치과위생사의 감염관리 인식과 수행

이향님,Lee, Hyang-Nim 한국치위생학회 2017 한국치위생학회지 Vol.17 No.4

Objectives: The purpose of this study is to investigate awareness and performance of infection control by dental hygienist. Methods: A self-reported questionnaire was answered by 239 dental hygienists working in dental clinics from September 7 to 18, 2016 in Gwangju city & Jeonnam region after explaining the purpose of the study and receiving the informed consent. The questionnaire consisted of sociodemographic characteristics and awareness and performance of infection control using Likert 4 point scale. Results: Average of Infection control awareness was $3.33{\pm}0.38$, average of infection control Performance was $3.04{\pm}0.37$ (p<0.05). The awareness and practice of dental equipment management showed the largest difference. The awareness of infection control by general characteristics varied according to position, number of dental units, number of employees, Infection control needs, Received infection control training experience, infection experience, infection control guideline (p<0.05). The relationship between infection control awareness and Infection control performance was r = 0.624 (p<0.001), indicating positive correlation. Conclusions: To improve awareness and performance of dental hygienist's infection control, regular received infection control training experience is needed. It is considered that the dentist's active cooperation is needed in shortening the life span of the dental equipment due to the Infection control performance and securing the quantity.

유아교육기관교사의 자기효능감, 통제위 및 구강질병관리신념과의 관련요인

이향님 ( Hyang Nim Lee ),심형순 ( Hyung Sun Shim ) 한국치위생학회 2010 한국치위생학회지 Vol.10 No.1

Objectives: This study is to grasp the efficacy, locus of control, oral disease management beliefs, etc and to make a close inquiry the relevance between theses key figures and oral health promotion practice for a teacher and oral care about children and to provide the basic materials of oral health education for the teachers of infant nursery. Methods: This study was made from July to September in 2009 to nursery teacher by having the self-report questionnaire for teachers of infant nursery who are performing nursry school tearcher. Total 187 questionnaire were distributed and among these, 167 questionnaire excluding 20 questionnaire of incomplete responses were statistically analyzed with SPSS12.0. Results: The efficacy is highly in a married person(p=0.001) according to the teacher`s age(P=0.006), perceived good oral status(p=0.001) according to the oral conditions and has the significant difference. The internal locus of control is highly in a married person( p=0.006) according to the teacher`s age(P=0.037) and the marital status and has the significant difference statistically. The external locus of control is the highest( p=0.038) in the age of 40 among teacher`s age and has the significant difference statistically. The oral disease management beliefs is the highest in the age of 20∼29(p=0.001), highly in married(p=0.003) and has the significant difference according to the marital status and perceived good oral status(p=0.045) according to the oral conditions. There has no significant difference in the efficacy, the internal locus of control, the external Lotus of Control, oral disease management beliefs following by the infant oral care after taking medicines and oral care of infants after tooth brushing. Conclusions: Therefore, the oral health promotion activities should be induced by educating the nursery teacher and it needs to spread out the oral care education with the development to operate practically. It is considered in need of the infant oral care which is not burden on to the nursery teacher but helpful to the infant by connecting the subjects of dental hygiene and oral health education training.

치과의료 재이용 및 권유의사 관련 요인

이향님 ( Hyang Nim Lee ),심형순 ( Hyung Sun Shim ) 한국치위생학회 2012 한국치위생학회지 Vol.12 No.2

Objectives : This study aims to examine satisfaction of dental treatment and revisit and intention of recommendation to dental patients and to supply as a basic resource for dental management improvement. Methods : 645 dental patients to dental hospitals in G City were subjects of this study. 27 dental hospitals were randomly chosen per 5 or 6 in 5 Districts. The intention of the survey was explained to 645 patients and it was agreed to have questionnaire survey. Questionnaire survey was carried out for 2 weeks in April 2011. Total 593 were used for the analysis except for insufficient answer sheets. The analysis was executed by using SPSS 18.0 and the results are as follows. Results : 1. The highest figures are as follows: female was 53.29% in sex, 20-29 age group was 44.52%, graduates of teachers university were 38.62%, students were 28.50%, monthly family income with 300-399 million won was 31.70%. As to the treatment, dental caries were highest with 46.21% followed by scaling with 40.81%. As to the number of visit, 39.80% were over 5 times, and as to the opportunity to use, 29.34% answered it because it is close to home. 2. As to satisfaction, male was 4.15, over 60years old was 4.58, self-employed was 4.33, friendship with dentist as opportunity to use was 4.37. And as to revisit intention, over 60 years old was 4.60, over postgraduate in education level was 4.60, self-employed was 4.43, over 5 times visit was 4.32, and fame as opportunity to use was 4.39 which were the highest. As to the intention of recommendation to others, female was 4.24, over 60 years old was 4.65, self-employed was 4.36, friendship with dentist as opportunity was 4.43 which were the highest and showed significant differences (p<0.05). 3. As to patient satisfaction, there were strong relevance between revisit intention and intention of recommendation with 0.769 and 0.744 respectively. And, as to revisit intention, it had significant relation with revisit intention with 0.791. 4. The explanatory power of the regression analysis on the factors affecting revisit intention was 61.20%. The revisit intention was high when the satisfaction of dental hospital was high (β=0.767, p<0.001), the number of visit (β=0.026, p<0.01), reason for a visit (β=0.070, p<0.01), education level (β=-0.063, p<0.05) and occupation (β=0.078, p<0.05). 5. The explanatory power of the regression analysis on the factors affecting intention of recommendation was 59.9%. The intention was taken patients satisfaction(β=0.061, p<0.001), dental hygienist`s kindness (β=0.218, p<0.001), female (β=0.079, p<0.05), reason for a visit(β=-0.059, p<0.05), dissatisfaction treat(β=0.084, p<0.05), dentist`s kindness (β=-0.080, p<0.05), age (β=0.054, p<0.05). conclusion s: To improve revisit rate of patients, the refurbishing hospital facility, treatment and kindness of dental hygienists and satisfaction of treatment must be improved. And it also needs to accept complaint from female patients in a positive manner, and understand and correct complaints actively from the perspective of patients.

일부 여대생의 구강건강이 삶의 질에 미치는 영향

이향님 ( Hyang Nim Lee ),김은미 ( Eun Mi Kim ) 한국치위생학회 2005 한국치위생학회지 Vol.5 No.1

일부 치위생과 학생들의 신종인플루엔자 인식도 및 예방태도

이향님 ( Hyang Nim Lee ),심형순 ( Hyung Sun Shim ) 한국치위생학회 2011 한국치위생학회지 Vol.11 No.3

Objectives: In order to identify the awareness of influenza A (H1N1) having currently high frequency and risk as an infectious disease, to find problems and to reflect them on curriculum improvements from students before/after clinical practices. Methods: The data was collected from 279 dental hygiene students of 1st and 2nd years at G health college university from December 6th 2010 to December 10th 2010. The questionnaire were consisted of awareness of influenza A (H1N1), preventive attitude, sociodemographic characteristics. Results: 1. 1st year was 51.6%, the case having dental experience was 51.2%, in the infection control training experience ``had`` was 46.6%. In the route acquiring the information, the mass media was 70.6%, in obtained information, personal hygiene was 82.1%. In the impact on human body, ``great impact`` was 58.1%. In terms of the most need for response and preparedness, vaccination was the highest, 67.4%. People who experienced influenza A (H1N1) were 10.7%. 2. Awareness of influenza A (H1N1) was 0.71 points, and treatment and spreading mechanism was 0.78 points, prevention was 0.63 points, causes and definition was 0.53 points. 3. In the attitude for infection prevention of influenza A (H1N1), ``washing hands before practice`` was the highest, 0.99 points and ``wear the mask only in case of contact with patient within 1~2 meters upon occurrence of no aerosol`` was the lowest, 0.72 points. 4. Awareness of influenza A (H1N1) according to sociodemographic characteristics showed the significant differences upon the impacts on systemic health (p<0.05). Preventive attitude didn`t show a significant difference in grade, clinical experience, experience in infection control training, acquiring rmation routes, the possibility for occurrence, impact on systemic health, the most need for prevention, experience in influenza A (H1N1) (p>0.05). 5. The significantly correlated between awareness of influenza A (H1N1) and preventive attitude(p<0.01). Conclusions: Information and preventive attitude for influenza A (H1N1) as well as systematic training programs to identify actual affecting factors and to improve the practice are needed. Also government`s institutional support is needed. (J Korean Soc Dent Hygiene 2011;11(3):301-311)

공중보건학을 수강하는 대학생의 건강증진생활 실천도

이향님 ( Hyang Nim Lee ),심형순 ( Hyung Sun Shim ) 한국치위생학회 2013 한국치위생학회지 Vol.13 No.5

Objectives: The purpose of this study is to investigate factors influencing on health promotion behaviors in public health course of college students. Methods: Subjects were 325 dental hygiene students and they completed self-reported questionnaires including health promotion behaviors, self efficacy, self esteem, and general characteristics from May 13 to 24, 2013. Students were recruited by sample convenience extraction. Data were analyzed using SPSS version 18.0 for descriptive statistics, t-test, one way ANOVA and multiple regression analysis. Results: Health promotion behaviors were closely related to concern for health care (p<0.001) and concern for health related goods (p<0.01). High self-efficacy and high self-esteem showed concern for health care (p<0.001). 2. Health promotion behaviors had significantly positive correlation with self efficacy, self esteem, and perceived health condition. 3. The most powerful predictor in health promotion behaviors was self efficacy. Self efficacy, self esteem, and major, concern for health-related goods, perceived health condition accounted for 40.8% of the total variance in health promotion behaviors. Conclusions: The result revealed that undergraduate students should take exercise and diet control for their health. Self-efficacy is the most important predictor of health promotion behaviors. Health promotion behavior programs should put emphasis on exercise and diet control and can be improved by behavioral change.

치위생과 학생들의 임상실습관련 불안과 피로 조사

이향님 ( Hyang Nim Lee ),김은미 ( Eun Mi Kim ) 한국치위생학회 2014 한국치위생학회지 Vol.14 No.2

Objectives : The aim of the study is to investigate anxiety, fatigue and stress of dental hygienestudents in clinical practice and to improve the psychological support program. Methods : A self-reported questionnaire was filled out by 428 dental hygiene students in 4universities in Gwagju and Jeonnam. Data were analyzed for anxiety, stress and fatigue, general characteristics using SPSS 18.0 program for descriptive statistics, ANOVA, and correlation. Results : Saliva suction showed the most high score in treatment (mean±SD=2.92±1.13) andwas followed by children dental care(2.79±1.21), preventive dental care (2.38±1.04), maxillofacialradiology (2.35±1.15). During the clinical practice, students felt uneasy when they stayed in relativehome (p<0.05). Poor interpersonal relation (p<0.001), poor health condition (p<0.01), lowsatisfaction with major (p<0.01), the other cause of major choice (p<0.01) influenced on theirstress. Satisfaction with major was closely related to clinical practice performance, anxiety, physicalfatigue and mental fatigue. Conclusions : In order to reduce physical, mental, neuro sensory fatigue of students in clinicalpractice, it is recommended to reinforce the patient care etiquettes in curricula.

치과의료서비스의 질과 환자만족도와의 연관성

이향님 ( Hyang Nim Lee ),심형순 ( Hyung Sun Shim ),김가영 ( Ga Young Kim ) 한국치위생학회 2011 한국치위생학회지 Vol.11 No.3

Objectives: This study has been undertaken for the purpose of finding out what influence is made by the dental care service provided to patients by the dental clinics to the level of patient satisfaction to provide the base data for developing and improving the dental care service of dental hygienist. Methods: The survey was undertaken for 500 patients visiting 18 dental clinics in City G and the questionnaire was undertaken for two weeks in May 2010, and 473 copies were analyzed with the exception of the questionnaires with many omissions in the response. Results: 1. Distribution of the level of satisfaction for patient had the dentist factor which was highest in the dentist factor for 4.43 at the age of 60s (p<0.05). and in sole proprietorship for 4.49 (p<0.01). treatment procedure factor which was highest in sole proprietorship for 4.16 (p<0.001). environment of dental clinic factor which was highest at the age of 60 years or older for 4.36 (p<0.05) and in sole proprietorship for 4.14 (p<0.01). 2. Evaluation on the quality of the dental care service of dental hygienist had the kindness of dental hygienists which was highest at the age of 60 years or older for 4.40(p<0.001), knowledge factor of dental hygienist which was highest for 4.34 at the age of 60 years or older (p<0.05) and highest 4.27 for visit dentists(p<0.001) and the patient management and other factor was highest at the age of 60s for 4.47 (p<0.05), and in sole proprietorship for 4.28 (p<0.05). 3. Factors influencing on the level of satisfaction for patient. The level of satisfaction for patient was higher for higher evaluation of the dentist quality (p<0.001), for feeling convenient in treatment procedure and use (p<0.01), for feeling kindness of the dental hygienist (p<0.01), and for higher evaluation in patient management and other management activities of the dental hygienist (p<0.001). Conclusions: In order to heighten the level of satisfaction for patient, it would be necessary to strengthen the kindness and patient management aspect on the patients of the dental hygienist, and it would require to heighten the quality of dentist as patients recognize and heighten the treatment procedure and service convenience of dental clinics. (J Korean Soc Dent Hygiene 2011;11(3):383-393)

구강보건교육 프로그램이 성인집단의 구강보건지식 및 구강건강행위에 미치는 영향

이향님 ( Hyang Nim Lee ) 한국치위생학회 2004 한국치위생학회지 Vol.4 No.1

This study was conducted to evaluated the effects of improvement on dental health behavior and dental health knowledge of adult group through dental health education program. the study subjects were 75, education group being 37(male 19, female 18) and non-education group being 38(male 19, female 19), who being in 2 office. The results of this study were as follow: 1. In the primary survey, the education group and non-education group showed no differences in sex, age, job year, income, smoking, self-rated dental health statues, DMFT index, a number of cervical abrasion tooth, dental health behavior, dental health knowledge. 2. before education program the use of tooth brushing method of horizontal+vertical was 40.6%, after education program the use of tooth brushing method of rolling was 89.2% in education group. 3. after education program the tooth brushing times was increased after-meal brushing. especially increased from 40.5% to 93.8% at after midday meal brushing. 4. the difference of mean change of dental health knowledge score after oral health education program had been studied. dental health knowledge score increased in 9.8 in the education group and non-education group in 1.6(pE0.00l). 5. the difference of mean change of oral health promotion behavior after oral health education program had been studied. the frequence of tooth brushing(pE0.05), flossing(pE0.00l), tongue brushing(pE0.00l) was significantly increased in education group compare to non-education group. Above findings suggest that dental health education program was effective in improving the dental health behavior, dental health knowledge of the adult group.

구강진료기관 이용자의 구강보건 지식과 행동에 관한 연구

이향님(Hyang Nim Lee),김동기(Dong Kie Kim) 조선대학교 구강생물학연구소 1999 Oral Biology Research (Oral Biol Res) Vol.23 No.2

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