치과용 Cement의 이해와 Luting Cement 사용에 대한 선호도

배성숙,김한나,박은정,Bae, Sung-Suk,Kim, Han-Na,Park, Eun-Jeong 대한심미치과학회 2008 Journal of the Korean Academy of Esthetic Dentistr Vol.17 No.1

효과적인 치과병원 감염관리의 구성요소에 대한 고찰

배성숙 ( Sung Suk Bae ),이명선 ( Myung Sun Lee ) 한국치위생학회 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)

스켈링 처치 시 대상자가 느끼는 치과불안도와 자기효능감의 관련성

배성숙 ( Sung Suk Bae ) 한국치위생학회 2009 한국치위생학회지 Vol.9 No.3

This study was conducted to find out the relationship between dental anxiety and self-efficacy, physical and psychological condition and expected self-efficacy. The objective of this study was also to provide foundation for appropriate dental hygiene intervention model for scaling. In this study, anxiety reactions were measured among 178 patients, who made appointment with dental hygienists for scaling between May and July, 2009. The analysis was done in SPSS 12.0 statistical program which confirmed Cranach`s alpha value. Technical statistics, t-test and One-way ANOVA, correlation and regression were also used. The result of the study is following: While dental hygienist conducts scaling, the dental anxiety was each measured in following categories: Thus male, age between 40 and 50, single, high school graduated and unemployed were measured highest dental anxiety among various groups. Dental Fear Scale demonstrated the validity of relationship between dental anxiety and self efficacy. The correlation was equated as r=-.409(p<0.01). In the other words, the higher self efficacy, the lower dental anxiety. The relationship between dental anxiety and physical and physiological condition was relevant. Physical condition was r=-.229(p<0.01) And then, the psychological condition was r=-.299(p<0.01). Thus, better physical and physiological condition results in less dental anxiety. The relationship between expected self-efficacy and dental anxiety is also valid. The dental anxiety after performance accomplishment is r=-.239(p<0.01), after vicarious experience is r=-.195(p<0.01), after verbal persuasion is r=-.152(p<0.05), after recognition of physiological state is r=-.410(p<0.01). In conclusion, Sex, age, marital status, education level, employment, physical condition, physiological condition are all relevant to dental anxiety(F=8.834). Both independent and dependent variables p<.05 have 37.5% persuasiveness.

전문치과위생사제도 확립을 위한 기초 조사 연구

배성숙 ( Sung Suk Bae ) 한국치위생학회 2007 한국치위생학회지 Vol.7 No.3

With these changes in the environment of dental service, dental hygienists arc suggested to change their roles to cope with the changes. Hygienists are putting forth many efforts to promote smooth and efficient dental treatments, and as a practical measure, As a part to cope with such changes, Korea Dental Hygienists Association (KDHA) has prepared the system of Specialized Dental Hygienist and put the system into enforcement through an affiliated organization, Korean Academy of Dental Hygiene. The purpose of this study is to investigate the specialized nurse system in our country`s medical environment and the specialized dental hygienist systems in other countries as similar cases comparable to the specialized dental hygienist system in our country and present basic data for the establishment of specialized dental hygienist system. For this study, a survey of dental specialists, such as dentists, dental hygienists and nurses, and patients, has been conducted qualitatively through person-to-person depth interview. The interview questions were related to the need for a specialized dental hygienist system, educational programs, functions and roles, and issues that must be solved for establishment of the system. Based on the interview results, the following conclusions were derived. The specialized dental hygienist system must encourage dental hygienists to possess advanced abilities in clinical practices, present systematic and developmental directions in educational programs, and stimulate specialized dental hygienists to actively work as manager and supervisor, medical health service providers, educators, and researchers. Lastly, for issues that must be solved for the establishment of the system, the duties and jobs of specialized dental hygienists must be defined more concretely, which must be acknowledged by people working in related occupations, citizens and the government. Furthermore, we need to examine the scope of duties of dental hygienists and enact laws and systems to protect the scope. These roles will lead dental hygienists to lay the foundation that allow them to make enthusiastic activities as an oral hygienist and clinician as well as show the way how to act as an educator, a researcher, a manager and an administrator.

만6세 아동의 제1대구치 맹출정도와 연령, 키, 몸무게와의 관련성

배성숙 ( Sung Suk Bae ) 한국치위생과학회 2009 치위생과학회지 Vol.9 No.3

요양보호사의 구강보건행태에 관한 연구

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.

치과의료기관 감염관리 평가지표 개발 및 타당성 검증

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.

치과 환자로부터 발거된 치아에서의 법랑돌기의 발현빈도

배성숙 ( Sung Suk Bae ),구영 ( Young Ku ) 한국치위생과학회 2007 치위생과학회지 Vol.7 No.4

구강악안면부 외상발생의 역학적 평가

황순정 ( Soon Jung Hwang ),배성숙 ( Sung Suk Bae ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.4

In this study, 1,495 cases of computerized data collected as disease entities of oral and maxillofacial injuries among patient visiting S university hospital located in Seoul in 2009 were analyzed and following results were obtained. It was found that the injury incidence in male was greater than in female (1.49:1), it occurred most frequently in the age of 7∼14 years old (19.6%), and its most frequent cause was falling down (25.9%). Injuries occurred in other place including beach and open-air (24.7%) most frequently, often developed in anterior teeth (43.2%) and posterior teeth (43.1%), their incidence was relatively higher between 15:00∼17:00 (10.4%) and 19:00∼23:00 (7.1%) O`clock. In the relationship between causes of the injury and the diagnosis based on the international classification of disease), falling, fall, impingement, violence, traffic accident, sports and own making accident caused most frequently lip and oral open injuries (S01.5), open fracture of tooth (S02.51), close fracture of tooth (S02.50), close fracture of mandible (S02.60), close fracture of tooth (S02.50), respectively. From the above results, it is necessary to understand general characteristics of oral and maxillofacial injuries and to consider their trends for the establishment of systematic complement policies and for the performing safety training and public relations activities.

치과위생사의 국가 실기시험에 대한 인식

고다경 ( Da-kyung Ko ),배성숙 ( Sung-suk Bae ) 한국치위생과학회 2016 치위생과학회지 Vol.16 No.6

본 연구는 치과위생사가 임상에서 실질적인 업무 수행을 위한 역량을 강화하기 위하여 종합적이고 효율적인 국가 실기시험의 개선 방안을 마련하기 위하여 수행되었으며 연구대상은 치위생(학)과 교수 101명(50.8%)과 임상치과위생사 98명(49.2%)이 참여하였다. 연구의 결과로 현행 국가 실기시험의 공정성에 대한 의견은 치위생(학)과 교수 41.6%(42명), 임상치과위생사 56.1% (55명)가 `보통이다`라고 응답하였고, 현행 국가 실기시험이 직무중심의 종합적인 임상실기능력을 평가할 수 있는지를 조사한 결과, 치위생(학)과 교수 36.6% (37명)가 `보통이다`라고 응답하였고, 임상 치과위생사 56.1% (55명)는 `평가할 수 없다`라고 응답하였다(p<0.05). 또한 환자 중재의 상담기법을 평가할 수 있는지를 조사한 결과에서는 치위생(학)과 교수 72.3% (73명), 임상 치과위생사 72.4% (71명)가 `평가할 수 없다`는 응답이 매우 높게 나타났다(p<0.05). 국가 실기시험의 문항으로 반드시 필요한 업무인지를 조사한 결과, 치위생(학)과 교수는 `치면연마`와 `칫솔질 교육`이 99.0% (100명)로 각각 가장 높았고 인상채득, 치주기구조작, 치면열구전색 98.0%(99명) 순으로 나타났다. 임상치과위생사에서는 `초음파 치석제거`가 86.7% (85명)로 가장 높게 나타났고, 인상채득 및 칫솔질 교육이 78.6% (77명) 순이었다(p<0.05). 치위생(학)과 교수를 대상으로 조사한 실습교육 여부는 `치면연마` 및 `칫솔질 교육`이 `교육한다`라고 응답한 경우가 99.0%(100명)로 높게 나타났으며 이어 `인상채득`과 `치주기구조작`, `치면열구전색`이 98.0% (99명) 순으로 나타났다, 임상치과위생사가 임상에서 실제 수행하는 다빈도 업무는 `인상채득`, `모형제작`, `초음파 치석제거`, `진료 주의사항 설명`이 99.0% (97명)로 가장 많았고 `진료기록부 작성`과 `임시부착물 장착 및 제거`, `기구세척`이 98.0% (96명) 순으로 나타났다(p<0.05). 이상의 결과로 현행 국가 실기시험에 대한 치위생(학)과 교수 및 임상 치과위생사들의 인식과 평가 그리고 국가시험 문항으로의 중요도, 다빈도 수행업무 등에 대하여 알 수 있었고, 이를 바탕으로 향후 종합적이고 포괄적인 치과위생사 국가시험 개선의 기초 자료로 활용되기를 기대한다. The purpose of the present study was to examine dental hygienists` perception of the current national practical examination. This research was performed using 199 self-reported surveys answered by professors of dental hygiene studies and clinical dental hygienist. Frequency analysis, chi-square tests, and analysis of variance were performed by using IBM SPSS Statistics ver. 20.0. The results revealed that many of the respondents consider the current national practical examination to be neutral. They did not think that the current national practical examination questions are useful for assessing occupation-centric integrated clinical practice ability and counseling techniques for patient intervention. The professors of dental hygiene studies believed that among the research tasks required as mentioned in the national practical examination questions, dental polishing and tooth brushing education are of paramount importance, whereas clinical dental hygienists believed that ultrasonic scaling is the most important (p<0.05). Most of the professors of dental hygiene studies reported that they conducted skills education for dental polishing and tooth brushing education, while most of the clinical dental hygienists reported that tasks actually performed in the clinic included impression taking, model fabrication, ultrasonic scaling, and explaining treatment precautions (p<0.05). Therefore, these tasks can be effectively carried out with the improvement of the national dental hygienist practical examination.