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배성숙(Sung-Suk Bae),문하영(Ha-Young moon),문윤미(Yun-Mi Moon) 한국엔터테인먼트산업학회 2014 한국엔터테인먼트산업학회논문지 Vol.8 No.4
이 연구는 충청지역의 노인요양병원과 시설 11개소에서 근무하는 요양보호사 127명을 대상으로 요양보호사의 구강보건행태를 파악하고 행태에 영향을 미치는 요인을 분석함으로써 노인건강복지정책을 위한 구강보건교육프로그램 개발과 노인을 위한 구강건강증진사업 접근방법을 모색하고자 조사가 실시되었다. 1. 구강보건지식과 구강보건행태의 상관관계를 분석한 결과로서 양(+)의 관련성이 있고, 유의한 상관관계가 나타났다(p=.001). 2. 구강보건행태에 영향을 미치는 관련요인으로는 구강보건지식 p=.029, 구강건강교육경험 p=.000로 나타나 두 변수 모두 유의한 결과가 나타났다. 수정된 결정계수(Adj.R²)는 .250으로 나타났고, 분산분석 결과(f=22.001) p-v가 .000이므로 의미가 있음을 알 수 있었다. 이상을 종합해보면, 현대사회는 생활수준과 삶의 질향상으로 건강에 대한 관심이 높아지고 있으며 구강보건관리가 중요한 부분으로 인식되어 지고 있다. 특히 요양병원과 시설에서 근무하는 요양보호사들의 노인의 구강보건관리의 역할을 담당하고 있으므로 그들을 위한 구강보건교육프로그램 개발과 구강보건전문가들의 지도 및 관리가 필요할 것으로 사료된다. This study was conducted to develop an oral health education program for senior citizen"s health & welfare policy and search for an oral health enhancement program for senior citizens by understanding the oral healthcare behavior of care workers and analyzing the influencing factors of behavior with 127 care workers that are working at 11 convalescence hospitals for senior citizens and facilities in Chungcheong region. In the analysis of the correlation between oral health behavior and oral health knowledge, meaningful correlation was revealed with positive correlation(p=.001). In terms of related influencing factors on oral health behavior, meaningful results were shown for both variables with p=.029 for oral health knowledge and p=.000 for oral health education experience. To summarize, it would be necessary to develop an oral health education program for care workers working at convalescence hospitals and facilities playing the role of caring for the oral health of senior citizens with related guidance and supervision for oral health experts.
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배성숙 ( Sung Suk Bae ),이명선 ( Myung Sun Lee ) 한국치위생과학회 2013 치위생과학회지 Vol.13 No.3
본 연구는 국내 치과의료기관 감염관리 평가지표를 도출하고 타당성을 검증하고자 하는 연구로서 평가지표의 구성 단계, 개발단계, 검증단계로 설계되었으며, 평가지표 구성 단계에서 이론적 고찰과 모형의 적용, 평가지표의 개발단계에서 국내 치과병원 감염관리담당자를 대상으로 양적, 질적 방법의 예비조사와 관련 전문가를 대상으로 설문조사와 면접조사가 실시되었으며 신뢰도, 안면타당도와 내용타당도 검증을 실시하였고 전국의 치파병원감염관리담당자 121명을 대상으로 감염관리 평가지표 항목에 대한 가중치 조사 및 현장 적용의 문제점을 확인하였다. 평가지표 검증 단계에서는 탐색적 요인분석과 경로분석을 통해 구성타당도를 확인하였다. 이상의 모든 통계적 처리는 PASW Statistics 18.0 프로그램과 AMOS 5.0 프로그램을 이용하였다. 연구의 결과로 국내 치과병원 감염관리 평가지표는 구조, 과정, 결과 영역이 수립되었으며 구조 영역에서 5개 평가요 인에서21개의 세부 평가지표가 도출되었고,과정 영역에서 8개 평가요인에서 32개의 세부 평가지표가 도출되었으며, 결과 영역에서 l개 평가요인에서 5개의 세부 평가지표가 도출되어, 각 영역에서 총 14개의 평가요인과 58개의 세부 평가지표가 도출되었다. 또한 상관성이 성립되는 8개 평가요인에 대한 경로분석 결과 ‘표준주의지침(X1)’, ‘감염관리지 원체계(X2)’i ‘내외부적 특성(X3)’은 다른 변수들에 영향을 주는 외생관측변수이고 ‘표준감염관리(y1)‘, ‘기구 · 장비관리, 손씻기(y2)’, ‘환경감염관리(y3)’, ‘개인보호장구(Y4)’, 세탁ANF 및 폐기물관리(y5)’ 등은 다른 변수들로부터 영향을 받는 내생관측변수로 작용함을 알 수 있었다. 본 연구에서는 우리나라 치과의료기관 실정에 맞는 감염 관리 표준을 위해 평가지표를 개발하고자 하였으며 개발된 치과의료기관 감염관리 평가지표를 통해 국내 치과의료기관 감염관리 체계 활성화 및 감염관리 우선순위 결정에 기여하고자 한다. 향후 치과의료기관 감염관리의 질적 제고를 위하여 감염관리 평가제도 및 인증제도 활성화를 제안하며 향후 지속적인 연구와 관심이 필요하다. This study is to develop an evaluation index for infection control and to verify its validity by examining each set of weighted data collected from 121infection control personnel at dental hospitals who agreed to the preliminary survey and advisory. The study was conducted from 14th December,2010 to 31st January, 2011, and PASW Statistics 18.0 and AMOS 5.0 had been used for the statistical data analysis. As a result of the study, five evaluation factors with 21 sub-indicators have been identified at structural level, eight evaluation factors with 32 sub-indicators at processing level,and one evaluation fact with five sub-indicators at resulting level, total 14 evaluation factors with 58 sub-indicators throughout all levels. The path analysis added on the result that ``standard precautions (χ1)``, ``infection control support system (χ2)``, ``internal and external characteristics (χ3)`` are exogenous variables that affect on other variables, and ``standard infection control (y1)``,``Organization equipment management handwashing (y2)``,``environmental infection control (y3), ``personal protective equipment (y4)``, ``waste and laundry management (y5)`` are endogenous variables that are infulenced by others. The standardized metrics are more needed than anything else when examining on infection control. This study attempts to develop proper dental infection control metrics adequately adjusted for domestic circumstances, and therefore to contribute to effective systematic management and decision-making in infection control.
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배성숙 ( Sung Suk Bae ),이명선 ( Myung Sun Lee ) 한국치위생학회(구 한국치위생교육학회) 2011 한국치위생학회지 Vol.11 No.4
Objectives : Based on the system and control activity for the monitoring system made of components for infection control at dental hospitals and infection rate reporting, and the role of trained infection control staff, this study tried to understand approaches to the effective infection control program by surveying infection control at dental hospitals in Korea. Methods : The survey was conducted from December 14,2010 to January 31,2011 for 121 dental hospitals in Korea. For statistical analysis, PASW Statistic 18 was used. Results : And following conclusions were reached. 1. As for the infection control system at dental hospitals, 54.7% has an infection control committee, 58.7% infection control staff, 78.5% infection control rules, and 39.7% annual infection control plan and record. 2. As for surveillance indexes to report infection rates, 50.4% has the reporting system for staff`s exposure to infectious disease and needle pricking. The average number of exposures to infectious disease was 0.28±2.23 and that of needle pricking was 1.83±5.39. 3. As for infection control indexes, it was reviewed whether infection control rules were implemented according to operation agents, general hospitals were more active in staff infection control, and hospitals annexed to a dental university or special legal entity were more active in microorganism control. As for use of personal protection gear, there was no significant difference among operation agents. More than 71% of operators and their assistants said they did not replace their masks between patients. 4. As for personnel indexes for effective infection control staff, most hospitals designated dental hygienists, which was followed by dental doctors (or doctors). Where their workload was reviewed, the ratio of other work such as treatment was relatively higher than that of infection control (n=71). Conclusions : These results show dental hospitals in Korea have a certain level of infection control system. As infection indexes are managed mainly for staff members, patient monitoring is needed, and trained and effective infection control staff should be designated. This study reviewed surveillance, infection control and personnel indexes. And further studies are needed in the future. (J Korean Soc Dent Hygiene 2011; 11(4): 557-569)
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자가중합 임시치관용 레진의 표면 처리에 따른 색 안정성
박지원 ( Ji-won Park ),배성숙 ( Sung-suk Bae ) 한국치위생과학회 2016 치위생과학회지 Vol.16 No.2
이번 연구는 자가중합 임시치관용 레진의 표면 처리와 음식에 따른 색 안정성 확인을 위해 설계되었으며 ethyl methacrylate형의 SNAP 시편에 denture bur polishing, silicone bur polishing, pumice polishing의 3단계 표면 처리 후 커피와 콜라, 된장과 고추장, 레드 와인과 맥주에 침전한 블럭을 분광광도계로 관찰하여 초기 값과 비교한 ΔE*값을 알아보았다. 모든 시편에서 침전 시간과 표면 처리에 따라 나타난 착색의 차이는 시간의 변화에 따라 색 변화가 관찰되었다(p<0.001). 커피는 1일(2.59±1.08), 5일(3.89±0.83), 7일 (4.53±0.22) 모두 pumice polishing이 색 변화가 가장 많았다. 콜라는 1일(2.53±0.55)과 5일(4.75±0.94) pumice polishing이색 변화가 가장 많았고, 7일(5.28±0.25)은 denture bur polishing이 색 변화가 가장 많았다. 고추장은 1일(6.38±0.61)과 5일(10.4±7.58) silicone bur polishing이 색변화가 가장 많았고 7일(12.44±2.82)은 denture bur polishing이 색 변화가 가장 많았다. 반면 pumice polishing에서는 1일(6.09±1.03), 5일(4.9±2.37), 7일(5.33±0.64) 모두 색 변화가 가장 적게 나타났다. 된장은 1일(1.37±0.35)과 7일(4.98±0.55)은 pumice polishing이 색 변화가 많았으며, 5일(2.61±0.38)은 denture bur polishing이 색 변화가 가장 많았다. 레드 와인은 denture bur polishing이 1일(4.78±1.10), 5일(12.69±3.06), 7일(13.48±2.08) 모두 색 변화가 가장 많았고, pumice polishing에서 1일(2.66±0.39), 5일(8.56± 0.16), 7일(8.77±0.22) 모두 색 변화가 가장 적게 나타났다, 맥주는 pumice polishing이 1일(4.15±0.47), 5일(4.12±0.37), 7일(4.53±0.89) 모두 색 변화가 가장 많았으며 반면 silicone bur polishing이 1일(1.27±1.1), 5일(2.3±0.32), 7일(2.48±0.46) 모두 색 변화가 가장 적게 나타났다. 이와 같이 자가중합 레진의 임시치관 색 안정성 제공을 위해 음식 섭취에 대한 주의가 필요하다. 선호 음식의 종류에 따라 표면처리 방법을 선택할 수 있으며, 장기간의 임시치관 사용 시 주기적인 재제작도 고려할 필요가 있겠다. In this study, the surface treatment of a self-cured temporary crown was polished using a denture bur, silicone bur, or pumice. The color stability of the temporary crown resin specimen was evaluated by immersing it in coffee, and cola, wine, beer, red pepper paste, or soybean paste. Two-hundred eighty-five identical resin specimens with six types of staining solution and three types of surface treatment were placed in a shaking incubator at 37oC. The degree of discoloration was observed using a time-lapse recording of days 1, 5, and 7. L*, a*, and b* were measured using a spectrophotometer, which shows the quantitative value of discoloration, and statistically processed after calculating ΔE*. The results show that as time passed, all the specimens showed a color change (p<0.001). The amount of color change was the greatest in in crowns with denture bur polishing on the day 1, 5, and 7. As the precipitation time increased, the ΔE* value was also increased. Of the specimens immersed on day 1, the greatest color change in crowns polished with denture bur was observed in those immersed in red pepper paste, while the smallest color change was observed in those immersed in cola. On days 5 and 7, the greatest color change in crowns polished with denture bur was observed in those immersed in red wine. Crowns polished with silicone bur and immersed in soybean paste exhibited the smallest color change. Based on the results, compared to pumice polishing, silicone bur polishing results in better color stability, saves time and money, and is recommended for patients with temporary crowns.
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노희진 ( Hie-jin Noh ),배성숙 ( Sung-suk Bae ),김선경 ( Seon-kyeong Kim ),문소정 ( So-jung Mun ),한선영 ( Sun-young Han ),조효순 ( Hyo-soon Cho ),남정란 ( Jeong-ran Nam ),김성옥 ( Seong-ok Kim ),김보경 ( Bo-kyoung Kim ),정경이 ( K 한국치위생학회(구 한국치위생교육학회) 2017 한국치위생학회지 Vol.17 No.1
Objectives: The present study is aimed at comprehending the organizational setup of clinical dental hygienists and to establish an organizational setup that fits their roles. Methods: The survey data of 776 clinical dental hygienists who understood the purpose of the study and agreed to write the questionnaire was utilized. Statistical analysis was performed using SPSS Ver. 20.0 program and the significance level was 0.05. Results: The presence of an organizational setup in dental hygienists was surveyed as being higher, with university dental hospital (89.86%) showing the highest. However, the presence of position terms was highest in dental hospitals with 76 subjects (38.78%). Standards for positions most commonly followed hospital regulations in the case of general hospitals (48.42%), whereas they were often based on service period in the case of dental hospitals (48.90%). Salary standards were most commonly determined by service period in all institutions. The job satisfaction of dental hygienists was significantly different according to social status and financial satisfaction depended on having organizational hierarchy for those who work in university dental hospitals. Conclusions: The results of the present study show that dental hygienists who work in organizational setups mostly enjoy high satisfaction in terms of job satisfaction. In other words, the study shows that systemizing the organizational setup of dental hygienists within dental institutions is required, and additional research to achieve efficient human resource management within the organization is necessary as well as institutional utilization of the results of the present study.
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