성인의 구강건강인식과 구강보건지수와 관계

신명숙 ( Myong Suk Shin ),황미영 ( Mi Yeong Hwang ),김수경 ( Soo Kyung Kim ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.6

본 연구는 국민 건강영양조사 제4기 2차년도(2008) 원시자료11)를 이용하여 19세 이상 성인 6094명을 대상으로 주관적인 구강건강인식과 관련된 본인인지 구강건강상태와 구강건강염려정도를 파악하고, 기존의 역학지수인 DMFT지수, CPI뿐만 아니라 FS-T 지수, T-Health 지수를 포함한 다양한 구강보건지수를 이용하여, 주관적인 구강건강인식과 객관적인 구강보건지수와의 차이를 분석하여 다음과 같은 결과를 얻었다. 주관적인 구강건강인식 관련하여 본인인지 구강건강상태는 49.4%로가 ``나쁘다``라고 응답하였으며, 구강건강염려정도는 62.6%가 ``신경 쓰이는 편이다``라고 응답하여 가장 높게 나타났다. 2. 인구사회학적 특성에 따른 구강보건지수에서는 현재 흡연여부를 제외한, 성별, 연령, 교육수준, 월평균가구소득, 간식횟수, 칫솔질횟수에서 통계적으로 유의한 차이를 보였다(p<0.000). 3. 인구사회학적 특성에 따른 본인인지 구강건강상태에서는 성별, 연령, 교육수준에서는 유의한 차이를 보이지 않았으며, 월평균가구소득, 현재흡연여부(p<0.000), 간식횟수(p<0.018), 칫솔질횟수(p<0.003)에서 통계적으로 유의한 차이를 보였다. 4. 인구사회학적 특성에 따른 구강건강염려정도는 성별과 현재흡연여부에서 유의한 차이를 보이지 않았으며, 연령(p<0.003), 교육수준, 월평균가구소득, 간식횟수, 칫솔질횟수에서 통계적으로 유의한 차이를 보였다(p<0.000). 5. 주관적 구강건강인식과 구강보건지수에서는 본인인지 구강건강상태에서는 모든 지수에서 유의하지 않았으며, 구강건강염려수준에서 FS-T지수(p<0.003), T-Health 지수(p<0.011), CPI(p<0.017)에서 통계적으로 유의한 차이를 보였다. 이상의 연구결과로, 구강건강인식과 관련하여 구강건강상태를 파악하고자 할 때에는 본인인지구강건강상태보다는 구강건강염려정도에 대해 질문할 때 더 유용할 것으로 사료되며, 향후 단문항에 의한 주관적 구강강건인식에 의한 자기평가보다는 구강건강관련 심리요인, 자신의 구강에 대한 심미적인 요인 등 다양한 지표들이 포함되어 있는 다문항적인 주관적 구강건강인식척도가 개발되어야 할 것으로 사료된다. The purpose of this study was to examine the self-rated oral health status and oral health concern of 6,094 adults over the age of 19, which were both related to subjective oral health awareness, based on the second-year (2008) raw data of the 4th National Health and Nutrition Survey. 1. As for subjective oral health awareness, 49.4 percent replied they were in bad oral health when they were asked about self-rated oral health status. Regarding oral health concern, 62.6 percent answered they were sort of concerned about oral health. 2. As to oral health indexes by sociodemographic characteristics, there were statistically significant differences in oral health indexes according to gender, age, academic credential, monthly mean household income, frequency of eating between meals and toothbrushing frequency. Smoking made no statistically significant differences to oral health indexes (p<0.000). 3. Concerning self-rated oral health status by sociodemographic characteristics, no significant differences were found according to gender, age and academic credential, and there were statistically significant differences according to monthly mean household income and smoking (p<0.000), frequency of eating between meals (p<0.018), toothbrushing frequency (p<0.003). 4. In relation to oral health concern by sociodemographic characteristics, gender and smoking made no significant differences, and statistically significant differences were found according to age (p<0.003), academic credential, monthly mean household income, frequency of eating between meals and toothbrushing frequency (p<0.000). 5. In regard to the relationship between subjective oral health awareness and oral health indexes, none of the oral health indexes had a significant relationship to self-rated oral health status, and there were statistically significant differences in oral health concern according to functioning teeth index (p<0.011) and community periodontal index (p<0.017).

한국 노인의 DMFS, DMFT 지수와 FS-T 지수의 비교 연구

신명숙 ( Myong Suk Shin ),원영순 ( Yoong Soon Won ),권미영 ( Mi Young Gwon ),김윤신 ( Yoon Shin Kim ) 한국치위생과학회 2010 치위생과학회지 Vol.10 No.4

노인의 치과의료서비스 이용에 영향을 미치는 요인

안은숙 ( Eun Suk Ahn ),황지민 ( Ji Min Hwang ),신명숙 ( Myong Suk Shin ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.1

The purpose of this study was to examine the relationship of predisposing, enabling, need factors and oral health care factors to the dental utilization in 4,521 senior citizens based on the 5th National Health and Nutrition Examination Survey data. As for the relationship of predisposing, enabling and need factors to the necessity of denture, higher academic credential and higher income level that were respectively one of predisposing and need factors led to a higher necessity of denture, and the relationship of these factors was statistically significant. As to influential factors for their dental utilization in Model 1, there were significant differences according to gender, marital status and whether to subscribe to private health insurance or not. In Model 2, the need factors of Model 1 were adjusted. As a result, the respondents who didn``t receive any unsatisfactory dental treatment made 1.35-fold more dental utilization, and the respondents who complained about mastication difficulty made 1.34-fold more dental utilization. There were significant differences according to gender, age, marital status, academic credential, whether to subscribe to private health insurance, unsatisfactory dental treatment experience and mastication difficulty. Age, unsatisfactory dental treatment experience and whether to complain about mastication difficulty or not made statistically significant differences to the dental utilization in Model 3 that involved oral health status. The above-mentioned findings illustrated that the predisposing factors, the enabling factors and the need factors exerted an influence on the elderly dental utilization. As there are a variety of factors to affect elderly dental utilization, its required to make an effort to boost the accessibility of the elderly to dental service in order to improve their oral health of the elderly.

구강 통증을 경험한 성인의 미충족 치과의료 관련 요인

안은숙 ( Eunsuk Ahn ),신명숙 ( Myong-suk Shin ) 한국치위생과학회 2016 치위생과학회지 Vol.16 No.5

본 연구는 우리나라 성인의 미충족 치과의료와 그에 관련요인을 파악하기 위해 진행되었다. 미충족 치과의료를 정의하는 데 있어 치과의료의 필요를 치통을 경험한 사람 중 적절한 치과 의료서비스에 접근하지 못한 사람으로 제한하여 의료 필요에 따른 충족을 보다 명확하기 측정하기 위해 노력하였다. 미충족 치과의료의 원인으로는 경제적 부담, 직업/학업적 이유, 다른 문제에 비해 덜 중요해서가 높은 비중을 차지하는 것으로 나타났다. 미충족 치과의료와 관련된 요인으로는 성별, 연령, 본인이 인지하는 구강건강 상태, 씹기 문제가 통계적으로 유의미한 것으로 나타났다. 이와 같은 결과를 바탕으로 건강보험 보장성 강화 정책과 관련하여 치과의료비의 본인부담금의 비중을 낮추는 방안을 제안할수 있을 것이다. 또한 치과 의료서비스 접근에 있어 취약한 집단을 파악하고, 해당 집단에 대한 보건의료 정책 개발 및 서비스 제공이 이루어져야 할 것으로 생각된다. The purpose of this study was to examine unmet dental care needs and related factors among adults in Korea. The study included a nationally representative sample of Koreans (Korea National Health and Nutrition Examination Survey 2104). The dependent variable was unmet dental care need and the independent variables were socioeconomic status and oral health status. The chi-square test and logistic regression analysis were performed to identify the associations between explanatory variables and unmet dental care needs. The major causes of unmet dental care needs included economic burden, work life, and academic reasons; in addition, dental treatment was considered to have lower priority. The factors that had statistically significant relationships with unmet dental care needs were sex, age, self-rated oral health status, and difficulty in mastication. The findings of the study, suggest a need for lower dental insurance copayments in keeping with the policies and principles aimed at strengthening the national health insurance system. In addition, groups with limited access to dental services should be identified, and effective health care policies and services should be established for these individuals.

치위생(학)과 임상실습 표준화 방안

신선정 ( Sun-jung Shin ),김미정 ( Mi-jeong Kim ),양진영 ( Jin-young Yang ),유지수 ( Ji-su Yu ),정아연 ( A-yeon Jeoung ),신명숙 ( Myong-suk Shin ) 한국치위생과학회 2017 치위생과학회지 Vol.17 No.1

전국 82개의 치위생(학)과의 임상실습 교과목은 필수 교과목으로 운영되고 있으며, 임상실습 기관은 대학병원부터 개인 치과의원까지 범위가 넓고, 실습시간별 교육환경이 달라 임상실습 내용과 평가방법이 다양하게 이루어지고 있으며, 치위생학 교육과정과 실무와의 연계 및 전문성 제고를 위한 임상실습 표준화에 대한 요구도가 높아지고 있다. 이에 본 연구에서는 치과위생사 2차 직무기술서와 선행연구에서 파악한 임상실습 항목을 목록화 하여 총 156개 항목 중 74개(47.4%)의 임상실습 내용을 추출하였으며 각 임상실습 내용에 대해 필수 및 선택실습 여부, 실습시기, 활동방법을 구체적으로 제시하였다. 실습일정은 전반부(1주차), 중반부(2∼3주차), 후반부(4주차)로 구분하고, 활동방법을 관찰, 준비, 수행, 교육으로 구분하여 임상실습 기관에서 학생들에게 임상실습을 지도할 수 있도록 시범운영을 진행하였다. 각 대학별 교과과정을 기반한 임상실습 내용 배치를 위해서는 임상실습 선수교과목으로 이수한 임상치의학 교과목을 중심으로 임상실습 내용을 구성하도록 하여 단계별로 임상실습 내용을 모두 달성할 수 있도록 해야 하며, 이를 위해서는 교육기관과 임상실습 기관의 유기적인 협력관계뿐 아니라 표준화된 임상실습 프로토콜이 제시되어야 할 필요성이 있겠다. There are 82 dental hygiene departments and clinical training institutes across the country with a very wide range of clinical practice content and evaluation methods, making standardization difficult. Therefore, there is a need to establish a standard protocol outlining clinical practice content and evaluation methods for systematic and efficient operation of clinical practice. Thus, this study attempted to propose such a protocol for standardization of dental hygiene clinical practice in dental clinics and hospitals to examine the contents of clinical practice by reviewing relevant literature, and relating it to professional practice within the dental hygienic curriculum to facilitate enhancement of expertise. Clinical practice content was extracted from 74 cases, and was consisted of classifying mandatory and optional clinical practice, training time, and activity methods for each component. To standardize effective clinical practice, it is necessary to organize the components acquired in the course of clinical dentistry training in line with their arrangement on each university`s curriculum, in order to learn all components step by step. To do this, it is necessary to present a standardized clinical practice protocol and a organic cooperation between educational institutions and clinical training institutions.

일부 치위생과 학생들의 셀프리더십이 스트레스 대처방식에 미치는 영향

전주연 ( Ju Yeon Chun ),신명숙 ( Myong Suk Shin ),김수경 ( Soo Kyung Kim ) 한국치위생학회(구 한국치위생교육학회) 2012 한국치위생학회지 Vol.12 No.2

Objectives : This study examined the stress-coping methods used by Dental Hygiene students according to their degree of self-leadership to provide basic data for students` self-leadership training programs. Methods : Dental Hygiene students in Seoul and Gyeonggi-do were surveyed to measure their self-leadership in six categories - self-expectation, rehearsal, goal-setting, self- compensation, self-criticism, and constructive thinking - and , in four categories - problem-centered coping, social support coping, emotional coping, and wishful thinking coping - on a scale of 1 through 5. Results : The findings of the study were as follows: The overall average score of self-leadership was 3.34 and the scores for each subfactor were 3.82 for self-compensation, 3.57 for self-expectation, 3.44 for rehearsal, 3.42 for goal-setting, 3.30 for self-criticism, and 3.12 for constructive thinking. The overall average score of stress-coping was 3.29 out of 5 and the scores for active coping were 3.14 for problem-centered coping and 3.38 for social support coping and for passive coping were 3.69 for wishful thinking coping and 2.95 for emotional coping. Self-leadership showed significant difference in terms of satisfaction with major and motivation for application. The six sub-factors of self-leadership and problem-centered coping and wishful thinking coping, the sub-factors of stress-coping, had significant correlations. Self-compensation and constructive thinking were significant factors of self-leadership that affect stress-coping. Conclusion : Based on the above findings, it was found that Dental Hygiene students` self-leadership is related to the use of efficient stress-coping. Therefore, it would be necessary to develop and apply educational approaches to improve their self-leadership so they can efficiently cope with various stressors that they will face after finding jobs.

구강보건전문가의 자일리톨 구강병예방효과에 대한 인지도 조사연구

정재연 ( Jae Yeon Jung ),강재경 ( Jae Kyoung Kang ),김수화 ( Soo Hwa Kim ),신명숙 ( Myong Suk Shin ),조명숙 ( Myung Sook Cho ),황윤숙 ( Yoon Sook Hwang ),송근배 ( Keun Bae Song ) 대한예방치과·구강보건학회 2008 大韓口腔保健學會誌 Vol.32 No.3

일부 치위생과 학생들의 치과위생사 직무인식과 교과목 관련성에 관한 연구

황미영 ( Mi Yeong Hwang ),원복연 ( Bok Yeon Won ),신명숙 ( Myong Suk Shin ) 한국치위생학회(구 한국치위생교육학회) 2011 한국치위생학회지 Vol.11 No.6

Objectives: The purpose of this study was to examine the job awareness of dental hygiene students about a dental hygienist, what duties they wanted to do as dental hygienists, their awareness of college courses related to the job performance of dental hygienists and whether they viewed the courses as what`s most widely utilized for theclinical job performance of dental hygienists. It`s ultimately meant to help provide goodeducation for dental hygiene students to have the right understanding of dental hygienists and bolster their professionalism. Methods: The subjects in this study were 301 dental hygiene students in four different colleges located in the metropolitan area. A survey was conducted to find outtheir satisfaction level with the department of dental hygiene, personal characteristics, awareness of college courses and awareness of the duties of dental hygienists. Results: The group of students who deemed the life span of the dental hygienist occupation to be long put more significance on the college courses that should focus on job performance. As for the relationship between their personal characteristics andawareness of the college courses, their satisfaction or dissatisfaction with the department and their ideas on thelife span of the occupation made significant differences to that. The group of students who considered the life span of the occupation to be longer thought that the college courses would be more linked to theduties of dental hygienists and their job performance and should be given moreweight, and there were significant differences among them in their view of the life span of the occupation and awareness of the college courses that should be givenmore weight(p<.05). Their view of how much the college courses would be linked to the duties of dental hygienists had a statistically significant correlation to that of the college courses that should focus on the clinical job performance of dental hygienists. Conclusions: The above-mentioned findings suggest that as part of the regular curriculum, the kind of education that aims at boosting the professionalism and job performance of dental hygienists as experts should be provided for dental hygiene students to build the right values as professional dental hygienists. (J Korean Soc Dent Hygiene 2011; 11(6):939-949)

백서에서 5-fluorouracil에 의하여 유발된 장내세균전위와 장관 내독소혈증에 대한 젖소초유의 효과

김정욱 ( Jeong Wook Kim ),전우규 ( Woo Kyu Jeon ),이승세 ( Seung Sei Lee ),최권 ( Kwon Choi ),윤중원 ( Jung Won Yun ),염준섭 ( Joon Sup Yeon ),김은정 ( Eun Jeong Kim ),신명숙 ( Myong Suk Shin ),이도현 ( Do Hyun Lee ),박효순 ( Hyo 대한내과학회 2004 대한내과학회지 Vol.67 No.5

백서에서 비스테로이드성 항염제와 스테로이드에 의하여 유발된 급성 장관손상과 장내세균전위

김정욱 ( Jeong Wook Kim ),전우규 ( Woo Kyu Jeon ),도재혁 ( Jae Hyuk Do ),장세경 ( Sae Kyung Chang ),박언섭 ( Eon Sub Park ),염준섭 ( Joon Sup Yeom ),박효순 ( Hyo Soon Park ),김은정 ( Eun Jeong Kim ),신명숙 ( Myong Suk Shin ) 대한내과학회 2005 대한내과학회지 Vol.68 No.4