of tooth brushing, tooth brushing method, brushing time, whether or not to use oral hygiene accessories, and regular dental check-up to investigate oral health status of workers to the workplace and was to provide basic data for the development of oral health program to promote oral health. This study was performed from 2011 May 2 to May 20, 249 industrial workers in Ulsan metropolitan city surveyed and collected data using PASW 18.0 ver, descriptive statistics, Pearson's chi-square test was performed. In the result, the importance of oral health recognition was lacked, in order to maintain and promote the oral health status of industrial workers, regular dental check-up on oral health counseling and oral health education were conducted together and raising awareness of workers' oral health was necessary to improve level of oral health status.

• 대한치위생과학회지
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• 제2권2호
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• pp.41-51
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• 2019

Introduction: This study intended to identify the current oral health care status and demand of care workers for oral health education. Methods: A survey was distributed to care workers working in 11 nursing homes for older people located in the Chungcheongdo Province. Of those distributed, 217 questionnaires were collected and analyzed. To analyze the collected data, a frequency analysis, t-test, and one-way analysis of variance(ANOVA) were performed using SPSS version 18.0. Results: The demand for an educational course on the 'Management of Oral Health Care for the Aged People' had a score of 4.22 points(full marks were 5.0 points), whereas the score for the necessity for control of oral health was 4.29 points. The control of oral health for the aged people suffering dysphagia scored 4.27 points, whereas the control of oral health for older people who have dementia was 4.27 points. The score for a course on the nutritional control for aged people having difficulties in masticating foods was 4.27. Conclusion: It is clear that the development of educational courses and standardized manuals for care workers on aspects of oral health care is necessary. Therefore, it would be desirable to develop institutional infrastructure for dental hygienists to educate care workers on oral health.

• 한국치위생학회지
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• 제19권1호
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• pp.79-91
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• 2019

Objectives: The purpose of this study was to contribute to the development of an oral hygiene care program for patients with dementia by understanding the oral care status and oral health knowledge of care workers and caregivers with regard to patients with dementia. Methods: For about two months from May to June 2018, a survey of care workers and caregivers working in long-term nursing homes and elderly-specialized nursing hospitals was performed, and 442 people were selected for the final analysis. The frequency and percentage were calculated to understand the oral care status and oral health knowledge regarding patients with dementia, and an independent t-test was conducted to determine the difference between the elderly oral health knowledge of care workers and caregivers. Multiple regression analysis was also carried out to examine factors affecting elderly oral health knowledge. Results: With respect to the factor of oral health education in elderly oral health knowledge, oral health knowledge was shown to be highest when participants responded that education was unnecessary (p<0.001), and regarding the will to participate in oral health education, oral health knowledge was highest when participants responded as having no desire to participate (p<0.05). Conclusions: These results suggest that a standard manual should be developed for the accurate and qualitative management of oral hygiene care tasks performed by care workers and caregivers who are in charge of oral care for patients with dementia in order to provide continuous and systematic oral care.

• 한국치위생학회지
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• 제14권2호
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• pp.269-279
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• 2014

Objectives : The purpose of this study was to investigate the oral health center operation and to activate the program development of public oral health center. Methods : Delphi analyses were utilized by the recruited expert panel from August to September in 2012. Results : The difficulty in operation of the oral health centers is the human resources management. In order to solve the human resources operation, utilization of the local human resources is the best choice of the solution. The next choice was the designation of the oral health expert in Ministry of Health and Welfare. So the expert can activate the public oral health care system for the disabled and the underprivileged classes in the long term. Conclusions : In order to activate the oral health centers, Ministry of Health and Welfare should promote the public health center function connected with the cooperation of the Association of dental hygienists.