PRECEDE 모형을 적용한 치과위생사의 근골격계 통증 심각도 관련 요인

문애은 ( Ae Eun Moon ),박종 ( Jong Park ) 한국치위생학회 2015 한국치위생학회지 Vol.15 No.4

Objectives: The purpose of the study is to investigate the musculo-skeletal pain prevalence and severity in the dental hygienists based on PRECEDE model. Methods: A self-reported questionnaire was completed by 483 dental hygienists in Gwangju from September 13 to October 12, 2013. Data were analyzed by frequency analysis, chi-square test, t-test, and multiple logistic regression analysis using SPSS 18.0 program. Musculo-skeletal pain severity was classified from 1 to 5 by PRECEDE model. The questionnaire consisted of six questions of the general characteristics of the subjects, one question of musculo-skeletal pain prevalence, one question of body part musculo-skeletal pain prevalence, one question of subjective health status, three questions of activities of daily living, six questions of working environment, one question of musculoskeletal system diseases knowledge, two questions of social support, two questions of education experience and data use method, and five questions of necessity of health education. Results: The prevalence rate of musculo-skeletal pain within a year was 83.9% and 22.8% of the dental hygienists complained of severe pain. The odds ratio of moderate pain severity was 1.99(95% CI, 1.10-3.60) and the odds ratio of unhealthiness was 3.27 (95% CI, 1.35-7.94). The odds ratio of pain severity in those working for 4-6 years was 0.21(95% CI, 0.08-0.57). The odds ratio of pain severity in those practicing 6-10 scaling cases per day was 0.33(95% CI, 0.17-0.65). The odds ratio of pain severity in wrist turning and bending was 3.56(95% CI, 1.19-10.62). Conclusions: The muscolu-skeletal pain severity in the dental hygienists was closely associated with subjective health condition, work duration, the number of scaling practice activity, and a treatment posture. Regular physical checkup for the dental hygienists will improve the musculo-skeletal pain due to scaling practice.

치과위생사의 치주병환자 구강보건교육 실태 및전략 수립에 관한 연구

문애은 ( Ae Eun Moon ),문하영 ( Ha Young Moon ) 한국치위생학회(구 한국치위생교육학회) 2011 한국치위생학회지 Vol.11 No.2

Objectives : The objective of this study was to analyze cognition and status of oral health education of dental hygienists who manage the patients visiting dental clinics and to utilize the findings as continuous study data required for development of systematic oral health education program for management of peridontal disease of adults. Methods : Survey was carried out for 261 dental hygienists working in dental clinics who are performing oral health education of patients with peridontal disease living. Results : 1. In the socio-dynamic diagnosis, it was analyzed that, the younger the age is and the lower the career is, the more the work is centered around assisting medical treatment job and, the older the age is and the higher the career is, the work is centered around oral health education job. 2. In the behavioral diagnosis, it was analyzed that, as to source of knowledge acquisition, guide of dentists and senior dental hygienists was the highest and, as to education media, visual education and demonstration education were mainly used. 3. In educational diagnosis, as to the degree of knowledge about oral health education and the degree of practice, it showed that the degree of knowledge was lower than the degree of practice in periodontal disease process and oral prophylaxis as well as scaling part. 4. In both the cases of independent practice and group practice, it showed that the most frequent obstacle was insufficient educational materials and tools and it was analyzed that acquisition of new knowledge and technology is required as a matter to be improved. Conclusions : It seems to be required for the dental hygienists to develop detailed knowledge and professional technology in order to induce actions and motive of patients during oral health education of peridontal patients and to develop and produce data for efficient education of peridontal patients.

치과위생사의 근무환경 요인과 스트레스 및 근골격계 장애의 관련성

문애은 ( Ae Eun Moon ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.4

The purpose of this study is to examine musculoskeletal disorders and grasp the relationship between working environment factors and stress and musculoskeletal disorders in dental hygienists. The self-administered questionnaire survey was conducted with 483 dental hygienists working in Gwangju who were selected by convenience sampling. Frequency analysis, crosstab analysis, t-test, and multiple logistic regression analysis were made. Subjects’ musculoskeletal disorders that complain of severe pains were 29.8%. The relationship between working environment factors and stress and musculoskeletal disorders were examined. As a result, work break frequency of working environment factors and stress were found to influence musculoskeletal disorders. For working environment factors, the odds ratio of musculoskeletal disorders of the two breaks group was 0.29 (95% confidence interval [CI], 0.11∼0.73), compared with the no break group, indicating less musculoskeletal disorders. However, no significant difference was found in one break and more than three breaks groups. The odds ratio of musculoskeletal disorders of stress was 0.44 (95% CI, 0.27∼0.70), indicating negative correlation. As break frequency was moderate (two breaks), musculoskeletal disorders became decreased. Stress showed negative correlation with musculoskeletal disorders.

치과위생사의 근골격계 통증 해결 방법과 자기효능감이 근골격계 질환에 미치는 영향

문애은(Ae-Eun Moon) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.2

치과위생사의 근골격계 질환을 조사하고, 통증 조절과 자기효능감이 근골격계 질환에 미치는 영향을 분석하고자, 광주지역 치과위생사 483명을 편의 추출하여 자기기입식 설문조사를 시행하고 빈도분석, 교차분석, t-검정, 다중로지스틱 회귀분석을 실시하여 분석하였다. 연구결과 연구 대상자의 지난 1년간 근골격계 통증 유병율은 83.9%이었으며, 이중 근골격계질환이 있는 경우는 29.8%이었다. 근골격계 질환에 영향을 주는 요인을 파악한 결과, 근골격계 통증 해결 방법이었다. 통증해결 방법에서 병가, 작업전환이라고 응답한 군에 비해 병원, 한의원, 약국치료 라고 응답한 군의 근골격계 질환 교차비(odds ratio)는 0.22(95% 신뢰구간 0.14-0.34)로 음의 관련성을 보였다. 이것은 근골격계 장애가 있는 경우 병원, 한의원, 약국치료를 더 하지 않은 것으로 사료된다. 따라서 치과위생사의 근골격계 통증 관리를 위해서는 의학적 관리(한의학적 치료, 정맥주사나 약물 치료, 열과 냉동 치료, 스테로이드 치료, 상담 치료, 척수자극을 이용한 중재적 치료, 물리 치료, 스트레칭, 재활운동치료, 도수 치료)와 작업환경 요인을 개선할 필요가 있고 근골격계질환 예방법에 대한 적절한 접근이 필요할 것으로 생각된다. This study was conducted to examine musculoskeletal disorder and analyze the effects of musculoskeletal pain control and self-efficacy on musculoskeletal disorders in dental hygienists. Material and Methods; 483 dental hygienists residing in Gwangju were collected by the convenience sampling method and the self-administered questionnaire survey was conducted. Frequency analysis, crosstab analysis, t-test, and multiple logistic regression analysis were used for analysis. Results: the prevalence of musculoskeletal pain among subjects was 83.9% for the prior year, with 29.8% of patients being afflicted by musculoskeletal disorders. The factors influencing musculoskeletal disorders were musculoskeletal pain resolution. For pain resolution, the odds ratio of musculoskeletal disorders of the group who answered treatment in a hospital, an Oriental medicine clinic, or a pharmacy was 0.22 (95% confidence interval, 0.14-0.34) compared with the group who answered sick leave or task change, suggesting a negative relationship. These findings indicate that people with musculoskeletal disorders were not treated in the hospital, Oriental medicine clinic, or pharmacy. Therefore, it is necessary to improve medical management (oriental medicine, intravenous injection or medication, heat therapy or cryotherapy, steroid treatment, counseling, endovascular treatment using spinal cord stimulation, physical therapy, stretching, rehabilitation, and manual therapy) and job environment and to make a good approach to the prevention of musculoskeletal disorders to control dental hygienists" musculoskeletal pain.

A Study on the Disinfection of Implant Hand Drivers and Semi-Hazardous Instruments in Dental Workers

나희자,문애은 대한예방치과학회 2023 International Journal of Clinical Preventive Denti Vol.19 No.2

This study aims to increase the success rate of implants and provide academic basic data in the future by conducting implant infection management by conducting a study on the disinfection of implant hand drivers and quasi-risk instruments of dental workers. This study included 199 dental workers working at Y Dental Clinic, S Dental Clinic, and I Dental Clinic in the G area from March 1 to March 30, 2023, regarding the disinfection of implant hand drivers and quasi-hazardous equipment. I did a questionnaire survey. I surveyed the questionnaire. Participants in the study are G. power 3.1 program, 199 people were calculated with an effect size of 0.3, a significance level of 0.05, and a power of 0.95. The data collected in this study were analyzed using the SPSS 21.0 program. In order to understand the general characteristics of the subject, the average and standard deviation were obtained, and multivariate analysis technology for implant hand driver, 3WAY syringe disinfection, dental chair surface disinfection, and high-speed handpiece disinfection was conducted according to the sterilization method. Cross-analysis of work experience and implant hand driver disinfection, cross-analysis of work experience and 3WAY syringe disinfection, and two independent samples t-test were performed for dental workers’ health status and implant instrument disinfection. In addition, regression analysis of age and implant hand driver disinfection, 3WAY syringe disinfection, dental chair surface disinfection, suction line disinfection, and alcohol disinfection were analyzed at the significance level of .05. In age and implant hand driver disinfection, the F statistic is 13.944, significance probability .468, which is not significant at the significance level of .05 (t=6.159, p=.468). However, in age and 3WAY syringe disinfection, the F statistic is 13.944, and the significance probability is .002, showing a significant explanation at the significance level of .05. (t=−3.197, p=.002). In age and dental chair surface disinfection, the F statistics are 13.944, and the significance probability is .000, which is significantly explained at the significance level of .05 (t=−3.817, p=.000). In age and suction line disinfection, the F statistic is 13.944, and the significance probability is .000, indicating a significant explanation at the significance level of .05. (t=−3.842, p=.000). In age and alcohol disinfection, the F statistic is 13.944, and the significance probability is .000, showing a significant explanation at the significance level of .05 (t=−5.050, p=.000).

치과 의료기관 종사자의 감정노동과 직무스트레스가 직무만족에 미치는 영향

이영수,장종화,문애은,Lee, Young-Soo,Jang, Jong-Hwa,Moon, Ae-Eun 한국치위생학회 2011 한국치위생학회지 Vol.10 No.2

Objectives : This study was to investigate the level of emotional labor and stress on job satisfaction and the significant factors influencing job satisfaction in oral health professional. Methods : Data were obtained from a cross-sectional survey of 297 oral health professional(mean age=$29.95{\pm}8.10$). Participants in the study were recruited when they attended the dental health form in Gwangju. Emotional labor was classified into two factors: external, inner. Stress consisted of four factors: sleep disorder&anxiety, self-confidence, health&vital, social role work. job satisfaction included growth development, stability chase. The data was analysed using t-test, one-way ANOVA, Pearson correlation and multiple regression. Results : The mean score of emotional labor and score was 3.13 out of a maximum 7 points. job satisfaction was negatively correlated with emotional labor and stress. job satisfaction explained 32.0%. Conclusions : Based on the findings, The emotional labor and stress was correlated with job satisfaction. These results suggest that further development should be continued to develop the effective emotional labor and stress to improve the job satisfaction of oral healthcare professional.

국가구강보건사업에 관한 법령개정 방안

이상엽,안외순,문애은,장종화 한국지방행정학회 2011 한국지방행정학보 (KLAR) Vol.8 No.2

The purposes of this study are to assess the inputs, activities and ouputs of oral health program and evaluate problems and to suggest the solution of school-based oral health program and water fluoridation. We have surveyed on satisfaction of oral health program about preschool based oral health program, national senile prosthetic restoration program and senile topical fluoride application and scaling program. We assessed the several problems of manpower supply system, the quality of capacity training program, the limitation of use of budget for personnel, the regional unbalance in the consulting resources, the cooperation with school teacher and principle, the evaluation of the health program joined in the general health department, the difficulty in the introduction of water fluoridation, and the low and fixed price of denture for senile prosthetic restoration program. We proposed to set up a consultant pool in the oral health promotion supporting committee and to connect it to the health center and to make a memorandom of understanding between ministry of education and ministry of health and welfare about school based oral health program for government to endeavor to introduce water fluoridation about revision of the related law, national public relation. This research will be used for setting the direction in development the new oral health program in health center adequate to the provincial circumstances. And, this research can help to improve and reform a manpower supply, installation system and activities in oral health program.

앤더슨모형을 이용한 예방진료 항목의 구강보건교육 개발

조헌치(Hun Chi Jo),문애은(Ae Eun Moon) The Research and Information Service 2010 남부대학교 논문집 Vol.10 No.-

진료실에서 예방진료 항목에 대한 치과종사자의 구강보건교육은 중요하므로 구강보건 진료기관의 예방진료항목에 대한 구강보건교육 실태와 요구도를 분석하여 구강보건교육 모형개발의 기초자료로 활용하고자, 2010년 광주광역시 치과의원근무 치과종사자 324명을 대상으로 설문조사를 통하여 분석한 결과는 다음과 같다. 결과; 1. 소인성 요소에서는 지식(B=.206)과 태도가 높을수록(B=.438) 실천이 높아지는 것으로 분석되었다.[표 2] 2. 필요성 요소에서는 구강병 예방 진료항목 중 치면세마는 진료기관 운영형태에 따라 단독개원(15.3%), 공동개원(14.9%) 모두 높게 분석되었다[표 3]. 3. 가능성 요소에서는 구강보건교육 자료활동에서 악치모형이 19.4%로 가장 많았고, 그 다음으로는 사진과 구강카메라가 16.1%로 분석되었다[표 4]. 4. 구강보건교육의 장애요인에서는 22.6%로 업무과다가 가장 큰 장애요인으로 나타났고, 다음으로 환자의 요구가 없어서가 19.4%로 나타났다[표 6]. 결론; 이상의 결과에서 예방진료항목의 구강보건교육시 동기유발을 위하여 환자의 요구에 맞는 구강보건교육 프로그램 개발이 필요하며, 업무량 조절과 예방진료 항목의 의료보험 급여화가 절실하며, 구강보건교육 자료개발이 필요할 것으로 사료된다.

치과의료기관 종사자의 조직문화와 셀프리더십 유형이 조직유효성에 미치는 영향

장종화 ( Jong Hwa Jang ),이영수 ( Young Soo Lee ),문애은 ( Ae Eun Moon ) 한국치위생학회(구 한국치위생교육학회) 2011 한국치위생학회지 Vol.11 No.3

Objectives: This study was to investigate the level of organizational culture and self-leadership on organizational effectiveness and the significant factors influencing organizational effectiveness in oral health professional. Methods: Data were obtained from a cross-sectional survey of 297 oral health professional(mean age=29.95±8.10). Participants in the study were recruited when they attended the dental health form in Gwangju. Organizational culture was classified into four factors: relation-oriented, innovation-oriented, hierarchy-oriented, task-oriented culture. Self-readership consisted of five factors: rehearsal/self-observation, self-goal establishment, selfesteem, self-criticism, self-reward. Organizational effectiveness included organizational commitment and job satisfaction. The data was analysed using t-test, one-way ANOVA, Pearson correlation and multiple regression. Results: The dominant organizational culture was rank-oriented culture. The mean score of self-readership score was 3.51 out of a maximum 5 points. Organizational commitment was positively correlated with age, relation-oriented culture, self-goal establishment, self-reward explained 41.9% and job satisfaction was positively correlated with relation-oriented culture and self-esteem explained 48.6%. Conclusions: Based on the findings, the organizational culture and self-readership was correlated with organizational effectiveness. These results suggest that further development should be continued to develop the effective self-readership and organizational culture to improve the organizational effectiveness of oral healthcare professional. (J Korean Soc Dent Hygiene 2011;11(3):395-404)

치과 의료기관 종사자의 감정노동과 직무스트레스가 직무만족에 미치는 영향

이영수 ( Young Soo Lee ),장종화 ( Jong Hwa Jang ),문애은 ( Ae Eun Moon ) 한국치위생학회(구 한국치위생교육학회) 2011 한국치위생학회지 Vol.11 No.5

Objectives: This study was to investigate the level of emotional labor and stress on job satisfaction and the significant factors influencing job satisfaction in oral health professional. Methods: Data were obtained from a cross-sectional survey of 297 oral health professional(mean age=29.95±8.10). Participants in the study were recruited when they attended the dental health form in Gwangju. Emotional labor was classified into two factors: external, inner. Stress consisted of four factors: sleep disorder&anxiety, self-confidence, health&vital, social role work. job satisfaction included growth development, stability chase. The data was analysed using t-test, one-way ANOVA, Pearson correlation and multiple regression. Results: The mean score of emotional labor and score was 3.13 out of a maximum 7 points. job satisfaction was negatively correlated with emotional labor and stress. job satisfaction explained 32.0%. Conclusions: Based on the findings, The emotional labor and stress was correlated with job satisfaction. These results suggest that further development should be continued to develop the effective emotional labor and stress to improve the job satisfaction of oral healthcare professional. (J Korean Soc Dent Hygiene 2011;11(5):823-831)