편집인의 글 : DFS에 근거한 치과공포 및 치과불안 유래 요인에 대한 문헌고찰

홍진실 ( Jin Sil Hong ),김영삼 ( Young Sam Kim ),이해진 ( Hae Jin Lee ),김주연 ( Ju Yeon Kim ),장기완 ( Kee Wan Chang ) 대한구강보건학회 2015 大韓口腔保健學會誌 Vol.39 No.4

Objectives: The study on dental fear has increased recently. Studies found that people with high dental fear and or anxiety were less likely to visit dentists. The aim of this study is to review the trend of study on dental fear and to analyse the major factors related to dental fear. Methods: Seventy four papers listed in Korea Citation Index and SCI(E) were assessed. Quality Assessment and Validity Tool for Correlation Studies (QAVTCS) and Dental Fear Study (DFS) were used in this study. SPSS 12.0 was employed to analyse the descriptive statistics, t-test and Multiple Linear Regression (MLR) with stepwise. Results: The total mean score of QAVTCS for international studies was significantly higher than domestic studies (P=.001). The mean scores of item, ``Seeing the anesthetic needle`` and ``Feeling the anesthetic needle``, were severe level (Means= 3.05, 3.14, severe>3.00). According to the MLR, the powerful predisposing factors (independent variable) on ``Overall fear of dentistry (dependent variable)`` were ``Hearing the drill`` (P<.01) and ``Having teeth cleaned`` (P<.05). Conclusions: It was concluded that people had high dental fear in direct dental treatment environment such as contact with seeing anesthetic needle and hearing dental drill. Therefore, this study suggests the need to map out specific and multidirectional plan for decreasing dental fear.

치과위생사의 대학시절 의료윤리과목 수강여부가 의료정보보호 동의정도 및 실천도에 미치는 영향

홍진실(Jin-Sil Hong),이영수(Young-Soo Lee) 한국구강보건과학회 2020 한국구강보건과학회지 Vol.8 No.2

Objectives: The objective of this study was to identify the effect of dental hygienist’s ethic course attendance on medical information protection agreement and practice and to analyze the relevant factors. Methods: The study population consisted of 125 active dental hygienists. Each medical information protection agreement measurement tool and medical information protection practice measurement tool consisted of 21 items for a total of 42 items. A multiple regression analysis was performed to determine the factors affecting the degree of medical information protection agreement and practice. Results: There was significant differences in the mean values of degree of dental hygienist’s medical information protection agreement and practice, showing the higher agreement score being correlated with higher practice score (p<0.05). Among dental hygienists who attended ethics courses, those with longer work experience tended to show higher degree of medical information protection agreement and practice (p<0.05). Conclusions: It is determined that in order to improve the degree of medical information protection agreement and practice among dental hygienists, dental hygiene curriculum should add additional instructional hours to the relevant courses to the curriculum, and at the same time, it is necessary to continue to train current active dental hygienists through continuing professional education and new dental hygienist education.

노인 임플란트 보험 급여화 후 일부 치과위생사의 근무환경 및 구강보건교육의 변화

홍진실(Jin-Sil Hong),이혜주(Hye-Ju Lee) 한국구강보건과학회 2021 한국구강보건과학회지 Vol.9 No.2

Objectives: This study was conducted to confirm the changes in the dental hygienist s working environment and oral health education after insurance coverage for elderly implants. Methods: This study surveyed 215 dental hygienists with clinical experiences of more than 4 years of working in dental hospitals (SPSS ver. 23.0, p<0.05). Results: There was no significant change in the dental hygienist s work environment after the elderly implant insurance coverage, and most dental hygienists responded positively to the implant insurance coverage. Regardless of the benefits of elderly implant insurance, the contents of knowledge transfer related to implants did not change and were evenly covered. Conclusions: In the future, as the proportion of the elderly population is increasing, an effective oral health education system using various oral health education media should be prepared.

일부 치과위생사의 노인 임플란트 보험급여 인지도에 영향을 미치는 요인

홍진실(Jin-Sil Hong),신혜선(Hye-Sun Shin) 한국구강보건과학회 2020 한국구강보건과학회지 Vol.8 No.3

Objectives: The purpose of this study is to assess dental hygienists’ recognition of elderly implant insurance and examine the factors affecting it. Methods: This study was conducted on 215 dental hygienists working in dental clinics with more than four years of clinical work experience, based on the time when the elderly implant insurance benefit was implemented. Data collection was conducted through a self-contained survey through direct visits and mail. The questionnaire consisted of 16 questions that covered demographic characteristics, general awareness of dental health insurance, and detailed perception of elderly implant insurance. Multiple regression analysis was performed to identify the factors affecting dental hygienists’ awareness of the coverage of elderly implant insurance. Results: The dental hygienists had a low average perception of dental health insurance. The dental hygienists’ awareness of the elderly implant insurance coverage increased when they were more interested in national health insurance (p=.002), when they highly thought that the current dental health insurance is not being implemented for national oral health (p=.000), and when they highly thought that the current dental health insurance system aims to stabilize one’s family life (p=.004). Conclusions: Through this study, dental hygienists were able to identify implant health insurance benefits and awareness. It is expected that it will contribute to the improvement of awareness and awareness of dental health insurance benefits by dental hygienists according to the changing dental health insurance benefits in the future.

한국형 구강건강문해력 평가 도구 개발을 위한 예비연구

이해진 ( Hae Jin Lee ),홍진실 ( Jin Sil Hong ),김주연 ( Ju Yeon Kim ),장기완 ( Kee Wan Chang ) 대한예방치과·구강보건학회 2015 大韓口腔保健學會誌 Vol.39 No.4

Objectives: Oral health literacy is defined as ‘the degree to which individuals have the capacity to obtain, process, and understand basic oral health information and services needed to make an appropriate health decision’. This goal of this study was to develop an instrument for assessing oral health literacy in Korean adults. Methods: This instrument was developed by using the adult literacy evaluation tool of the Korean Government. The components were mainly related to 2 conditions (‘oral health information’ and ‘dental treatment instruction’), and they were classified into 3 cognitive processes (realistic, deductive, and critical domains). Furthermore, all of the subcomponents were divided into prose and non-prose. Therefore, each of the 12 subcomponents had 4 items, resulting in a final questionnaire with 48 items. A pilot survey was conducted in 51 adults, and the quality of the questionnaire was subsequently evaluated. We identified reliability by using Cronbach’s a, discrimination, and difficulty. Two items from each of the 12 subcomponents were selected as the final items. We set the difference thresholds at over 0.5 and over 0.3 for reliability and discrimination, respectively. Finally, we distributed the difficulty from 35 to 95%. Results: The reliabilities of all items (48) and the final items (24) were 0.838 and 0.836, respectively. The mean discrimination of the final items was higher than that of all items (mean: 0.5 and 0.3, respectively). The difficulty curve of the final items followed a normal distribution. Conclusions: The reliability and validity demonstrated by the final 24 items indicates that they are appropriate for evaluating oral health literacy in adults.

임상 치과위생사의 공감역량에 영향을 미치는 요인

김선미(Sun-Mi Kim),홍진실(Jin-Sil Hong),이영수(Young-Soo Lee) 한국구강보건과학회 2021 한국구강보건과학회지 Vol.9 No.2

Objectives: The purpose of this study is the relationship between the humanistic knowledge, emotional intelligence and compassion competence. Methods: This study examines factors influencing empathy competence in clinical dental hygienists through hierarchical regression analysis. Results: As a result of hierarchical regression analysis, in Model 1, job satisfaction and the presence or absence of educational experience in patient empathy were found to have significant influences. In Model 2, it was found that job satisfaction, patient empathy ability education experience, and emotional intelligence had an effect. Conclusions: These results can be seen as the competence necessary to provide high-quality dental hygiene services in the relationship between the subject and the dental hygienist.

전면문제중심학습이 치의학교육의 자기주도적 학습, 의사소통, 문제해결 능력에 미치는 영향

이강욱 ( Kang-wook Lee ),홍진실 ( Jin-sil Hong ),장기완 ( Kee-wan Chang ) 대한구강보건학회 2016 大韓口腔保健學會誌 Vol.40 No.4

Objectives: The purpose of this study was to examine the effect of problem-based learning (PBL) on dental education to dental students. The following were investigated in this study: 1. Does PBL improve the ability of self-directed learning? 2. Does PBL change communication ability? 3. Does PBL change the strategy of problem solving? Methods: The participants of this study were 39 students in the experimental group and 68 students in the control group. The measurement tools of this study were self-directed learning, communication, and problem solving abilities tests designed by the Korean Educational Development Institute. The data was analyzed by the two-way ANOVA and ANOVA with repeated measures. Results: In self-directed learning ability during 3 semesters, the experimental group showed a U-shape change but the control group showed a reverse U-shape change. In the experimental group, the selfdirected learning ability was decreased after one year (after the first and second semester). The level of communication ability decreased every day during the three semesters monitored in both the control and experimental groups. The level of communication ability in the experimental group continuously decreased during the three semesters, with the exception of one semester. Finally, for the problem solving ability during the three semesters, the experimental group showed a reverse U-shape change while the control group showed a U-shape change. In the experimental group, there was no change after two semesters. Conclusions: On the basis of the findings in this study, the following conclusions can be made. First, problem-based learning has a positive educational effect compared to didactic-based learning within one year. Second, the appropriate length of PBL is two semesters, or one year. It could be recommended that dental education in Korea should be combined or hybridized with PBL; for example, PBL could be used in combination with brief lectures or block lectures by teachers.

일부 노인의 구강 내 불편감에 영향을 미치는 요인

김주연 ( Ju Yeon Kim ),김영삼 ( Young Sam Kim ),이해진 ( Hae Jin Lee ),홍진실 ( Jin Sil Hong ),장기완 ( Kee Wan Chang ) 대한예방치과·구강보건학회 2016 大韓口腔保健學會誌 Vol.40 No.1

Objectives: The purpose of this study was to investigate oral discomfort factors in the elderly and to analyze the sociodemographic and health-related characteristics influencing their oral discomfort using multiple regression analysis. Methods: Facilities were selected based on the 2014 Elderly Welfare Facilities Status. Data was collected through the interview of 176 participants aged ≥65 years. The oral discomfort factors (10 items) were investigated using a 5-point Likert scale. The total oral discomfort scores were added for each of the 10 items investigated using the 5-point Likert scale. SPSS 12.0 program was used to analyze the descriptive statistics and perform a t-test and a stepwise multiple regression analysis. Results: The oral discomfort factor with the highest score was g oral discomfort factorThe total oral discomfort score for women was significantly higher than that for men. ‘men. gnificantly higher thangenderg were, respectively, the health-related and sociodemographic characteristics that most significantly influenced the total oral discomfort scores. Perceived oral health accounted for 30.4% of the total oral discomfort score, while gender accounted for 2%. Conclusions: Health-related characteristics were more significantly associated with oral discomfort than sociodemographic characteristics. Since sociodemographic characteristics are not easily changed, government and healthcare providers should strive to improve the health of the elderly population.

한국성인 제1대구치 생존여부에 영향을 미치는 요인에 대한 로지스틱회귀분석

정성석 ( Sung Suk Chung ),김종배 ( Jong Bae Kim ),김영삼 ( Young Sam Kim ),정영란 ( Young Ran Jung ),홍진실 ( Jin Sil Hong ),김주연 ( Ju Yeon Kim ),장기완 ( Kee Wan Chang ) 대한예방치과·구강보건학회 2015 大韓口腔保健學會誌 Vol.39 No.2

Objectives: This study aimed to analyze the variables affecting the survival of the four permanent first molars in an adult Korean population using logistic regression analysis. Methods: The Korean government has been collecting oral health data at the national level at 3-year intervals since 2000. In addition, a national survey was conducted in 2006 among 15,777 persons aged 2-95 years who were stratified by age, gender, and region. The relationship between each of nine objective variables and tooth survival was analyzed by frequency, cross-tabulation, and logistic regression analysis, with age, gender, and economic status as functional variables. The inclusion level was α=0.05 and the exclusion level was α=0.10. The nine variables were age, occupational status, monthly family income, gender, frequency of brushing the teeth, snack intake per day, presence of diabetes, education level, and smoking (packs per year). Results: The survival rate of the molars decreased with increased age. In individuals who engaged in farming, stock breeding, and fishing, the rate was 2-5 times lower than that of individuals in higher positions in terms of jobs and society. Furthermore, the survival rate for smokers was 5-10 percent lower, compared with non-smokers. Conclusions: The most significant predictor of the survival rate of the four permanent molars in Korean adults was age, followed by jobs, smoking, and gender.