악간고정 제거 후 능동적 하악운동의 효과 = The effect of active mandibular exercise in patients of maxillomandibular fixation release

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to evaluate the effect of active mandibular exercise(AME) in patients of limited mouth opening after maxillomandibular fixation(MMF) release.
Method: Nonequivalent control group pre-post test design was used. The participants were 62 patients who had MMF release in P university hospital. Participants were selecteded sequentially by type of operation. Experimental group(n=31) performed AME for 4 weeks. AME consisted of maximal mouth opening, lateral excursion to right and left side and protrusive movement. It conducted ten times a day. After this, the numbers of tongue blade in maximal mouth opening were counted. The effect of AME were evaluated as soon as MMF release, After 2weeks, 4weeks, 12weeks by measuring maximal length of mouth opening, scoring pain at the time of maximal mouth opening, scoring discomfort when measuring maximal length of mouth opening, and everyday life related with mouth opening. Data were collected from July 2015 to March 2016, and were analyzed by chi-square test, Fisher's exact test, independent t-test and repeated measures ANOVA.
Result: Experimental group showed significantly improvement regarding the length of mouth opening, lower pain score, lower discomfort score. Everyday life related with mouth opening was more favorable compared to control group.
Conclusion: The active mandibular exercise in patients of MMF release would be helpful for mouth opening and everyday life related with mouth opening. So recommended as an effective nursing intervention.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 3
• 3. 연구의 가설 4
• 4. 용어의 정의 4
• Ⅱ. 문헌고찰 7
• 1. 악간고정과 개구장애 7
• 2. 하악운동 9
• Ⅲ. 연구방법 12
• 1. 연구설계 12
• 2. 연구대상 13
• 3. 능동적 하악운동 14
• 4. 연구도구 16
• 5. 자료수집 절차 18
• 6. 자료분석 방법 20
• Ⅳ. 연구결과 21
• 1. 연구 대상자의 동질성 검증 21
• 2. 가설검증 24
• 3. 개구관련 일상생활 확인 30
• Ⅴ. 논의 32
• Ⅵ. 결론 및 제언 36
• 참고문헌 38
• 부록 43
• Abstract 54