튜터링 학습 영향 요인이 치위생과 학생의 튜터링 학습 만족도에 미치는 영향 -학업적 자아효능감과 주관적 규범의 매개효과를 중심으로-

엄숙,정기옥,윤현경 한국학교·지역보건교육학회 2018 한국학교지역보건교육학회지 Vol.19 No.3

Objectives: The purpose of this study was to investigate the factors affecting the satisfaction of tutoring and some dental hygiene students and to investigate whether the self - efficacy and subjective norm are mediating effects. Methods: This study was conducted on 81 students in the first year, 82 students in the second year, 30 students in third year of girls who are majoring in the dental hygiene of a college in north Gyeonsang province Form September 1 to October 15 2017 asked them to answer the questionnaire and retrieved the questionnaire, among the 193 questionnaires except for the inaccurate response, 186 were final analysis. Results: In the relationship between the affective factors of tutoring learning and the satisfaction of tutoring learning, the relationship of social interdependence, group intimacy, program usefulness, group commitment, academic self - efficacy, subjective norm, It was found to be relevant. The usefulness of the program was found to have a significant effect on the satisfaction of tutoring learning. Conclusions: It is expected that the tutoring learning satisfaction is mediated by the academic self - efficacy and the subjective norm, so that it can be utilized as the basic data of the study application of the new education program in the field of dental hygiene.

과제지향적 동작관찰훈련이 뇌졸중 환자의 환측 상지기민성과 일상생활활동에 미치는 영향

엄숙,김수경 대한지역사회작업치료학회 2013 대한지역사회작업치료학회지 Vol.3 No.1

목적 : 본 연구는 과제지향적 동작관찰훈련이 뇌졸중 환자의 환측 상지기민성과 일상생활활동에 미치는 영 향을 알아보고자 하였다. 연구방법 : 15명의 뇌졸중 편마비 환자를 선정하여 단일집단 사전사후 설계를 사용하였다. 대상자는 동영상 을 통하여 과제지향적 동작수행을 관찰한 후 동작을 반복적으로 모방 연습하였다. 훈련은 주 3회, 회당 20∼30분, 3주간 실시하였다. 환측 상지기민성에 대해 MFT, 10초 검사, 박스와 나무상자 검사를 시행하 였고, 일상생활활동은 MBI, MAL을 수행하였다. 전, 후 비교는 윌콕슨 부호순위검정를 사용하였다. 결과 : 훈련 후, 대상자의 환측 상지기민성은 훈련 전에 비해 유의한 차이를 보였고, 일상생활활동 또한 훈 련 전과 훈련 후에 유의미한 증진을 보였다. 결론 : 과제지향적 과제를 적용한 동작관찰훈련은 뇌졸중 환자의 환측 상지기민성과 일상생활활동에 긍정적 인 효과를 보였다. 따라서 동작관찰훈련을 작업치료 중재 유형의 한 전략으로 제안하고자 한다. Objective : The purpose of present study was to determine effects of task oriented action observation training on dexterity of upper limb function after stroke. Training was progressed to imitation and intensive training after observation to required action in ADL. Method : 15 stroke patients were selected and one group pretest-posttest design was applied. Targets observed performance actions of task orientated task through a video and limitated action repeatedly, Training was performed 3 times a week and 20∼30 minutes for each round for 3 weeks. Manual function test and 10-second test and Box and block test were performed for a dexterity of upper extremity motor function, Modified Barthel index and Motor activity log were performed for ADL. Result : After the training, a dexterity of affected upper extremity motor function of the target showed significant difference between before and after intervention, ADL showed significant improvement between before and after intervention. Conclusion : Task orientated Action observation lead a positive effect of recovering a dexterity of upper extremity motor function and ADL. Therefore, this study suggest a action observation training as one strategy of an intervention type of th e occupational therapy.

치위생 전공 학생의 문제해결능력과 비판적사고가 전공만족도에 미치는 영향 -비판적사고의 매개효과를 중심으로-

엄숙,최유진,이병호 한국융합학회 2019 한국융합학회논문지 Vol.10 No.12

This study was conducted to identify the level of problem-solving ability, critical thinking and satisfaction level of students majoring in dental hygiene, and to identify the impact of problem-solving ability and critical thinking on major satisfaction levels. The research target collected data through a structured questionnaire for 259 students majoring in dental hygienics located in North and South Gyeongsang Province. The analysis results showed that the problem-solving ability of the study subjects was 2.56, critical accidents were 2.58, and the major satisfaction level was 2.32, and the problem-solving ability, critical thinking and major satisfaction level were positively correlated with each other. Among the lower factors of problem solving ability, solution performance and solution model were significant factors that could improve major satisfaction, and among the lower factors of critical thinking, intellectual fairness, intellectual passion/interest, and systematicness were significant factors that could improve major satisfaction. Critical thinking also significantly mediated problem solving ability and major satisfaction level (β=).2602, BCCI [.0908~.4529]). Based on the results, it is believed that dental hygiene education needs to be developed in addition to the establishment of an educational environment that can enhance the ability to solve problems and critical thinking, and that research should be continued to check its effects. 본 연구는 치위생을 전공하는 학생들의 문제해결능력과 비판적사고 및 전공만족도 수준과 관련성을 파악하고 전공만족도에 문제해결능력과 비판적사고가 매개하여 미치는 영향을 파악하고자 시행하였다. 연구대상은 경상남북도에 위치한 치위생을 전공하는 259명을 대상으로 구조화된 설문지를 통해 자료를 수집하였다. 분석결과 연구대상자의 문제해결능력은 2.56점, 비판적사고는 2.58점이었고, 전공만족도 수준은 2.32점으로 나타났으며, 문제해결능력과 비판적사고 및 전공만족도는 서로 양의 상관관계가 있는 것으로 나타났다. 문제해결능력의 하부요인 중 해결책수행과 해결방안모색은 전공만족도를 향상시킬 수 있는 유의한 요인이었으며 비판적 사고의 하부요인 중 지적공정성, 지적열정/호기심, 체계성이 전공만족도를 향상시킬 수 있는 유의한 요인으로 나타났다. 또한 비판적사고는 문제해결능력과 전공만족도를 유의하게 매개하였다(β=.2602, BCCI [.0908~.4529]). 본 연구결과를 통해 치위생 교육은 문제해결능력과 비판적 사고를 향상시켜 전공만족도를 높일 수 있는 교육환경 구축과 더불어 교육 프로그램 개발이 필요하며 추후 그 효과를 확인하는 연구가 지속되어야 할 것으로 사료된다.

노인의 주관적 구강건강과 구강건조증이 우울과 삶의 질에 미치는 영향 -우울의 매개효과를 중심으로-

엄숙,최유진 한국융합학회 2019 한국융합학회논문지 Vol.10 No.12

This study is a 1:1 survey of 154 elderly 65 or older to find out the direct and indirect effects of oral dryness on their quality of life through the medium of depression. As a result, the subjective oral health of the elderly and oral dryness, depression and quality of life were correlated. In the medial effect of subjective oral health and oral dryness on the quality of life, subjective oral health is the quality of life(β=.23, p<.01), depression(β=-.24, p<.01)and the influence of subjective oral health when depression is controlled(β=.08, p>05) was not significant and was completely mediated. Oral dryness is the quality of life(β=-.24, p<.01) and depression(β=.37, p<.001) was shown to have a significant effect and the influence of oral dryness when depression is controlled(β=.00, p>.05) was not significant and was completely mediated. In order to improve the quality of life for the elderly, it is necessary to develop and apply a comprehensive arbitration program that can improve oral health and oral function, and to study the effects of consequences in the future. 본 연구는 노인의 구강건조증이 우울을 매개로 삶의 질에 미치는 직간접적 영향을 알아보고자 65세 이상의 노인 154명을 대상으로 1:1 설문조사를 시행하였다. 그 결과 노인의 주관적 구강건강과 구강건조증, 우울, 삶의 질은 상관성이 있었다. 주관적 구강건강과 구강건조증이 삶의 질에 대한 우울의 매개효과에서, 주관적 구강건강은 삶의 질(β=.23, p<.01), 우울(β=-.24, p<.01)에 유의한 영향을 미쳤고, 우울이 통제될 때 주관적 구강건강의 영향력(β=.08, p>.05)은 유의하지 않아 완전 매개하였다. 구강건조증은 삶의 질(β=-.24, p<.01)과 우울(β=.37, p<.001)에 유의한 영향을 미치는 것으로 나타났고 우울이 통제되었을 때의 구강건조증의 영향력(β=.00, p>.05)은 유의하지 않아 완전매개 하였다. 이상의 연구결과를 바탕으로 노인의 삶의 질을 높이기 위해서는 구강건강과 구강기능을 향상 시킬 수 있는 포괄적 중재 프로그램을 개발, 적용할 필요가 있으며 추후 적용 효과에 대한 연구가 필요할 것으로 생각된다.

치과진료 장애와 전신건강의 관계에 대한 구강건강의 매개효과와 자기효능감의 조절효과

엄숙,최유진 한국구강보건과학회 2019 한국구강보건과학회지 Vol.7 No.3

Objectives: This study analyzes the effect of dental disease recognized by individuals on systemic health by mediating oral health. The control effect of self-efficacy, which is a psychological factor of individuals, is likewise examined. On the basis of this study, we will prepare basic data on the various interventions that should be provided for individuals to improve overall health. Methods: In this study, persons who understood the research purpose and agreed to participate were selected as the study target for adults in Busan, Gyeongnam, and Ulsan, and 240 people were used in the analysis. Data collection was conducted from May 22, 2019 to June 10, 2019. Results: The average dental disability, oral health, self-efficacy, systemic health, and dental health disorders of the study subjects scored 3.08, 3.79, 3.73, 3.09, and 3.09 points, respectively (r=−.41, p<.00). Systemic health (r=−27, p<.00) was found to have a correlation between oral health and systemic health (r=.44, p<.001). In the relationship between dental and systemic health, the role of oral health was found to be complete intermediation. In both the high and low oral health-related self-efficacy tests, systemic health was low when dental health was high. In the case of low dental disorders, self-efficacy groups were found to be higher than those with low self-efficacy. Conclusions: It is believed that by developing oral health education and mediation programs, it is necessary to reduce dental health disorder by enhancing oral health related self-efficacy, and to form living habits and behaviors of health promotion activities to promote systemic health as well as oral health.

중년층의 구강건강교육경험에 따른 구강건강신념, 구강효능감, 구강위생용품사용, 삶의 질과의 관련성

엄숙,최유진 중소기업융합학회 2020 융합정보논문지 Vol.10 No.6

This study made a final analysis of 184 people in their 40s and 50s living in South Gyeongsang Province to identify their relevance to oral health education experiences, oral health beliefs, oral efficacy, oral hygiene product use practices, and quality of life. When there was educational experience in oral efficacy and practice of oral hygiene product use according to oral health education, oral efficacy, oral hygiene product use practice and quality of life was high.In the relationship between oral health belief and oral efficacy, oral hygiene product use practice and quality of life, we could see that oral efficacy and quality of life were low when sensitivity and severity were high among oral health belief, and that oral efficacy and quality of life were high when importance, disability, and benefits were high. Middle age based on oral health care the results over the continuing and developers to develop customized education programs for different target for a longer term recurrent training and future.A Study on the Application through the program will be needed. 본 연구는 구강건강교육경험과 구강건강신념, 구강효능감, 구강위생용품사용 실천, 삶의 질과의 관련성을 규명하고자 경상남도 내에 거주하는 40· 50대 184명을 최종 분석하였다. 그 결과 구강건강교육에 따른 구강효능감과 구강위생용품사용 실천에서 교육 경험이 있는 경우 구강효능감과 구강위생용품사용 실천, 삶의 질이 높았다. 구강건강신념과 구강효능감, 구강위생용품사용 실천, 삶의 질 간의 상관관계에서 구강건강신념 중 불안의 성향을 가진 민감성과 심각성이 높을 때 구강효능감과 삶의 질이 낮은 것을 볼 수 있었고, 중요성과 장애, 유익성이 높을 때는 구강효능감과 삶의 질이 높음을 볼 수 있었다. 이상의 결과를 토대로 중년의 구강건강관리를 위해서는 대상자별 맞춤 교육 프로그램을 개발하여 지속적이고 장기적인 반복 교육이 필요하며 추후 프로그램 개발을 통해 적용효과에 대한 연구가 필요할 것이다

[사례발표 2] 영등포시 지역사회보장계획 시행결과 평가

엄숙 한국지역사회복지학회 2018 한국지역사회복지학회 학술대회 Vol.2018 No.5

전신 및 구강 복합만성질환자의 이환 유형에 따른 외래 의료서비스 이용 비교

엄숙,이경수,최유진 한국구강보건과학회 2019 한국구강보건과학회지 Vol.7 No.3

Objectives: Multiple chronic diseases are expected to exert an increasingly negative influence on the health care system, but there is little concern for these chronic diseases despite that individual chronic diseases have been drawing attention in Korea. The oral cavity is a part of the body, and oral diseases are closely related to systemic health. Specifically, chronic oral diseases, such as dental caries and periodontal diseases, are given considerable weight in terms of the overall use of medical services. The purpose of this study was to examine the state of multiple chronic diseases, including oral diseases, morbidity patterns, and any possible differences in the frequency of using outpatient medical services according to morbidity patterns. Methods: Analysis was based on Korea Health Panel data from 2011. These data were of 40-year-old and older individuals, of whom 2,619 had single chronic conditions and 963 had multiple chronic conditions. All of them had experienced being examined as outpatients. Results: The average utilization frequency of outpatient clinics of a multiple-chronic-condition patient per year was 15.6 times, which was 1.5 times higher than the 6.1 times of a single-chronic-condition patient. The multiple-chronic-disease patients’ utilization frequency of outpatient clinics was compared according to subgroup. Groups 1 and 5 had the highest and lowest utilization frequencies of outpatient clinics, respectively. Conclusions: Chronic disease coordination is necessary to provide quality care and efficient service. The government should promote human resource training policies and programs to support patients with chronic diseases. Moreover, policy development and enforcement for patients with chronic oral disease are needed to defray high non-payment expenditure.

Evaluation of risk for graft-versus-host disease in children who receive less than the full doses of mini-dose methotrexate for graft-versus-host disease prophylaxis in allogeneic hematopoietic stem cell transplantation

엄숙경,최혜윤,이재욱,장필상,정낙균,정대철,조빈,김학기 대한소아청소년과학회 2013 Clinical and Experimental Pediatrics (CEP) Vol.56 No.11

Purpose: The use of cyclosporine and mini-dose methotrexate (MTX) is a common strategy for graftversus-host disease (GVHD) prophylaxis in allogeneic transplants. We investigated whether patients who receive fewer than the planned MTX doses are at increased risk for GVHD. Methods: The study cohort included 103 patients who received allogeneic transplants at the Department of Pediatrics of The Catholic University of Korea College of Medicine, from January 2010to December 2011. MTX was administered on days 1, 3, 6, and 11 after transplant at a dose of 5 mg/m2 each. Within the cohort, 76 patients (74%) received all 4 doses of MTX [MTX(4) group], while 27patients (26%) received 0–3 doses [MTX(0–3) group]. Results: Although there was no difference in neutrophil engraftment between the 2 groups, platelet engraftment was significantly faster in the MTX(4) group (median, 15 days), compared to the MTX(0–3) group (median, 25 days; P =0.034). The incidence of grades II–IV acute GVHD was not different between the MTX(4) and MTX(0–3) groups (P =0.417). In the multivariate study, human leukocyte antigen mismatch was the most significant factor causing grades II–IV acute GVHD (P =0.002),followed by female donor to male recipient transplant (P =0.034). No difference was found between the MTX(4) and MTX (0–3) groups regarding grades III–IV acute GVHD, chronic GVHD, and disease-free survival. Conclusion: Our results indicate that deviations from the full dose schedule of MTX for GVHD prophylaxis do not lead to increased incidence of either acute or chronic GVHD.

부모의 역할기대에 대한 자녀의 지각과 자아구조와의 관계

엄숙경 이화여자대학교 사범대학 교육심리학과 1977 心理硏究 Vol.- No.18