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          노인요양시설 거주자의 구강건강상태

          최준선 ( Jun-seon Choi ) 한국치위생학회 2017 한국치위생학회지 Vol.17 No.3

          Objectives: The purpose of this study was to examine the practice of oral hygiene behaviors and oral health status of long-term care facility residents and to analyze the factors related to salivary hemoglobin level which can predict active periodontal disease. Methods: From 30th October 2015 to 7th January 2016, a questionnaire was provided to 63 participants and their dental plaque and saliva samples were collected to assess the levels of salivary hemoglobin and dental plaque acidogenicity. In order to analyze the factors related to salivary hemoglobin level, multiple linear regression analysis was performed. Results: Tooth-brushing was most frequently performed by the participants themselves (98.4%) and toothbrushing was performed after eating breakfast (81.3%). 68.8% of participants reported brushing their tongue. 35.9% of participants perceived having bad teeth, and 87.5% had high dental caries activity. The percentages of participants with hyposalivation and ≥ 0.20 μg/ml salivary hemoglobin level were 45.3% and 59.4%, respectively. The salivary hemoglobin level was significantly higher in the group in which stimulated salivary flow rate was ≤ 0.70 ml/min, dental plaque acidogenicity was superior, and perceived having bad teeth (p<0.05). There was also a tendency for the salivary hemoglobin level to increase with age (p<0.05). Conclusions: Oral health status of the long-term care facility residents was still not improved, and the characteristics of salivary volume and dental plaque were important factors affecting salivary hemoglobin level. Therefore, it is necessary to operate an oral hygiene intervention program by oral health professionals in such facilities in order to provide residents with effective oral care aligned with their respective needs. Furthermore, it is necessary for caregivers to complete mandatory oral health education to improve the oral hygiene status of the long-term care facility residents.

        • KCI등재

          일부 당뇨병 환자에서 당화혈색소 수치와 주관적 구강건강상태와의 연관성

          최준선(Jun-Seon Choi) 한국보건교육건강증진학회 2008 보건교육건강증진학회지 Vol.25 No.1

          Objective: This study was to investigate the relationship between hemoglobin Alc level and self-reported oral health status. Methods: The subjects of this study were 150 diabetic patients (60 male patients and 90 female patients) who went to the internal and family medicine departments of clinic. This study used the questionnaire and NYCOCARD® READER Ⅱ to quantify hemoglobin Alc. Results: The proportion of well controlled diabetes subjects was 31.3%. When hemoglobin Alc levels became higher, subjects perceived that there were more decay teeth, bleeding, swollen gums, mobility teeth, and oral disease symptoms. In comparison with the well glycemic control group, poor glycemic control group perceived that the overall oral health status was worse, and had more bleeding teeth, swollen gums and mobility teeth. Conclusion: These results show that hemoglobin Alc level is related to the self-reported oral health status. Therefore, dental professionals should emphasize more the necessity of maintaining the hemoglobin Alc of normal range and monitoring it periodically, and the practice of thorough oral hygiene care in order to promote diabetic patients' oral health.

        • KCI등재

          주관적으로 인지한 구강건강문제와 구강건강관련 삶의 질과의 연관성

          최준선 ( Jun Seon Choi ), 이영주 ( Yeong Ju Lee ), 전수빈 ( Su Bin Jeon ), 김혜미 ( Hye Mi Kim ), 정은하 ( Eun Ha Jeong ), 조은지 ( Eun Ji Jo ) 대한구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.3

          Objectives. The arm of this study was to investigate the correlations between self-reported oral health problems and oral health-related quality of life using OHIP-14S. Methods. For the study, adult residents over 35 age living in Seoul, Incheon, and Gyeonggi area have been surveyed from 17th Aug., 2009 to 4th Sep., 2009. Oral health-related quality of life was measured using the OHIP-14S. The relationship between self-reported oral health problems and the oral health-related quality of life was evaluated by t-test, one-way ANOVA, and multiple regression analysis. Results. The study shows that the OHIP-14 scores are found the lowest at people in over 60 years (p<0.01). Self-reported symptoms of mandibular dysfunction are found to higher in middle school graduates comparing with highschool or above graduates (p<0.05). Also symptoms of dry mouth are more reported among people over 60 years and elementary school graduates (p<0.05). People get more self-reported symptoms of periodontitis, dental caries, mandibular dysfunction, and dry mouth they likely get higher score of functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap on the OHIP-14 7-demensions (p<0.05). People who were older and had more self-reported symptoms of periodontitis, mandibular dysfunction, dry mouth and need for oral health treatment are found to higher OHIP-14 scores (p<0.05). Especially, the strongest correlations were found between oral health-related quality of life and self-reported symptoms of periodontitis (p<0.001). Conclusions. The results demonstrated periodontitis, mandibular dysfunction, and dry mouth are clearly cause negative impact on public`s life quality. Therefore, to improve people`s life quality some measures to prevent factors lowering oral functions and abilities, uncomfortable, and pains should be taken in advance. Further, government is required to widely drive oral-disease preventive programs and dental professionals will make efforts to revitalizing regular oral health check programs and developments and applications of useful oral health education programs.

        • KCI등재

          국내 거주 외국인의 치과의료 이용 실태조사

          최준선(Jun-Seon Choi), 김선주(Sun-Ju Kim) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.11

          본 연구는 국내 일부 지역에 거주하는 외국인의 치과의료 이용 실태를 분석하여 국내 거주 외국인에 대한 치과의료서비스를 확충하고, 관련 제도의 개선을 위한 기초자료를 제공하고자 수행하였다. 조사 대상자의 대부분이 국내에서의 치과치료 경험이 없었고, 치과치료를 받지 못한 이유는 시간부족과 진료비 부담 때문이었다. 건강보험이 있는 경우 치과치료 경험이 많았으며, 국내 치과의료기관 이용 시 만족도는 전반적으로 불만족하다고 응답하였다. 따라서, 국제화 시대에서 날로 증가하고 있는 외국인들이 국내에 체류하는 동안 기본적인 구강건강을 유지하고 양질의 치과의료서비스를 받을 수 있도록 실질적인 치과의료서비스 확충 및 관련 보건정책의 수립이 필요하다. The purpose of this study was to investigate the actual profile of dental clinic services used by foreigners who reside in certain regions of Korea. As a result, this study could come to the following conclusion: It was found that most of respondents had never received any dental treatment in Korea, but the largest number of respondents who ever experienced any dental treatment had visited dental clinics in their neighborhood for treatment. Most respondents allowed for public recognition of medical institution among others in terms of criteria about selection of dental care institution. In addition, our respondents not receiving any dental treatment during their residence in Korea primarily because they had ‘no sufficient time' to use dental clinics, and secondarily because they had ‘a burden of expenses spent in dental care'. Moreover, many respondents were unsatisfied with their use of Korean dental clinics. Based on these findings, it is necessary to further expand dental care services in practical aspect and establish relevant public health policies.

        • KCI등재

          구강건강증진 관점에서의 치과의료서비스와 치과공포의 연관성

          최준선(Jun-Seon Choi), 김광기(Kwang Kee Kim) 한국보건교육건강증진학회 2006 보건교육건강증진학회지 Vol.23 No.4

          Objectives: This research is to provide the basic data for the improvement on oral health by examining the relationship between the dental fear and the dental service utilization, and to discuss a strategy for dental health in order to lower the level of dental fear. Methods: Data were collected by conducting a structured survey of 1,607 people between the age of 13 and 70 who have experiences in visiting a dental institution. Both univariate and multivariate analyses were employed to analyze the relationship between the number of times dental service and dental fears. Results: The average level of dental fear the respondents reported was 52.16±15.71 and 31.5% of the response was at the level of high dental fear. A strong physiologic response during the dental treatment was muscle tension and the stimulations that strongly arouse the dental fear were the anaesthetic needle and the sound of drill. A result of analysis on the relationship between the dental fear and the dental service utilization shows that as the level of dental fear became higher, the number of times for the dental service utilization for the last year had reduced. Also when a patient has an experience of putting off or canceling an appointment due to dental fear and as a physiologic response during the dental treatment became stronger, the result shows a tendency that the number of times for the dental service utilization for the last year had reduced. Conclusions: It has been observed that dental fear is one of the main barrier to use dental service. Therefore, a physio-psychological factor like the dental fear should be included in the task of promotion of dental health, and in analyzing the dental service utilization behavior. A discussion about how to lower dental fear was made with respect to oral health promotion. At individual level, improvement of communication skill by dental service providers should be made with rearrangement of clinic environment into more cozy one.

        • KCI등재

          원저 : 스트레스 지각과 구강건강의 관련성

          최준선 ( Jun Seon Choi ) 한국치위생학회 2014 한국치위생학회지 Vol.14 No.4

          Objectives : The aim of this study was to investigate the factors related to stress perception. Methods : A self-reported questionnaire was filled out by 109 people living in Gimpo city from January 16 to April 15, 2013. The data were analyzed using SPSS window ver. 19.0(IBM CO., Armonk, NY, USA) for t-test, one-way ANOVA, and multiple linear regression analysis. Results : Men and group of 59 years old tended to have higher stress perception than women and those who over 60 years old, but the results were not statistically significant. Stress perception was higher among the group with systemic dryness and oral dryness(each≥1) and the group reporting high difficulty in daily living due to oral problem(≥2)(p<0.05). Especially, the factor that was most correlated to stress perception was systemic dryness(β=0.347) followed by problem of daily living for oral problem(β=0.278, p<0.01). Conclusions : Systemic dryness and oral problem can increase the level of stress perception, mouth dryness and oral problems are a part of stress responses. Therefore, the regular health checkup must be done and early treatment to reduce stress perception as well as negative aspects caused by stress. It will contribute to the enhancement of public health and life of quality.

        • KCI등재

          제2형 당뇨병 환자에서 구강건강행위와 당화혈색소와의 연관성

          최준선 ( Jun Seon Choi ), 이명주 ( Myung Joo Lee ), 한수진 ( Su Jin Han ) 대한구강보건학회 2009 大韓口腔保健學會誌 Vol.33 No.3

          Objectives: This study examined the association between oral health behavior and the hemoglobin A1c level in type 2 diabetic patients. Methods: The subjects of this study were One hundred and fifty type 2 diabetes mellitus patients, who visited the internal and family medicine departments of clinics from June to October, 2007. A questionnaire and NYCOCARD(R) READERII were used to quantify hemoglobin A1c. The data was analyzed using a t-test, one-way ANOVA and multiple regression analysis included in the SPSS 12.0 program. Results: 16.7% of subjects had scaling experience over the past year. 7.3% and 5.3% reported receiving a periodic dental examination and periodic scaling, respectively. Less than one-tenth(8.6%) reported using dental floss silk. The most common self-reported symptoms were swelling and bleeding of the gums(48.0%). These results show that the Hemoglobin A1c level is related to the frequency of visiting medical institutions for diabetic treatment, blood glucose monitoring, physical exercise, diet control, time passed from visiting dental institutions, and periodic scaling. Conclusions: Scaling and visits to dental institutions were found to be closely related to the Hemoglobin Alc level. Therefore, dental and other health care professionals should emphasize the importance of periodic scaling, dental checkups and daily oral self-care, including tooth brushing, dental floss silk, in people with diabetes.

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