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          원저 : 일부 치위생학과 여학생의 수동칫솔 교환주기에 대한 연구

          신선정 ( Sun Jung Shin ),김희경 ( Hee Kyoung Kim ),김해선 ( Hae Sun Kim ),김은주 ( Eun Ju Kim ),노희진 ( Hie Jin Noh ) 대한구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.4

          Objectives. It is generally recommended that toothbrushes should be replaced after three-months use in order to maintain efficacy of plaque remove. This study was aimed to investigate the recommended replacement cycle of manual toothbrush that is proper for Korean people. Methods. To investigate manual toothbrush change cycle, the relationship between toothbrush wear and plaque removal ability was assessed. The subjects were instructed brush their whole teeth 3 times a day with rolling method. Patient Hygiene Performance Index and Plaque Free Surface Rate (modified Plaque Free Score for this study) were used for plaque removal ability. Wear index and wear rate were used for manual toothbrush wear and splaying level at first, fourth and eighth week from the start. Results. Wear index (0.280, 0.442, 0.853) and wear rate (0.333, 1.273, 1.769), both were significantly increased, depend on time of use for manual toothbrush at first, fourth, and eighth week respectively (p<0.001). Plaque removal ability were found to exhibit decreasing with increasing the wear index. Conclusions. The manual toothbrush wear Index was bigger than preceded studies, depend on period of use. As a result, guidelines on replacement of manual toothbrush for Korean should be recommended with considered our own tooth brushing habits.

        • KCI등재

          원저 : 일부 지역아동센터 구강건강증진 프로그램 운영 효과 평가

          신선정 ( Sun Jung Shin ),류다영 ( Da Young Ryu ),배수명 ( Su Myoung Bae ),최용금 ( Yong Keum Choi ) 한국치위생과학회 2011 치위생과학회지 Vol.11 No.3

          This study aims to investigate the effect of four-week oral health promotion program operated through the cooperation between professionals and teachers of community child centers by reflecting characteristics of the centers and to suggest oral health promotion program applicable to community child centers. 4 community child centers has an enrollment of 119. 53 (44.5%) children completing the first and the second questionnaire survey were analyzed in this study. When dental plaque scores of 41 participants joining all of the first- to the fourth- week program and undergoing the dental plaque examination were compared before and after the oral health promotion program for community child center, the plaque control score was improved after the repeated education(p<0.05). Oral health knowledge and awareness of children in community child center were positive improved by oral health promotion program(p<0.05). And number of tooth-brushing a day improved by oral health promotion program. These findings suggest that there was a need for various oral health promotion program development in the community.

        • KCI등재

          원저 : 강원도 일부 노인에서의 노인구강건강평가지수(GOHAI)의 타당 도와 신뢰도

          신선정 ( Sun Jung Shin ),정세환 ( Se Hwan Jung ) 대한구강보건학회 2011 大韓口腔保健學會誌 Vol.35 No.2

          Objectives. This study was aimed to develop a Korean version of the GOHAI for elderly people. Methods. The GOHAI for elderly people was cross-culturally adapted from English into Korean and then the derived instrument was tested for reliability and validity. The study population consisted of elderly (65+ year-old) residents of Wonju-City, South Korea. Five elderly welfare institutions were selected. Results. 615 people were invited and 155 participated in the study (response rate: 25.2%). The standardized Cronbach`s alpha coefficient was 0.834. Kappa value for the test-retest was 0.482. Participants who responded that they had perceived needs for dental treatment had much lower GOHAI scores than those who did not have a perceived need for treatments (p<0.001). The results from perceived oral health conditions and perceived general health conditions exhibited similar responses; people who considered their oral or general conditions were good had significantly higher GOHAI scores (p<0.01). Conclusions. The Korean version of GOHAI was appropriate to measure the OHRQoL of older Korean people. Longitudinal studies are needed to test the sensitivity of this index.

        • KCI등재

          치과내원 환자의 치과공포 감소를 위한 중재법 적용

          신선정 ( Sun Jung Shin ),신보미 ( Bo Mi Shin ),고부일 ( Boo Il Koh ),배수명 ( Soo Myoung Bae ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.3

          The purposes of this study were to assess dental fear and anxiety level of patients attending a dental clinic using the dental fear survey (DFS) scale, to apply interventions chosen by patients for reducing dental fear and anxiety and measure their effects. This study surveyed 34 patients who visited a dental clinic in Seoul about their self-rated health and their experience of dental fear, and measured the level of dental fear using DFS. Trained dental hygienists applied interventions desired by the patients for reducing dental fear and anxiety and, for each intervention, examined the patients. satisfaction (very helpful [5 point]∼not helpful at all [1 point]). Collected data were analyzed using IBM SPSS Statistics ver. 21.0 through independent t-test or one-way ANOVA for difference in level of fear according to related characteristics, and through Wilcoxon signed rank test for comparison between before and after the intervention. The subjects. mean level of fear (DFS score) was 44.53, which was an average level, and the level of dental fear was relatively high for stimulus-response (2.72). The level of dental fear was higher in those who had experienced pains or indirect dental fear from dental treatment in the past, and those whose subjectively perceived health state was poor (p<0.05). With regard to the applied dental fear intervention, .Helpful (3.57). was the most common answer. Overall satisfaction before and after the application of dental fear intervention was generally high as 4.37 and 4.35, respectively, but it decreased slightly after the intervention. In order to lower the level of dental fear, it is considered effective to survey not only the level of dental fear but also patients. need of dental fear interventions and to apply a suitable intervention. It is also required to educate dental workers and to develop related manuals.

        • KCI등재

          원저 : 다중로지스틱 회귀모형을 이용한 구강건강관련 삶의 질과 사회경 제적위치의 연관성 분석

          신선정 ( Sun Jung Shin ),정원균 ( Won Gyun Chung ),안용순 ( Yong Soon Ahn ),마득상 ( Deuk Sang Ma ),박덕영 ( Deok Young Park ),정세환 ( Se Hwan Jung ) 대한구강보건학회 2011 大韓口腔保健學會誌 Vol.35 No.3

          Objectives. The study assessed the association between socio-economic status (SES) and oral health-related quality of life (OHRQoL) for elderly Koreans, and determined the role of oral health status, oral health behaviors and general health status on this association using multi-variate logistic regression models. Methods. The study population was elderly (≥65-years-of-age) residents of Wonju-City, Gangwon province recruited from five elder welfare institutions. Education level and household income were selected as measures of SES. To assess socio-economic inequalities in OHRQoL, multi-variable logistic regression models were used. A model adjusting for socio-demographic factors (Model I) was compared to models additionally adjusting for oral health behaviors (Model II), oral health status (Model III), general health status (Model IV) and all factors (Model V). Results. One hundred fifty nine people were invited to participate, and the response rate was 97.5% (n=155). Lower SES was significantly associated with lower score of OHRQoL. Oral health behaviors, oral health status and general health status explained part of the social inequalities in OHRQoL. The social gradient score of OHRQoL persisted when adjusted for oral health behaviors, oral health status and general health status. Conclusions. An association between SES and OHRQoL was evident for elderly Koreans. Oral health behaviors, oral health status and general health status were factors affecting the association. Longitudinal research is required to determine the specific role of the association between SES and OHRQoL.

        • KCI등재

          원저 : 지역아동센터 교사의 칫솔질 지도여부에 따른 아동과 교사의 구강보건행태

          신선정 ( Sun Jung Shin ),장정유 ( Jung Yoo Jang ),김창희 ( Chang Hee Kim ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.6

          지역아동센터 아동의 구강건강증진을 위해 개인의 행동변화, 물리적 환경의 변화와 더불어 교사의 역할과 책임을 고찰하고자 지역아동센터 내에서 양치시설이 설치되어 있는 센터와 그렇지 않는 센터와의 구강건강증진에 대한 견해를 비교한 결과는 다음과 같다. 1. 일상적으로 교사가 칫솔질을 지도하는 센터의 아동들이 급식 후 칫솔질 실천율이 높았고, 간식 후 칫솔질 또는 물양치를 실천하는 비율이 높았다(p<0.05). 또한 이를 교사가 지도하는 빈도는 일상적으로 칫솔질을 지도하는 센터의 경우 ``항상 또는 자주 지도``하는 비율이 높았고, 더불어 치약의 사용량과 칫솔관리 및 보관 등 구체적인 구강건강관리 내용을 지도비율이 높았으며, 이는 일상적으로 칫솔질을 지도하지 않는 센터와 통계적으로 유의한 차이가 있었다. (p<0.001). 2. 불량한 칫솔을 교체하지 못하는 아동의 비율이 40.0% 이상인 지역아동센터가 전체의 24.4% 수준이었고, 그 사유로는 대부분 부모의 관심부족으로 나타났으며, 이는 칫솔질 지도여부 간에는 통계적으로 유의한 차이가 없었다(p>0.05). 3. 지역아동센터 교사의 구강건강관련 보건행동은 칫솔질 지도여부와는 상관없이 일 평균 간식은 1회 정도 제공하며, 간식의 종류는 우식성 식품과 비우식성 식품을 반반 제공하고 있었다. 또한 아동의 착한 행동에 대한 보상으로 일상적 또는 때때로 단 것을 제공하는 비율이 각각 47.0%, 52.3%로 나타났다(p>0.05). 4. 지역아동센터 교사의 칫솔질을 지도여부와 상관없이 대부분의 교사들의 구강보건지식 수순은 높았고, 본인들의 칫솔질 실천도 일 평균 3회 정도로 높았으며, 회전법으로 칫솔질을 실천하고 있었다(p>0.05). 5. 지역 아동센터 아동의 구강건강증진을 위한 환경 개선에 대한 견해는 칫솔질 지도여부와 상관없이 지역아동센터 아동의 건강증진 주체를 아동복지교사로 생각하고 있었으며(73.4%), 칫솔질 및 손씻기 용의 세면대 개선(77.2%)을 요구하였고, 대부분의 보건 프로그램을 건강증진 프로그램으로 생각하고 있으며, 그 중 양치와 손씻기 등 개인위생에 관한 내용의 요구도(100.0%)가 높았다. 뿐만 아니라 치과검진과 치과치료 연계(100.0%) 등 직접적인 치과의료 서비스제공의 요구도도 높았다. 이상의 결과로 지역아동센터 아동의 구강건강을 증진시키기 위해서는 아동의 올바른 구강건강관리 행동을 지속적으로 유지하기 위한 교사들의 적극적인 참여와 지도가 매우 중요하며, 이를 위해서 지역사회 내에서 교사를 위한 교육프로그램 마련뿐 아니라 사회적 지원이 함께 이루어져야 할 것으로 사료된다. The purpose of this research was to compare the oral health behaviors for children and teachers in toothbrushing facilities installed community child center related with teacher-supervised toothbrushing. This research was follow-up study from the Korean Dental Hygienists Association third project ``2010 program of making of the diamond tooth``. 266 child support teachers were invited and 201 were included in the study (response rate: 75.6%). Statistical analysis conducted using PASW ver. 18.0 for Windows. The difference on the distribution of independent variables related with teacher-supervised toothbrushing was verified with chi-square test. The results of this research could be summarized as follows: The children in the teacher-supervised toothbrushing community child center, the practice rate of toothbrushing was higher than the children in the non-supervised toothbrushing community child center (p<0.05). Teachers offered children one of snacks and drinks per day independently of teacher-supervised toothbrushing (p>0.05). Most of participated teachers accepted to be responsible for oral health of children (73.4%) and demanded that improve facilities for a toothbrushing in community child center (77.2%). In conclusion, this study suggests that a programme of daily teacher-supervised toothbrushing can be effectively targeted into community child center.

        • KCI등재

          강릉시 일부 초등학교 양치교실 운영 사례 보고

          신선정 ( Sun Jung Shin ),신보미 ( Bo Mi Shin ),배수명 ( Soo Myoung Bae ) 한국치위생과학회 2013 치위생과학회지 Vol.13 No.4

          본 연구에서는 초등학교 양치교실사업의 효과를 평가하고 추후 효과적인 사업 운영을 위한 개선방안 마련의 기초 자료로 활용하고자, 2011년에 양치교실을 설치하여 운영 중인 강릉시 P초등학교 학생을 대상으로 양치교실 설치 후 구강건강행태 및 구강증상경험 수준의 변화를 확인하였다. 1. 모든 군에서 칫솔질 및 식습관에 대한 구강건강지식 문항의 정답률과 구강건강에 대한 바른 인식률은 낮은 수준이었고, 실험군 저학년의 자신의 구강건강수준을 매우 건강 또는 건강하다고 생각하는 비율은 양치교실 설치 직후 35.7%에서 6개월 후 48.9%로 증가하였다(p=0.031). 2. 학교에서 점심식사 후 매일 칫솔질 실천율은 실험군 저학년에서는 1차 조사 시 53.5%에서 6개월 후 2차 조사 시 35.5%로 18.0% 감소하였고, 6개월 후 3차 조사 시에는 비슷한 수준(35.4%)으로 유지되었으며(p<0.001), 고학년에서는 2차 조사(42.1%)에 비해 3차 조사(35.1%) 시 소폭 감소하였다(p<0.001). 대조군의 매일 칫솔질 실천율은 실험군 3차 조사 결과와 비교하였을 때 저학년 28.6%, 고학년 6.0%로 통계적으로 유의한 차이가 나타났다(p=0.007, p<0.001). 3. 실험군과 대조군에서 점심식사 후 매일 칫솔질하지 않는 이유로 이 닦는 것을 깜빡 잊어버렸기 때문으로 응답한 비율이 가장 높게 나타났다. 4. 구강증상경험률은 실험군 고학년의 치통경험을 제외한 모든 증상에서 1차 조사에 비해 6개월 후 2차 조사 시 경험률이 소폭 감소하였으나 통계적으로 유의하지 않았고, 고학년의 입냄새 경험률은 2차 조사 시 실험군 14.7%에 비해 대조군 25.3%로 통계적으로 유의하게 높았다(p=0.016). 5. 실험군에서 양치교실을 이용할 때 대부분 보건 선생님이 지도해 주는 것으로 나타났고, 양치교실 이용 시 불편한 점으로 양치교실의 위치가 멀리 떨어져 있는 것과 양치교실이 좁아서 복잡하거나 혼잡하다고 응답하였다. 이상의 결과로 볼 때 양치교실 설치사업을 통한 환경 개선의 효과를 지속적으로 유지하기 위해서는 학생의 적극적인 참여, 선생님의 관리감독 강화, 지역사회 협력체계 구축 등을 통한 지속적인 모니터링이 이루어져야 하며, 구강보건 교육 및 양치교실 설치사업이 다양한 건강증진전략과 통합하여 운영될 때 지역사회 아동ㆍ청소년 건강증진을 위한 통합건강증진사업으로도 확대될 수 있을 것으로 기대할 수 있겠다. In 2011, South Korea`s Ministry of Health and Welfare started a national tooth brushing room program without a pilot project. This study aimed to assess the effect of the implementation of this program in Gangneung, Korea. One-year outcomes of oral health behavior and self-reported oral symptoms in the study group after installation of the tooth brushing room were evaluated and compared with those of the control group using chi-square test. The prevalence rate of good self-rated oral health in grade 1∼3 students increased from 35.7% immediately after installation to 48.9% after 6 months (p=0.031) compared to 37.3% in the control group (p=0.051). Immediately after installation of the tooth brushing room, 53.5% of grade 1∼3 students in the study group brushed their teeth every day, but after 6 months, only 35.5% of students brushed daily (p<0.001) compared to 28.6% in the control group (p=0.007). The prevalence rate of bad breath in grade 1∼3 students was 26.2% for the study group immediately after installation compared to 25.5% in the control group (p=0.065), but it declined 16.5% after 6 months (p=0.055). The prevalence rate of bad breath in grade 4∼6 students was 14.7% for the study group after 6 months compared to 25.3% in the control group (p=0.016). We recommend the creation of a healthy school environment through a school-based tooth brushing program under the active supervision of classroom teachers and the continuous monitoring of program processes in order to promote children`s oral health.

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