치과위생사의 감염 예방 실태 조사

남영신 ( Young Shin Nam ),류정숙 ( Jung Sook Yoo ),박명숙 ( Myung Suk Park ) 한국치위생과학회 2007 치위생과학회지 Vol.7 No.1

치과 진료실에서 치과위생사의 감염예방 실천도에 관한 연구

남영신 ( Young Shin Nam ),박명숙 ( Myung Suk Park ) 대한예방치과·구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.2

Objectives. The purpose of this study was to examine the education and knowledge of dental hygienists on infection prevention as well as, organizational factors, treatment environments, practice level, the frequency of infection accidents and factors linked to the practice level of infection prevention. Methods. We surveyed 216 dental hygienists who attended a dental hygienist conference in July, 2008. A self-administered survey using a 3-point Likert scale was conducted to determine infection prevention practices based on three factors: practice level, knowledge and organizational structure. Data analysis was conducted with SPSS WIN 15.0 for distribution analysis, t-test, ANOVA, Multiple-regression. Results. Better-educated dental hygienists scored higher in practice level of infection prevention, and those with specific education on infection prevention had better knowledge scores (p<0.05). Practice levels were significantly different between university hospital employees and dental office employees, as shown by post-hoc analysis. The distance between the clinics and sinks significantly influenced practice level (F=5.340, p=0.000), as did the distance between the clinics and infection rooms (F=12.590, p=0.000). Multiple regression analysis showed that Better organizational factors, better knowledge and more education improve practice levels. Conclusions. Improving practice level of infection prevention among dental hygienists requires formal and supplementary education, internal education of hospitals and government-led management. Dental institution should pay more attention to infection prevention and create working environments that encourage infection prevention.

치과 진료실 감염예방 실천도의 관련요인 분석 : 치과위생사를 중심으로

남영신 ( Young Shin Nam ) 한국치위생과학회 2008 치위생과학회지 Vol.8 No.3

치과위생사의 근무환경과 직업병의 연관성에 대한 조사연구

남영신 ( Young Shin Nam ),장재연 ( Jae Yeon Jang ) 한국치위생학회 2011 한국치위생학회지 Vol.11 No.4

Objectives : The purpose of this study was to examine the relationship of the work environments of dental hygienists to their occupational diseases in a bid to provide some information on their health care, health promotion and the prevention of occupational diseases. Methods : The subjects in this study were 300 dental hygienists who worked in Seoul, urban communities involving large cities and rural areas. One-on-one interviews and a self-administered survey were implemented with their consent. Results : The findings of the study were as follows: 1. 60 percent of the dental hygienists investigated replied that they had occupation-related physical symptoms. By the length of service, the dental hygienists who worked for six to 10 years had the most symptoms. 2. Out of the occupation-related symptoms, the most prevalent symptom was a pain in the shoulders and neck(41%), followed by a pain in the lower back, a pain in the legs, a pain in the wrists and skin diseases. The most painful parts of the body were hands and arms. 3. In regard to the relationship between the general characteristics and the intensity of pain, the highest group of the dental hygienists in Seoul replied that they had a severe pain, and the lowest number of those in the large cities gave the same answer. 4. Concerning the cause of occupational diseases, 65.7 percent cited the wrong posture. 5. As to relationship between the general characteristics and regular hospital-visit experiences for the prevention of pain during work hours, many of the dental hygienists who were in their 40s and 50s visited hospitals from time to time, and many of those in their 20s never did that. 6. In regard to links between the general characteristics and an opinion on the necessity of regular education, many of the respondents from Seoul and urban regions involving large cities considered it necessary to receive education on a regular basis. By daily work hours, the highest number of those who worked for eight hours or less considered that necessary, and lots of those who worked for 11 hours didn`t consent to that. The gaps between them were statistically significant(p<0.05). Conclusions : Given the findings of the study, daily work hours and length of service were two integral factors to affect the regular hospital-visit experiences and pain, and the wrong posture was identified as the most common cause of occupational diseases. To ensure the successful prevention of occupational diseases, dental hygiene students should be taught the importance of occupational disease before they start to work, and supplementary education should be provided for dental hygienists to work in the right posture.

한국 노인의 삶의 질에 관련된 요인: 구강건강을 중심으로

남영신 ( Young Shin Nam ),장재연 ( Jae Yeon Jang ) 한국치위생과학회 2013 치위생과학회지 Vol.13 No.3

본 연구는 구강건강을 중심으로 노인의 삶의 질에 관련된 요인을 찾아내어 향후 노인의 삶의 질을 향상시키기 위한 국가 정책 수립 ·평가에 기초자료로 제시하고자 한다. 연구 분석 자료는 2007년 7월부터 2009년 12월에 실시한 국민건강영양조사 4기 원시자료로부터 구강검진을 받은 만65세 이상 노인, 3,882명의 자료를 활용하였으며 IBM SPSS Statistics 19.0 르로그램을 이용하여 분석하였다. 연구 결과는 잔존치아 수가 많을수록, 국소의치 및 총의 치를 필요로 하지 않는 경우 삶의 질이 높았다. 따라서 보철물이 없는 치아 상실이 삶의 질에 크게 작용하므로 잔존치아 수를 증가시키는 노력과 함께 노인에게 치과 보철물 장착을 하여 구강건강을 회복시키는 것이 시급한 과제라고 생각된다. The purpose of this study is to find out potential factors associated with the quality of life in South Korean senior people, on the basis of their oral health, so that it may provide basic reference materials in developing and assessing national policies for improving the quality of life in senior people. The data of 3,882 senior citizens who were at the Western age of 65 and up and got a dental checkup were selected from the first-, second- and third-year raw data of the 4th National Health and Nutrition Survey that were conducted from July 2007 to December 2009. And the statistical package SPSS 19.0 was employed to analyze the selected data. The findings of the study were as follows: The senior citizens whose remaining tooth was larger in number and who didn`t need partial or full denture lead a better quality of life. Therefore, dental loss without any prosthetic appliance has significant negative effects on the quality of life in senior people, so it is urgently demanded to try to increase the number of remaining teeth and apply dental prosthesis to senior people for recovery of their oral health.

용혈성 요독 증후군에서 발생한 췌장염 2례

박지민,김기성,남영미,김은수,안선영,신재일,이재승,Park Jee-Min,Kim Ki-Sung,Nam Young-Mi,Kim Eun-Soo,Ahn Sun-Young,Shin Jae-Il,Lee Jae-Seung 대한소아신장학회 2003 Childhood kidney diseases Vol.7 No.2

장출혈성 대장균에 의한 식중독의 대규모 집단발생이 2003년 5월부터 9월까지 국내에서 발생하였다. 오염된 학교 급식을 통해 감염된 환자들은 주로 서울과 경기도에서 발생하였다. 이 식중독의 결과로, 2003년 한 해, 총 36명의 환자들이 용혈성 요독 증후군으로 진단되었고, 그 중 5명의 환자가 본원을 방문하였다. 올해 대규모 집단 발생 이전에 저자들은 지난 14년간 본원에서 총23명의 용혈성 요독 증후군 환자들을 보고하였는데, 이들은 모두 췌장 효소의 상승이 없었다. 지난 14년간의 보고와는 달리, 올해의 용혈성 요독 증후군 환자들은 심한 복통과 2명에서 현저한 췌장 효소의 상승을 보였다. 저자들은 2003년에 유행하였던 용혈성 요독 증후군 환자 중에서 췌장염을 일시적으로 동반하였던 2례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. An epidemic outbreak of food poisoning due to enterohemorrhagic Escherichia coli(EHEC) occurred throughout Korea from May to September, 2003. Patients infected via contaminated school lunch foods were found mainly in Seoul and Gyeonggi province. As a result of this food poisoning, 36 patients were diagnosed as hemolytic uremic syndrome(HUS) up to mid-September, 2003 and five of them visited our hospital. Before the outbreak this year, we had experienced only 23 cases of HUS, including diarrhea associated (D+) and atypical (D-) forms, for the last 14 years, and there had been no case with pancreatic enzyme elevation. Unlike the past HUS cases, those of this year presented with severe abdominal pain and spiking elevation of pancreatic enzyme levels in 2 cases. We report 2 cases of transient pancreatitis combined with HUS in children during the epidemic outbreak in 2003 with a brief review of related literatures.

치과 진료 경험 유무에 따른 구강건강관리에 대한 조사 연구: 수도권 지역을 중심으로

박명숙 ( Myung Suk Park ),남영신 ( Young Shin Nam ) 아시아.유럽미래학회 2010 유라시아연구 Vol.7 No.3

As a survey on oral health care according to the appearance of experiencing dental treatment, the purpose of this study was to grasp factors relevant to oral health care by subject through analyzing and comparing characteristics in each between the subjects with experience of dental treatment and the subjects without experience. It carried out self-reported questionnaire survey targeting totally 600 people such as 300 subjects without experience of dental treatment and 300 subjects with experience of dental treatment. As a result of analyzing by using SPSS 15.0, the following conclusions were obtained. 1) University graduates were large in people with experience of dental treatment. As for residence, there were large people who dwell in city region. Among them, subjects with experience of dental treatment were 180 people(60%). Subjects without experience of dental treatment were 156 people( 52%). As for job, it was the largest in students as for people without experience of dental treatment, and in professional job as for people with experience. 2) In the appearance of experiencing the oral-related education, the subjects, who responded as saying of ``Yes,`` were 159 people(53%) as for subjects with experience, and 117 people(39%) as for subjects without experience. Thus, the experience of having ever been educated was larger in people with experience. 3) As for toothbrushing frequency, three times a day was the largest both in people with experience of dental treatment and people without experience. One time was larger in people without experience than people with experience. In 3 times and over 4 times, people with experience were indicated to be larger than people without experience, on the contrary. It was statistically significant. 4) In the response as saying of having experience of the oral-related education regarding people with experience of dental treatment, the subjects, who toothbrush over 4 times a day, were 27 people(17%), and were 6 people(4.3%) in respondents as saying of having no experience of education. In the respondents as saying of having experience of the oral-related education regarding people without experience of dental treatment, the subjects, who toothbrush over 4 times a day, were 20 people( 17.1%) and 10 people(5.4%) for the respondents as saying of having no experience of the oral-related education. As for all of subjects with experience of dental treatment and of subjects without experience, people of toothbrushing 4 times a day were large in the respondents as saying of having experience of the oral-related education. 5) The awareness level according to the appearance of experiencing dental treatment was 4.14 points in people with experience and 3.96 points in people without experience. Thus, the awareness level was high in subjects with experience of dental treatment. The knowledge level was 1.86 point in people with experience and 1.75 in people without experience. Thus, the awareness level was high in people with experience of dental treatment. Statistically significant difference was shown. It aims to suggest as follows. First, regardless of subjects`` general characteristics(educational level, income, residence), there will be necessity for striving to reinforce practice on toothbrushing, which becomes the basis in oral health care. Second, oral health care program needs to be developed that can be approached by people without experience of dental treatment. Third, the working places of most of dental hygienists are now concentrated on dental clinic. Still, there is necessity for dental hygienists`` positioning in diverse fields, through expanding dental hygienists`` role through more researches. Furthermore, it is considered to be likely to greatly contribute to promotion in people``s oral health.

상수도수불화사업이 구강건강상태에 미치는 영향

박명숙 ( Myung Suk Park ),남영신 ( Young Shin Nam ) 한국치위생과학회 2005 치위생과학회지 Vol.5 No.2

한국과 일본의 노인복지제도에 관한 비교 연구

박명숙 ( Myung Suk Park ),남영신 ( Young Shin Nam ) 아시아.유럽미래학회 2010 유라시아연구 Vol.7 No.1

Elderly welfare is what is the social activity and one field of social-welfare practice that allows the elderly to maintain basic desire and cultural living as one independent person through the stability of economic life caused by the elderly``s difficulty in living, the maintenance of health in body and mind, the social participation and role performance, and the policy and system for opportunity of employment, and the welfare service. In addition to the global tendency of a swift rise in the elderly population, the aging phenomenon of the elderly population is recently showing more serious aspect. Thus, solution of elderly problem, which every nation faced in the global village, is being emerged as a big task. Also, the extension of the average longevity caused by development in medical technology is the process of a change into aging society. The elderly bracket in this process comes to suffer from the double torture called social alienation and economic difficulty. These problems are becoming a big issue in society beyond a level of responsibility in an individually old person, who is the main subject of difficulty. Even Korean people``s average longevity has lengthened rapidly by virtue of development in medical art and of satisfaction of a basic desire such as food, clothing and shelter. As a result of examining a change in average longevity of OECD member countries for 40 years from 1960 to 2000, most of the Western advanced countries haven``t been prolonged over 10 years. However, Korea was increased 23.1 years enough, and was a nation that is the highest in width of a rise in the average longevity during the same period. In this way, Korea``s populational aging is being progressed swiftly in its contents or speed. Experts are considering that Korea``s aging speed will establish the new world record. As a plan of coping with this phenomenon, the foreign advanced countries, which early experienced aging, are injecting huge finances in order to offer the elderly``s income security system, elderly``s health medical service, and welfare service necessary for the old life such as long-term protection problem. Japan, which belongs to the Oriental cultural area with similar emotion to us even among the advanced welfare countries, is a country that is enforcing by establishing the efficient aging policy. However, in case of Korea, the income security system for the elderly fails to give substantial help because of being restrictive in the beneficial subjects or allowance level. Even in the policy for housing security, the weight is being attached only to the housing supply regardless of the housing maintenance ability in low-income brackets. Thus, old people are suffering difficulty in managing residential life. A delivery system is not connected. Non-systematic parts are scattered such as insufficiency of managing the severally elderly facilities or manpower. The aging characteristic in Korea and Japan is being rapidly progressed enough to be unavailable for comparison with other advanced countries. Given examining welfare policy in two countries, Japan``s social welfare policy is emphasizing the regional responsibility, user``s self-option, and User Pays Principle due to being influenced by neo-liberalism. On the other hand, in case of Korea, it is the real situation of being stressed the publicity in social welfare(non-profitability), the nation``s responsibility, and the government``s powers. Accordingly, the purpose of this study is to be conducive to a way of going to happy life in the senescence hereafter by grasping problems about Korea``s current elderly welfare system and suggesting improvement direction through comparing the elderly welfare system between Korea and Japan. There are limitation to the analysis on socially-culturally environmental characteristics of surrounding the elderly welfare system in Korea and Japan, and to the simple comparison without in-depth analysis on merits and demerits that each system has. However, the following are the suggestions for development in Korea``s elderly welfare system based on a system of Japan, which had carried out welfare system as a front-runner prior to Korea``s elderly welfare system. First, our country``s elderly welfare system has a sense of being low in welfare benefit and of being limited even subjects, compared to Japan. However, a policy for continuous settlement of elderly welfare system is in the real situation of being driven in diverse directions. The government``s arrangement of budget for realization of elderly welfare system needs to be secured step by step. Second, the expansion in range of applicants with recognition is imminent for using elderly welfare system, which is one field of social-welfare practice. In case of Korea, the range of a recognized applicant for Elderly Recuperation Insurance, which is one field of elderly welfare system, is set for the subject``s own application, or family and relative, social-welfare public servant, and a person designated separately by mayor, county governor, or ward chief. However, in case of Japan, the range of applicant is being expanded and enforced by including even guardian for adult and committee member for people``s livelihood(‘welfare committee member’ in Korea), compared to Korea. Third, even the formation of atmosphere that our country``s beautiful traditional value can be maintained by the respect for the aged and the devotion to parents will greatly contribute to enhancement in welfare, by including the contents of practice on devotion to parents and respect for the aged in the growing adolescents, aiming at family environment and social environment that can improve the elderly``s self-esteem and enhance quality of life. Fourth, diverse policies for enhancing elderly welfare need to be continuously developed. Thus, there will be necessity for making it available for the stability in economic life caused by the elderly``s difficulty in living, the maintenance of health in body and mind, the performance of a role through social participation, and the offer of an employment opportunity through Elderly Employment Promotion Project. As the above, given examining by comparing Korea``s elderly welfare system, which is in the initial phase yet, and Japan``s elderly welfare system, the supplementation can be said to be necessary for many parts. Korea``s elderly welfare system is desired to be carried our as the effective and extensive welfare system in line with the reality by being expanded and enforced step by step. Also, according to a constant rise in the elderly population, even the necessity for securing welfare budgets for the elderly will be desperate. The establishment of a governmental measure necessary for this will need to be also accompanied. This study has the following limitations. First, Japan was begun the social security system about 40 years earlier than Korea. There have been many changes in the meantime, thereby being followed difficulty in directly comparing social security system between Korea and Japan. Second, there is no standard available for objectively comparing Korea and Japan owing to difference in traditionally cultural customs and to institutional difference in long history.

노인의 치아우식증과 치주질환에 연관된 요인 분석

장재연 ( Jae Yeon Jang ),남영신 ( Young Shin Nam ) 한국치위생학회 2012 한국치위생학회지 Vol.12 No.6

Objectives: The purpose of this study was to examine the factors related to the dental caries and periodontal diseases of Korean elderly people in terms of demographic characteristics, oral health promotion behavior and systemic diseases in an effort to provide information on national policy setting and policy evaluation about the prevention of tooth loss resulting from severe oral diseases and the promotion of elderly people`s oral health. Methods: The first-, second- and third-year raw data of the 4th National Health and Nutrition Survey were utilized, and the data of 3,882 elderly people who got a dental checkup were analyzed. The statistical package SPSS WIN 19.0 was employed to make a logistic regression analysis. Results: The senior citizens who did toothbrushing less frequently were more likely to have dental caries. As for periodontal diseases, the men were 1.34-fold more likely to have periodontal diseases than the women, and the respondents whose self-rated health state was worse were 1.40-fold more likely to have periodontal diseases than the others whose self-rated health state was better. The senior citizens who ever received treatment from unqualified people were 1.30-fold more likely to have peridontal diseases, and those who took neither vitamin compound nor minerals were 1.30-fold more likely to have periodontal diseases. Those who suffered from low High-density Lipoprotein cholesterol(HDL) were 1.35-fold more likely to have periodontal diseases than the others who didn`t. Conclusions: Those whose self-rated health status is worse should especially be concerned about periodontal diseases. Specifically, it`s needed to pay attention to the low-income classes, and the government should take measures to provide quality welfare services for elderly people not to receive treatment from unqualified people. Besides, research efforts should be made to determine the relationship between periodontal diseases and low HDL- cholesterolemia.