충남 일부지역 중학교 학부모의 무상급식에 대한 인식

김유린 ( Yu Rin Kim ),최미경 ( Mi Kyeong Choi ) 대한영양사협회 2014 대한영양사협회 학술지 Vol.20 No.4

This study compared the perception, necessity, and satisfaction of free school foodservice among parents of students with and without access to free school foodservice. The sample included parents of students with access to free school foodservice (FSF group, 250 parents) or paid school foodservice (PSF group, 250 parents) in Taean, Chungnam. With regard to perception of school foodservice, 30% of PSF parents responded that it is a necessary part of school education, whereas 52% of FSF parents considered it as a part of national welfare service; this difference was significant (P<0.001). In terms of positive remarks, most parents in the PSF group highlighted convenience whereas the FSF group answered that their children were penalized; this difference was significant (P<0.001). In addition, 94% of PSF parents and 96.8% of FSF parents indicated that school foodservice is necessary. In terms of the perception of the free school foodservice, more FSF parents (96.4%) than PSF parents (84.4%) answered that they knew free school foodservice well; this difference was significant (P<0.001). With regard to target recipients of the free school foodservice, most parents in the PSF group said that needy students should be selected, whereas the FSF group said that all students should be eligible; this difference was significant (P<0.001). Acceptance of free school foodservice in the FSF group (34.4%) was significantly higher than that in the PSF group (23.2%). Satisfaction with free school foodservice was 3.5 points in the FSF group, which was significantly higher than the 2.9 points in the PSF group (P<0.001). In summary, parents of students with access to free school foodservice showed more positive perception and higher satisfaction than parents of students with paid school foodservice. This study recommends that parents` suggestions be considered and further perception and responses on free school foodservice be investigated.

충남 일부지역 남자 중학생의 무상급식에 대한 인식 및 만족도

김유린 ( Yu Rin Kim ),김은진 ( Eun Jin Kim ),최미경 ( Mi Jyeong Choi ) 대한영양사협회 2014 대한영양사협회 학술지 Vol.20 No.2

본 연구는 유상급식과 무상급식을 직접 경험하고 있는 학생을 대상으로 무상급식에 대한 인식 및 만족도를 파악하기 위하여 충청남도 태안에 위치한 유상급식 2개 중학교와 무상급식 2개 중학교 1∼3학년 남학생 500명을 대상으로 조사하였다. 조사대상자의 일반적 사항, 학교급식에 대한 생각, 무상급식에 대한 인식 및 필요성, 급식 만족도 등을 설문조사하여 유ㆍ무상급식 간에 비교 분석한 결과를 요약하면 다음과 같다. 1. 평균 연령은 유상급식 학생 13.1세, 무상급식 학생 12.8세였으며, 체중과 체질량지수는 유상급식학생이 58.5 kg과 22.7 kg/m2, 무상급식 학생이 55.9kg과 21.9 kg/m2였다. 아버지의 직업은 유상급식 학생의 경우 전문직이 52.4%인 반면, 무상급식은 자영업이 60.4%로 유의한 차이를 보였고(P<0.001), 평균 수입은 유상급식 학생의 42.8%가 300∼500만원이라고 응답해 가장 높았던 반면, 무상급식은 100∼200만원이 40.8%로 가장 높아 유의한 차이를 나타냈다(P<0.001). 2. 학교급식이 필요한가에 대해 그렇다는 응답은 유상급식 학생이 88%, 무상급식 94%로 유의한 차이를 보였다(P<0.05). 급식을 먹는 이유는 유상급식 학생의 32.4%가 학교에서 먹으라고 해서라고 답하였고, 무상급식의 33.6%는 영양적이기 때문이라고 응답하여 유의한 차이를 보였다(P<0.001). 3. 무상급식에 대해 알고 있다는 응답은 유상급식 학생이 72.8%, 무상급식이 96.4%로 유의한 차이를 보였다(P<0.001). 무상급식 실시 후 급식의 질이 저하되면 급식을 거부하겠다는 응답은 유상급식, 무상급식 학생 각각 86.4, 66%였다(P<0.001). 그러나 무상급식 실시 후 급식의 질에 대해 유상급식 학생의 77.6%는 저하될 것이라고 응답한 반면, 무상급식의 74.4%는 저하되지 않는다고 응답하여 유의한 차이를 보였다(P<0.001). 4. 급식 만족도를 평가했을 때 반찬 배식량의 적당성, 반찬의 종류, 음식 온도의 적당성, 음식과 식수 위생상태의 만족도, 조리종사자의 친절성에 대한 만족도 등 대부분의 평가 항목에서 무상급식 학생의 만족도가 유상급식 학생보다 낮았다. 20개 항목의 평균 만족도도 무상급식 학생이 2.3점으로 유상급식 학생의 2.5점보다 유의하게 낮았다(P<0.05). 이상의 연구결과를 종합할 때, 무상급식 학생은 무상급식을 직접 경험하면서 무상급식에 대한 인식이 긍정적으로 변하였지만, 실제 급식 만족도는 유상급식 학생보다 낮아 학생들의 무상급식 실시에 따른 인식은 긍정적으로 쉽게 전환될 수 있지만 학생들이 느끼는 급식현장의 변화는 시간과 노력이 좀 더 필요한 것으로 보인다. 본 연구를 통해 무상급식에 대해 인식의 전환과 함께 경제적 부담을 줄여 무상급식이 안정적으로 정착할 수 있도록 가정과 학교, 국가가 연계된 체계적인 협력이 이루어져 야 할 것이다. The purpose of this research was to investigate perception, necessity, and satisfaction of a free foodservice in male middle school students. This study was conducted at male middle schools with paid foodservice (PFS group, 250 students) and with free foodservice (FFS group, 250 students) in Chungnam. Average age of students in the PFS group was 13.1 while that of FFS students was 12.8 years. Exactly 88% of PFS students and 94% of FFS students responded that school foodservice is necessary, which was a significant difference (P￡¼0.05). As the reason for participating in foodservice, about 32% of the PFS students answered the school`s request while 33.6% of FFS students answered nutrition, showing a significant difference (P￡¼0.001). Exactly 72.8% of PFS and 96.4% of FFS knew about FFS (P￡¼0.001). More PFS students (86.4%) than FFS students (66%) answered they would not participate in foodservice if the FFS would be introduced and the quality of meal service would deteriorate. After initiation to FFS, there were significant differences in assessment of foodservice: 77.6% of PFS students answered expected that the quality of foodservice would degrade, whereas 74.4% of FFS students answered that quality would not degrade (P￡¼0.001). Satisfaction of foodservice was 2.3 points for FFS students, which was significantly lower than the 2.5 points for PFS students (P ￡¼0.001). To sum up assessment of foodservice was positive, whereas satisfaction was not significantly different between PFS and FFS. Based on this research, households, schools, and governments should promote FFS in order to diminish financial pressure for students.

한국.호주.뉴질랜드 치위생전공 교육과정 운영 비교

김유린(Yu-Rin Kim),박신홍(Shin-Hong Park),강해미(Hae-Mi Kang),성미경(Mi-Gyung Seong),강현경(Hyun-Kyung Kang) 한국구강보건과학회 2021 한국구강보건과학회지 Vol.9 No.1

Objectives: After comparing the operations of the dental hygiene curriculum in Australia, New Zealand, and Korea, this study attempted to find areas for improvement as well as possible complementary aspects in Korea’s curriculum. Methods: To compare the dental hygiene curriculums in Australia, New Zealand, and Korea, four universities in Australia, two universities in New Zealand, and 10 universities in Korea were selected. Results: The curriculums in Australia and New Zealand were operated as integrated education by level, with various subjects that are related to clinical practice. By contrast, in Korea, specific subjects were taught every semester. Conclusions: Through this study, it was confirmed that there is a need to revise the contents of the curriculum to demonstrate the competencies of Korean dental hygienists. It is necessary to conduct an in-depth examination of the direction of dental hygiene education in Korea and discuss the scope of work and competencies.

한국 중.장년층의 구강 내 보철물 상태가 구강건강 관련 요인과 삶의 질(HINT-8)에 미치는 영향 : 국민건강영양조사 2019년도 자료를 활용하여

김유린(Yu-Rin Kim) 한국구강보건과학회 2021 한국구강보건과학회지 Vol.9 No.4

Objectives: The purpose of this study is to determine the effect of oral prosthesis status on oral health-related factors and HINT-8 in middle-aged Koreans. Methods: The effects of oral health-related factors and quality of life were analyzed according to the state of oral prostheses in 2,241 people using the 2019 KNHNES. Results: The higher the condition of the prosthesis in the oral cavity, the worse the oral health status was perceived, and the problems with chewing and speaking were higher. As for the effect on quality of life, the more the oral prosthesis was, the more difficult it was to climb stairs, the pain increased, and the difficulty of memory increased. Conclusions: According to the above results, in order to improve the quality of life of middle-aged Koreans living in Korea, follow-up care through regular dental visits is necessary so that they can be well managed even after the oral prosthesis is installed.

구강건강증진과 구강질환치료가 건강관련 삶의 질 측정도구 EQ-5D와 HINT-8에 미치는 영향 : 제8기 국민건강영양조사를 바탕으로

김유린 ( Yu-rin Kim ) 한국치위생학회 2021 한국치위생학회지 Vol.21 No.5

Objectives: The purpose of this study was to determine the differences in quality of life between groups that promote oral health and those that treat oral diseases using data from the National Health and Nutrition Examination Survey. Methods: Data analysis was performed using IBM SPSS ver. 21.0 (IBM Co., Armonk, NY, USA). A total of 3,338 subjects were selected as subjects for the study before applying oral health promotion (OHP; 1,132 persons) and oral disease treatment (ODT; 2,206 persons). Complex sample logistic regression analysis was performed to determine the effects of OHP and ODT on health-related quality of life. Results: As a result of confirming the effect of OHP and ODT on the quality of life, which are indicators of the quality of life, HINT-8 had a significant effect even in Model 2, adjusted for demographic characteristics, with a significant difference (p<0.01). Conclusions: The above results confirmed that persons who promote oral health have a significant effect on HINT-8, a quality of life scale developed for Koreans. Therefore, continuous oral care is required to improve quality of life.

치위생 과정에 근거한 구강예방프로그램 적용 후 협조군과 비협조군 간 구강건강상태 및 행동 비교

김유린 ( Yu-rin Kim ) 한국치위생과학회 2017 치위생과학회지 Vol.17 No.1

The purpose of this study was to reveal analyze the relationship between status of participation in an oral health care program and oral health outcomes among patients in Korea, and to evaluate the results to provide evidence regarding the feasibility of widespread implementation of the program. Patients were designated as either cooperative or non-cooperative with the oral health care program and were assigned to each group accordingly. Modified dental hygiene process (M-DHP) of the oral healthcare program was modified to form the dental hygiene process. The study included 48 patients at a dental clinic in Busan, Korea. Questionnaires were used to collect information on oral health behavior (OHB), clinical examination was used to record bleeding on probing (BOP) and O`Leary index, and phase microscopy was used to identify microorganisms. Differences between groups were evaluated using repeated measures ANOVA. Our results showed that the group cooperative with the oral health care program showed greater improvement in OHB, BOP, and O`Leary index than the non-cooperative group. Second, patient satisfaction with the M-DHP was very high, particularly for content and the friendly nature of the staff. The cooperative group showed greater improvement in oral health than the non-cooperative group for all metrics. Our results suggest that this low-coste program, if implemented, would be actively accepted and utilized in dental clinics.

치과치료 미충족군과 충족군의 예방적 스케일링 적용에 따른 구강건강지수 비교

김유린 ( Yu-rin Kim ) 한국치위생학회(구 한국치위생교육학회) 2016 한국치위생학회지 Vol.16 No.5

Objectives: The objective of the study was to investigate oral health index between adequate and inadequate dental care following preventive scaling in regular dental check-up and management. Methods: The subjects in Busan were assigned to two groups including inadequate dental care (140 patients) and adequate dental care (88 patients) after preventive scaling from January 2014 to June 2015. The study instruments included oral health knowledge, awareness, practice, and community periodontal index of treatment needs (CPITN). Results: CPITN was significantly different between the two groups (p<0.05). Positive correlations were found in oral heath knowledge and awareness (r=0.462, p<0.05) before application of preventive scaling. There was a close correlation in oral health awareness and practice (r=0.205, p<0.05) before application of preventive scaling. After application of preventive scaling, oral health knowledge and awareness showed positive correlation (r=0.643, p<0.05). After application of preventive scaling, there was also a close correlation between oral health knowledge and practice (r=0.453, p<0.05). Oral health awareness and practice (r=0.512, p<0.05) showed positive correlation after the application of preventive scaling. However, oral health practice and CPITN (r=-0.189, p<0.05) showed a negative correlation. Conclusions: Practice made periodontal condition improve. To promote oral health practice in the group without adequate dental care, it is necessary to pay attention to adequate dental care and preventive scaling through education by dental hygienists.

치위생과정에 근거한 구강건강관리프로그램 대상자의 치위생계획의 영향요인 분석

김유린 ( Yu-rin Kim ) 한국치위생학회(구 한국치위생교육학회) 2018 한국치위생학회지 Vol.18 No.2

Objectives: This study aims to recognize the importance of dental hygiene process diagnosis of dental hygiene process which can comprehensively grasp the patient’s problem and to use it as a basis for establishing the patient’s preventive treatment plan. Methods: This study did survey to 443 patients who received treatment based on the oral health care program from a dental clinic in Busan from January 2015 to January 2017. Data analysis was performed using IBM SPSS Statistics (Version 21.0), and statistical significance level was set at α =0.05. Binary logistic regression analysis was performed to the dental hygiene problems affecting the dental hygiene plan. Results: There were significant differences in dental hygiene problems between male and female respondents on various dental problems such as dental plaque deposition, attrition, stain, dental fear, possibility of jaw joint disorder, food pressing, possibility of malocclusion. There were also significant differences in dental hygiene plans between male and female respondents in air-Jet, non-smoking education, and sealant. The most common dental hygiene plan was scaling, The problem of stain showed that the scaling plan was 0.20 times less. The explanatory power of the model was 43.5%, and the Hosmer and Lemeshow tests were 0.345. Conclusions: Therefore, if we continue to study the factors affecting the dental hygiene problems and the plan, we can reduce the burden of the dental hygienists applying the dental hygiene process in the dental clinic. And, it is expected that the oral health care program using the dental hygiene process will spread to the dental clinic as an excellent oral preventive program.

일부 지역 노인의 전신건강과 구강건강상태가 치매에 미치는 영향

김유린,허성은,장경애,강현경,Kim, Yu-Rin,Heo, Seong-Eun,Jang, Kyeung-Ae,Kang, Hyun-Kyung 한국치위생학회 2021 한국치위생학회지 Vol.21 No.2

Objectives: The purpose of this study was to identify the effects of general and oral health status on dementia. Methods: Questionnaires were used for the KDSQ-C (Korean Dementia Screening Questionnaires-Cognition) and to investigate the oral health status of the participants. An independent t-test was conducted to analyze the differences between general health and oral health status depending on the normal and suspected dementia groups. Logistic regression analysis was performed to assess the effects of general and oral health status on dementia. Results: Regarding the health status of the subjects assessed by the KDSQ-C, the higher the current health status and the higher the exercise status, the lower was the dementia level (p<0.05). During the assessment of oral health conditions in KDSQ-C subjects, dementia was more suspected in subjects with dental decay and periodontal disease than in those without dental decay (p<0.05). Conclusions: Dementia has been confirmed to be closely related to general and oral health conditions. Therefore, oral health-related programs are essential for dementia prevention programs. Since dental hygienists are best suited for providing oral care to older adults with dementia, it is considered essential to reflect their occupation in future national policies.

치과위생사와 환자의 치석제거에 대한 인식과 구강보건교육에 대한 융합적 차이 분석

강현경,성미경,김유린,Kang, Hyun-Kyung,Seong, Mi-Gyung,Kim, Yu-Rin 한국융합학회 2020 한국융합학회논문지 Vol.11 No.9

This study was conducted to narrow the view on this by analyzing the difference between dental hygienists and patients' cognition and oral health education of scaling. The study was total 202 people were finally analyzed. The method of analysis compared the cognition of scaling and oral health education, and a hierarchical regression analysis was conducted to check the effect of cognition and oral health education on dental selection by stages. As a result, there were significant differences in all but one of the nine items of cognition for scaling (p<0.01) and significant differences appeared in all but seven of the 19 categories of oral health education for scaling (p<0.01). Therefore, dental hygienists will have to seek ways to reduce these differences and continue to study how to explain them in scaling so that they can have a positive impact on patients' dental clinic choices. 본 연구는 치과위생사와 환자의 치석제거에 대한 인식과 구강보건교육의 차이를 분석하여 이에 대한 견해를 좁히기 위해 실시되었다. 본 연구에는 총 202명을 대상으로 최종 분석하였다. 분석방법으로 치석제거에 대한 인식과 구강보건교육을 비교하였고, 치석제거 인식과 구강보건교육이 치석제거로 인한 치과선택에 미치는 영향을 단계별로 확인하기 위해 다중회귀분석을 시행하였다. 그 결과 치석제거에 대한 인식 9개 항목 중 1개의 항목을 제외한 모든 항목에서 유의한 차이가 나타났고(p<0.01), 치석제거에 대한 구강보건교육 19개의 항목 중 7개의 항목을 제외하고 모든 항목에서 유의한 차이가 나타났다(p<0.01). 따라서 치과위생사는 이러한 차이점을 줄일 수 있는 방안을 모색해야 할 것이며, 환자의 치과선택에 긍정적인 영향을 줄 수 있도록 치석제거 시 설명하는 방법에 대한 지속적인 연구를 해야 할 것이다.