노인의 일상생활수행능력 및 도구적 일상생활수행능력에 따른 치과의료이용 양상

조한아 ( Han A Cho ),신호성 ( Hosung Shin ) 대한예방치과·구강보건학회 2015 大韓口腔保健學會誌 Vol.39 No.2

Objectives: This study sought to analyze the effects of ADL and IADL on dental care utilization behaviors for the elderly 65 years of age and older. Methods: Using data from the Korea Health Panel 2010-2011, we examined 2683 elderly people who did not use dental care and 12,550 cases of dental care utilization of 963 elderly people who used dental care among people aged 65 and older who responded to the items of ADL and IADL limitations. We employed two-part model (TPM) including logistic regression analysis in a first part of the model and negative binomial regression analysis in a second part of the model to estimate dental care utilization patterns associated with ADL and IADL of elderly adults. Results: A frequency analysis revealed that dental care utilization was more frequent in the elderly with IADL limitations than in the elderly with ADL limitations. The first part of TPM predicted that dental care utilization was more likely to be present in males and younger age group along with increasing number of chronic diseases and independence in ADL and IADL. The results of the second part of TPM estimated the quantity of dental care utilization increased among high income groups. Conclusions: Limitations in ADL and IADL were found to affect the decision to seek dental care utilization, but physical limitations to have no statistical effect on the quantity of dental care utilization, once dental care utilization was taken for treatment. These findings suggested that dental care utilization would be determined by supplier induced demand and patient’s own power to obtain treatment. Since decision to take dental care utilization, despite the barriers of limitations in activities, is an important factor which can satisfy medical needs, various policies to reflect oral health and physical fitness are required.

몽골 초등학교 학부모의 미충족 치과의료욕구가 자녀의 치과의료이용에 미치는 영향

조한아(Han-A Cho) 한국보건복지학회 2020 보건과 복지 Vol.22 No.4

몽골은 치아우식증 유병률이 높은 국가로 국가건강 프로그램 시행을 통해 국민의 구강건강향상을 위해 노력하고 있다. 본 연구는 이러한 배경아래 몽골 학부모의 미충족 치과의료욕구가 자녀의 치과의료이용에도 영향을 미치는지 확인하고자 진행되었다. 2020년 2월 몽골의 수도 울란바토르 칸울지역에 있는 초등학교 학부모 294명을 대상으로 설문응답을 실시하였다. 학부모의 미충족 치과의료욕구는 자녀의 치과의료이용량에 영향을 미치지 않는 것으로 확인되었다. 미충족 치과의료욕구를 가지고 있지 않은 부모의 자녀들은 예방치료로 치과를 방문할 횟수가 1.2회, 보존치료로 2.3회, 치주치료로 1.7회, 구강외과치료로 1.3회, 교정치료로는 1.5회 높을 것으로 나타났다. 반면 미충족 치과의료욕구를 가지고 있는 부모의 자녀들은 보존치료로 치과를 방문할 횟수가 1.9회, 구강외과치료로 1.4회, 교정치료로 1.7회 높은 것으로 나타났다. 학부모의 구강건강관련 영향력이 자녀의 구강건강에도 영향을 미치므로 아동의 구강건강의 증진을 위해서는 정부차원에서 아동 개인뿐만 아니라 가족단위의 효과적이고 체계적인 개입이 고려되어야 할 것이다. 향후 패널조사와 같은 반복측정을 통해 이러한 영향력을 면밀히 살펴볼 필요가 있겠다. Mongolia is a country with a high prevalence of dental caries and is striving to improve the oral health of the public through the implementation of the national health program. Under this background, this study was conducted to determine whether unmet dental needs as factors related to oral health of Mongolian parents affect children"s dental care utilization. In February 2020, a survey was conducted on 294 parents of private elementary schools in the Kanul area of Ulaanbaatar, the capital of Mongolia. As a result of the study, it was found that parents" unmet dental needs did not affect their children"s dental care utilization (p > 0.05). The children of parents who do not have unmet dental needs were found to have a higher number of visit to the dentist: 1.2 times for preventive treatment, 2.3 times for conservative treatment, 1.7 times for periodontal treatment, 1.3 times for oral surgery, and 1.5 times for orthodontic treatment. On the other hand, children of parents with unmet dental needs were found to have a high number of visits to the dentist: 1.9 times for conservative treatment, 1.4 times for oral surgery, and 1.7 times for orthodontic treatment. Since parents" oral health-related influences affect their children"s oral health, effective and systematic interventions should be considered not only by children but also by families at the government level to improve the oral health of children. It is necessary to closely examine this influence through repeated measurements such as panel surveys in the future.

요양보호사의 호스피스 교육요구 분석

조한아(Cho, Han-A),권운영(Kwon, Eunyoung),이정은(Lee, Jung-Eun) 학습자중심교과교육학회 2022 학습자중심교과교육연구 Vol.22 No.9

목적 본 연구는 요양보호사의 호스피스 역량강화 교육 프로그램 개발에 기여하기 위한 기초자료를 제공하기 위해 실시하였다. 방법 소셜 미디어 플랫폼을 통해 요양보호사 80명을 대상으로 호스피스 역량에 대한 중요수준과 실행수준을 조사하였다. 연구대상자의 특성과 호스피스 역량에 대한 중요수준 및 실행수준 파악을 위해 빈도분석과 기술통계를 실시하였다. 호스피스 교육에 대한 우선순위를 도출하기 위해 대응표본 t검정, Borich 요구도 및 The Locus for Focus Model을 사용해 분석하였다. 결과 요양보호사의 특성에 따라 호스피스 역량에 대한 중요수준과 수행수준의 인식에는 대부분 통계적으로 유의한 차이가 나타나지 않았다. 다만 시⋅도 위탁기관에서 교육받은 경우 호스피스 역량에 대한 중요수준이 유의하게 높게 나타났다. 호스피스 교육에 대한 최우선 순위 항목은 ‘임종환자와 가족의 심리적 충격에 대한 이해와 돌봄’과 ‘사별가족관리’였다. 차순위 항목은 ‘림프부종관리’, ‘개인과 가족의 위기관리’, ‘직원의 스트레스 관리’, ‘자원봉사자 관리’였다. 결론 호스피스 교육에 대한 최우선순위와 차순위 항목을 반영하여 호스피스 역량 강화를 위한 교육 프로그램을 개발⋅운영함으로써 요양보호사의 전문성을 강화시키고 이를 통해 사회적 돌봄의 질을 향상시킬 필요가 있다. Objectives The purpose of this study was to provide basic data to contribute to the development of hospice competency-building education programs for care works. Methods This study investigated the importance level and performance level of hospice competency among 80 care works through social media platform. Frequency analysis and descriptive statistics were performed to identify the characteristics of the study subjects and the important level and order of execution of the hospice competency. To derive priorities for hospice education, the paired-sample t-test, Borich s Need Analysis, and The Locus for Focus Model were used for analysis. Results According to the characteristics of care works, there was no statistically significant difference in most of the perceptions of the importance level and performance level of hospice competency. However, the level of importance for hospice competency was found to be significantly higher in the case of receiving education from a city/provincial consignment institution. The top priority items for hospice education were ‘understanding and caring for the psychological impact of dying patients and their families’ and ‘management of bereaved families’. The next priority items were ‘lymphedema management’, ‘individual and family crisis management’, ‘employee stress management’, and ‘volunteer management’. Conclusions The professionalism of care works should be improved by developing and operating an education program to strengthen hospice competency by reflecting the highest and next priority items for hospice education. it is also necessary to improve the quality of social care through this.

노인의 본인인지 구강건강상태와 우울감

조한아 ( Han A Cho ),허윤민 ( Yun Min Heo ),김형주 ( Hyoung Joo Kim ),최은실 ( Eun Sil Choi ) 한국치위생학회(구 한국치위생교육학회) 2016 한국치위생학회지 Vol.16 No.2

Objectives: The aim of the study was to investigate the association of self-perceived oral health and depression in the Korean elderly. Methods: The subjects were 1,329 elderly in Korea from the sixth Korea National Health and Nutrition Examination Survey (the 6th KNHANES). The dependent variable was depression that continued more than two weeks. Model Ⅰ for the impacts of depression on self-reported oral health, Model Ⅱ for the impacts of depression on chewing problem, Model Ⅲ for the impacts of depression on speaking problem was evaluated. PASW Statistics 18.0 version was used for frequency analysis, chi-square test and logistic regression analysis. Results: Female elderly were much more prone to depression than male. Female had lower monthly compensation, less medicaid, chewing problem, speaking problem, and less education. For these reasons, they tended to have more depression than male (p<0.001). Self-perceived oral health impacts on depression included poor self-reported oral health(p<0.01), poor chewing problem(p<0.01) and poor speaking problem(p<0.05). On the other hand, male did not show a statistically significant association. Conclusions: The study showed the self-perceived oral health related quality of life had a significant influence on depression in the elderly. The continuing lifelong oral health care can prevent depression in the later life because oral health care improvement can enhance the self-perceived oral health status.

우리나라 노인의 우울과 주관적 구강건강 관련성: 국민건강영양조사 제6기 2차(2014년) 자료 이용

조한아 ( Han-a Cho ),최은실 ( Eun-sil Choi ) 한국치위생학회(구 한국치위생교육학회) 2016 한국치위생학회지 Vol.16 No.6

Objectives: The purpose of this study was to examine the association between depression and poor oral health in Korean elderly using Korean version of the Patient Health Questionnaire-9 (PHQ-9) for assessment of depressive symptoms. Methods: This study used the data from Korean National Health and Nutrition Examination Survey (KNHANES VI-2). The study included 1,454 elderly Korean aged over 65. Variables included demographic characteristics (gender, age), socioeconomic factor (income, education), systemic diseases, oral health related factor (tooth brush, dental products), health related factor (alcohol drinking, smoking), and depression. Logistic regression analysis was used as sequential models. Effects were quantified as odds ratios (OR) and 95% confidence intervals (CI). Results: From frequency analysis, being female, primary school or less, non-alcohol drinking, poor oral health were significantly related to depression. In the multiple logistic regression model, depression was significantly associated with poor oral health (OR=1.96, CI=1.15-3.53) after adjustment for other covariates including demographic characteristics, socioeconomic factor, systemic diseases, oral health related factor, and health related factor (OR=1.91, CI=1.13-3.27). Conclusions: Depression had an influence on the poor oral health after adjustment as confounding variable in the elderly. It should be focused on the health promotion for the elderly vulnerable to depression and poor oral health. The development of the mental health and oral health should be established.

환자안전에 관한 체계적 문헌고찰

조한아(Han A Cho),신호성(Hosung Shin) 대한치과의료관리학회 2014 대한치과의료관리학회지 Vol.2 No.1

Primary Care Patient Measure of Safety (PC-PMOS)로 측정한 치과환자안전

조한아(Han-A Cho),신호성(Hosung Shin) 대한치과의사협회 2022 대한치과의사협회지 Vol.60 No.11

This study was conducted to measure patient safety of dental outpatients and to identify high-risk areas in dental care. A survey was conducted with 400 people aged 19-64 who had used a dental institution within the past 3 years. The Primary Care Patient Measure of Safety (PC-PMOS) questionnaire was used as a dental safety patient measurement tool. 19 domains and 46 questions of PC-PMOS were analyzed, and negative responses were classified into risk areas in dental care. 10 of the 46 items of PC-PMOS had a negative response rate of 20% or more. The questions with the highest percentage of dissatisfied were ‘when they referred me to another hospital, there was a waiting list (50.9%)’, ‘if necessary, you could receive hospital services outside of the regular operating hours of the hospital (38.1%)’. The dental patient safety score was higher for male and for households with an average monthly income of 8 million won or more (p<0.05). Findings of this study suggest that it is necessary to prepare a dental patient safety management system in that patient safety management improves the quality of dental care. In addition, standardized dental patient safety management indicators are essential for monitoring and improvement of patient safety and quality in dentistry.

처방전 발행률로 본 치과의료기관 의약품 사용실태

조한아 ( Han A Cho ),김선미 ( Sun Mi Kim ),신호성 ( Ho Sung Shin ) 대한예방치과·구강보건학회 2014 大韓口腔保健學會誌 Vol.38 No.4

Objectives: This study examined the misuse and abuse of antibiotics in relation to the demographicand socioeconomic characteristics of patients given prescriptions by dental providers. Methods: We examined data collected in 2011 by the Korea Health Panel from 3,836 dental visits. Thedata included multiple visits per individual for 3,738 household members of 2,588 households usingoutpatient dental services. The data were analyzed by dental service provider type, using four types of-regression. Model analysis and comparison were performed using Akaike’s information criterion (AIC)and Bayesian information criterion (BIC) to select the best model. Results: Prescription rates according to type of dental service provider are as follows: 18% by dentalhospitals and 19%-20% by dental clinics. The patient factors contributing to the prescription rate aregender, age, education, and income level. Higher antibiotics exposure was found in patients who weremale, older, with less education, and lower incomes. Patient exposure to antibiotics did not significantlydiffer between dental hospitals and dental clinics. Conclusions: When prescribing antibiotics in dental practices, patient safety can be improved by reducingmisuse and abuse of antibiotics through consideration of individual patient characteristics.

하위문화적 브리콜라주로서 패션 스타일의 특성과 의미 규명 - 2014 F/W~2019 S/S 중심으로 -

조한아(Cho, Han A),김영인(Kim, Young In) 한국복식학회 2019 服飾 Vol.69 No.6

유의미 학습을 통한 아이디어 발상에 관한 연구

조한아(Cho Han-Ah),김관배(Kim Kwan-Bae) 한국디자인학회 2004 한국디자인학회 학술발표대회 논문집 Vol.- No.-