맞춤형 방문구강보건사업 현황조사

정재연 ( Jae Yeon Jung ) 한국치위생학회 2009 한국치위생학회지 Vol.9 No.4

40세 이상 여성의 치주염과 건강행동의 관련성 - 심혈관질환 여부에 따른 비교

정재연 ( Jae-yeon Jung ),한수진 ( Su-jin Han ) 한국치위생학회 2021 한국치위생학회지 Vol.21 No.6

Objectives: The purpose of this study was to examine the association between periodontitis and health behavior in women aged ≥40 years. In addition, related factors were compared according to the presence or absence of cardiovascular disease. Methods: Data from the 7th Korean National Health and Nutrition Examination Survey (2016-2018) were used. The study included 3,801 women aged 40-79 years, who participated in a questionnaire health survey related to hypertension, stroke, myocardial infarction, and angina pectoris, as well as completed blood tests, anthropometry, and oral examination. Statistical analyses were performed using complex sample general linear, complex sample crosstabs, and complex sample logistic regression analyses. Results: In all subjects, smoking and drinking, use of interdental care products, and dental checkups were confirmed to be significantly related to periodontitis. In the group with cardiovascular disease, the use of interdental care products, experience in dental checkups, and toothbrushing more than three times a day were confirmed as significant factors for lowering the prevalence of periodontitis. In the group without cardiovascular disease, smoking and drinking, use of interdental care products, and experience in dental checkups were confirmed as the significant factors. Conclusions: To improve the periodontal health of women over 40 years of age with cardiovascular disease, a health education program including self-care methods for proper dental plaque management and regular dental checkups are critical. Additionally, awareness of the risks of smoking and drinking would be helpful even for women without cardiovascular diseases.

치과위생사의 금연교육에 대한 지식, 태도 및 요구도 조사

정재연 ( Jae Yeon Jung ),이은선 ( Eun Sun Lee ) 한국치위생학회 2016 한국치위생학회지 Vol.16 No.3

Objectives: The purpose of the study is to investigate the knowledge, attitudes, and needs of smoking cessation education in the dental hygienists. Methods: A self-reported questionnaire was completed by 262 dental hygienists in Seoul and Gyeonggido from September 25 to December 31, 2015. Except incomplete answers, 250 data were analyzed using Stata 13.0 program. The questionnaire was adapted and modified from Kim and Yoon and was measured by Likert 3 or 5 point scale. The questionnaire consisted of general characteristics of the subjects(6 items), smoking cessation education characteristics of the subjects(4 items), knowledge of smoking cessation education (11 items), attitudes of smoking cessation education(9 items), and needs of smoking cessation education(11 items). Results: Those who said yes in smoking cessation education had higher scores in knowledge (p=0.001), attitudes (p<0.001) and needs of education (p=0.010). Those receiving smoking cessation education higher score in knowledge of smoking cessation education (p=0.017). The dental hygienists working in clinics that practice smoking cessation therapy program tended to have higher level of attitudes toward smoking cessation(p=0.030). The average scores for 11 items to assess knowledge of smoking cessation education and another 11 items to assess the need for smoking cessation education were 2.18±0.40 out of 3 and 4.62±0.49 out of 5, respectively. Conclusions: The smoking cessation education is very important to improve the knowledge, attitudes, and need of smoking cessation in the dental hygienists.

노인 장기요양보험 이용실태 및 서비스내용에 대한 인식

정재연 ( Jae Yeon Jung ),김수화 ( Soo Hwa Kim ),김영경 ( Young Kyung Kim ),안세연 ( Se Youn Ahn ),유은미 ( Eun Mi Yoo ),최부근 ( Boo Keun Choi ),황윤숙 ( Yoon Sook Hwang ),한수진 ( Su Jin Han ) 한국치위생학회 2016 한국치위생학회지 Vol.16 No.3

Objectives: The purpose of the study is to investigate the awareness toward use and service contents of long term care for the elderly. Methods: A self-reported questionnaire was completed by 296 adults from August 13 to October 20, 2014. The questionnaire consisted of general characteristics of the subjects, awareness toward long term care insurance for the elderly, awareness toward long term oral health care services, use of long term care service and use intention for the long term care insurance. Data were analyzed by SPSS 18.0 program. Results: Those who were aware of the long term care insurance accounted for 55.4 percent. Approximately 50 percent of the respondents recognized long term care service items, home visit care, home visit bathing, and home visit nursing. Most of the respondents had information of long term care services by way of mass media and direct contact. Only 13.4 percent of the respondents were aware of the oral health service in the long term care insurance. The subjects were aware of denture cleaning, oral cleaning and oral health education out of oral health service in order; and oral health services that needed to be offered were denture cleaning, oral health education and professional toothbrushing. They reported that dental hygienists were the most important manpower that offered the efficient oral health care services. They answered that professional manpower and financial support are required for oral health services. The positive thinking to long term care insurance accounted for 89.2 percent and 91.3 percent had use intention for oral health services. Conclusions: Many elderly people have mastication or dysphagic problems due to systemic diseases. Therefore, it is necessary to announce the long term care insurance and long term care services for the elderly people.

노인의 구강보건지식, 행위, 교육 요구도에 관한 연구

정재연 ( Jae Yeon Jung ),한수진 ( Su Jin Han ) 한국치위생과학회 2011 치위생과학회지 Vol.11 No.6

The purpose of this study was to examine elderly people`s oral health behaviors and education needs. The subjects in this study were 195 senior citizens who were users of senior cultural centers and senior welfare agencies in Seoul and Incheon. After a survey was conducted, the collected data were analyzed by the statistical package SPSSWIN 19.0. The findings of the study were as follows: 1. Gender, academic credential and monthly mean income were identified as the general characteristics to impact on their oral health attitude. 2. The senior citizens who ever received oral health education had a better knowledge(p<0.05) and took a better attitude(p<0.01). 3. As for a time for toothbrushing, many brushed their teeth after breakfast(74.9%) and dinner(71.8%). Utilized Oral hygiene devices were interdental brushes(21.5%), dental floss(13.8%). As many as 62.5% felt they had a dry mouth, and the most prevalent way for them to cope with it was drinking water often(68.2%). 79.5% didn`t get their teeth cleaned on a regular scaling. 4. The rate of regular scaling was higher in the elderly groups that ever received oral health education and whose knowledge scores was above the average(p<0.05). 5. In relation to the necessity of oral health education, 87.2% felt the need for that, and as many as 79.0% intended to receive that education. Their favorite period of education was 6months(41.0%), and the greatest group hoped to receive that education for an hour(55.4%). The largest group wanted to learn about prevention of oral diseases, followed by toothbrushing, denture management, dry mouth. Given the findings of the study, senior welfare centers and senior cultural centers should offer oral health education programs as part of lifelong education to provide systematic and prolonged education for the elderly to improve their oral health care to promote their oral health.

전산화단층영상에서 조영제와 생리식염수 혼합물의 Metal Artifact 감소방안에 대한 연구

정재연(Jae yeon Jung),김경민(Kyeong min Kim),강정훈(Jung hun Kang),이광원(Kwang won Lee) 대한CT영상기술학회 2016 대한CT영상기술학회지 Vol.18 No.2

Purpose : Recently, as the society progresses towards population ageing, a number of metallic implant surgeries are being performed. This study is investigating metal artifact reduction methods with various concentrations of contrast medium by combining contrast medium and normal saline for computed tomographic (CT) scan. Subjects and Methods : SOMA TOM SENSATION16(Siemens, Germany) is used for the CT equipment, and the sample, which is the material like titanium used for TKR in orthopedics, is fixed between two normal salines. For the mixture of contrast medium and normal saline, 100cc contrast medium (concentration of 300) + 400cc normal saline, 50cc contrast medium (concentration of 300) + 450cc normal saline, 10cc contrast medium (concentration of 300) + 490cc normal saline, 100cc contrast medium (concentration of 370) + 400cc normal saline, 50cc contrast medium (concentration of 370) + 450cc normal saline, and 10cc contrast medium (concentration of 370) + 490cc normal saline are used. The mixture is placed on top and bottom, and left and right of titanium fixed with normal salines in order, and HU values of CT and standard deviations with respect to 120kVp/250mAs/slice 0.75mm, 1.5mm, 140kVp/250mAs/slice 0.75mm,1.5mm, and 140kVp/350mAs/slice 0.75mm, 1.5mm (tube voltage/tube current/slice thickness) are measured and compared with HU value obtained by measuring ROI at 1.5cm distance in 12 O clock and 6 O’clock from the center of titanium. Results: When the mixture of 10cc contrast medium (concentration of 300) + 490cc normal saline was used top and bottom, and left and right, and when tube voltage/tube current/ slice thickness was 140kVp/250mAs/slice 0.75mm, HU value of CT and standard deviation (SD) of metal artifact were 18/27 and 14/25, respectively, showing the highest reduction. For tube voltage, 140kVp showed higher reduction than 120kVp, and for tube current, 250mAs showed higher reduction than 350mAs. Reduction was shown when the slice thickness was 0.75mm. When the mixture of 100cc contrast medium (concentration of 370) + 400cc normal saline was used in 120kVp/250mAs/slice 1.5mm, reduction measure was the lowest. Conclusion : HU value of metal artifact from CT scan showed the highest reduction when the mixture of 10cc contrast medium (concentration of 300) + 490cc normal saline was used in 140kVp/250mAs/slice 0.75mm. Although correction value of HU value shows some large or small differences depending on the amount of artifact for each CT scan, the results are all improved in a positive way. Visual identification of CT scan made the difference in quality of scan seemed much bigger, compared to identification of the numerical values. If this study method is applied to the examination of existing metal patients, the quality of image can be improved. 목적 : 최근 인구의 고령화가 진행되면서 많은 금속 인공물 삽입술이 시행되고 있다. 전산화단층영상에서 조영제와 생리식염수를 혼합하여 조영제 농도를 달리해 Metal Artifact 인공물에 대한 감소방안을 알아보고자 하였다. 대상 및 방법 : CT장비는 SOMATOM SENSATION16(Siemens, Germany)를 사용하였고, 정형외과 TKR에 사용되는 Titanium과 같은 재질의 샘플을 생리식염수 2개의 사이에 고정하였으며 혼합물로는 조영제와 생리식염수를 혼합하여 제작한 조영제 농도 300 100cc+생리식염수 400cc, 조영제 농도 300 50cc+생리식염수 450cc, 조영제농도 300 10cc+생리식염수 490cc, 조영제 농도 370 100cc+생리식염수 400cc, 조영제 농도 370 50cc+생리식염수 450cc, 조영제 농도 370 10cc+생리식염수 490cc를 이용하였다, 생리식염수로 고정한 Titanium을 상·하, 좌·우로 혼합물을 순서대로 올려놓고 120kVp/250mAs/slice 0.75mm, 1.5mm, 140kVp/250mAs/slice 0.75mm, 1.5mm, 140kVp/350mAs/slice 0.75mm, 1.5mm, 관전압, 관전류 슬라이스 두께에 따른 CT HU값 및 표준편차를 Titanium 중심부에서 12시 방향과 6시방향의 1.5cm거리에서 ROI를 측정하여 HU값을 비교 측정하였다. 결과 : 혼합물 조영제 농도300 10cc+생리식염수 490cc를 상·하, 좌·우 사용하였을 때와 140kVp/250mAs/slice 0.75mm일 때 Metal Artifact 인공물의 CT HU값과 표준편차(standard deviation ; SD)는 36/36, 27/40으로 감소효과가 가장 높게 나타났다. 관전압은 140KvP가 120KvP보다 감소효과가 있었으며, 관전류는 250mAs일때 350mAs보다 감소효과가 있었다. slice두께는 0.75mm일 때 감소효과가 있었다. 조영제 농도 370 100cc+생리식염수 400cc, 120KvP/250mAs/slice 1.5mm 일 때 감소효과가 가장 낮게 측정되었다. 결론 : 혼합물 조영제 농도 300 10cc+생리식염수 490cc, 140KvP/250mAs/slice 0.75mm일 때 Metal Artifact 인공물의 CT HU값의 감소효과가 가장 높게 나타났다. 각 영상의 Artifact 앙에 따라 HU값 보정치는 크고 작은 차이를 보이지만, 결과는 모두 긍정적인 방향으로 개선되었음을 알 수 있었다. 육안으로 CT 영상을 확인할 때 영상의 질 차이가 수치상으로 느끼는 것보다 훨씬 크게 느껴졌다. 기존의 Metal 환자 검사 시 본 연구방법으로 적용을 한다면 Image Quality를 향상시킬 수 있을 것이다.

노인의 사회적 배제와 인지기능의 관계에서 인지 예비능의 매개역할

정재연(Jung, Jae Yeon),박상미(Park, Sangmi) 한국노인작업치료학회 2021 한국노인작업치료학회지 Vol.3 No.2

목적 : 노인이 살아오면서 경험하는 누적된 불평등은 인지기능에 부정적인 결과를 초래할 수 있다. 한편, 인지 예비능은 사회문화적 경험으로 형성⋅변화되는 특징이 있으며, 인지기능 유지 및 악화 방지를 위한 긍정적 요인으로 작용한다. 본 연구의 목적은 사회적 배제와 인지기능의 관계를 확인하고, 두 변수사이에 작용하는 인지 예비능의 매개효과를 검증하는 것이다. 연구방법 : 본 연구는 고령화연구패널조사(KLoSA)의 7차 기본조사 자료와 직업력 특별조사 자료를 활용한이차자료 분석 연구이다. 사회적 배제가 인지기능에 미치는 직접 효과 및 인지 예비능의 매개효과 검증을 위해 R lavaan 패키지를 이용하여 경로분석을 실시하였다. 결과 : 최종 분석에는 4,122명의 자료가 사용되었고, 분석 대상자의 평균연령은 76.01(SD=7.36)세였다. 경로분석 결과, 사회적 배제가 인지기능에 미치는 직접효과(B=-.421, p<.001), 인지 예비능의 부분 매개효과(B=-.006, p<.01)를 확인하였다. 결론 : 사회적 배제를 경험하는 노인의 인지기능을 보호하기 위해 사회적 불평등 요소의 개선 및 노년기여가활동 참여를 통한 인지 예비능의 향상을 위한 정책적 지원 및 예방적 개입이 필요하다. 목적 : 노인이 살아오면서 경험하는 누적된 불평등은 인지기능에 부정적인 결과를 초래할 수 있다. 한편, 인지 예비능은 사회문화적 경험으로 형성⋅변화되는 특징이 있으며, 인지기능 유지 및 악화 방지를 위한 긍정적 요인으로 작용한다. 본 연구의 목적은 사회적 배제와 인지기능의 관계를 확인하고, 두 변수사이에 작용하는 인지 예비능의 매개효과를 검증하는 것이다. 연구방법 : 본 연구는 고령화연구패널조사(KLoSA)의 7차 기본조사 자료와 직업력 특별조사 자료를 활용한이차자료 분석 연구이다. 사회적 배제가 인지기능에 미치는 직접 효과 및 인지 예비능의 매개효과 검증을 위해 R lavaan 패키지를 이용하여 경로분석을 실시하였다. 결과 : 최종 분석에는 4,122명의 자료가 사용되었고, 분석 대상자의 평균연령은 76.01(SD=7.36)세였다. 경로분석 결과, 사회적 배제가 인지기능에 미치는 직접효과(B=-.421, p<.001), 인지 예비능의 부분 매개효과(B=-.006, p<.01)를 확인하였다. 결론 : 사회적 배제를 경험하는 노인의 인지기능을 보호하기 위해 사회적 불평등 요소의 개선 및 노년기여가활동 참여를 통한 인지 예비능의 향상을 위한 정책적 지원 및 예방적 개입이 필요하다.

경기도 어린이 의료비 상한제 도입에 대한 시나리오 분석

정재연 ( Jeong Jae Yeon ),윤인혜 ( Yoon In Hye ),황성완 ( Hwang Sung Wan ),허윤정 ( Heo Yun Jung ) 경희대학교 경영연구원 2021 의료경영학연구 Vol.15 No.2

Purposes: This study purposed to predict the government finances required for the introduction of children’s medical expenditure limit system in gyeonggi-do. Methodology: Status analysis, scenario analysis and trend prediction analysis were conducted to estimate using Korea Health Panel Survey 2014-2017. In study, children were classified into 4 categories, preschool children, elementary school students, middle school students, high school students, all analyzes were conducted in 4 categories. Findings: In the analysis of the current status of medical expenditure for children, preschooler were the highest percentage of total medical expenditure and high school students were highest medical expenditure per person. In the scenario analysis, the financial requirements for the introduction of the limit system were 1,489~2,566 billion won(at 0.5 million won upper limit), 818~1,640 billion won(at 1 million won upper limit), 728~1,554 billion won(at 1.5 million won upper limit). In the trend prediction analysis, medical expenditure of more than 1 million won are predicted to increase to 1 trillion 98.1 billion won in 2030. Practical Implications: So, the introduction of the 1 million won limit system on children’s medical expenditure as a way to strengthen medical coverage for children is a system with high possibility and reality. This further improves the quality of life of children and their families, it will be a system that enables children to grow into healthy adults.

병원행정직 간호사의 특성에 관한 탐색적 연구 - 성격, 직무만족, 업무적합성 인식을 중심으로 -

정재연 ( Jae-yeon Jung ),김광점 ( Kwang-jum Kim ) 한국병원경영학회 2017 병원경영학회지 Vol.22 No.2

Objective: This study was performed to find out the characteristics of nurse administrators and the relationships among their personality types, administrative work appropriateness and job satisfaction. Methods: Participants were 112 nurse administrators who had worked for more than 1 year in a hospital administrative position in Seoul and Gyeonggi area. Data were collected form April 14 to Jun 17, 2016, using questionnaires. For the analysis, SPSS WIN 20.0 program was used. Results: Personality types are related to job satisfaction and administrative work appropriateness. Among big-5 personality types, the neurotic level is negatively related to job satisfaction. However, extroversion is positively related. For the appropriateness of administrative work, the way of transfer and working department show no significant relations but age shows significant relation. The influence of age needs further study. Conclusion: The personalty types are related to nurse administrators` job satisfaction and administrative work appropriateness.

구강보건전문가의 자일리톨 구강병예방효과에 대한 인지도 조사연구

정재연 ( Jae Yeon Jung ),강재경 ( Jae Kyoung Kang ),김수화 ( Soo Hwa Kim ),신명숙 ( Myong Suk Shin ),조명숙 ( Myung Sook Cho ),황윤숙 ( Yoon Sook Hwang ),송근배 ( Keun Bae Song ) 대한예방치과·구강보건학회 2008 大韓口腔保健學會誌 Vol.32 No.3