일부 치과위생사의 대학졸업연한 차이에 따른 희망진로와 현 근무처와의 일치도 및 직업 만족도 조사

최용금,김경미,김선일,신보미,류다영,정세환,이민선,Choi, Yong-Keum,Kim, Kyeong-Mi,Kim, Sun-Il,Shin, Bo-Mi,Ryu, Da-Young,Jung, Se-Hwan,Lee, Min-Sun 한국치위생학회 2011 한국치위생학회지 Vol.10 No.2

Objectives : Five years have passed since the departments of dental hygiene with four-year term released their graduates. It is necessary to investigate concordance between desired career and current job and job satisfaction in dental hygienists according to graduation term. Accordingly, a survey on concordance between desired career and current job and job satisfaction in dental hygienists according to graduation term was conducted to obtain a basis necessary for providing right job consciousness to students of departments of dental hygiene. Methods : Of departments of dental hygiene nationwide, a total of four departments consisting of two departments with 3-year term and two departments with 4-year term were randomly selected. Of 683 graduates for 2006-10 of the selected departments, 163 graduates who agreed to participate in this study through telephone and e-mail were chosen as subjects. The data of 159 graduates were analyzed except for 4 graduates who did not respond to job satisfaction. The questionnaire consisted of a total of 17 questions: 5 general questions such as graduation term, and current job and salary, 2 questions for desired career at the time of entrance and graduation, and 10 questions for the satisfaction of current job and working environments. Concordance between the desired career at the time of entrance and graduation and current job was calculated using Kappa-value. A cross analysis was conducted to investigate job satisfaction according to general features and graduation term. A statistical significance was examined using $X^2$-test (p<0.05). Results : The Kappa-value for concordance between the desired career at the time of graduation and the current job was 0.288, showing slightly low concordance. In particular, the Kappa-value was 0.089 in the graduates of departments of dental hygiene with 3-year term, which showed significantly low concordance. The job satisfaction of the graduates was 49.1%, which was higher in the graduates with 4-year term than in the graduates with 3-year term, but was statistically insignificant (p>0.05). The detailed job satisfaction was all higher in the graduates with 4-year term than in the graduates with 3-year term except for distance to a working place, but a statistical significance was only found in working place recognition and regional status (p<0.05 ). Conclusions : This study showed differences in concordance between desired career and current job and job satisfaction between the graduates of departments of dental hygiene with 3-year term and the graduates of departments of dental hygiene with 4-year term. Therefore, the curriculum of department of dental hygiene is required to be more specifically applied in accordance with graduation term. In addition, a further study is required to develop specialized curriculums in accordance with graduation term.

Awareness and Necessity of Registered Dentist Program for Children and Adolescents

최용금,김미선,정수라,류다영,김은정,Choi, Yong-Keum,Kim, Mi-Sun,Jeong, Su-Ra,Ryu, Da-Young,Kim, Eun-Jeong The Korean Academy of Dental HygieneThe Korean Soc 2020 대한치위생과학회지 Vol.3 No.1

Background: The program aims to enable the participants to receive oral health care with sustainability and give them the choice and prior autonomy of dental practitioners while enhancing the benefits of sustainability. The purpose of this study is to investigate the necessity, awareness, and satisfaction of the implementation of the registered dentist program for children and adolescents, and to promote the introduction of RDPCA. Methods: The survey targeted adult residents in their 20s or older who live in Seoul, an area that continuously implements the RDPCA system, especially in the cities of Cheonan and Asan Results: 79.7% were the most unaware. However, RDPCA participants were significantly more aware than non-participants. When surveying the desire to participate in RDPCA, 96.6% of the respondents said they would 'participate' in the non-RDPCA participate group. The analysis of the satisfaction level of the RDPCA received by their children indicated that 48.6% expressed their satisfaction, and 47.3% said they were healthy. There was a high percentage of people who said they would recommend RDPCA to others as well as a high rate of those who said they would continue to use RDPCA. Conclusions: The reality is that the awareness and implementation of RDPCA are low. For the development of oral health care programs for all children and adolescents in Korea, and the improvement of the satisfaction level of the dental care system, there should be an active consideration of high-quality programs and.

한국 청소년들의 간식섭취와 치아우식증경험과의 상관성

최용금 ( Yong Keum Choi ),김경미 ( Kyeong Mi Kim ),박덕영 ( Deok Young Park ) 한국치위생과학회 2011 치위생과학회지 Vol.11 No.4

This study aims to find out the correlation between the number of snack intake frequency by the young Korean and the experience of dental caries by nationwide level, using data of Korea National Health and Nutrition Examination Survey in 2007. participants whose age among 12 to 18 years-old were analyzed for this study. Of 373 total participants in this analysis, 200 were male and 173 were female. The Multiple Logistic Regression Analysis was used to estimate the association between food intake between meals and experience of dental caries. Data were weight-adjusted. The results were evidently found that those who eat between meals more frequently are likely to be linked more closely to the dental caries, in terms of the correlation between property of demography and the experience of disease (OR:2.1, CI:1.1-4.0). Thus, It is to raise the awareness of effect on dental health, regarding a kind of food consumed, an appropriate nutritional education or dietary consultation is required regularly at school.

일개 대학 치위생학과의 치과의료커뮤니케이션 교육 과정 타당성에 관한 사례연구

최용금 ( Yong-keum Choi ),배수명 ( Soo-myoung Bae ),신보미 ( Bo-mi Shin ),손정희 ( Jung-hui Son ),박덕영 ( Deok-young Park ),최진선 ( Jin-sun Choi ) 한국치위생과학회 2017 치위생과학회지 Vol.17 No.4

이에 본 연구에서는 양적 연구의 한계를 보완하여 정규치위생(학)과 교육과정에서 운영 중인 치과의료커뮤니케이션 교육내용에 대한 질적 평가를 통해 타당성을 검토하고자 하였다. 치과의료커뮤니케이션 교과목은 인문사회학적 소양을 기반으로 한 전문가적 태도로 진료실에서의 환자와의 커뮤니케이션 역량 향상을 목적으로 하여, 치과위생사로서의 전문가적인 수행 및 태도를 함양하기 위해 자기이해를 통해 전문가적 태도를 함양하여 환자들과 소통할 수 있는 방법에 대한 교육내용으로 구성하였다. 교육내용의 타당도는 전문가 3인에게 기재된 타당도 평가지를 제공하여 검토를 의뢰하였다. 주차별 교육내용 및 교육시기에 대한 타당도는 최소 4점, 최대 5점으로 전반적으로 타당하다는 평가와 인증평가 기준에도 합당하다는 평가를 받았다. 그러나 해당학년 수준에 맞는 학습내용으로 구성하되, 1개 학기에 그치는 교육과정이 아니라 단계적, 연계성을 갖고 이론과 실습 학습에 노출될 수 있는 부분이 보완되어야 한다고 분석하였다. 따라서 본 결과는 향후 치위생(학)과 커뮤니케이션 역량 달성을 위한 학습목표 및 교육내용을 개발하고, 향후 치과의료커뮤니케이션 교육과정 표준화를 위한 기초자료로 활용될 것으로 생각된다. The purpose of this study was to examine the validity of the content of an educational curriculum by understanding the opinions of experts in the development of weekly educational content for dental communication or communication-related subjects. It was composed of educational content on how to communicate with patients by cultivating a professional attitude through basic contents and a self-understanding of communication. Three experts were asked to evaluate the feasibility of educational contents and their appropriateness in order to evaluate the criteria for certification as a dental hygienist. The validity of the weekly educational contents and the period of education were awarded 4 points out of a maximum of 5 points; overall, the curriculum was evaluated to be valid and to be acceptable for use as criteria for certification evaluation. On the other hand, it was confirmed that not only should the contents be made appropriate for the grade level, but it should be complemented so that theoretical and practical learning can be achieved in a gradual and interrelated manner rather than as a one-time curriculum. Therefore, the result of this study can be considered for use as background data for curriculum development, and for standardization of the communication course in the dental hygiene department.

일부 지역아동센터 구강건강증진 프로그램 운영 효과 평가

최용금(Choi, Yong-Keum),이민선(Lee, Min-Sun),배수명(Bae, Soo-Myoung),손정희(Son, Jung-Hui),류다영(Ryu, Da-Young) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.8

본 연구는 서울시에 소재한 5곳의 지역아동센터 아동을 대상으로 2011년 6월부터 2012년 1월까지 약 6개월 간 시행한 구강건강증진 프로그램의 운영효과를 확인하고자 27명의 아동의 구강건강지식, 인식 및 구강환경관리능력 을 평가하였다. 치면세균막 검사 결과 프로그램 시행 전 구강환경관리능력지수는 3.42에서 시행 후 2.43으로 유의하 게 낮아져 프로그램의 효과를 확인할 수 있었다(p<0.001). 이 논문은 치위생 분야에서 전문가와 지역아동센터교사가 협력하여 구강건강증진 프로그램을 운영한 사례로 향후 사회생태학적 모형을 적용한 구강건강증진 교육프로그램 개 발 및 연구에 대한 기초자료로써 토대가 될 수 있다. This study aims to examine the effect of the program by identifying changes in oral health behaviors, oral health knowledge, the Patient Hygiene Performance(PHP) index and others after performing oral health promotion program on children in community children’s centers to develop persistent and more effective program. The final analysis subjects were 27 children. According to the examination results of dental plaque score, the PHP index score was reduced from 3.42 to 2.43 before and six month after the tooth brushing education, respectively, indicating the effect of oral health promotion program(p<0.001). The data of this paper can be used oral health promotion programs development based on the social ecological model.

회전법과 바스법의 잇솔질 수행요소별 적절성과 난이도인식 및 치면세균막지수의 연관성

최용금 ( Yong Keum Choi ),박덕영 ( Deok Young Park ),정동빈 ( Dong Bin Jeong ) 대한예방치과·구강보건학회 2009 大韓口腔保健學會誌 Vol.33 No.2

Objective: The objective of this study was to determine the correlation among adequacy of toothbrushing factors, awareness of difficulty in toothbrushing and the plaque score for improving the method of toothbrushing instructions. Method: One hundred twenty-seven subjects were divided into rolling and Bass` method group. Subjects were advised to brush their teeth everyday under a guided instruction instructed 3 times during 4 weeks of research. The plaque score was measured by Turesky`s index. The evaluation criteria the adequacy of toothbrushing factors were categorized as toothbrush grasps, stroke action, stroke frequency, and dividing dental arch. Awareness of the subjective degree of difficulty in toothbrushing was measured by a questionnaire with a 5-point Likert scale. (very easy to very difficult). Results: There was no significant relationship between the awareness of the subjective degree of difficulty in toothbrushing and the plaque score. Also, there was no significant relationship between the awareness of toothbrushing difficulty and the adequacy of toothbrushing factors. Repeated instructions were more important than awareness of difficulty or adequacy of toothbrushing factors on reducing the plaque score. The priority setting of toothbrushing factors with a given opportunity and circumstance of instruction is needed to enhance the effect of TBI. Conclusion: It is strongly believed that more detailed research on the role of toothbrushing education and on which educational factors are of importance regarding dental plaque care are taken into further consideration.

환자조사에 의거한 최근 20여년간의 치주질환 외래환자수 변화

최용금 ( Yong Keum Choi ),도세록 ( Sei Rok Do ),박덕영 ( Deok Young Park ) 대한예방치과·구강보건학회 2011 大韓口腔保健學會誌 Vol.35 No.3

Objectives. To develop an appropriate strategy to control periodontal diseases, we need to understand the status and trends of these diseases. The purpose of this study was to determine the changes and trends in a number of periodontal disease patients during two decades in Korea. Methods. The authors used data of National Survey of Patients from 1990 to 2008. This survey was carried out every 3 years. Data were gathered from dental hospitals and dental clinics. Sampling was conducted from a registered list of hospitals and clinics of the National Health Insurance Corporation. The sampling strata were the type of institution (hospital/clinic) and location (province/ metropolitan). All information about the patients in one day including the type of disease and content of treatments etc. were surveyed. Results. The percentage of patients with periodontal diseases was increasing. Periodontal patients in dental hospitals and clinics constituted 11.3% of all dental patients in 1990, and 26.1% in 2008. Female periodontal disease patients were more prevalent than male periodontal disease patients until 1999, but the percentage of male patients was greater than that of female patients from 2002 until now. The number of periodontal disease patients was steadily increasing among 40 year-olds and higher age levels. Conclusions. The increasing number and percentages of periodontal disease patients suggests that Korea needs to change its strategy to this disease from treatment to prevention and continuous care. This change can be induced by prevention oriented oral health programs and a health insurance benefit policy.

2010~2011년 국민건강영양조사를 활용한 한국 노인의 치아보유상태에 따른 사회경제적 수준 분석

최용금(Yong-Keum Choi),한선영(Sun-Young Han),김철신(Cheoul-Sin Kim) 대한치과의사협회 2013 대한치과의사협회지 Vol.51 No.5

The insurance payment plan for dental implants in Korea has been criticized because the payment priority has not been properly established, and the benefits are concentrated among middle-class citizens. In the current study, the relationship between the oral health condition and socioeconomic status of the elderly was analyzed using data from the Korea National Health and Nutrition Examination Survey (KNHANES). This study aims to determine the reason underlying the criticism of the insurance payment plan. The subjects were >65-year-old individuals in the 2010 and 2011 database of KNHANES. Data from 2,812 subjects were analyzed. The socioeconomic status was determined based on edentulousness, molar tooth loss, and presence of 28 teeth. According to the analysis, the average income was 1,560,000 won for edentulous elderly, 1,811,000 won for elderly who had lost molar teeth, and 1,896,000 won for elderly with 28 teeth (p<0.05). In addition, elderly with a low education level demonstrated a poor oral health condition (p<0.001). In conclusion, the insurance plan currently under examination is not properly designed for economically impoverished elderly because the plan only covers 50% of the costs and is limited to implantation of molar teeth only. This plan will not provide practical benefits to elderly with a poor socioeconomic status; therefore, the insurance payment plan needs to be improved so that the appropriate beneficiaries can be targeted.

치위생학과 교육과정에서의 치과의료커뮤니케이션 교과목 운영 사례연구

최용금 ( Yong-keum Choi ),신보미 ( Bo-mi Shin ),손정희 ( Jung-hui Son ),박덕영 ( Deok-young Park ) 한국치위생과학회 2016 치위생과학회지 Vol.16 No.2

이번 연구는 치위생학과 교육과정에서 이론과 실습으로 구성된 효과적인 치과의료커뮤니케이션의 교육과정을 개발하기 위한 목적으로 운영되었으며, 다음과 같은 결론을 얻었다. ``관계 형성하기``, ``대화 열기``, ``정보 수집하기``, ``상대방의 시각 이해하기``, ``정보 공유하기``, ``의견일치 보기``, ``마무리짓기`` 등 7가지 평가항목에서 교육 전보다 교육 후 모든 점수가 상승되었다. 이 중 ``정보 수집하기``의 자가평가수준은 수업 후 통계적으로 유의한 변화가 있었다(p=0.008). 치과의료커뮤니케이션 수업에 참여한 학생들은 교과목에 대한 중요성과 필요성에 대해 수업운영 전보다 후에 높게 인식하는 것으로 조사되었는데, ``치과의료커뮤니케이션 수업은 치과위생사의 전문성을 키우는 데 중요하다고 생각하나요``, ``치과의료커뮤니케이션 수업이 교육과정에서 필요하다고 생각하나요``라는 항목에서는 수업 전후 각각 통계적 유의한 차이를 보였다(p=0.019, p=0.016). 이러한 결과로 볼 때 치과위생사에게 필요한 핵심역량인 치과의료커뮤니케이션 역량을 향상시킬 수 있는 교육과정은 치위생(학)교육과정으로 반드시 포함되어야 한다. 치과의료커뮤니케이션 역량은 교육과 학습을 통해 계발 및 향상될 수 있다. 따라서 치과의료현장에서 필요한 치과의료커뮤니케이션 요소들을 보다 구체적으로 정리하고, 이론 교육만이 아닌 실습 교육을 포함한 체계적이고, 학년 간 연계 가능한 교육과정의 개발이 시급한 것으로 판단된다. 또한 연구 대상자 수를 늘리고, 자가수준의 평가가 아닌 학생들의 커뮤니케이션 역량을 객관적으로 측정할 수 있는 평가도구 개발과 표준화된 치과의료커뮤니케이션 교육과정이 필요할 것으로 본다. The purpose of this study was to develop a dental communication course in dental hygiene schools that included theory, practice, and skill for effective dental communication. Thirty-six senior dental hygiene students in a dental hygiene school took a dental communication course and responded to a questionnaire. The instrument used in the study was a modified form of Kim’s communication skill self-assessment sheet. The self-assessment questionnaire about communication competencies was administered before and after the class, and the difference between scores at each time point was analyzed using the Wilcoxon signed rank sum test. Among seven elements of dental communication competencies, the competency of “information gathering” was significantly improved (p=0.008). Students’ scores on perception of the importance (p=0.019) and necessity (0.016) of a communication course significantly increased after the course. Competencies in communication are essential requirement for dental hygienists. This study showed the possibility of communication skill training. An objective evaluation tool regarding students’ communication competencies should be developed. Further studies with larger samples size are needed to develop a standardized comprehensive communication course in dental hygiene schools.

공중구강보건학 분야 : 원저 ; 초등학교 고학년대상 회전법과 바스법의 잇솔질 수행 난이도와 치면세균막제거 효과 비교

최용금 ( Yong Keum Choi ),박덕영 ( Deok Young Park ) 대한구강보건학회 2008 大韓口腔保健學會誌 Vol.32 No.3