구강건강상태와 감지 건강상태(EuroQol-5D)와의 연관성

심선주 ( Seon Ju Sim ) 한국치위생과학회 2014 치위생과학회지 Vol.14 No.3

The purpose of this study was to examine association between oral health status and perceived general health symptom. We analyzed 14,231subjects who participated in Korea National Health and Nutrition Examination Survey (2007∼2009). All individuals were examined by a questionnaire about socioeconomic history, smoking and drinking habit, the frequency of daily tooth brushing, the presence of regular dental visit, and EuroQol-5D. Dental survey was conducted to find the decayed, missing, and filled teeth (DMFT) index and community periodontal index. Subjects with perceived problem with mobility had higher DMFT index (odds ratio, 1.18, p<0.001). Subjects with with perceived problem with pain/discomfort had higher DMFT index (odds ratio, 1.16, p<0.001). Self-rating general health symptom was not associated with periodontitis (p>0.05). Perceived general health was associated with DMFT index. It is recommendable that we can use the perceived general health to predict oral health status.

다문화 가정 청소년의 건강 위험 행동과 구강 증상에 관한 연구

심선주(Seon-Ju Sim),홍민희(Min-Hee Hong) 한국산학기술학회 2020 한국산학기술학회논문지 Vol.21 No.12

본 연구는 제15차(2019년) 청소년 건강행태 조사의 원시자료를 이용하여, 우리나라 다문화 청소년들의 건강위험 행동들이 주관적인 구강 증상에 미치는 위험요인을 조사하였다. 다문화 가족 범위는 한국인 여성과 결혼한 이주남성 가족, 한국인 남성과 결혼한 이주 여성 가족의 자녀로 한정 지었으며, 572명을 연구 대상자로 최종 선정하였다. 연구 도구는 사회경제학적 변수로는 성별, 학년, 경제 수준, 학교 성적이 조사되었으며, 건강위험 행태로는 음주, 흡연, 약물 복용, 스트레스, 수면 만족, 자살 생각, 우울 경험, 취침 전 잇솔질 여부가 조사되었고 구강 증상으로는 치아 통증, 잇몸 통증, 입 냄새 여부가 조사되었다. 연구 결과, 치아 통증은 음주, 취침 전 잇솔질, 스트레스, 수면시간, 자살 생각, 우울 경험 여부와 관련성을 나타냈으며, 잇몸 통증은 약물복용, 수면, 자살 생각, 우울 경험에서 관련성을 나타냈다. 그리고, 구취는 약물복용, 취침 전 잇솔질, 스트레스, 자살 생각, 우울 요인과 관련성을 보였다. 건강위험 요인이 구강 증상에 미치는 요인으로는 치아 통증은 음주, 스트레스, 수면시간이 위험요인으로 나타났다. 잇몸 통증은 흡연, 수면, 자살이 위험요인으로 나타났다. 구취는 취침 전 잇솔질 여부와 스트레스가 위험요인으로 나타났다. 결론적으로 청소년들의 구강건강 증진을 위해 국가 차원의 방과 후 활동이나, 동아리 활동 등의 시간에 구강보건교육 프로그램을 지원하는 정책제도 마련이 필요하다. This study used the raw data of the 15th (2019) Korean Youth Health Risk Behavior Survey to investigate the risk factors of the health-risk behaviors of Korean multicultural adolescents on the subjective oral symptoms. The scope of the multicultural family was limited to children of immigrant women"s families married to Korean men and immigrant male families married to Korean women, and 572 were selected as the final study subjects. The sociodemographic variables were surveyed as gender, grade, economic level, and school performance. The health risk behaviors included drinking, smoking, medication, stress, sleep satisfaction, suicidal thoughts, depression, and brushing before bedtime. The oral symptoms examined were toothache, gum pain, and halitosis. As a result, toothache was related to drinking, toothbrushing before sleep, stress, sleep satisfaction, suicidal thoughts, and depression. Gum pain was associated with drug use, sleep satisfaction, suicidal thoughts, and depression. Halitosis was associated with medication, brushing before sleep, stress, suicidal thoughts, and depression. In terms of health risk factors, drinking, stress, and sleep satisfaction were risk factors for toothache. Smoking, sleep satisfaction, and suicidal thoughts were risk factors for gum pain. The presence of toothbrushing and stress were risk factors for halitosis. In conclusion, a policy system is needed to support oral health education programs nationally at times, such as after-school activities or club activities, to promote oral health for teenagers.

전동칫솔을 이용한 칫솔질 교육이 지적장애인의 치은건강증진에 미치는 효과

심선주(Seon-Ju Sim),문자영(Ja-Young Moon) 한국장애인재활협회 2016 재활복지 Vol.20 No.2

본 연구는 지적장애인을 대상으로 전동칫솔을 이용한 칫솔질 교육 후 치면세균막 감소 및 칫솔질 시 출혈여부를 조사하여 치은건강증진도를 조사하고자 2015년도 6월부터 2015년도 9월까지 경기도 광주 및 천안 인근의 시설에 입소해 있는 장애인 50명을 대상으로 2회에 걸친 반복적인 일대일 칫솔질 교육 후 5주 후에 치면세균막 지수와 칫솔질 시 출혈여부 감소를 분석하였다. 성별로는 남성는 32명, 여성은 18명이었으며 반복적인 칫솔질교육은 칫솔질 교육 5주 후에도 구강환경 개선에 효과가 있었는데, 치면세균막 지수는 1차 방문시(잇솔질 교육 이전)에 1.71±1.21이었고 2차 방문시(잇솔질 교육 일주일 후)에 0.93±0.87로 감소하였으며, 4주간격을 두고 3차 방문하였을 때도 치면세균막 지수가 0.88±0.84로 낮게 유지되었다(p<0.05). 이러한 치면세균막지수는 성별, 장애등급별, 칫솔질 자립여부 및 칫솔질 횟수로 분류하였을 때도 감소하는 경향을 보였다. 그리고 칫솔질 후 출혈여부는 1차 방문시보다 2차 방문시에 많이 감소하였으며 4주간격을 두고 3차 방문하였을 때도 칫솔질 후 출혈이 더 감소하였으며 성별, 장애등급별, 칫솔질 자립여부 및 칫솔질 횟수로 분류하였을 때에도 감소하는 경향성을 보였다(p<0.05). The purpose of this study was to assess the effect of tooth brushing instruction using powered toothbrushes to reduce plaque index and bleeding on brushing in the people with intellectually disability. Tooth brushing instruction with powered toothbrushes was carried out for 50 persons admitted to a welfare facility or special school, repeatedly by 1 week interval, from May to September, 2015, and 1 month later, plaque index and bleeding on brushing were examined. Plaque index decreased significantly (in 2nd visit, from 1.71±1.21 to 0.93±0.87), and results were maintained in last examination (in 1 month). Bleeding on brushing decreased significantly (in 2nd visit and 3rdvisit, from 2.31±1.90 to 0.31±0.66). Therefore, powered toothbrush was effective to reduce plaque index and bleeding on brushing for the people with intellectual disability. Plaque index and bleeding on toothbrushing decreased also in classification in according to sex, level of disability, independence of toothbrushing, and frequency of toothbrushing.

일부 치위생(학)과 학생들의 현장임상실습 만족도의 영향을 미치는 요인

심선주(Seon-Ju Sim),백하영(Ha-Oung Baek),엄정선(Jung-Sun Um),정하얀(Ha-Yan Jung),지혜미(Hey Mi Ji),황시내(Si-Nae Hwang),한지혜(Ji-Hey Han) 대한치과의료관리학회 2017 대한치과의료관리학회지 Vol.5 No.1

치위생학 전공교육이 구강건강증진에 미치는 효과

심선주 ( Seon Ju Sim ) 조선대학교 치의학연구원 2015 Oral Biology Research (Oral Biol Res) Vol.39 No.2

Purpose: This study was performed to evaluate the impact of knowledge provided by dental hygiene education on oral health promotion. Materials and Methods: A cross-sectional study design was used in which a survey was carried out on 116 dental hygiene students. Self-reported questionnaires were registered regarding income, parent’s education level, perceived health, perceived oral health, perceived periodontal health, interest in oral health, perceived dry mouth, and oral health behaviors. Oral examination was evaluated with decayed teeth, missing teeth, and filled teeth. Plaque index was examined with Q-ray Cam. Results: 1. Decayed, missing and filled teeth index of 116 students was 5.03±3.77, and there was no difference among student’s grades. 2. Perceived oral health and perceived periodontal health were highest in 4th grade students and lowest in 1st grade students. 3. Tooth brushing frequency and regular dental visit increased according to grades (p<0.01). 4. Plaque index of 4th grade students was significantly lower compared to other students (odds ratio of 3rd grade students: 11.76, odds ratio of 2nd grade students: 7.69, odds ratio of 1st grade students: 45.45). Conclusion: This study suggests that dental hygiene education can improve oral hygiene performance of students.

일본의 인정치과위생사 제도 고찰

심선주 ( Seon-ju Sim ),이선미 ( Sun-mi Lee ),김형미 ( Hyeong-mi Kim ),원영순 ( Young-Soon Won ),신유정 ( Yu-jeong Shin ),김창희 ( Chang-hee Kim ) 한국치위생학회 2021 한국치위생학회지 Vol.21 No.5

Objectives: This study aimed to review the definition, qualification conditions, accreditation field, and system of Japanese recognized dental hygienists. It is expected that it will be used as basic data for the system introduction of the Korean advanced dental hygienists. Methods: From May to November 2020, a literature review was conducted on Japanese dental hygienists and Japanese certified dental hygienists. Results: The lifelong education system training courses to become Japanese certified dental hygienists consisted of basic training, special training, and specific training. Each training session lasted for 15 h, and the number of training hours required to complete the course was 30 h. The training items for the field of recognition A were prevention of lifestyle disease, home care, oral function management, rehabilitation for dysphagia, prevention of diabetes, and oral management by medical and dental partnership. The training items for the field of recognition B were dentistry for the disabled, dentistry for the aged, community oral health, and oral health care. Conclusions: The Japanese recognized that dental hygienist system is valuable as a demonstration model in introducing the Korean advanced dental hygienist system.

알바니아 일부 아동들의 구강건강상태 및칫솔질 교육에 관한 조사연구

문자영 ( Ja Young Moon ),심선주 ( Seon Ju Sim ) 조선대학교 치의학연구원 2014 Oral Biology Research (Oral Biol Res) Vol.38 No.1

Purpose: The purpose of this study was to evaluate the effect of tooth brushing and to investigate oral health status among Albanian children. Materials and Methods: The mean age of all children (n=159) was 12.9±2.0. Self-reported questionnaire were registered about oral health education level and oral health behavior. Oral examination was evaluated with decayed teeth, missing teeth and filled teeth. Plaque index was examined with disclosing agent for baseline, 1 week and 2 week respectively. Tooth brushing instruction was done individually by dentist. All collected data were analyzed using SPSS 12.0 program. Results: DMFT index (the number of decayed, missing and filled teeth) of 159 children was 4.8±4.4. Dt rate (100×the number of decayed teeth/DMFT index) (%) was 82.0 ±27.9. Mt rate (100×the number of missing teeth/DMFT index) (%) was 6.3±14.7. 15.1% children knew the role of teeth, 67.9% children knew the cause of dental caries and 14.5% children knew the effect of Fluoride against dental caries. Plaque index was reduced after individual tooth brushing instruction (p<0.01). Conclusion: In conclusion, this study suggests that oral health education and tooth brushing instruction are needed to improve oral health in Albania.

델파이 방법을 이용한 노인전문치과위생사 핵심역량 도출

이선미,원영순,김형미,심선주,이정화,문상은,김창희,Lee, Sun-Mi,Won, Young-Soon,Kim, Hyeong-Mi,Sim, Seon-Ju,Lee, Jung-Hwa,Moon, Sang-Eun,Kim, Chang-Hee 한국치위생학회 2022 한국치위생학회지 Vol.22 No.5

Objectives: This study derived the core competencies for developing a curriculum for advanced practice dental hygienists in the elderly. Methods: A Delphi survey was conducted thrice times with 12 subjects engaged in dental hygiene-related activities for the elderly. Results: The item with the highest average in each domain was 'understanding the elderly (mean=5.00)' in basic qualities and attitude competency, 'understanding the oral health characteristics of the elderly (mean=5.00)' in the job competency, and 'development and evaluation of oral health programs for the elderly (mean=4.75)' in job support competency. Conclusions: The core competencies of dental hygienists specializing in the elderly are divided into 3 'basic qualifications and attitude competencies', 'job competencies', and 'job support competencies' 27 sub-competencies are presented.

한국 노인의 구강보건행위가 삶의 질에 미치는 영향에서 스트레스의 매개효과

신수일(Sooil Shin),홍민희(Min-Hee Hong),심선주(Seon-Ju Sim) 한국산학기술학회 2020 한국산학기술학회논문지 Vol.21 No.12

본 연구는 노인의 구강보건행위가 건강관련 삶의 질(Health-related Quality of Life, HRQOL)에 미치는 영향에서 스트레스의 매개 효과를 분석하기 위하여 국민건강영양조사(2010-2015)를 활용한 이차 자료분석 연구이다. 65세 이상 노인 8,148명을 대상으로 사회 경제상태, 건강 상태, 흡연 및 음주 습관, 스트레스 여부, 그리고 구강보건행위 (칫솔질 횟수, 정기적인 치과 검진여부, 치간 세정도구 사용)를 조사하였으며 건강관련 삶의 질 측정을 위해 EuroQol-5 Dimension(EQ-5D) index를 사용하였다. 연구결과, 사회경제학적 수준이 낮거나 고혈압, 당뇨병을 가진 노인들에서 HRQOL이 낮았으며, 칫솔질 횟수가 적거나 정기적인 치과방문을 하지 않거나 치간 세정도구를 사용하지 않는다고 응답한 노인들에서 HRQOL이 낮았다. 그리고 스트레스는 노인의 삶의 질에 부적 상관을 보였으며 구강보건행위와 삶의 질의 관계에서 부분매개효과를 확인하였다. 이러한 결과는 노인의 구강보건행위와 삶의 질의 관계에서 스트레스 매개효과가 있음을 의미한다. 그러므로, 노인의 건강관련 삶의 질 증진을 위해 건강증진프로그램을 수행할 때 스트레스 해소 및 구강건강증진 프로그램을 포함한 융합적인 프로그램이 필요하며, 그러한 정책마련을 위한 기초자료로 제공하고자 한다. The purpose of this study was to examine the mediating effect of stress on the relationship between oral health behaviors and health-related quality of life (HRQOL) in the elderly. We analyzed 8148 subjects aged 65 or older who participated in the Korea National Health and Nutrition Examination Survey (2010-2015). All individuals were asked about their socioeconomic history, general health, and oral health behaviors (the frequency of tooth brushing, regular dental check-ups, and use of interdental cleaners). In the results, HRQOL was low in the elderly from a low socioeconomic class, or with diabetes mellitus, hypertension, or poor oral health behaviors. A partial mediating effect from stress was confirmed on the relationship between oral health behaviors and HRQOL. In conclusion, HRQOL was associated with oral health behaviors, with a mediating effect from stress. Therefore, it is necessary that a convergence health promotion program should be planned with an oral health education program and a stress management program for the elderly.

전문치과위생사제도에 대한 견해

이선미 ( Sun-mi Lee ),김창희 ( Chang-hee Kim ),심선주 ( Seon-ju Sim ),김형미 ( Hyeong-mi Kim ),이근유 ( Keun-yoo Lee ),유명숙 ( Myung-sook Yoo ),원영순 ( Young-Soon Won ) 한국치위생학회 2021 한국치위생학회지 Vol.21 No.4

Objectives: This study aimed to provide basic data to lay the groundwork for the introduction of an advanced dental hygienist system by sampling dental hygienists’ views about the system. Methods: A nationwide questionnaire survey was conducted targeting 857 dental hygienists working at dental hospitals and clinics, local health institutions, and educational institutions. The collected data were analyzed using frequency analysis, t-test, one-way analysis of variance (ANOVA) (Duncan as post-analysis), and crossover analysis. Results: The average interest level in the advanced dental hygienist system was 3.83±0.95 points. The necessity by field was confirmed to be the highest during dental hygiene for the elderly and persons with disabilities. The working experience necessary for becoming a specialized dental hygienist is 5.56±2.99 (years). The education period necessary for becoming a specialized dental hygienist is 77.30±77.61 (hours). The work authority level for an advanced dental hygienist was indicated to be 50 respondents (5.8%), who said they required direct guidance from a dentist, 313 respondents (48.2%) who said they needed indirect guidance from a dentist, 200 respondents (23.3%) who said OK when given an advanced dental hygienist’s separate judgment, 194 respondents (22.6%), who said that the authority must be varied depending on the work. Conclusions: The interest and need of the advanced dental hygienist system were proven to be high and are expected to be applied to basic data for the introduction and settlement of the system.