중년 남성 근로자의 고혈압 발생에 관련된 요인의 검토

안권숙(Ahn, Kwon-Suk),박승경(Park, Sung-Kyeong),조영채(Cho, Young-Chae) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.10

본 연구는 성인 남성 근로자들의 고혈압 발생에 관련된 요인을 밝히고, 고혈압의 1차 예방대책을 실시하기 위한 과학적 근거를 제공할 목적으로 대전광역시의 모 건강검진센터에서 2011년에 건강검진을 받은 남성 근로자 2,230명을 대상으로 하였다. 조사는 대상자의 연령, 비만도, 내당능, 흡연 및 음주습관, 운동습관과 혈압수준과의 관 계를 조사하였다. 연구결과, 전체 조사대상자의 연령계층별 고혈압 발생은 30대 18.8%, 40대 23.8%, 50대 33.0%를 보였으며, 고혈압 발생은 연령이 증가할수록, BMI가 증가할수록 높아지는 경향이었으며, 내당능 이상군, 상습음주군, 운동부족군에서 그렇지 않은 군보다 고혈압 발생이 유의하게 높았다. 고혈압 발생에 대한 관련변수의 위험비를 구한 결과 비만도의 경우 30대, 40대, 50대 연령층 모두 정상군에 비해 과체중군과 비만군에서 고혈압이 발생할 위험비가 1.0 이상 유의하게 상승하였다. 내당능 이상군은 정상군에 비해 40대와 50대 연령층에서, 흡연군은 비흡연군에 비해 30대 연령층에서, 상습음주군은 비상습음주군에 비해 30대 연령층에서, 비운동군은 운동군에 비해 40대와 50대 연령 층에서 고혈압이 발생할 위험비가 1.0 이상 유의하게 상승하였다. 위와 같은 결과는 고혈압의 1차 예방대책으로 비 만, 알코올섭취, 운동부족이 중요하므로 바람직한 음주습관, 정기적인 운동 및 적정 체중의 유지에 신경을 쓸 필요가 있음을 시사한다. The present study was conducted to identify the factors related to the hypertension, and to offer the evidence of 1st prevention of hypertension. 2,230 male workers aged 30-59 years were observed the relationships between hypertension and age, BMI, glucose intolerance, smoking, alcohol drinking, regular exercise, eating habits using data from health check-ups in 2011. As a results, the incidence rate of hypertension was 18.8% of 30-39 year old group, 23.8% of 40-49 year old group, 33.0% of 40-49 year old group. The incidence rate of hypertension was significantly higher as age and BMI ascend, and it was higher in the group of abnormal glucose intolerance, regular alcohol intake, no regular exercise than their respective counterparts. The multivariable-adjusted odds ratio of hypertension increased significantly as there is an increase in age, and the group of abnormal glucose intolerance, smoking, regular alcohol intake, no regular exercise. In conclusion, obesity, glucose intolerance, alcohol intake, and physical inactivity are risk factors for hypertension, therefore we need the control of these factors for 1st prevention of hypertension.

치과종사자들의 치과 Implant에 대한 지식 및 이행실태 -대전광역시 치과 병,의원을 중심으로-

안권숙 ( Kwon Suk Ahn ) 한국치위생학회 2007 한국치위생학회지 Vol.7 No.4

It follows in increase of the old age population and the Loss of teeth increases, also the supplement prosthetics treatment which is caused by Loss of teeth is various and it develops and the dentistry implant demand is increasing. This study enforced a self-administered survey with 197 dental personnels employed in dental hospitals, dental clinics from August 15, 2007. to September 15, in the area of Daejeon. It`s ultimately intended to serve as a basis for the preparation of more effective, appropriate dental implants education programs for personnels, who take a crucial part in dental implants operation, provide better dental services to patients who are in need of dental implants operation. As the result, the study got the following conclusion. 1. The population sociological feature of dental hospital and dental clinic showed that significant differences of dental service career. Dental service career of dental personnels shows: below 3 years 43.1%, 4~6 years 35.3%, more than 7 years 21.6% in dental hospitals, below 3 years 29.5%, 4~6 years 28.1%, more than 7 years 42.5% in dental clinics(p=0.027). 2. The average score of personnels knowledge in dental implants was 3.67point. from analyzing the knowledge on dental implants of dental personnels from dental health-care settings, dental personnels employed in dental hospitals scored relatively higher than in dental clinics(p=0.129). Dental personnels with 4~6 years of experience scored the highest(p=0.002). 3. The average score of dental personnels compliance in dental implants was 3.92point. from analyzing the compliance of dental implants of dental personnels from dental health-care settings, dental personnels employed in dental hospitals scored relatively higher than in dental clinics(p=0.006). Dental personnels with 4~6 years of experience scored the highest(p=0.707). 4. The contingency coefficient between dental implants general knowledge and the general compliance(r=0.233, p=0.001), operation knowledge and operation compliance (r=0.332, p=0.000), maintenance knowledge and maintenance compliance (r=0.236, p=0.001). 5. Recently dental implants is emerging as one of the important medical services in the dental treatment sector. From analyzing the compliance of dental implants of dental personnels in dental health-care settings, dental personnels employed in dental hospitals scored relatively higher than in dental clinics. Consequently, the effort of the dentist and the dental personnels demanded to be earnestly to improves the difference of the knowledge and compliance against the dental implants of the dental personnels in dental health-care settings. it is thought that with reinforcement of effective role share and professionalism to success of dental implants, more system and the specialty dental implants education which is standardized continuously must be provided to all dental personnels.

노인의 객관적 구강건강상태와 주관적 구강건강수준간의 관련성

안권숙 ( Kwon Suk Ahn ),신미아 ( Mi A Shin ) 한국치위생학회 2011 한국치위생학회지 Vol.11 No.6

Objectives: This study was attempted in order to grasp oral health level according to socio-demographic characteristics in elders in some communities, and to evaluate oral health status and its association. Methods: The subiects in this study were performed with 235 people, who were over 65 years and resided in Daejeon Province, from June 20 to July 10, 2011. An individual interview was held, and they got a dental checkup. As for data analysis, chi-square test, t-test, one-way ANOVA, pearson correlation were utilized. Methods: The subiects in this study were performed with 235 people, who were over 65 years and resided in Daejeon Province, from June 20 to July 10, 2011. An individual interview was held, and they got a dental checkup. As for data analysis, chi-square test, t-test, one-way ANOVA, pearson correlation were utilized. Results: The older age in the whole research subjects and the lower educational level led to the less remaining teeth and the larger missing teeth index. The decayed missing filled teeth index and the decayed missing filled teeth rate were higher in more women and older age and in the lower educational level. Tooth mortality rate was higher in the older age, the lower educational level, and the group of living together with spouse. The maxillary-mandibular fixed-bridge status in the mouth was indicated to be the highest in the full-denture mounting ratio as for elders in over 80 years old. Oral Health Impact Profile(OHIP-14) average score was 56.05±11.64 in the whole research subjects The decayed missing filled teeth index and the decayed missing filled teeth rate showed significantly positive correlation with the decayed missing filled teeth rate, tooth mortality rate and showed significantly negative correlation with OHIP-14. Tooth mortality rate showed significantly negative correlation with OHIP-14 Oral Health Impact Profile(OHIP-14) showed significantly positive correlation with its factors. Conclusions: Accordingly, the policy effort is considered to be necessary that implements in elders in order to spend active senescence, and that elders` health and oral-health behavior can be implemented continuously and preventively through classification according to elders` physical function. (J Korean Soc Dent Hygiene 2011; 11(6):923-938)

노인의 구강건강 장애요인에 관한 연구

안권숙 ( Kwon Suk Ahn ),지민경 ( Min Gyeong Ji ) 한국치위생학회 2008 한국치위생학회지 Vol.8 No.3

This study conducted an interview questionnaire survey of 245 old people in some halls for the aged in the Daejeon Metropolitan City from June 1 to 31, 2008. on their attitudes toward and practice items for oral health, resulting in the following findings. 1. In terms of socio-demographic characteristics of the subjects, males females were 48.2% and 51.8% respectively, and in the educational level, no-education, elementary school graduation, middle school graduation, and high school graduation and higher were 27.8%, 33.9%, 26.5%, and 11.8%, respectively, showing the statistically significant difference (p=0.009). 2. In terms of attitudes toward oral health management by oral health care education, regarding questions of use of oral and dental hygiene products (p=0.016), experience in scaling, and whether or not they wear false teeth (p=0.018), a group having received the education rather than a group not having received it showed more positive oral health management attitudes, indicating the statistically significant difference. 3. In daily living inconvenience of acute oral health diseases according to oral health care education, acute oral diseases presents in a group with the education (2.30±0.72) lower than in a group without the education (2.49±0.63), indicating the statistically significant difference(p=0.031). 4. Factors of oral health diseases showed the significant relation with types of health insurance, subjective systemic health status, acute diseases and subjective oral health status (p<0.01), and the explanatory power or the final model was 38%. Accordingly it is thought that there is the indicated need for analyzing and grasping factors related to oral health diseases among the elderly through considering their attitudes toward and practice for oral health, and developing programs of enhancing the oral health of the elderly in order for them to change their attitudes and habits, and also reinforcing oral health care education for the elderly focused on making them perform oral health behaviors in a right way.

노인장기요양보험제도에 관한 치과종사자의 인식도 연구

안권숙 ( Kwon Suk Ahn ),지민경 ( Min Gyeong Ji ),민희홍 ( Hee Hong Min ) 한국치위생학회 2009 한국치위생학회지 Vol.9 No.1

This study grasped recognition on a system of long-term care insurance for the elderly targeting dental professionals who are working at dental hospitals and clinics where are located in Daejeon Metropolitan City. It developed and utilized materials available for educating the care staff in a system of long-term care insurance for the elderly and the dental professionals who participate in the oral hygiene service. It carried out the effective duty performance for the elderly in a situation of long-term care protection. Thus, the purpose of this study was to contribute to the early settlement in a system of long-term care insurance for the elderly. The following conclusions were obtained as a result of having carried out self-administered questionnaire research targeting 238 people from August 1 to August 30 in 2008. 1. In the general characteristics of the research subject, the present working place was indicated to be 22.7% for dental hospital, 71.8% for dental clinic, and 5.5% for others. As for the main duty field, the medical treatment & cooperative duty was indicated to be the highest with 61.8%, and was statistically significant(p=0.000). 2. The necessity for a system of long-term care insurance for the elderly was indicated to be 77.7% for `necessary` and 1.7% for `unnecessary,` and was statistically significant(p=0.016). 3. In the item of dividing the service of long-term care insurance for the elderly, the dental hygienists showed higher recognition than non-dental hygienists, and indicated significant difference(p=0.010). 4. As for recognition on a system of long-term care insurance for the elderly in dental professionals who responded as saying of `knowing name and contents` about a system of long-term care insurance for the elderly, the recognition level was high in recognition of subjects` age(p=0.000), division in services(p=0.012), contents in at-home care service(p=0.000), execution in oral-hygiene service(p=0.004), procedure of using the long-term care insurance for the elderly(p=0.016), item of judging grade of long-term care insurance for the elderly(p=0.013), medical charge by service according to judging grade of long-term care insurance for the elderly(p=0.015), burden of cost for a system of long-term care insurance for the elderly(p=0.011), qualification of care staff(p=0.002), and contents of oral-hygiene service(p=0.027), and showed significant difference. 5. The service of long-term care insurance for the elderly and the oral-hygiene service indicated the statistically significant correlation. Accordingly, all of dental professionals need to make a desperate effort to improve dental professionals` knowledge on a system of long-term care insurance for the elderly enough to be required a system of long-term care insurance for the elderly. The more systematic and standardized professional education and materials are thought to be needed to be developed aiming at the success in oral-hygiene service within a system of long-term care insurance for the elderly, by strengthening professionalism in dentists and dental hygienists.

장기요양시설 노인들의 신체적 기능(ADL, IADL) 수준 및 관련요인

안권숙(Ahn, Kwon-Suk),박승경(Park, Sung-Kyeong),조영채(Cho, Young-Chae) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.3

본 연구는 요양시설에 입소하여 생활하고 있는 노인들을 대상으로 ADL과 IADL을 측정하고 그에 관련된 요인을 검토하고자 실시하였다. 조사대상은 장기요양시설에 입소하여 장기요양급여를 받고 있는 노인 205명으로 하였으며, 조사는 2015년 6월 1일부터 7월 31일까지의 기간 동안에 면접조사를 통해 이루어 졌다. 연구결과, 전체 조사대상자의 ADL 수준은 16.67±2.11점(총득점 합계 범위: 6∼18점)이었으며, IADL 수준은 15.13±3.79점(총득점 합계 범위: 7∼21점)이었다. ADL에 관련된 요인으로는 배우자 유무, 외출 빈도, 주관적인 건강상태, 치아의 부자유 유무가 선정되었으며, IADL에 관련된 요인으로는 성별, 배우자 유무, 외출 빈도, 주관적인 건강상태, 신체의 부자유 유무, 건망증 유무가 선정되었다. 위와 같은 결과는 요양시설 입소 노인들의 신체적 기능은 인구사회학적 특성, 건강관련행위 및 건강상태 등 여러 요인들이 관련되어 있음을 시사한다. This study examined the levels of ADL and IADL among elderly people who were institutionalized in long-term care facilities and determined their association with socio-demographic characteristics, health status, and health related behaviors. Interviews were performed, during the period from June 1 to July 31, 2015, to 205 elderlies received from long-term care service. As a results, the total mean score was 16.67±2.11 for ADL (range: 6∼8) and 15.13±3.79 for IADL (range: 7∼21). The selected factors associated with ADL were with or without a spouse, frequency of going out, subjective health status, and mastication ability. The factors associated with ADL were selected, such as gender, with or without a spouse, frequency of going out, subjective health status, disability of body, and amnesia. In conclusion, the level of ADL and IADL in the elderly people selected from long-term care insurance were influenced by the socio-demographic characteristics, health status and health-related behaviors.

전신질환자를 위한 치과 임상적 처치에 대한 치과종사자의 지식 및 실천에 영향을 미치는 요인

안권숙 ( Kwon-suk Ahn ),민희홍 ( Hee-hong Min ) 한국치위생학회 2017 한국치위생학회지 Vol.17 No.1

Objectives: The purpose of this study is to investigate the factors affecting medical knowledge and practice of dental treatment for systemic disease among dental health care workers. Methods: A self-reported questionnaire was filled out by 222 dental health care workers working in Seoul, Daejeon, Busan, Gyeonggi province, Chungcheong province, and Jeolla province within the period between May 1 - June 30, 2016. Knowledge and medical knowledge about the clinical treatment of patients suffering from systemic disease and their practice were composed of items that were corrected, supplemented, and developed by themselves based on previous research. Results: Factors affecting knowledge about clinical treatment of patients suffering from systemic disease were place of employment, treatment about systemic disease, and practice of dental treatment for systemic diseases. Predictive power was 38.5%. Factors affecting practice of clinical treatment of patients suffering from systemic disease were sex, place of employment, treatment about systemic disease, the basic equipment and drugs needed for emergency care, and knowledge of dental treatment for systemic diseases. Predictive power was 39.1%. Conclusions: Dental health care workers` knowledge and practice of dental treatment of patients suffering from systemic diseases were important factors influencing each other.

사무직 근로자의 주간졸음, 직무스트레스가 삶의 질에 미치는 영향

안권숙(Kwon-Suk Ahn),천석연(Seok-yeon Cheon) 한국의료정보교육협회 2017 보건의료생명과학논문지 Vol.5 No.1

본 연구는 일부 사무직 근로자들의 삶의 질에 영향을 미치는 요인으로 주간졸음과 직무스트레스와의 관련성을 평가하고자 시도하였다. 대전광역시에 거주하며 사무직에 근무하는 근로자 221명을 대상으로 연구하였으며, 2015년 2월 2일부터 2월 27일까지 구조화된 무기명 자기기입식 설문조사를 실시하여 다음과 같은 결론을 얻었다. 주간졸음과 직무스트레스는 양의 상관관계를 보였고, 삶의 질과 주간졸음, 삶의 질과 직무스트레스는 음의 상관관계를 보였다. 전체 연구대상자의 삶의 질에 영향을 미치는 요인으로 연령, 주관적 사회경제상태, 주관적 건강수준, 교육수준, 주간졸음이 35.5 의 설명력을 보였으며, 직무스트레스의 추가로 50.8%의 설명력을 보여 직무스트레스가 삶의 질에 큰 영향을 미치고 있음을 알 수 있었다. 따라서 근로자의 삶의 질을 개선시키기 위해 직장 내 직무스트레스를 감소시키기 위한 노력이 필요할 것으로 사료된다. The purpose of this study was to assess the association between daytime sleepiness and job stress, two factors affecting the quality of life for office workers. Respectively, for daytime sleepiness. Positive correlation was found between daytime sleepiness and job stress and negative correlation was found between the quality of life and daytime sleepiness and between the quality of life and job stress. As for the factors affecting the quality of life for the respondents in general, age, subjective socio-economic status, subjective health status, education level, and daytime sleepiness accounted for 35.5% and the addition of job stress to these factors accounted for 50.8%. This result has confirmed that job stress may strongly affect the quality of life. It is therefore necessary to make efforts to reduce job stress at workplace with the objective of improving the quality of life for workers.

직무긴장 모형을 이용한 치과위생사의 직무스트레스와 반응

최미숙 ( Mi Suk Choi ),안권숙 ( Kwon Suk Ahn ) 한국치위생학회 2010 한국치위생학회지 Vol.10 No.4

Objectives: A precedent research has documented that occupational stress is closely associated with increased the risk of fatigue and decreased in job satisfaction. This study was conducted in an effort to assess the relationship of occupational stress to self-perceived fatigue and job satisfaction by using job strain model. Methods: The number of respondents was 122 dental hygienist who work in dental clinic and period of the investigation was July 2009 through september 2009. A structured questionnaire was employed to evaluate the participants` sociodemographics, job-related factors, health-related behaviors, occupational stress, job satisfaction and self-perceived fatigue. Occupational stress and self-perceived fatigue were assessed using the Korean Occupational Stress Scale-Short form (KOSS-SF) and the Multidimensional Fatigue Scale (MFS), respectively. Results: In job strain model, the ratio of Q2(High Strain Job) group that more susceptible to disease by stress than other group was 16% and the proportion of high fatigue group(Q3, Q4 group) and low job satisfaction group(Q3, Q4 group) was 48%, 45% respectively. In logistic regression analyses, a High Strain Job group was associated with higher odds of react factor(fatigue, job satisfaction) and the odds was down by 3.3%~7.5% after adjustment for age, smoking, alcohol drinking, regular exercise. So the effective strategy for fatigue, job satisfaction reduction for dental hygienist requires additional program focusing on innovated work environment that provide a enough leisure time and exercise program considering the personality traits. Conclusions: The results of this study suggest that occupational stress is a determinant predictor of self perceived fatigue and job satisfaction. Thus, a stress management program for the reduction of occupational stress, and the promotion of dental hygienist impact assessment health and quality of life is strongly recommended. (J Korean Soc Dent Hygiene 2010;10(4):595-605)

S. mutans에 대한 대나무 숯의 항균력에 관한 연구

최미숙 ( Mi Suk Choi ),안권숙 ( Kwon Suk Ahn ) 한국치위생학회 2014 한국치위생학회지 Vol.14 No.1

Objectives: The purpose of the present study was to investigate the effect of bamboo charcoal on Streptococcus mutans which is one of the most important causative agents of dental caries. Methods: S. mutans was incubated with or without bamboo charcoal and then changes were observed in its cell viability and antibacterial effect. Oral epithelial cells viabillity(human gingival fibroblast, HGF) was performed using MTT assay. Antibacterial effect was analyzed using a dilution plating method and agar diffusion method. Results: Oral epithelial cells, human gingival fibroblast (HGF) showed a tendency to increase in bamboo charcoal treatment solution concentrations(0.5 , 1, 2 , 3 , 5, 10%). The bamboo charcoal had an antibacterial effect on S. mutans. Antibacterial effect of bamboo charcoal for the bacterium was 58%. Charcoal concentration of 2% and 5% in the inhibition zone showed a minimal growth, but the concentration of 10% bamboo charcoal in inhibition zone revealed a conspicuous antibacterial activity. Conclusions: Overall results suggested that the bamboo charcoal proved to be bactericidal effect on S. mutans.