스케일링 환자들의 정기적인 스케일링과 비정기적인 스케일링의 구강건강행동지수와 구강건강지수 비교

김유린 보건의료산업학회 2017 보건의료산업학회지 Vol.11 No.1

Objectives : The objective of this study was to compare oral health behaviors and oral health indices between regular scaling group and irregular scaling group. Methods : This study was performed at M Dental Clinic in Busan on 352 dental patients treated between January 2014 and June 2015 using V6.0 software and medical interviews. The 352 patients were divided into 3 groups and oral health behavior (OHB) and oral health indices were compared. Results : The OHB scores significantly differed among Groups C and A. Group C had the lowest number of “Bad” scores for the Simplified Debris Index (S-DI), Simplified Calculus Index (S-CI), and Simplified Oral Hygiene Index (S-OHI). Groups B and A had the lowest number of “Excellent” scores. Group C had the lowest bleeding on probing (BOP), calculus rate (CR) and decayed teeth (DT). Furthermore, Group C had the highest number of missing teeth (MT) and filled teeth (FT). Conclusions : Patients who underwent regular scaling had the highest OHB and oral health index scores. This emphasizes the importance of regular scaling for prevention and early detection of oral disease.

질병관리청의 데이터를 이용한 COVID-19 확진자의 사망에 대한 영향요인과 혈액변수의 타당도

김유린,남설희,김선예 한국컴퓨터정보학회 2020 韓國컴퓨터情報學會論文誌 Vol.25 No.11

In this paper, we propose impact factors and validity of blood variables on death of COVID-19 patients. The clinical-epidemiological data of 5628 COVID-19 patients, provided from Korea Disease Control and Prevention Agency as day of 30th April 2020, were used. As results, impact factors of death were dementia, older age, high lymphocyte, cancer, dyspnea, COPD, change of consciousness, heart disease, high platelets, abnormal diastolic pressure and fever. The validities of blood variables for death were high in the order of lymphocyte, hemoglobin, hematocrit, platelet and WBC. Therefore, risk factors such as initial clinical characteristics, underlying disease and blood test results, could be regarded for efficient management of COVID-19 patients. 본 연구에서 우리는 COVID-19의 사망에 대한 영향요인과 혈액변수의 타당도를 제안하였다. 이연구를 위하여 질병관리본부 중앙방역대책본부에서 제공하는 2020년 4월 30일까지 격리해제되었거나 사망한 COVID-19확진자 5628명의 임상역학정보를 활용하였으며, 자료는 R 3.4.1을 사용하여분석하였다. 분석결과, 사망에 대한 위험요인으로 치매(HR 7.03), 많은 나이(HR 5.39), 높은 림프구(HR 4.66), 암(HR 4.27), 호흡곤란(HR 3.25), 만성폐쇄성 폐질환(HR 3.22), 의식변화(HR 3.13), 심장질환(HR 2.24), 높은 혈소판(HR 2.14), 비정상 이완기 혈압(HR 2.02), 열(HR 1.69)이 확인되었다. 사망에 대한 혈액검사의 타당도는 림프구, 헤모글로빈, 헤마토크리트, 혈소판, 백혈구 순으로 정확도가 높았다. 그러므로 COVID-19 환자를 치료할 때 사망의 위험요인으로 확인된 초기 임상적 특징및 기저질환, 혈액검사의 소견을 고려하여 보다 효율적인 관리가 가능하도록 해야 할 것이다.

치과위생사의 직업선택 동기에 따른 직업 정체성과 직업유지의 관련성

김유린 중소기업융합학회 2020 융합정보논문지 Vol.10 No.7

본 연구는 치과위생사의 직업 정체성이 직업유지에 미치는 영향을 파악하고자 경남 부산 지역 내 치과위생사 155명을 대상으로 연구 윤리 심의위원회에서 심의를 받고 설문 조사를 시행하였다(1041449-201912-HR-003). 자 료 분석은 직업 정체성의 3가지 세부항목이 직업유지에 미치는 영향을 단계별로 확인하기 위해 위계적 회귀분석을 시행하였으며 그 결과, 직업 정체성 세부항목 중 직업에 대한 감정이입(β=.358, p<.001), 직업과 개인의 연관(β =.562, p<.001), 직업과 일체감(β=.734, p<.001)의 순으로 직업유지에 영향력이 있었다. 따라서 치위생(학)과의 교육 기관에서 조금 더 포괄적인 의미의 직업 정체성에 대한 수업을 시행한다면 직업유지에 도움이 될 것으로 판단한다. This study conducted a questionnaire survey on 155 dental hygienists in Busan, Gyeongnam to understand the effect of dental hygienists' job identity on job retention. The study was conducted after being reviewed by the Research Ethics Review Committee (1041449-201912-HR-003). For data analysis, hierarchical regression analysis was carried out to check the effect of three details of job identity on job retention step by step. As a result, among the details of job identity, there was an influence on job retention in the order of empathy for the job (β=.358, p<.001), relationship between job and individual (β=.562, p<.001), and work and unity (β=.562, p<.001). Therefore, it is judged that it would be helpful to maintain a job if the educational institution with the Department of Dental Hygiene conducts classes on occupational identity in a more comprehensive sense.

최근 치과예방처치 무경험군과 경험군의 전신건강상태와 구강건강상태 비교 : 국민건강영양조사 제7기(2016-2017년) 자료를 활용하여

김유린 한국치위생학회 2019 한국치위생학회지 Vol.19 No.4

Objectives: The purpose of this study was to compare the general health status and oral health status based on periodical dental preventive experience, and to find methods for regular dental prophylaxis, using the data obtained from the 7th National Health and Nutrition Survey. Methods: This study was performed using data collected from the 7th National Health and Nutrition Examination Survey (KNHANES). A total of 9,015 participants were selected for the study. Statistical analysis was performed using SPSS 21.0, with data obtained from a complex sampling design, and a significance level of 0.05 was set. General characteristics of the participants, oral health status, and recent preventive dental treatment were examined for a complex sampling frequency analysis, and the differences in distribution were analyzed using chi-square test. Results: The group that recently under went dental prophylaxis, when compared to the group that had not under gone dental prophylaxis recently, reported several ‘no obstacles’ for all items of the EQ-5D ( p <0.05). Moreover, the group that recently underwent dental prophylaxis used all the oral care products ( p <0.05). Conclusions: It is necessary to actively expand institutional supervision so that regular dental preventive measures can be undertaken to promote oral health that affects general health.

걷기 일수가 건강관련 삶의 질 (HINT-8)과 구강건강관련 행위에 미치는 융합적 영향: 국민건강영양조사 (2019)

김유린 한국융합학회 2021 한국융합학회논문지 Vol.12 No.12

This study intends to provide basic data to determine the effect of walking days on quality of life and oral health-related behaviors. Data from the 2019 National Health and Nutrition Examination Survey were used, and complex sample linear regression analysis and logistic regression analysis were performed to determine the effect of walking days on health-related quality of life (EQ-5D) and oral health-related behaviors. As a result, controlling for demographic characteristics, and increasing the number of walking, the health-related quality of life decreased by .284 times (p<.05) and improved by 1.485 times for oral examination, .082 times for dental caries treatment, and .009 times for nerve treatment. a fold decrease (p<.05). Therefore, it can be used as basic data on the relationship between adult walking and oral health-related behaviors and quality of life, and it is considered valuable in that it suggests the relationship between walking and oral health as well as general health. 본 연구는 걷기 일수가 삶의 질과 구강건강관련 행위에 미치는 융합적인 영향을 확인하기 위한 기초자료로 제공하고자 한다. 2019년 국민건강영양조사 자료를 사용하였고, 걷는 일수가 건강관련 삶의 질 (HINT-8)과 구강건강관련 행위에 미치는 영향을 확인하기위해 복합표본 선형회귀분석과 로지스틱 회귀분석을 시행하였다. 그 결과 인구학적 특성을 통제하고, 많이 걸을수록 건강관련 삶의 질은 .284배 감소하여 좋아짐을 확인하였고(p<.05), 구강검진은 1.485배 증가, 충치치료는 .082배, 신경치료는 .009배 감소하였다(p<.05). 따라서 성인의 걷기와 구강건강관련 행위, 삶의 질의 관련성에 대한 기초자료로서 활용 가능하며 걷기가 전신건강 뿐만 아니라 구강건강과의 관련성을 제안했다는 점에서 그 가치가 있다고 생각된다.

한국 중장년층의 걷기 일수와 폐쇄성 수면무호흡증간의 관계에서 구강건강의 매개효과: 국민건강영양조사 자료 (2019-2020)

김유린 한국구강보건과학회 2022 한국구강보건과학회지 Vol.10 No.4

Objectives: The purpose of this study was to determine the mediating effect of oral health problems on the effects of walking exercise on risk factors for obstructive sleep apnea (OSA). Methods: This study used data from the National Health and Nutrition Examination Survey 2019-2020, and hierarchical regression was performed to confirm the mediating effect of oral health problems (chewing and speaking problems) and the effect of walking days on OSA risk factors (snoring, tiredness, witness). Results: The number of days of walking had no significant effect on OSA risk factors (β= -.011, p>.05). Oral health problem as a parameter had a significant effect on OSA risk factors [; thus] it was confirmed that there was a fully mediating effect (β=.049, p<.001). Conclusions: Based on the results, it is necessary to continuously promote the importance of walking exercise and oral health in the treatment of OSA

좌식 시간이 건강관련 삶의 질 (EQ-5D)과 구강건강관련 행위에 미치는 영향 : 제7기 국민건강영양조사 자료를 이용하여

김유린 중소기업융합학회 2021 융합정보논문지 Vol.11 No.11

본 연구는 좌식 시간이 삶의 질과 구강건강 관련 행위에 미치는 융합적인 영향을 확인하고자 제7기 국민건 강영양조사 자료를 사용하였다. 총 19,983명의 자료를 IBM SPSS 25.0 프로그램으로 분석하였고, 좌식 시간이 건강관련 삶의 질과 구강건강 관련 행위에 미치는 영향을 확인하기 위해 복합표본 로지스틱 회귀분석을 시행하였 다. 그 결과, 좌식 시간이 길어질수록 삶의 질은 나빠졌고(p<.05), 구강건강관련 행위 중 칫솔질은 아침식사 전과 자기 전을 제외하고 모든 시간에서 칫솔질을 하지 않는 경우가 증가하였다(p<.05). 또한, 치과치료는 좌식 시간이 길어질수록 예방진료와 치주치료가 증가하였다(p<.05). 따라서 인구 사회학적 특성에 따른 좌식 시간을 고려하여 삶의 질을 향상시키고 구강건강 관련 행위를 높이기 위한 기초자료로 활용될 수 있을 것으로 판단한다. The purpose of this study was to determine the effect of sedentary time on quality of life and oral health-related behaviors using the Korean National Health and Nutrition Examination Survey. A total of 19,983 data were analyzed using the IBM SPSS 25.0 program, and complex sample logistic regression analysis was performed to confirm the effect of sedentary time on health-related quality of life and oral health-related behaviors. As a result, the longer the sitting time, the worse the quality of life (p<.05). There was an increase in the number of cases of not brushing (p<.05). Also, as for dental treatment, the longer the sitting time, the more prophylactic treatment and periodontal treatment increased (p<.05). Therefore, it is judged that it can be used as basic data to improve the quality of life and increase oral health-related behaviors in consideration of the socio-demographic characteristics of prolonged sedentary time.

일부 지역 노인의 전신건강과 구강건강상태가 치매에 미치는 영향

김유린,허성은,장경애,강현경,Kim, Yu-Rin,Heo, Seong-Eun,Jang, Kyeung-Ae,Kang, Hyun-Kyung 한국치위생학회 2021 한국치위생학회지 Vol.21 No.2

Objectives: The purpose of this study was to identify the effects of general and oral health status on dementia. Methods: Questionnaires were used for the KDSQ-C (Korean Dementia Screening Questionnaires-Cognition) and to investigate the oral health status of the participants. An independent t-test was conducted to analyze the differences between general health and oral health status depending on the normal and suspected dementia groups. Logistic regression analysis was performed to assess the effects of general and oral health status on dementia. Results: Regarding the health status of the subjects assessed by the KDSQ-C, the higher the current health status and the higher the exercise status, the lower was the dementia level (p<0.05). During the assessment of oral health conditions in KDSQ-C subjects, dementia was more suspected in subjects with dental decay and periodontal disease than in those without dental decay (p<0.05). Conclusions: Dementia has been confirmed to be closely related to general and oral health conditions. Therefore, oral health-related programs are essential for dementia prevention programs. Since dental hygienists are best suited for providing oral care to older adults with dementia, it is considered essential to reflect their occupation in future national policies.

잠자기 전 칫솔질 유무에 따른 구강위생보조용품 사용과 최근 치과진료 및 구강상태 비교 : 국민건강영양조사 제5기와 제6기의 자료를 활용하여

김유린 한국치위생학회 2019 한국치위생학회지 Vol.19 No.6

Objectives: The purpose of this study was to determine the importance of brushing before sleeping by comparing the use of oral care products, frequency of dental clinic visits, and oral conditions between individuals who brush and do not brush their teeth before sleeping using data from the 5th and 6th Korean National Health and Nutrition Survey (KNHANES). Methods: Statistical analysis was performed using SPSS 21.0 on data files obtained according to a complex sampling design, and a significance level of <0.05 was set. General characteristics of the participants and year were analyzed using chi-square analysis. Data on the oral conditions, use of oral care products, and frequency of dental clinic visits were analyzed using logistic regression and linear regression. Results: Individuals who brushed their teeth before sleeping showed greater use of oral care products and more frequent dental clinic visits, oral examinations, preventive treatment, and treatment for simple caries (p<0.05) than individuals who did not. Individuals who did not brush their teeth before sleeping showed higher prevalence of permanent teeth caries and periodontal disease, as well as chewing and speaking problems (p<0.05), than those who bushed before sleeping. Conclusions: Individuals who do not brush before sleeping exhibit poorer oral health and lower use of oral care products and frequency of recent dental treatment than those who brush before sleeping. Therefore, it is necessary to alter the government's active policy and improve education about the importance of brushing before sleeping to improve oral health.

한국 중년여성의 경제활동여부에 따른 구강건강 및 삶의 질(HINT-8)의 연 관성 : 제8기 국민건강영양조사를 바탕으로

김유린 한국융합학회 2022 한국융합학회논문지 Vol.13 No.4

본 연구는 한국중년여성의 경제활동여부가 삶의 질과 구강건강에 미치는 융합적인 영향을 확인하기 위한 기초자료로 제공하고자 한다. 2019년 국민건강영양조사 자료를 사용하였고, 경제활동 여부가 구강건강관련 요인과 건강관련 삶의 질 (Korean Health-related Quality of Life Instrument with 8 Items; HINT-8)에 미치는 영향을 확인하기위해 복합표본 로지스틱 회귀분석과 선형회귀분석을 시행하였다. 그 결과, 인구학적 특성을 통제하고, 경제활동을 하는 경우 HINT-8의 하위항목 중 4개의 항목(기운, 일하기, 기억, 잠자기)에서 유의한 영향이 있었다. 구강건강 상태를 보정한 경우 HINT-8의 2개의 항목(일하기, 기억)에서만 유의한 영향이 있었다(p<.05). 따라서 한국 중년여성의 경제활동이 삶의 질에 긍정적인 영향을 미치지만 구강건강상태가 그 영향요인을 감소시킬 수 있다는 점에서 그 가치가 있다고 생각된다. This study intends to provide basic data to confirm the convergence effects of economic activity on the quality of life and oral health of middle-aged Korean women. Data from the 2019 National Health and Nutrition Examination Survey were used, and complex sample logistic regression analysis and linear regression analysis were performed to confirm the effect of economic activity on health-related quality of life (Korean Health-related Quality of Life Instrument with 8 Items; HINT-8) and oral health-related factors. As a result, in the case of controlling for demographic characteristics and economic activity, there was a significant effect in 4 items (energy, work, memory, sleep) out of HINT-8. When the oral health status was adjusted, there was a significant effect only in 2 items (working and memory) of HINT-8 (p<.05). Therefore, although economic activity of middle-aged Korean women has a positive effect on quality of life, it is considered to be valuable in that oral health status can reduce the influencing factors.