• 디지털융복합연구
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• 제11권12호
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• pp.607-614
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• 2013

본 연구는 혈액투석 중인 만성신부전증 환자들의 자가 구취인식이 구강건강관련 삶의 질에 미치는 영향을 파악하여 국내에서는 매우 드문 만성신부전 환자의 구강관련 기초자료로 사용하고자 실시하였다. 연구대상은 2013년 6월부터 7월까지 전주시에 위치한 혈액투석 전문병원에서 혈액투석 중인 만성신부전증 환자에게 설문조사를 실시하였다. 자가 구취 인식에 따른 구강 증상에서는 지난 한 달 동안 치아 아픔 증상, 잇몸에 피가 남, 혀 또는 뺨 아픔 증상, 입안 건조 증상에 유의한 차이가 나타났고, 구강기능 상태에서는 음식 씹는데 불편, 발음의 어려움, 상실된 치아 유무에 유의한 차이가 나타났다. 구강건강관련 삶의 질에서는 기능적 제한, 신체적 동통, 심리적 불편, 신체적 능력저하, 심리적 능력저하, 사회적 능력저하, 사회적 불리에 유의한 차이가 나타났다. 만성신부전 환자에서 인식한 구취가 구강건강관련 삶의 질에 미치는 영향요인 분석한 결과, 심리적 불편(B=-2.028, p<.01), 사회적 능력저하(B=2.596, p<.01), 사회적 불리(B=-2.173, p<.01)에 영향을 미치는 것으로 나타났다. 따라서 자가 인식한 구취는 심리적, 사회적으로 부정적인 영향을 미치므로 급격히 증가하고 있는 신부전 환자들에게 중요하게 고려할 요인이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제7권1호
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• pp.52-60
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• 1996

본 연구는 월경전기에 불편감이 있다고 응답한 230명의 여고생을 대상으로 전향적인 매일 평가서를 사용하여 월경주기에 따른 신체적, 기분, 행동변화의 양상을 보고자 하였다 '월경전 불쾌기분장애'로 확인된 군과 전체대상군 모두에서 후기황체기에 신체적 , 심리적 증상들이 뚜렷한 악화를 보이기 시작하여 월경이 시작되면서 증상의 최고치를 나타냈으며, 월경시작4일째에 급격한 감소를 보였다. 또한 월경주기중에서 특히 월경기때에 보다많이 신체적인 불편감을 경험하고 있고, 이때 월경기간이 길수록 불편감이 큰 것으로 보여진다. 이러한 양상들은 젊은 여성의 월경전기 변화 양상을 대표할 수는 없으나, 본 대상군이 여고생임을 감안할 때 우리나라 청소년의 월경주기에 따른 고유한 증상의 변화양상을 보여주는 것이라고 할 수 있겠다.

• 한국콘텐츠학회논문지
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• 제18권3호
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• pp.196-204
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• 2018

본 연구는 비만과 구강건강의 관련성을 파악하여 성인의 구강건강과 비만관리를 위한 기초 자료를 제공하고자 하는 목적으로 실시하였다. 2017년 3월 10일부터 6월 13일까지 인천 지역에 소재한 'K' 치과에 내원한 환자 중 연구 목적을 설명하고 설문지 작성에 동의한 환자 229명을 대상으로 자기기입식 설문조사를 시행하였다. 비만도 조사는 체질량지수와 허리둘레를 이용하였고, 구강상태는 자가인지한 구강건강상태, 치주건강상태, 치아건강상태, 점막건강상태, 상실치아상태, 구강건강관련 삶의 질 문항으로 조사하였다. 체질량지수와 열악한 치주건강 상태는 33.3%로 유의하게 높게 나타났고, 복부비만은 치주건강상태가 나쁜 경우 10.9%를 나타냈다. 현존하는 치아가 20개 이하인 군에서 복부비만이 28.6%로 유의하게 높게 나타났다. 체질량지수와 복부비만이 높은 군은 정상인 보다 신체 동통, 심리 불편, 신체적 능력저하, 심리적 능력저하, 사회적 불리, 구강건강관련 삶의 질에서 더 높게 나타났다. 또한, 비만과 치주상태, 입안점막상태는 유의한 양의 상관관계가 있었다(P<0.05). 따라서 구강건강을 증진시키기 위해서는 구강건강습관을 향상시킬 수 있는 정기적인 검진과 교육 뿐 만 아니라 비만을 예방하고 관리시킬 수 있는 적절한 프로그램을 함께 운영하는 구체적인 방안이 필요하다고 사료된다.

• 치위생과학회지
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• 제14권4호
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• pp.488-494
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• 2014

본 연구는 경상북도 일개 도 농 복합시의 보건소에서 실시하는 노인 불소도포, 스케일링사업에 참여한 65세 이상 노인을 282명을 대상으로 하였다. 자료수집 기간은 2011년 1월부터 12월까지로 연구의 목적과 내용 및 취지를 설명하고 자발적인 연구 참여에 동의한 사람들을 대상으로 하였다. OHIP-14 설문 문항은 5점 만점으로 측정하였으며, 점수가 높을수록 구강건강 삶의 질이 낮아지는 것을 의미하며, 다음과 같은 결과를 얻었다. 1. 치아우식증 개수가 적을수록, 잔존치아 수와 일일 칫솔질 횟수가 많을수록, 의치를 장착하지 않은 그룹에서 구강건강 삶의 질이 유의하게 높았다. 2. 사회경제적 특성에 따른 구강건강관련 삶의 질의 하위영역 점수를 비교한 결과, 기능적 제한 점수는 학력이 높을수록 적었다. 신체적 동통 점수는 나이가 많을수록, 학력이 낮을수록 더 많이 느끼고 있었다. 신체적 능력저하는 학력이 낮을수록 더 많이 느끼고 있었다. 3. 구강건강상태와 칫솔질 횟수에 따른 구강건강관련 삶의 질의 하위영역 점수를 비교한 결과, 기능적 제한과 신체적 동통, 정신적 불편, 정신적 능력저하, 사회적 능력저하, 사회적 불리 점수는 치아우식증 개수가 많을수록 삶의 질이 낮았고, 잔존치아가 많을수록, 의치장착을 하지 않은 그룹에서 삶의 질이 좋았다. 4. 구강건강관련 삶의 질에 영향을 미치는 요인을 규명하기 위한 다중회귀분석 결과 충치의 개수와 의치장착이 유의한 변수로 나타났다. 이 연구결과 노인들의 구강건강상태의 수준과 노인들의 삶의 질이 유의한 관련성이 있는 것으로 나타났다. 구강건강 삶의 질을 유지하기 위하여 나이가 들더라도 잔존치아 수를 많이 유지할 수 있도록 하고, 필요한 경우에는 의치를 장착할 수 있도록 지원하는 것이 중요하다.

• 동의신경정신과학회지
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• 제21권2호
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• pp.157-169
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• 2010

Objectives : The aim of this study was to investigate the characteristics of Hwa-Byung(HB) patients, draw the clinical key issue of HB, and provide the data as the basis for development of Clinical Guideline of HB. Methods : The study participants included 151 subjects who thought they have HB in 9 site. For all patients, we used HB epidemiologic study protocol, which include the Korean version of the Structured Clinical Interview for the DSM-IV Diagnosis (SCID-1), diagnostic criteria of HB, symptoms check list, pattern identification tool, psychiastric psychological questionaires, and Framingham coronary risk score(FRS). Results : 1. For all participants, 62 % of subjects were diagnosed with HB. These patients had comorbid DSM-IV diagnoses with depression (65%) and anxiety (27%). But 22% of these patients had only HB. 2. HB patients had various physical symptoms when visiting, were diagnosed as various disease, and undergone medical treatments in the past. Among the diagonsed illness, Gastronitestinal diseases (51.6%), psychiatric disorders(40.9%), endocrine diseases(39.8%) were being the most frequent. The frequent physical symptoms of HB patients reported were chest discomfort, head ache, pallpitation, frequent sigh, amnesia, shoulder pain, dry mouth, eye fatigue etc. 3. HB patients had high scores in psychologic questionares, CES-D, STAI, and STAXI. It means that HB patients might be low-level emotional stability. 4. Participant had negative opinion about the treatment of HB that it would be difficult or impossible (65.7%), but they neglect the need of medical treatment. Conclusions : This result shows that HB is comorbid with various psychiatric disease, but it has different physio-psychological symptoms from others and there were only HB patients. so we identify HB is independent disease. Moreover, there were the wrong perception of HB which blocking treatments. These problems support that the neccesity of development of Clinical Guideline of HB.

• 한국치위생학회지
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• 제11권5호
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• pp.717-727
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• 2011

Objectives : This study was purposed to estimate the level of oral health quality of life and the relationship between health-related factors and oral health quality of life in patients with successful dental implants. Methods : This questionnaire survey was conducted during the period from December 2009 to March 2010 with 126 patients confirmed successful dental implants in Busan. The oral health related quality of life and oral health-related factors were estimated with OHIP-14 and 8 oral health characteristics, respectively. Data analysis was performed with descriptive analysis, t-test, ANOVA, multiple regression analysis using SAS(ver 9.1) program. Results : The score of oral health quality of life in patients with successful dental implants was $12.25{\pm}7.82$. The scores of subscale of the oral health quality of life were $1.24{\pm}1.35$ in social disability, $1.60{\pm}1.37$ in handicap, $1.60{\pm}1.44$ in psychological disability, $1.70{\pm}1.38$ in functional limitation, $1.81{\pm}1.35$ in physical disability, $2.14{\pm}1.46$ in physical pain, $2.17{\pm}1.46$ in psychological discomfort, respectively. The related factors of oral health quality of life in patients with successful dental implants were absence of other type prosthesis and experience of tooth brushing education. Conclusions : The oral health related quality of life in patients with successful dental implants was relatively good condition. Social supports and chances for high quality denture and tooth brushing educations are needed to improve oral health related quality of life in patients with dental implants.

• 한국치위생학회지
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• 제10권5호
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• pp.877-885
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• 2010

Objectives : This study was carried out with the aim of utilizing it as basic data in a plan for oral health promotion by analyzing oral-health awareness in high school students of some districts in our country, and by analyzing physical, mental and social influential factors in oral health, through using OHIP(Oral Health Impact Profile). Methods : It surveyed by carrying out self-administered questionnaire research targeting 536 boy & girl high school students in the 1st and the 2nd grade at 3 high schools in some districts of Gyeonggi Province. Results : 1. As for experience of having not visited dental clinic, a case of having not visited accounted for 32.5%. On the other hand, a case of having visited accounted for 67.5%. As for the appearance of oral health education, only 2.8% responded as saying of having experience. 97.2% responded as saying of having not taken oral health education. 2. As for oral health state perceived by oneself, the response as saying of 'thinking it to be healthy' and that 'there is something wrong' showed the distribution of 34.1% that is the same ratio. As for oral health interest, a case of having a little interest(58.4%) or of being so much interested(12.5%) showed 70.9%. A case of having no special interest(24.8%) or of having no interest at all(4.3%) showed the level of 29.1%.3. As for oral health knowledge, the toothbrushing knowledge was the highest with 4.54 marks out of 6-point perfection. The toothbrush knowledge(4-point perfection) showed low point with 2.05 marks. 4. By gender, a case of men was high in OHIP(Oral Health Impact Profile) for the functional restriction and physical pain. On the other hand, in the remaining sphere, women were indicated to be high in OHIP. The statistically significant difference was indicated in the spheres such as physical pain, psychological discomfort, a drop in psychological ability, a drop in social ability, and social separation. 5. According to oral health state perceived by oneself, a case of thinking it to be healthy was indicated to be high in OHIP for every sphere. A case of thinking it to have gum disease was indicated to be low in OHIP for every sphere. The statistically significant difference was indicated in every sphere except the sphere of functional restriction. 6. As for a factor of having influence upon OHIP according to oral health knowledge, it was indicated that the higher toothbrush knowledge leads to having more influence upon OHIP. Conclusions : It could be known that the oral health knowledge and OHIP are varied as well according to the oral health interest level. Also, the oral health education proper for subjects is not being performed. Even as for frequency of visiting the dentist, a regular visit is failing to be made. In consideration of these points, the diversified and effective educational program is likely considered to be necessarily developed and improved that subjects can have more interest in oral health.

• 대한가정학회지
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• 제46권5호
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• pp.97-109
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• 2008

Atopic dermatitis is the fastest growing skin disorder among children from infancy to adolescence in Korea. The side-effects of atopic dermatitis not only include physical discomfort, but also psychological trauma which ultimately affects the developmental growth of children. This study was conducted in order to investigate the behavioral characteristics of an atopic dermatitis sufferer. As part of this research, the relative influence of behavioral problems and, self-perceived competence were analyzed in relation to the social competence of an atopic child. In total, 301 atopic and non-atopic children, between 2 and 6 years of age, and their mothers and teachers participated in the study. From this number, 109 children had atopic dermatitis, while 192 children did not. Mothers were asked to complete a parent-report questionnaire that required information on parental stress, according to the scale parenting methodology of Abbdin(1990) and Cho(1999). Teachers were subjected to teacher-report questionnaires which included topics on social competence, socia-emotional assessment and behavioral problems of an atopic child. Furthermore, children also completed questionnaires on self-perceived competence. According to analysis on K-CBCL, ITSEA, social competence, self-perceived competence and parental stress, children with atopic dermatitis showed higher scores in depression/anxiety and depression/withdrawal, compared to children in the normal control group. In relation to parental stress, daily stress, parental role stress, and stress related disease, mothers with atopic dermatitis children exhibited higher scores. In establishing relationships among the related variables, atopic children who demonstrated more social competence were more likely to suffer less from withdrawal, attention problems, and depression/anxiety. Stress related disease in mothers with atopic children was positively related to attention problems of the child. In terms of relative influences, behavioral problems was the most significant variable, accounting for 23% of variance. Lower behavioral problems was positively related to more social competence. In summation, this study investigated the general characteristics of atopic children. In conclusion, atopic children and their mothers had difficulty in dealing with this disease. It is our belief that an atopic child would not only require physical treatment, but also need appropriate psychological care.

• 대한치과기공학회지
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• 제34권3호
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• pp.273-281
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• 2012

Purpose: This study conducted a survey on the elderly of 65 years and over with physical debilities and ones capable of living at home residing in Jeju Special Self-Government Province to compare and analyze demo-sociological characteristics and factors influencing on oral health related living quality. And also this study intended to provide basic data for developing effective public medical policies and health promotion programs to increase oral health related living quality of the elder. Methods: The elderly of 65 years and over living in Jeju Special Self-Government Province were interviewed individually from 7 February 2011 to 18 April and interview results of a total of 220 subjects were analysed for this study. Results: Current status of the elderly including ones with & without physical debilities influenced functional limitation and behavioral aspects of GOHAI criteria used in this study. The elderly with physical debilities experienced less limitation in food chewing and swallowing, and pronunciation than ones capable of living at home. On the analogy of the previous study(by Park, N. G., 2010) in which oral health related quality and satisfaction of life of the elderly with physical debilities were different due to their physical, circumstantial and psychological limitations, the former's oral health conditions are worse than the ones capable of living at home and because of medical care accessability limitation they suffer from deteriorated oral condition. By the comparison of factors influencing on the living quality relating to the oral health of the elderly with physical debilities and ones capable of living at home, 2 factors, age and living area, were meaningful factors commonly influencing on the oral health related living qualities of both. The elderly of 75 years and over were more affected by psychological and behavioral aspects of oral health related living quality than the ones of 65-74 years, and the ones living in country suffered from functional limitations, pains and discomfort more than ones in city. Additionally, being different from the elderly capable of living at home, the ones with physical debilities were influenced by the factors of average monthly income and medical security type. Conclusion: Improvement of programs and systems to increase oral health related quality of life needs to be carried out preferentially for the elderly of 75 years and over, and dwelling in country. Also this study suggests that the policy of paying the denture insurance allowance in 2012 need effective planning considering the elderly's current status, age, living area, medical security type.

• 한국치위생학회지
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• 제15권2호
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• pp.333-342
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• 2015

Objectives: The $1.8{\pm}1.5$purpose of the study was to investigate the oral health related quality of life according to work factors of firefighters in Korea. Methods: A self-reported questionnaire was completed by 270 firefighters in Changwon, Gimhae, and Ulsan from June 27 to July 24, 2011 after receiving informed consent. The questionnaire consisted of 5 questions of general characteristics of the subjects, 6 questions of job-related characteristics, and 14 questions of oral health related quality of life(OHIP-14). Data analysis was performed with reliability test, descriptive analysis, t-test, analysis of variance(ANOVA) and multiple regression analysis using SAS(version 9.2) program. Results: The score of oral health related quality of life in firefighters was $10.1{\pm}8.0$. The scores of subscale of the oral health quality of life were $2.4{\pm}1.5$ in physical pain, $1.8{\pm}1.5$ in psychological discomfort, $1.5{\pm}1.5$ in physical disability, $1.4{\pm}1.5$ in functional limitation, $1.3{\pm}1.4$ psychological disability, $0.9{\pm}1.3$ in handicap, and $0.7{\pm}1.3$ in social disability. The related factors of oral health quality of life in firefighters were rank(p=0.016) and the frequency of daily mobilization(p=0.029). Conclusions: Oral health related quality of life in firefighters was relatively in good condition. For the better oral health related quality of life in firefighters, it is important to establish the continuing oral health promotion program for those who have irregular job characteristics and job intensity.