중년여성의 갱년기 자각증상 정도에 따른 피부관리실 이용 선호도 분석

한영옥,오윤경 한국인체미용예술학회 2019 한국인체미용예술학회지 Vol.20 No.4

This study aims to understand the degree of menopausal subjective symptoms of middle-aged women and also differences in the use preference of skincare shop in accordance with the degree of menopausal subjective symptoms. This study collected data through a survey targeting the middle-aged women in their 40s-60s who had experiences in the use of skincare shop in Gyeongnam region, and then used total 300 questionnaires for the analysis. As the research results, The degree of menopausal subjective symptoms was total 2.73 of five-point scale while the symptoms like dry skin or hair and dry eyes showed high points. And in the results of verifying the degree of menopausal subjective symptoms and the use preference of skincare shop, Even though many middle-aged women preferred the facial care(49.3%), the women who preferred the pelvic care(M=3.01) showed the highest degree of menopausal subjective symptoms. Even though the foot bath(30.3%) was the most preferred skincare service, the women who preferred the hip steam bath(M=2.99) showed the high degree of menopausal subjective symptoms. Even though the quiet and calm personality(52.0%) was the most preferred personality of staffs, the women who preferred the intellectual tendency(M=3.00) showed the highest degree of menopausal subjective symptoms. Even though many of them preferred the comfortable atmosphere(69.7%) of skincare shop, the women who preferred the luxurious atmosphere(M=3.04) showed the highest degree of menopausal subjective symptoms. This study aims to understand the degree of menopausal subjective symptoms of middle-aged women and also differences in the use preference of skincare shop in accordance with the degree of menopausal subjective symptoms. This study collected data through a survey targeting the middle-aged women in their 40s-60s who had experiences in the use of skincare shop in Gyeongnam region, and then used total 300 questionnaires for the analysis. As the research results, The degree of menopausal subjective symptoms was total 2.73 of five-point scale while the symptoms like dry skin or hair and dry eyes showed high points. And in the results of verifying the degree of menopausal subjective symptoms and the use preference of skincare shop, Even though many middle-aged women preferred the facial care(49.3%), the women who preferred the pelvic care(M=3.01) showed the highest degree of menopausal subjective symptoms. Even though the foot bath(30.3%) was the most preferred skincare service, the women who preferred the hip steam bath(M=2.99) showed the high degree of menopausal subjective symptoms. Even though the quiet and calm personality(52.0%) was the most preferred personality of staffs, the women who preferred the intellectual tendency(M=3.00) showed the highest degree of menopausal subjective symptoms. Even though many of them preferred the comfortable atmosphere(69.7%) of skincare shop, the women who preferred

정신분열증 환자에서 주관적 음성증상경험의 임상적 의의

김지웅,김찬형,구민성,손석한,박진철,최문종,이은철,윤도준,이홍식 대한신경정신의학회 1999 신경정신의학 Vol.38 No.1

연구목적 : 현재까지 정신분열증의 음성증상평가는 주로 객관적인 평가에만 의존해왔기 때문에, 환자들이 주관적으로 직접 경험하는 음성증상의 평가는 경시된 경향이 있었다. 그러나 실제 많은 정신분열증 환자들은 음성증상을 자가하고 있다. 특히, 개관적인 양성 및 음성증상이 관찰되지 않는 경우에도 환자 본인은 음성증상으로 괴로워한다는 이전의 연구보고들이 있었다. 따라서 저자들은 주관적인 음성증상경험과 개관적인 양성증상 및 음성 증상, 우울증상, 불안증상, 추세외로증상과의 상관성을 알아봄으로써 정신분열증의 정신병리에 있어 주관적 음성증상의 존재를 규명하고, 정신분열증 정신병리의 발생기전을 유추해보며 이차적 음성증상과의 관계를 규명하고자 하였으며. 이러한 연구가 정신분열증 정신병리를 이해하는데 도움을 줄 수 있을 뿐 아니라 환자를 공감적으로 이해하는데 도움을 줄 수 있을 것으로 생각되어 본 연구를 시행하였다. 방 법 : DSM-Ⅳ 진단기준의 정신분열증 진단기준에 해당하는 환자를 대상으로 하였다. 주관적인 음성증상의 평가를 위해서 Scale for the Subjective Experience of Negative Symptoms : Korean version(KSENS)을 이용하였고, 개관적인 정신분열증 정신병리의 평가는 Positive and Negative Syndrome Scale(PNASS)를 이용하였다. 우울증상, 불안증상, 추세외로증상의 평가를 위해서 각각 Hamilton Rating Scale for Depression(HAM-D), Hamilton Rating Scale for Anxiety(HAM-A), Extrapyramidal Symptoms Rating Scale(ESRS)을 이용하였다. 각 정신병리척도 점수간의 상관성은 Spearman 상관계수를 이용하여 분석하였다. 결 과 : K-SENS 24항목 중에서 환자가 이를 불편한 것으로 경험하고 있는 항목의 비율과 PANSS 양성척도점수 사이에는 유의한 상관점이 있었으며 (r=-0.40, p〈0.05), 양성증상 중에서도 특히 과대성(r=-0.46, p〈0.05), 의심/피해(r=-0.34, p〈0.05), 적개심(r=-0.52, p〈0.05) 등의 증상과 유의한 상관관계를 보였다. K-SENS 24 항목 중에서 환자가 이를 불편한 것으로 경험하고 있는 항목의 비율과 PANSS 전체점수(r=-0.25, p〉0.05), PANSS 음성척도점수(r=-0.20, p〉0.05), PANSS 일반정신병리척도(r=-0.08, p〉0.05),와는 각각 유의한 상관성이 없었다. K-SENS 24항목 중에서 환자가 이를 불편한 것으로 경험하고 있는 항목의 비율과 HAM-D 점수(r=-0.01, p〉0.05), HAM-A 점수(r=-0.11, p〉0.05), ESRS 총점(r=0.34, p〉0.05)은 각각 유의한 상관성이 없었다. 결 론 : 본 연구결과에서, 정신분열증 환자들이 불편한 것으로 경험하는 주관적 음성증상과 과대성, 의심/피해, 적개심 같은 양성증상은 역상관관계가 있었으며, 이러한 결과를 바탕으로 양성증상이 주관적으로 불편하게 느끼는 음성증상에 대한 가능성과, 혹은 양성증상이 심할 경우, 이에 압도되어 음성증상을 주관적으로 느끼지 못할 수 있다는 가능성이 시사되었으며, 향후 종적인 연구를 통해 이를 규명해 볼 필요성이 제시되었다. 주관적인 음성증상경험과 우울증상, 불안증상, 추세외로 증상과는 상관성이 없는 것으로 나타나서 이들 증상과는 독립적인 증상임을 시사한다. Objective : Since the evaluation of negative symptoms has depended on the clinician's objective observation, the patients subjective experience of negative symptoms has been neglected. However, in fact, a lot of patients are aware of their negative symptoms. There are several reported suggesting that patients suffer from the subjective experiences of their deficit symptoms, even though the objective positive and negative symptoms cannot be observed. Under these circumstances, we have attempted this study with the idea that it would be helpful in understanding the psychopathology of schizophrenia. Also it would help clarifying the relationship between subjective experience of negative symptoms and objectives positive and negative symptoms, depression anxiety symptoms, and extrapyramidal symptoms. Method : All the 37 patients satisfied the diagnostic criteria of DSM-Ⅵ for schizophrenia. The subjective experiences of negative symptoms were evaluated using Scale for the Subjective Experience of Negative Symptoms : Korean version(KSENS), and for the depression, anxiety, extrapyramidal symptoms, we used Hamilton Rating Scale for Depression(HAM-D), Hamilton Rating Scale for Anxiety(HAM-A), and Extrapyramidal Symptoms Rating Scale(ESRS). The correlation between each psychopathology was tested by calculating Spearman correlation coefficient. Results : There was a significant correlation between the ratio of items experienced as uncomfortable symptoms among 24 items of K-SENS, and the score of PANSS positive subscale(γ=-0.40, p〈0.05), Among the positive symptoms, grandiosity(γ=-0.46, p〈0.05), suspiciousnes/persecution(γ=-0.34, p〈0.05), and hostility(γ=-0.52, p〈0.05) showed a significant correlation with the ratio of items experienced as uncomfortable symptoms among 24 items of K-SENS. There was no significant correlation between the ratio of items experienced as uncomfortable symptoms among 24 items of K-SENS, and PANSS total score(γ=-0.25, p〉0.05), or negative subscale score(γ=-0.20, p〉0.05), or general psychology subscale score(γ=-0.08, p〉0.05), respectively. There was no significant correlation between ratio of items experienced as uncomfortable symptoms among 24 items of K-SENS, and HAM-D(γ=-0.01, p〉0.05), or HAM-A(γ=-0.11, p〉0.05), ESRS(γ=0.34, p〉0.05), respectively. Conclusion : These revealed that the negative correlation between the subjective negative symptoms experienced as an uncomfortable ones and the objective symptoms such as grandiosity, suspiciousness/persecution, and hostility. From these results, the possibility that positive symptoms are used as a defense to hide from the negative symptoms because they are overwhelmed by their positive symptoms, is suggested. These results also suggest that subjective experiences of negative symptoms are independent from depression, anxiety and extrapyramidal symptoms.

Relationship between improvements of subjective well‐being and depressive symptoms during acute treatment of schizophrenia with atypical antipsychotics

Kim, J.‐,H.,Ann, J.‐,H.,Kim, M.‐,J. Blackwell Publishing Ltd 2011 Journal of clinical pharmacy and therapeutics Vol.36 No.2

<P><B>Abstract</B></P><P><B>What is known and Objective: </B> It has been suggested that atypical antipsychotics may exert beneficial effects on subjective well‐being as well as depressive symptoms in schizophrenia. However, the relationship between the two remains to be clarified. The authors examined the relationship between subjective well‐being and depressive symptoms across the course of acute treatment with atypical antipsychotics in patients with schizophrenia.</P><P><B>Methods: </B> Thirty‐five inpatients with schizophrenia were examined for subjective well‐being, psychopathology, and extrapyramidal side effects before and 8 weeks after the initiation of new treatment with atypical antipsychotics.</P><P><B>Results and Discussion: </B> Significant improvement was observed in subjective well‐being, psychotic symptoms, and depressive symptoms. No change was observed in the severity of extrapyramidal side effect. The subjective well‐being score had significant negative correlations with depressive symptom score both at baseline and at week 8. The mean change in subjective well‐being score was significantly correlated with that in depressive symptom score. The severity of depressive symptoms at baseline was significantly correlated with the subsequent change in subjective well‐being score and the change in depressive symptom score was the only predictor of change in subjective well‐being score.</P><P><B>What is new and Conclusion: </B> Depressive symptoms were significantly associated with subjective well‐being in patients with schizophrenia and may moderate the acute effects of atypical antipsychotic treatment on subjective well‐being. Further investigations are necessary to fully define the place of depressive symptoms in the conceptualization of subjective well‐being in schizophrenia and the optimal use of atypical antipsychotics.</P>

주관적 치주증상과 구강관리, 구강보건행동과 영향관계

유수빈,정해림,김혜진 사단법인 인문사회과학기술융합학회 2017 예술인문사회융합멀티미디어논문지 Vol.7 No.12

The Purpose of this paper was to investigate the factors influencing subjective oral health indicators. The questionnaires were administered to 215 dental clinic outpatients from march 21 to september 20, 2014 for 6 months. Subjective periodontal status of the patient was investigated, independent variables are general characteristic, oral management behavior, subjective periodontal symptoms and dependent variable was subjective periodontal symptoms. The subjective symptoms of periodontal were composed of 9 items, oral management behavior and subjective periodontal symptoms were analyzed by crossover analysis. Also, the factors affecting subjective periodontal symptoms were analyzed by simple linear regression analysis. As a result, it was found that the experience of dental examination within 1year and subjective periodontal health consiousness had negative effects. Keywords : Subjective periodontal symptoms, oral management behavior, periodontal health, Subjective periodontal health consiousness 본 연구는 주관적 구강건강지표에 구강건강관리행위 및 치주건강인식도가 영향을 미치는지 검증하기 위하여 2014년 3월 21일부터 9월 20일까지 6개월간 경기도 용인시 수지구 소재 1개소 치과의원 외래환자 215명을 대상으로 설문지조사를 통하여 환자 본인이 느끼는 주관적 치주상태를 확인하였다. 연구의 독립변수는 일반적인 사항, 구강건강행위, 치주건강에 대한 주관적 인식이며, 주관적 치주증상이 종속변수이다. 각각의 독립변수에 대한 빈도분석을 실시하였으며, 종속변수인 환자가 느끼는 주관적 치주증상은 총 9개의 문항으로 구성하여 빈도분석 하였다. 독립변수인 구강건강관리 습관 및 주관적 치주건강인식과 종속변수인 주관적 치주증상을 교차분석 하였다. 또한 주관적 치주증상에 영향을 미치는 요인을 단순선형회귀분석으로 분석하였으며, 그 결과 1년 이내 치과검진경험과 주관적 치주건강상태가 부(-)적인 영향을 미치는 것으로 나타났으며 1년 이내 치과 방문 경험이 없는 경우보다 있는 경우 주관적 치주증상은 낮아질 것으로 예측하였다.

설문지를 이용한 암환자의 동반 자각 증상에 관한 연구

김은정(Eun Jung Kim),정찬영(Chan Yung Jung),김갑성(Kap Sung Kim, Seung),이승덕(Seung Deok Lee) 대한한의학회 2012 대한한의학회지 Vol.33 No.3

일부 치과위생사의 주관적 근무환경과 부위별 통증 자각증상

김한슬,곽정숙,홍진석 대한치과위생학회 2016 대한치과위생학회지 Vol.18 No.3

The purpose of this study is to understand relations between dental hygienists’ subjective work environment and subjective pain symptoms in different regions and improve the environment of their treatment room and help them reduce pain in different areas. The subjects of this study are 250 dental hygienists. Data were collected from March until April, 2015 through a survey with self-administered questionnaire sheets, and the results of analysis are as written below. 1. Concerning the subjects’ general characteristics, 98.4% were females. About their age, 64.0% were ‘from 20 to 29’, and about years of service, ‘many years of service (over 6 years)’ formed 4.08%. About types of hospitals they worked for, ‘dental clinic’ formed the most as 7.08%, and about the department they worked for, ‘operative and prosthetic dentistry’ formed the biggest part as 30.4%. 2. About the subjects’ subjective health conditions, ‘I am healthy’ formed the biggest part as 39.6%, and about the areas of subjective pain, pain was felt the most in their neck as 19.4%, shoulders as 19.0%, waist as 17.5%, and legs as 16.3% in order. About ways to prevent or cure pain, ‘resting’ formed 33.2% and ‘no experience of being treated’ formed 21.6%, and about the degree of resting while working, ‘I rest sometimes’ formed 62.0%. 3. Regarding their subjective work environment, ‘physical environment’ received a low point as 2.89±0.51. About detailed items, they regarded their physical environment to be not very favorable giving low points to ‘There is little noise.’, ‘The treatment room is quite well equipped with ventilation facilities (windows or ventilators).’, and ‘An extra chair is equipped to each of the chair on the treatment room.’ in order. 4. Concerning their subjective pain symptoms in different regions, muscle symptoms received the lowest point as 2.40±0.78. About detailed items, ‘My shoulders are painful or uncomfortable.’ gained 2.20±0.92 points, and ‘My lower limbs (legs, knees, or feet) are painful or uncomfortable.’ received 2.37±1.00 points, and ‘My lumbar region (waist or back) is painful or uncomfortable.’ gained a low point as 2.38±0.97. 5. Regarding their subjective work environment and subjective pain symptoms in relation to general characteristics, there was no significant difference by years of service. About types of hospitals they worked for, dental clinics gained low points in ‘physical environment’, ‘the job system and environment’, and ‘muscle symptoms’, which indicated significant difference (p<0.05). About the degree of resting while working, ‘I hardly rest.’ was found to be low in ‘job environment and duties’, ‘skin symptoms’, ‘muscle symptoms’, and ‘psychological symptoms’, which indicated significant difference (p<0.05).

특수간호단위와 일반간호단위의 간호업무별 작업부하 및 피로자각증상 조사

김성열,이성수,이병국 순천향대학교 산업의학연구소 1997 순천향산업의학 Vol.3 No.1

In order to investigate the level of workload of various nursing activity and the level of subjective symptom of fatigue of nurses who were engaged in special care unit and general nursing unit, 87 nurses were selected from one university hospital in Chunan Choognam. Because of personal reason, two nurses did not joined this study. The final study subject was 85 nurses who came from special nursing care unit such as intensive care unit and emergency room (42 nurses) and general nursing care unit such as general surgery ward, orthopedic surgery ward and neurosurgery ward (43 nurses). The period of this study was from January 16 to March 15, 1997. Structured questionnaire forms were provided to all study nurses to identify the level of workload of nursing activity (37 items) and the level of subjective symptoms of fatigue (31 items). As a part of evaluation of workload, heart rates of study subjects were measured with Polar Vantage XL heart rate monitors. The results of the study were as follows. 1. The mean score of questionnaire for the level of workload in special nursing unit were higher than those in general care unit in three different nursing activities (physical nursing activity, administrative nursing activity and functional nursing activity), but the statistical difference was observed only in the category of physical nursing activity(p<0.05). 2. In the physical nursing activity and functional nursing activity, the mean score for the level of workload of nurses with proper rest was lower than those without proper rest before regular duty(p<0.05). 3. The mean score of questionnaire for the level of subjective symptom of fatigue in special nursing unit were higher than those in general care unit in three different symptom categories (physical symptom, mental symptom and neurosensory symptom), but the statistical differences were observed only in the category of physical symptom and neurosensory symptom (p<0.05). The characteristie of fatigue symptom of study group was revealed as B dominant type which is night duty type. 4. The mean score of fatigue symptom of nurses who thought their work was overloaded were higher than those whose workload was adequate in neurosensory symptom (p<0.05). The mean score of fatigue symptom of satisfied nurses with their job were lower than those who were not satisfied with their job in all three cateogory symptoms. 5. The mean heart rates(beats per minute) of resting state and working state of special care unit were 75.6±7.7 and 90.4±7.4, whereas those of general care unit were 75.8±8.3 and 89.7±9.5, respectively. 6. There was statistical correlation between the level of workload of nursing activity and the subjective symptom level of fatigue (r=0.2301, p<0.05), but the working heart rate of study nurse and the heart rate difference (working heart rate - resting heart rate) did not correlate with above two variables (workload and symptom level of fatigue).

경남소재 일개조선소 근로자의 건강이상소견과 아르곤 용접과의 관련성

최우호 ( Woo Ho Choi ),진성미 ( Seong Mi Jin ),권덕헌 ( Deok Heon Kweon ),김장락 ( Jang Rak Kim ),강윤식 ( Yune Sik Kang ),정백근 ( Baek Geum Jeong ),박기수 ( Ki Soo Park ),황영실 ( Young Sil Hwang ),홍대용 ( Dae Yong Hong ) 한국산업보건학회 2014 한국산업보건학회지 Vol.24 No.4

Objective: This study was conducted to investigate the association between subjective distress symptoms and argon welding among workers in Gyeongnam Province shipyard. Method: 31 argon and 29 non-argon welding workers were selected as study subjects in order to measure concentrations of personal dust, welding fumes and other hazardous materials such as ZnO, Pb, Cr, FeO, MnO, Cu, Ni, TiO2, MgO, NO, NO2, O3, O2, CO2, CO and Ar. An interviewer-administered questionnaire survey was also performed on the same subjects. The items queried were as follows: age, height, weight, working duration, welding time, welding rod amounts used, drinking, smoking, and rate of subjective distress symptoms including headache and other symptoms such as fever, vomiting and nausea, metal fume fever, dizziness, tingling sensations, difficulty in breathing, memory loss, sleep disorders, emotional disturbance, hearing loss, hand tremors, visual impairment, neural abnormality, allergic reaction, runny nose and stuffiness, rhinitis, and suffocation. Statistical analysis was performed using SPSS software, version 18. Data are expressed as the mean ± SD. An χ2-test and a normality test using a Shapiro wilk test were performed for the above variables. Logistic regression analysis was also conducted to identify the factors that affect the total score for subjective distress symptoms. Result: An association was shown between welding type (argon or non-argon welding) and the total score for subjective distress symptoms. Among the rate of complaining of subjective distress symptoms, vomiting and nausea, difficulty breathing, and allergic reactions were all significantly higher in the argon welding group. Only the concentration of dust and welding fumes was shown to be distributed normally after natural log transformation. According to logistic regression analysis, the correlations of working duration and welding type (argon or non-argon) between the total score of subjective distress symptoms were found to be statistically significant (p=0.041, p=0.049, respectively). Conclusion: Our results suggest that argon welding could cause subjective distress symptoms in shipyard workers.

교대주기가 다른 두 유리제조업체 3교대 근무자들의 자각증상 비교

정영연,최광서,우극현,한구웅,Jung, Young-Yeon,Choi, Gwang-Seo,Woo, Kuck Hyeun,Han, Gu-Wung 대한예방의학회 1992 예방의학회지 Vol.25 No.4

교대근무자들이 호소하는 생체리듬의 부조화로 인한 일련의 증상들은 개인특성, 작업환경, 교대형태의 영향을 많이 받는다. 따라서 본 연구에서는 개인특성과 작업환경의 영향을 고려하여 교대주기에 따른 근로자들의 자각증상의 차이를 보고자, 작업환경이 같고 교대주기에 있어 2일, 7일인 두 회사의 3교대근로자 182명과 86명을 대상으로 개인 특성 및 자각증상을 설문조사하였다. 결과를 요약하면 다음과 같다. 1. 수면장해증상 6문항 중 '근무 중 피로감을 느낀다', '예민하다'의 두 항목에서 7일주기의 교대근무자에서 증상호소의 빈도가 통계적으로 유의하게 높았으며(P<0.05), 점수화하여 두 군간의 평균을 비교한 결과 7일주기인 군에서 증상점수가 높았다(P<0.01). 2. 1일 평균 6시간의 수면을 기준으로 할 때, 수면시간에 있어서는 두 군간에 유의한 차이가 없었으며, 2일주기인 군에서는 수면시간이 증가함에 따라 장해증상에 현저히 줄었으나 (P<0.05), 7일주기인 군에서는 수면시간에 따른 장해증상의 차이가 없었다. 3. 소화기장해증상 10문항에서는, 7일주기인 군에서 '자주 그렇다'고 호소하는 빈도가 높았으나 통계적인 유의성은 없었으며, 점수화하여 두 군간의 평균을 비교한 결과 역시 7일 주기인 군이 평균점수가 높았으나 통계적으로 유의한 차이는 아니었다. 4. 피로자각증상은 육체적, 정신적 피로 호소율이 7일주기의 교대근무자들에게 현저히 높았으며(P<0.01), 신경감각적 피로 역시 유의한 차이가 있었다(P<0.05). 5. 공분산분석 (ANCOVA)을 통해 개인특성의 영향을 고려한 결과, 교대주기에 파라 수면장해 증상, 육체적, 정신적 피로에 통계적으로 유의한 차이를 보였다(P<0.01). 이상의 결과를 종합해 볼때, 2일주기의 교대근무자들보다 7일주기 교대근무자들이 피로와 수면장해증상 호소가 더 많았다. 따라서 향후 자각증상 뿐 아니라 객관적인 검사를 병행하여 현재 가장 많이 시행되고 있는 7일주기의 교대제에 대한 검토가 필요할 것으로 사료된다. Some circadian rhythms can become disorgnized due to rotating shift work. This lack of organization, termed desynchronization, can produce a group of symptoms such as insomnia, GI disturbance and fatigue among many rotating shift workers. The magnitude of these symptoms are influenced by personal and environmental factors and the patterns of shift work. This study was carried out to investigate the subjective symptoms related to rotational schedules of shift work after personal and environmental factors adjusted. 182 male workers in rapidly rotating shift system and 86 male workers in weekly rotating shift system were conducted the questionnaire on personal factors and subjective sleep, GI and fatigue symptoms. Major findings obtained from this study are as follows: 1. The symptoms of 'feeling tired at work' and 'being irritable' were more frequent in weekly rotating shift workers (P<0.05), and the mean of symptom score was significantly higher in weekly rotating shift workers(P<0.01). 2. According to 6 hours of sleeping which is a definite elevation point of fatigue, there was not a significant difference between two groups in sleeping hours. Among workers in rapidly rotating shift system, the mean of symptom score was significatly higher in workers of less than 6 hours of sleeping(P<0.05), but it was not different among weekly rotating shift workers. 3. The symptoms of GI disturbance were more frequent in weekly rotating shift workers but statistically not significant. 4. The positive rate of mental and physical fatigue symptoms were significantly higher in weekly rotating shift workers(P<0.01) and mental and physical fatigue symptoms were more frequent in them (P<0.01). 5. After the effect of the factors that were significantly different between two groups by $X^2-test$ were controlled, the mean score of sleep disturbance was significantly higher in weekly rotating shift workers (P<0.01) and mental physical fatigue symptoms were more frequent in them (P<0.01). Based on these study results, subjective symptoms were more common in the weekly rotating shift workers. In future, medical examination and laboratory test will be also administered to evaluate a more accurate health outcomes and the review of current shift schedules will be required.

농어촌 지역 성인 여성의 주관적 잇몸증상과 구강건강인식도와의 관련성 –태안군 지역을 중심으로–

김은희,문선정 한국도서(섬)학회 2022 韓國島嶼硏究 Vol.34 No.4

The purpose of this study was to investigate the association between oral health awareness and a variety of subjective gingival symptoms in adult women and provide basic data necessary to develop an oral health improvement program that could help with oral disease prevention and oral care and maintenance. For this purpose, a structured, self-administered questionnaire was used to conduct a survey in adult women residing in Taean, South Chungcheong, which has numerous islands and various coastline types, Province from March to August 2021 and 567 copies were finally analyzed. An SPSS 25.0 Version program was used to perform frequency analysis for the general characteristics and oral health awareness and multiple regression analysis for oral health awareness by the subjective gingival symptoms and the relations among the tooth-brushing, oral health, and scaling areas in terms of oral health awareness. The majority of the respondents were aged 20-29 and high school graduates; the married formed the highest percentage. Many of them were housewives; nonsmokers and nondrinkers formed the highest percentage. In the area of tooth-brushing, the highest percentage of them suggested gum disease prevention, tooth-brushing within three minutes after a meal, the importance of a tooth-brushing method, and the need of tongue-brushing as a good tooth-brushing method; in the area of oral health, the highest percentage of them suggested the need of regular oral examination, the need of oral hygiene products, and the need of oral health education and indicated plaque and tartar as causes of gum disease. The majority of them indicated gingival bleeding, bad breath, gingival pain, tooth mobility, and gum swelling, an average level of food caught between teeth and tartar, and no sensitive tooth in terms of gingival symptoms. The better state of such subjective gingival symptoms as gingival bleeding, tooth mobility, and tartar, the better oral health awareness in general. As for the effects of the subjective gingival symptoms on the tooth-brushing area, the better tooth mobility, the better awareness of the tooth-brushing area. As for the effects of the subjective gingival symptoms on the oral health area, the better state of gingival bleeding, gum swelling, and tartar, the better awareness of the oral health area. As for the effects of the subjective gingival symptoms on the scaling area, the better tooth mobility, the better awareness of the scaling area. These results demonstrate that the subjective gingival symptoms are associated with oral health awareness in adult women. It is necessary to develop an oral health program aimed at making a plan for improving subjective gingival symptoms with the objective of allowing adult women to have better awareness of general oral health, which is expected to subsequently improve the quality of life related to oral health. 본 연구는 성인 여성의 구강건강인식과 다양한 주관적 잇몸증상과의 관련성을 조사하여 구강병 예방과 구강관리 및 유지에 도움이 되는 구강건강향상 프로그램 개발에 필요한 기초자료를 제공하고자 여러 개의 섬과 다양한 해안선을 보유하고 있는 농어촌 지역인 충남 태안에 거주하는 성인 여성을 대상으로 2021년 3월부터 8월까지 구조화된 설문지를 이용하여 자기기입식 설문조사를 실시하였고, 567부를 최종 분석하였다. 자료 분석은 SPSS 25.0 Version을 사용하여 일반적 특성, 구강건강인식도, 주관적 잇몸 증상은 빈도분석을 실시하였고, 주관적 잇몸증상에 따른 구강건강인식도와 구강건강인식도의 칫솔질 영역, 구강건강 영역, 치석제거 영역 간의 영향력을 알아보기 위하여 다중회귀분석을 실시하였다. 연령은 20-29세가 높았고, 학력은 고등학교 졸업이 높았으며, 결혼여부는 기혼이 가장 높았다. 직업은 주부가 많았고, 흡연 및 음주여부는 아니오가 가장 많았다. 칫솔질 영역에서 올바른 칫솔질 방법으로 잇몸병 예방, 식사 후 3분 이내 칫솔질, 칫솔질 방법 중요, 혀솔질 필요에서 그렇다가 가장 높았고, 구강건강 영역에서는 정기적인 구강검진 필요, 구강위생용품 필요, 치태와 치석은 잇몸병의 원인, 구강보건교육 필요에서 그렇다가 가장 높았다. 주관적 잇몸 증상은 잇몸 출혈, 입 냄새, 잇몸 통증, 치아 동요, 잇몸 종창에서 그렇다가 높았고, 음식물 삽입, 치석 유무에서는 보통이 높았으며, 치아 시림 유무에서는 그렇지 않다가 높았다. 주관적 잇몸증상인 잇몸 출혈, 치아 동요, 치석 유무가 양호할수록 전체 구강건강인식이 높았다. 주관적 잇몸증상이 칫솔질 영역에 미치는 요인에서는 치아 동요가 양호할수록 칫솔질 영역의 인식이 높았다. 주관적 잇몸증상이 구강건강 영역에 미치는 요인에서는 잇몸 출혈, 잇몸 종창, 치석 유무가 양호할수록 구강건강 영역의 인식이 높았다. 주관적 잇몸증상이 치석제거 영역에 미치는 요인에서는 치아동요가 양호할수록 치석제거 영역의 인식이 높았다. 이상의 결과 성인 여성의 주관적 잇몸증상에 따른 구강건강인식도는 관련이 있음을 알 수 있다. 성인 여성의 구강건강인식을 향상시키기 위해 주관적 잇몸증상을 개선할 수 있는 방안을 마련하는 방향의 구강보건사업이 필요하며, 이는 구강건강과 관련된 삶의 질을 향상시킬 수 있을 것으로 사료된다.