한국 노인의 인구·사회경제적 특성과 미 충족 치과진료와의 관련성

정은서,안금선 한국치위생학회 2018 한국치위생학회지 Vol.18 No.6

Objectives: This study investigated the relationship between demographic and socioeconomic characteristics of the Korean elderly and their unmet dental care needs, by using the 2015 data from the 6th Korea National Health and Nutrition Examination Survey (NHANES). Methods: In total, 1,372 elderly persons aged 65 and over, who responded to the 6th NHANES, were included in the final analysis. Logistic regression analysis was performed in order to identify any relationship between demographic and socioeconomic characteristics and unmet dental care needs. Results: The rate of unmet dental care needs was shown to be less by 0.799 times in the elderly who reside in dong than those who live in eup and myeon (OR: 0.799, 95% CI: 0.679-0.959). Unmet dental care needs were higher in participants with ‘low’ and ‘below average’ than ‘above average’ income, by 1.645 times (OR: 1.645, 95% CI: 1.087-2.366) and 1.172 times (OR: 1.172, 95% CI: 1.108-1.880), respectively. Elderly individuals living alone had a higher rate of unmet dental care needs than those living with their family by 1.157 times (OR: 1.157, 95% CI: 1.084-1.498). Conclusions: Demographic and socioeconomic factors influenced unmet dental care needs, causing inequality. Proper policy support to the vulnerable should be considered in order to enhance the elderly’s access to dental care.

성인의 스케일링 통증과 관련요인

정은서,주연진,이가영,최유경,김수경 한국치위생학회 2018 한국치위생학회지 Vol.18 No.1

Objectives: The purpose of this study was to review depression and anxiety associated with pain during scaling procedures, and to establish measures for reducing scaling pain encompassing not only physical factors but also psychological aspects of patients. This study also attempts to reduce anxiety through proper patient education prior to scaling procedures. Methods: In Seoul, and Gyeonggi area from July 26, 2017 to August 19, 2017, there were 327 copies of questionnaire data collected, excluding 23 questionnaires with insufficient information such as missing entries. The following inductions were made based on data collected. Results: There are positive correlations between pain and depression, dental anxiety, trait anxiety, and state anxiety. Especially, stronger correlation is present between pain and dental anxiety. Depression (β=0.439, p<0.001) is the most influential factor associated with pain. Next is dental anxiety (β=0.292, p<0.001). Higher the depression and dental anxiety tend to increase pain over scaling procedure. This model is with adjusted explanatory power of 28.2%. Conclusions: The result demonstrates that there is a correlation between scaling pain and depression, dental anxiety, trait anxiety, and state anxiety. Especially, depression and dental anxiety were prominent factors in affecting scaling pain. Therefore, considering aforementionedfindings, a dental hygienist's positive attitude may help in reducing the pain of the patient during scaling procedures, by affecting the psychological state of the patient and reduce the anxiety through proper education prior to scaling procedures.

주관적인 치아에 대한 인식 및 만족도와 자아존중감과의 관련성

정은서,이경희 한국디지털정책학회 2016 디지털융복합연구 Vol.14 No.2

노인의 구강건강과 자살시도와의 관련성 분석 : 제 7기(2016-2018년) 국민건강영양조사를 바탕으로

정은서,이경희 한국치위생학회 2020 한국치위생학회지 Vol.20 No.3

Objectives: This study investigated the association between oral health and suicide attempts in adults aged 65 years or older using the 7th Korea National Health and Examination Survey (KHANES, 2016-2018). Methods: Of the total 24,269 participants of the 7th KHANES (2016-2018), 1,488 adults aged 65 years or older who had an oral health examination were selected. Variations in suicide attempts with demographic characteristics and perceived oral health status were analyzed using the χ2 test, and the association between oral health and suicide attempts was analyzed using the logistic regression model. Results: The suicide attempt rate was higher among older adults with chewing (p<0.01) and speaking (p<0.05) difficulties. The odds ratio for a suicide attempt was 1.05 times higher among those with tooth loss (p<0.05). Conclusions: Our results showed that older adults with tooth loss had an increased risk of suicide. Thus, it is important to prevent tooth loss, in the first place, through proper oral health management. If tooth loss occurs, appropriate treatment should be prioritized to facilitate functional recovery. Finally, national support is required for older adults with limited access to dental care.

치매 노인의 구강건강관리실태 및 문제점에 관한 질적 연구

정은서,최윤영,이경희 한국치위생학회 2019 한국치위생학회지 Vol.19 No.4

Objectives: The purpose of this study was to investigate the present conditions and problems of oral health care in senior citizens with dementia using a qualitative research method, through focused group interviews. Methods: Data was collected for approximately one month from May 2019. The subjects were divided into two groups: care workers and family caregivers. Fifteen participants were included in the study. Results: In-depth interviews with the care workers revealed the following three categories: characteristics of senile dementia patients, oral health care in senile dementia patients, and oral health care education. In-depth interviews with the family caregivers revealed the following four categories: characteristics of senile dementia patients, oral health care in senile dementia patients, oral health care education, and burden of care. The central themes common to both the care workers and family caregivers were the challenges owing to the characteristics of senile dementia patients, poor health condition of the senile dementia patients, difficulty in oral health care of the senile dementia patients, the desire to receive oral health care education and related information, and to access the information more easily. Additional central themes specific to the care workers were, the applicability of the intervention programs, variability between the facilities, and the problems of oral health care education. An additional central theme specific to the family caregivers was the burden of care. Conclusions: It is necessary to provide oral health care education and information to care workers and family caregivers of senile dementia patients, and to manage and support the dental health professionals ready to care for senile dementia patients. In addition, support to the family caregivers should not be limited only to the financial aspects, but also consider the psychological and emotional difficulties.

전신체조를 병행한 입 체조 프로그램이 노인의 정신건강에 미치는 영향

정은서,서수연,이경희 한국치위생학회 2022 한국치위생학회지 Vol.22 No.1

Objectives: This study investigated the influence of oral exercise programs with whole-body exercises on the mental health of the elderly. Methods: Elderly individuals aged 65 years or older were assigned to an experimental group and a control group. Oral exercises with whole-body exercises were conducted in the experimental group for 40 minutes, twice weekly, during 5 weeks from May to June 2021. To evaluate the effectiveness of the program, the oral health related quality of life (OHIP-14, GOHAI), mental health, happiness, and social support of the elderly were explored both before and after the execution of the program in the experimental group. A paired sample t-test was performed to check the changes in the factors investigated, both before and after the execution of the program in the two groups. Results: The values of difference between the experimental and control group were compared in relation to the dependent variables, before and after the execution of the oral exercise program with the whole-body exercises. It was found that statistically significant differences in the OHIP-14 (p=0.163), GOHAI (p=0.156), and feelings of happiness in the elderly (p=0.280) were not evident in the experimental group. However, statistically significant differences emerged with regard to the mental health and provision of social support of the elderly (p<0.05). Conclusions: It was found that the oral exercise program with whole-body exercises executed in this study were effective in improving the mental health and social support of the elderly. However, no significant differences were shown in oral health relating to quality of life and feelings of happiness. It is considered that these findings need to be verified by means of future long-term studies.

통합 인지기능 향상 프로그램이 중년층의 인지기능, 구강건강, 정신건강에 미치는 영향: 비대면 방식의 중재 적용

정은서,이경희,서수연 한국치위생학회 2023 한국치위생학회지 Vol.23 No.1

Objectives: We developed an integrated cognitive function improvement program comprising cognitive, emotional, and physical domains, and remotely applied it to middle-aged adults to investigate its effects on oral health, cognitive function, and mental health improvement. Methods: The experimental group underwent the program remotely, using the Zoom platform. A total of 24 participants were recruited and divided into 12 experimental and 12 control groups. The program comprised cognitive, emotional, and physical activities. The sessions lasted 90 min and were performed twice a week for 6 weeks from April to May 2022. Results: Cognitive function, arousal, physical, and mental stress were significantly improved in the experimental group after the intervention than at the baseline (p <0.05). Regarding oral health, tongue plaque decreased 1.34-fold (p <0.01) and saliva increased 1.04-fold (p <0.05) in the experimental group after the intervention than at the baseline. Moreover, the experimental group showed significant improvements in tongue plaque and saliva than the control group (p <0.05 for tongue plaque and p < 0.01 for saliva). Regarding mental health, social support significantly increased 11.67-fold (p <0.05) in the experimental group than at the baseline. The experimental group also showed significantly improved social support than the control group (p <0.01). Conclusions: The non-face-to-face integrated cognitive function improvement program for middle-aged adults improved their cognitive function and oral and mental health. Based on these findings, this program may be a useful health program tool for middle-aged individuals.

암생존자의 주관적 구강건강 및 정신건강이 건강관련 삶의 질(EQ-5D)에 미치는 영향: 제8기(2019-2020년) 국민건강영양조사를 바탕으로

정은서 한국치위생학회 2023 한국치위생학회지 Vol.23 No.5

Objectives: This study aimed to prepare basic data to improve the health-related quality of life of cancer survivors by confirming their oral and mental health statuses and identifying factors affecting their health-related quality of life. Methods: Of all participants in the 8th KNHANES (2019–2020), adults aged 19 years or older who responded ‘yes’ to the diagnosis of cancer and 404 cancer survivors who responded ‘none’ to the current cancer prevalence item were selected as the final research participants. Multiple regression analysis was conducted to confirm the effect of cancer survivors’ oral and mental health on health-related quality of life. Results: Subjective oral health (p<0.01), chewing problems (p<0.05), subjective health (p<0.001), and depression (p<0.01) had an effect on health-related quality of life from multiple regression analyses. Conclusions: Therefore, oral and mental health promotion may improve health-related quality of life. Thus, it is necessary to recognize the importance of oral and mental health and implement preventive education and programs.

한국 노인의 본인인지 구강건강상태와 치주질환 관련성

정은서,이경희 한국치위생학회 2017 한국치위생학회지 Vol.17 No.6

Objectives: The objective of the study was to review the correlation between self-perceived oral health status and periodontal diseases in elderly Koreans, using data from the 6th (2nd year) Korea National Health and Nutrition Examination Survey (2014). Methods: The subjects for this study were a total of 1,454 elderly people aged 65 years or older who responded to the health questionnaires of the 6th (2nd year) Korea National Health and Nutrition Examination Survey conducted in 2014. Their general characteristics were analyzed using frequency analysis, while a cross-tabulation analysis ( 2-test) was performed to understand the correlation with periodontal diseases. To clarify any effect of self-perceived oral health status on periodontal diseases, the selected variables were controlled and subsequently analyzed according to the logistic regression analysis. Results: In terms of the difference between elderly people with periodontal disease and those without periodontal disease, higher prevalence rates of periodontal diseases were found in women, those of younger age, those with lower educational and income levels, those with poorer subjective oral health status, those in the presence of chewing discomfort, those who had a toothbrushing frequency of twice per day, and/or those who had received no oral examination over the previous one year. Regarding the effect of self-perceived oral health status on periodontal diseases, 1.78-fold and 1.74-fold higher prevalence rates of periodontal diseases were shown with poorer subjective oral health status and in the presence of chewing discomfort, respectively. Conclusions: Based upon the results above, it is considered that a better understanding of self-perceived oral health status is necessary for a healthy life of the elderly. Furthermore, constant relevant studies and effective prevention programs intended to moderate the progress of or prevent periodontal diseases in the elderly in communities should be performed and implemented for the sake of better quality of life and oral health.

공간적 특징을 이용한 서울특별시 범죄 예측모델 구축

정은서,한유정,우지영 한국지능정보시스템학회 2022 한국지능정보시스템학회 학술대회논문집 Vol.2022 No.11