• 한국치위생학회지
• /
• 제8권3호
• /
• pp.161-175
• /
• 2008

With the change of medical environment, people are taking interest not just in treatment but in the prevention of oral diseases. As people's interest in oral diseases increases, the number of dental institutions is increasing continuously and this is heightening the necessity and importance of professional dental hygienists equipped with expert knowledge of oral health. Thus the present study purposed to survey and analyze the current state and weight of works carried out by dental hygienists, and to propose dental hygienists' works desirable in the medical environment changing its focus from treatment to prevention. The results of this study are as follows; 1. In the results of dividing dental hygienists' works into oral examination and preliminary examination, preventive works, assistance to dental treatment, oral health education, hospital administration and management, and surveying the performance rate of these works, the work of the highest performance rate in preliminary examination was collection of patients' systemic history (87.6%). It was also scaling (96.9%) in preventive dental treatment, preparation for treatment (96.5%) in assistance to dental treatment, education on the toothbrushing method (92.3%) in oral health education, and tool disinfection and management (72.2%) in hospital administration and management. 2. When the performance rate was surveyed according to age, institution, and work experience, the performance rate by work area was highest in dental hygienists aged between 27~28, those working at a dental clinic, and those with 4~6 years' work experience. 3. The weight of dental hygienists' works was high in order of assistance to dental treatment (59.1%), observation of oral health condition and preliminary examination (12.4%), oral health education (12.4%), hospital administration and management (10.4%), and preventive dental treatment (5.8%), but in the results of surveying perception on the importance of works, the importance was high in order of oral health education (34.7%), preventive dental treatment (29.0%), observation of oral health condition and preliminary examination (19.3%), assistance to dental treatment (11.2%), and hospital administration and management (5.8%), showing that the weight of works carried out current was different from perception on the weight of works regarded as important. 4. To the question on parts to be developed in response to the change of medical environment, the most frequent answers were the establishment of their roles as preventive dental practitioners (75.7%), and the establishment of their roles as oral health educators (74.9%). This was consistent with the works that dental hygienists gave the highest weight to, and suggested that dental hygienists regarded preventive dental treatment as most important. Development of abilities to give counsel to patients was 55.2%, acquisition of theoretical knowledge of dental treatment 42.1%, improvement in quality as a hospital manager 28.2%, and acquisition of skills to assist dental treatment 23.2%. These show that, even with regard to the development of future oriented dental hygienists' capacities, assistance to dental treatment was perceived less important as it was with regard to the importance of work.

• 한국학교ㆍ지역보건교육학회지
• /
• 제20권3호
• /
• pp.43-52
• /
• 2019

Objectives: This study aims to understand the effects of job stress and emotional labor on perceptive health status of dental hygienist's. And provide basic data by for establishing the plan for the effective management of job stress and emotional labor and the promotion of health. Methods: Self-evaluation questionnaires were surveyed for 441 dental hygienist's who agreed to participate in the survey, using questionnaires used in the preceding study were modified and complemented. We analyzed the data with frequency analysis, descriptive statistics, t-test, chi-square test와 ANOVA, Spearman correlation coefficient by using IBM SPSS Statistics 21.0 (IBM Co., Armonk, NY, USA). The significance level for significance was set at 0.05. Results: health status were job stress, emotional labor significant negative correlation. The factors having significant effects on health problem were physical health status, the job culture of job stress, lack of job autonomy, organizational instability, and workplace culture. In addition, social health status was affected by emotional expressionism, relationship conflict, organizational instability, organizational system, and workplace culture. Conclusion: Recognizing the importance of the management of job stress and emotional labor in the working environment to dental clinic and hospital managers and managerial dental hygienists, a dental hygienist health promotion intervention program is needed to mitigate and cope with job stress and emotional labor.

• 한국콘텐츠학회논문지
• /
• 제18권11호
• /
• pp.540-549
• /
• 2018

본 연구는 대구 경북지역에서 근무하는 치과위생사 238명을 대상으로 자기기입식 설문을 통하여 근무유형별 치과재료에 대한 유해전달 실태를 파악하기위해 병원 유형별 유해인자 노출시간 및 근무환경특성 차이를 비교하고 물질안전보건자료(MSDS) 인지정도의 차이를 조사하였다. 연구 결과 병원 유형별 유해인자 노출시간을 비교한 결과 병원의 경우 화학물질에서 발생하는 분진유발에 노출되는 시간이 가장 길었고, 레진충전, 소독제 접촉 순으로 나타났다. 치과재료에 대한 물질안전보건자료(MSDS)를 인지하고 있는지에 대한 문항에 대하여 '인지한다'고 답한 대상자는 병원근로자는 37명(29.4%), 14명(12.5%)로 나타났으며(p<0.001), 치과재료를 사용하기 전 MSDS를 읽어본 경험이 있는 근로자는 병원근로자는 18명(14.3%), 의원근로자는 6명(5.4%)으로 조사되었다. 사용하는 치과재료의 물질안전보건자료(MSDS)를 비치한다고 응답한 대상자는 병원근로자의 경우 의원근로자에 비해 2.39배 물질안전보건자료(MSDS)를 비치하는 경우가 많았다. 이에 병원 유형별 특성에 맞게 화학물질의 건강상의 유해성에 대해 인지하고 안전보건교육을 지속적으로 실시함으로써 MSDS 정보에 대한 올바른 인식확립으로 근무환경이 개선되어져야 할 것이며, 치과재료의 제품에 사용설명서 및 MSDS 화학물질 정보제공 관리가 강화하여 전략적 접근 및 근로자의 알 권리를 보장할 수 있는 제도의 필요성을 제안한다.

• 보건교육건강증진학회지
• /
• 제23권4호
• /
• pp.47-65
• /
• 2006

Objectives: This research is to provide the basic data for the improvement on oral health by examining the relationship between the dental fear and the dental service utilization, and to discuss a strategy for dental health in order to lower the level of dental fear. Methods: Data were collected by conducting a structured survey of 1,607 people between the age of 13 and 70 who have experiences in visiting a dental institution. Both univariate and multivariate analyses were employed to analyze the relationship between the number of times dental service and dental fears. Results: The average level of dental fear the respondents reported was $52.16{\pm}15.71$ and 31.5% of the response was at the level of high dental fear. A strong physiologic response during the dental treatment was muscle tension and the stimulations that strongly arouse the dental fear were the anaesthetic needle and the sound of drill. A result of analysis on the relationship between the dental fear and the dental service utilization shows that as the level of dental fear became higher, the number of times for the dental service utilization for the last year had reduced. Also when a patient has an experience of putting off or canceling an appointment due to dental fear and as a physiologic response during the dental treatment became stronger, the result shows a tendency that the number of times for the dental service utilization for the last year had reduced. Conclusions: It has been observed that dental fear is one of the main barrier to use dental service. Therefore, a physio-psychological factor like the dental fear should be included in the task of promotion of dental health, and in analyzing the dental service utilization behavior. A discussion about how to lower dental fear was made with respect to oral health promotion. At individual level, improvement of communication skill by dental service providers should be made with rearrangement of clinic environment into more cozy one.

• 지역사회간호학회지
• /
• 제1권1호
• /
• pp.582-594
• /
• 1989

The purpose of this study is to analyze the factors affecting the school health teachers' self-confidence. This study was conducted with 87 school health teachers working in Jeonbuk province, from September to December, 1986, The results are follows; 1. Demographic characteristics of school health teachers 1) Age mean ; 34, range; 23-54 2) School Nursing experience mean; 11 years, range; 0-24 3) Clinical experience mean; 1.5 years, range: 0-13 2. Status of school health resources & nursing activities 1) Personnel resource school health teacher: pupils : 1 : 1,436 'classes=1:31 'general teacher=1:39 2) Budget Total school operating budget: School health budget : 100 : 4.2 (52.2 thousand Won) Half of the school health budget expend on medicine. 3) Clinic 80% of all schools have health clinic seperately. 71.32 of all schools have less than $35m^2$, 23.9%, $36-66m^2$. 4) Only 20% of all schools have organization for health 5) Average of clinic visitor for 1 year; 2,084 Major problem is on digestive system. And other problem: respiratory, skin, musculo - skeletal system, dental problem, etc... 6) Literal message for 1 year; 12 times. For health education (4), vaccination (3), examination of parasites (2), etc... 3. The degrees of the school health teachers' self-confidence 1) Program planning & evaluation; 2.9. 2) Clinic management; 2.8 3) Health education; 2.8 4) Management of school environment; 2.7 5) Health care services; 2.5. 6) Operating of school health organization; 2.3 4. Significances to self-confidence on school health nursing activities 1) Program planning & evaluation: home message (r=.228, p<.05) No. of clinic visitor (r=.220, p<.05) expending time for clinic management (r=.229, p<.05) religion (t: 2.5, p<.05) level of school (F=6.3, p<.005) 2) Clinic management: age of school health teacher (r=-.202, p<.05) school health experience (r=-.211, p<.05) salary step (r=.187, p<.05) expending time for clinic management (r=.315, p<0.1) marital status (t=3.97, p<.005) level of school (F=3,139, p<0.5) 3) Management of school environment: level of school (F=3.899, p<.05) expending time for clinic management (r=-,216, p<0.5) 4) Health care service: age of school health teacher (r=-.186, p<.05) marital status (t= 3.67, pH.005) 5) Health education: expending times for clinic management (r=-.252, p<05) level of school (F=5.343, p<.01) 6) Operating of health organization; age of school health teacher (r=-.258, p<.01)salary step (r=.188, p<.05) Based on the above results, the suggestions are as follows; 1. Need to raise ,appointment rate school health teacher. 2. Need to raise self-confidence on school health nursing activities through the inservice education or re-inforcement. 3. Need to secure adequate budget for school health. 4. Participation of school health teacher and support of school master for school health services are required. 5. Need for use the health clinic seperately, adequate facilities and free utilization by visitors.

• 대한의용생체공학회:학술대회논문집
• /
• 대한의용생체공학회 1996년도 추계학술대회
• /
• pp.52-56
• /
• 1996

The elevation of present medical service using advanced science contributes to offer medical examination and treatment of good quality under the subject of patient satisfaction as well as patient impression. The dental service field charging some part of public health promotion and public welfare promotion also intends to improve the dental examination and treatment quality utilizing advanced science. The object of this research is the development of dental patient education system (DPES) using multimedia of new technology. DPES can be employed for these object, harmonious operation of dental examination and treatment, treatment quality improvement, disease notice to patient under the subject of patient satisfaction and patient impression, explanation of some selective treatment course, the verification of treatment necessities and treatment validation, and the improvement of treatment effect through the oral cavity sanitation education in the sense of prevention. This research also serves the development environment, the step to collect educational document, visual information and to structure those, and the examination of DPES efficiency in clinic.

• Archives of Plastic Surgery
• /
• 제49권5호
• /
• pp.652-655
• /
• 2022

Patients with advanced malignant tumors, including both jaws, is a challenging task for a head and neck surgeon. Current treatment landscape demonstrates good functional, anatomical, and aesthetic results in patients who could previously receive only palliative care. The extensive tissue defects resulting from oncological resections in the head and neck region require immediate reconstruction due to the exposure of vital structures and their contact with the external environment. A patient was operated using a three-team multidisciplinary approach involving simultaneous work of three specialized teams of maxillofacial and reconstructive microsurgeons, as well as an implantologist and a prosthodontist. This approach allowed simultaneous tumor resection with subsequent reconstruction of the intraoperative defect involving bilateral harvesting of two revascularized free fibular osteomusculocutaneous flaps with dental implantation and simultaneous rehabilitation of dentition with crowns.

• 한국치위생학회지
• /
• 제15권1호
• /
• pp.11-17
• /
• 2015

Objectives: The purpose of the study is to investigate the relationship between noise awareness, hearing ability, and dental hygiene performance in dental hygienists. Methods: The subjects were 234 dental hygienists in Seoul, Gyeonggi-do, and Incheon. The questionnaire consisted of 3 questions of general characteristics of the subjects, 1 question of noise awareness, 3 questions of hearing ability, 5 questions of dental hygiene performance, 1 question of noise reduction necessity, and 2 questions of noise control. Noise awareness, dental hygiene performance, and noise reduction necessity were measured by Likert 5 scale. Cronbach's alpha was 0.825 in dental hygiene performance reliability. Results: There was a significant difference in noise recognition by age(p<0.01) and working career(p<0.05). Those who pumped up the higher TV volume accounted for 31.6% and 3.0% had hearing impairment in the regular health checkup. 3.4% of the respondents complained of hearing loss, ear fluid, and equilibrium problem diagnosed by the doctors. The relationship between the type of workplace environment and task performance showed a significant difference. Those who work in the dental hospitals had high score of 3.43, while those who work in dental clinics had 3.20(p<0.05). The increased level of noise recognition affected the task performance and it is necessary to reduce the noise level. More try must be focused on the noise exposure prevention. Conclusions: In order to reduce the problems due to noise and improve their quality of life, it is necessary to change the noise recognition in the work place.

• 한국산학기술학회논문지
• /
• 제13권12호
• /
• pp.5986-5992
• /
• 2012

본 연구는 치과위생사의 이직실태를 파악하고 이직에 영향을 주는 요인들을 분석하고자 수행하였다. 대한치과위생사협회 및 각 지회의 보수교육에 참여한 치과위생사를 대상으로 설문지와 설문조사의 안내문을 직접 배포하여 자기기입식으로 작성하게 하고 회수하였다. 불성실한 설문지를 제외하고 1,955명의 설문결과를 분석대상으로 하였다. 연구대상자의 일반적 특성에 따라 이직 경험현황, 이직 횟수, 이직 이유와 취업된 기관을 미 선택한 이유의 현황은 교차분석 하고, 카이검정으로 유의성을 확인하였다. 유의수준은 5% 이내에서 검증하였다. 이직 경험이 있는 치과위생사는 45.8%로 절반 수준이었고, 년 소득이 많을수록, 학력수준이 높을수록 근무경력이 많을수록 이직경험이 높게 나타났다. 이직횟수는 연령이 많을수록, 학력이 높을수록, 총 근무경력이 많을수록 그리고 기혼자일 경우 많았다. 이직요인은 야간업무나 업무영역 등 근무환경이 23.7%, 개인사유가 19.1%, 연봉 등 근무조건이 14.6% 순으로 높게 나타났다. 치과위생사의 직업수명을 연장하기 위한 다양한 대책마련이 필요하다고 판단된다.

• Journal of Yeungnam Medical Science
• /
• 제40권4호
• /
• pp.373-380
• /
• 2023

Background: The association between dental amalgam fillings and urine mercury concentrations was investigated in this study to assess the health risks associated with dental amalgams. Methods: This cross-sectional study included 99 women in their 20s who visited the dental clinic in Daegu, Korea. The 99 participants were composed of 68 subjects who had dental amalgam fillings (exposure group) and 31 subjects who did not have dental amalgam fillings (nonexposure group). Oral examinations were conducted by a single dental hygienist, sociodemographic features were investigated as confounding variables, and urine mercury concentrations were measured using an automatic mercury analyzer. Results: The mean±standard deviation of the urine mercury concentrations of the exposure and nonexposure groups were 1.50±1.78 ㎍/g creatinine and 0.53±0.63 ㎍/g creatinine, respectively. The exposure group showed significantly higher levels than the nonexposure group (p<0.01). The urine mercury concentration significantly increased with an increase in the number of teeth filled with amalgam, cavity surfaces involved, and number of defective amalgam fillings, and according to the latest exposure time (p<0.001). In the multiple regression analysis of amalgam-related factors and urine mercury concentrations after correction for confounding factors, the urine mercury concentration in the group with six or more amalgam-filled teeth, 11 or more cavity surfaces, and two or more defective amalgams was significantly higher than that in the nonexposure group (p<0.001). Conclusion: According to this study, exposure to dental amalgams was confirmed to significantly affect urine mercury concentrations.