우리나라 권역 장애인구강진료센터 이용자 만족요인 비교

정윤숙,최영애,강재민,이영은,송근배,Jung, Yun-Sook,Choi, Yeong-Ae,Kang, Jae-Min,Lee, Young-Eun,Song, Keun-Bae 한국치위생학회 2021 한국치위생학회지 Vol.21 No.2

Objectives: The purpose of this study was to identify the factors of satisfaction with regional oral health centers for people with disabilities in Korea. Methods: A survey was conducted with 784 patients who visited regional oral health care centers in Korea. A self-developed questionnaire (29 items) was adapted with a consent form and IRB (Institutional Review Board). All collected data were analyzed for statistics using SPSS version 25.0. Results: The study participants were 452 (57.7%) male patients, 207 (26.4%) aged 20-29 years old, and mostly had physical, developmental, and mental disabilities. The patients were introduced by their acquaintances, and the major reason for visit was specific dental care for the disabled. Most patients used their cars and took half to one hour to commute. The common factor affecting the comprehensive satisfaction was the facility satisfaction. Conclusions: A more comprehensive and standardized questionnaire should be developed for the annual evaluation of all centers. This study presents the basic data that can aid to activate the operation of the four oral health care centers for the disabled, which are scheduled to be implemented in the future, as well as 10 currently operated centers.

대구 지역 일부 중고등학교 학생의 구강상태와 구강건강관련 삶의 질의 관련성

정윤숙 ( Yun Sook Jung ),최순례 ( Soon Lye Choi ),정은경 ( Eun Kyung Jung ),최연희 ( Youn Hee Choi ),송근배 ( Keun Bae Song ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.5

이 연구는 대구 지역 일부 청소년을 대상으로 구강건강 상태와 구강건강 관련 삶의 질에 대해 조사하였으며, 청소년의 구강건강 관련 삶의 질에 미치는 요인에 대해 분석하였다. 연구 대상자 중 주관적 구강건강 상태에 대해서 나쁘다고 생각하는 청소년은 24명(20.2%), 보통은 67명(56.3%), 좋다고 생각하는 청소년은 28명(23.5%)이었고, 1년 내 구강 내 통증을 느낀 적이 있다고 응답한 청소년은 72명(60.5%), ‘없다’는 47명(39.5%)이었다. 구강건강 관련 삶의 질의 점수는 최하 14∼70점까지로 연구 대상자의 평균 총 점수는 64.76 (±6.71)점으로, 점수가 높을수록 구강 문제로 인한 삶의 질의 영향이 낮은 것이다. 청소년의 구강건강 관련 삶의 질에 영향을 미치는 요인은 1년 내 구강 내 통증 경험이 있을수록 구강건강 관련 삶의 질이 낮은 것으로 나타났으며, 주관적 구강건강 상태, 학년 순으로 영향이 있는 것으로 나타났다. 일생 동안 신체적, 정신적 변화가 가장 많은 청소년 시기의 삶의 질은 매우 중요하다. 이러한 삶의 질에 구강건강이 미치는 영향에 대해 조사한 연구로 매우 의미 있는 연구이며, 청소년의 구강건강 불편 증상을 최소화하기 위한 노력이 필요할 것으로 생각된다. The purpose of this study was to evaluate the association between oral health status and oral health-related quality of life (OHRQoL) by using the Oral Health Impact Profile-14 (OHIP-14) among adolescents in a metropolis of Korea. A total of 119 students in 1st grade in middle school and 1st grade in high school participated in this cross-sectional study. Oral examination was conducted by two trained dentists to collect in for mation about Decayed, Missing, and Filled Teeth (DMFT) and Community Periodontal Index (CPI). OHRQoL was evaluated by short-form of OHIP-14. Wilcoxon correlation, Kruskal-Wallis test and multiple regression analyses were performed to assess the association between oral health status and OHRQoL. All data was analyzed by SPSS 22.0 and the significance level was set at 0.05. The average of OHIP-14 score in adolescents having no dental caries (17.88±5.13) was higher than those having more than one DMFT index (19.75±7.16). The average of OHIP-14 score in adolescents having bleeding observed (20.21±8.01) was higher than those having more than calculus detected (18.66±5.65). The level of OHRQoL was higher in the participants perceiving better oral health condition compared to those perceiving poorer condition (p<0.05). The result of this study could provide the information that OHRQoL from adolescents positively associated with self-assessed oral health status than oral health with DMFT and CPI. Further studies are needed to well-designed follow-up studies.

우리나라 치아우식증 고위험군 12세 아동의 구강특성과 구강건강관련행동 위험요인

정윤숙 ( Yun Sook Jung ),정성화 ( Seong Hwa Jeong ),강남규 ( Nam Kyu Kang ),최연희 ( Youn Hee Choi ),송근배 ( Keun Bae Song ) 대한예방치과·구강보건학회 2013 大韓口腔保健學會誌 Vol.37 No.1

Objectives: The aim of this study was to examine the characteristics of the high caries risk group among 12-year-old children inKorea. Methods: Information on oral health status and interview data were collected from 6,253 children (3,309 male and 2,944 female children) aged 12 years who participated in the Korea National Oral Health Survey in 2010. The subjects were sorted according to the decayed missing filled tooth (DMFT) data. The highest one-third was selected as the significant caries (SiC) group (N=2,184), and the others were classified as the middle group (N=4,466) and the caries-free group (N=7,067). This study also useddemographic variables such as gender and area of residence. The variables for the oral health behavior were the number of dental sealants on the first molar, self-perceived oral health, average frequency of tooth brushing per day, and the mean frequency of daily snack consumption. The variables for the oral health status were the mean number of DMFTs and the SiC index. The associations between the high caries risk group and the demographic and social variables, oral health status, and oral health-related consciousness and behavior were evaluated by logistic regression analysis. Results: A significant proportion of the high caries risk group participants had no dental sealant on the first molar (46.4%) and lived in rural areas (38.1%, P<0.05). The determinants of the high-risk group were whether the first molar was sealed (``0``, OR=52.67) and the self-perceived oral health (``fair``, OR=1.43, ``poor``, OR=2.09). Conclusions: The characteristics of the high caries risk group among 12-year-old Korean children were the absence of dental sealant on the first molar, poor self-perceived oral health, gender, and region.

대도시지역 일부 초등학생의 치과용 아말감 충전치아와 요중 수은 농도의 관련성

정윤숙 ( Yun Sook Jung ),사공준 ( Sa Kong Joon ),안서용 ( Seo Young An ),이영은 ( Young Eun Lee ),송근배 ( Keun Bae Song ),최연희 ( Youn Hee Choi ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.3

Dental amalgam is an alloy composed of a mixture of approximately equal parts of elemental liquid mercury and an alloy powder. Amalgam has been the most popular and effective restorative material used in dentistry. Despite the long history and popularity of dental amalgam as a restorative material, there have been periodic concerns regarding the potential adverse health effects arising from exposure to mercury in amalgam. Since children are more at risk for mercury toxicity, we aimed to assess the association between dental amalgam filling and urinary mercury concentration in children. 581 of elementary school children in grades 1st4th were conveniently recruited from two schools located in Daegu city, Korea. To obtain dental caries experience states, oral examination were conducted using the full term for DFS index, number of amalgam filling surfaces and the type of filling materials. A questionnaire was used to collect information about general characteristics and the frequencies of tooth brushing, gum chewing and fish/seafood consumption. The statistical analysis was done using the SPSS 18.0 program. The mean urinary mercury concentration in children having more surfaces was highest. As a results Urinary mercury concentration of children who have 79 teeth of amalgam filling and more than 10 is higher than without amalgam filling. The number of amalgam filling surface is closely related with urinary mercury concentration.

일부 성인의 구강건강 지식이 구강건강 증진 행위에 미치는 영향

김광희,정윤숙,Kim, Kwang-Hee,Jung, Yun-Sook 한국치위생학회 2021 한국치위생학회지 Vol.21 No.2

Objectives: This study aimed to investigate oral health-related knowledge in adults and to determine the effect of oral health knowledge on correct brushing and use of dental care products. Methods: The subjects of this study were 552 adults who visited dental clinic, and a self-administered questionnaire was administered. Statistical analysis was performed using the t-test, ANOVA, and multiple regression using the SPSS statistics program (ver. 23.0, IBM Co., Chicago, IL, USA). Results: The oral health knowledge level, correct brushing, and dental care product usage scores were found to be positively correlated (r=0.015, 0.016), and both correlation coefficients were statistically significant (p<0.05). Oral health knowledge was found to have a significant effect on correct brushing among oral health promotion behaviors (β=0.116, p=0.006), but it was not found to have a significant effect on the use of dental care products (β=0.053, p=0.214). Conclusions: Oral health promotion behavior is closely related to oral health knowledge, and it is thought that oral health promotion behavior can be improved by raising oral health knowledge levels.

치과 내원환자의 추천지수에 영향을 미치는 서비스 요인

정은재 ( Eun Jae Jung ),정윤숙 ( Yun Sook Jung ),양해영 ( Hae Young Yang ),김지혜 ( Ji Hye Kim ),최연희 ( Youn Hee Choi ),송근배 ( Keun Bae Song ) 대한구강보건학회 2016 大韓口腔保健學會誌 Vol.40 No.2

Objectives: Many people rely on recommendations from family, relatives, and other information sources in order to select the appropriate dental clinic for treatment. The object of this study was to find out the relationship between quality of dental service and Korean Net Promoter Score (KNPS). Methods: A total of 520 patients were selected through consecutive sampling from four dental clinics in Daegu city. Informed consent of all selected patients was obtained. The patients were required to complete a questionnaire that comprised of three categories of queries related to provision of satisfactory dental service, relation quality, and personal data. Sub-categories of questions included physical and environmental factors, human service factors, patients` satisfaction with related quality and KNPS. Data was collected by interviewing all individuals on a personal basis over a period of 3 months. Statistical analysis was performed using studental t-test, ANOVA and multiple regression analysis using the SPSS 20.0 software (IBM Co., Armonk, NY, USA). Results: Among the various socio-economic factors studied, income was most significantly related to KNPS while satisfaction of relation quality was the largest factor affecting the KNPS. Factors such as satisfactory physical environment, quality of human service, relation quality and income accounted for 52.4% of KNPS. In short, the three major factors that affected KNPS were patient compliance, professionalism of the attending dentist and response of hygienist to patient. Other minor factors influencing KNPS included trust upon the attending dentist, aesthetics of clinicstiinterior, and physical convenience. Conclusions: It is highly recommended that dental clinics should make strenuous efforts to increase the level of patient compliance, professionalism, and response towards patients, which can be achieved by improving the quality of service and through positive marketing of the hospital.

장애인구강진료센터 내원환자들의 재내원 의향 요인

최영애 ( Yeong-ae Choi ),정윤숙 ( Yun-sook Jung ),강재민 ( Jae-min Kang ),이영은 ( Young-eun Lee ),최연희 ( Youn-hee Choi ),송근배 ( Keun-bae Song ) 대한예방치과·구강보건학회 2021 大韓口腔保健學會誌 Vol.45 No.1

Objectives: The aim of this study is to identify the factors related to re-visit intentions of patients who had visited the 10 oral health care centers for the disabled currently operating in Korea. Methods: A self-developed questionnaire (29 items) was distributed among 1,000 randomly selected patients and their guardians who had visited one of the 10 oral health care centers for the disabled, with a consent. Consequently, 874 questionnaires were collected and analysed for statistics using SPSS 25.0. Results: The patients traveled a long distance to visit the oral health care centers because of their specialization for the disabled. With the level of satisfaction with dentist services, dental hygienist services, and facilities increasing, the re-visit intention proportionally rose. Conclusions: This study presents basic data that provides information on the operation of 10 oral health care centers for the disabled. It is imperative to develop a more structured questionnaire, and conduct an annual survey of the disabled visiting the centers.

β-Gluconsan Calcium이 구강암 세포의 성장에 미치는 영향

김지혜 ( Ji Hye Kim ),정윤숙 ( Yun Sook Jung ),김혜영 ( Hye Young Kim ),이영균 ( Young Kyun Lee ),김재영 ( Jae Young Kim ),최연희 ( Youn Hee Choi ),송근배 ( Keun Bae Song ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.6

In recent years, there has been a global trend toward the importance of natural extracts for the prevention and treatment of human diseases. β-glucan is known to have anti-inflammatory activity, anti-cancer, and improvement of immune system. Polycan is purified β-glucan from Aureobasidum pullulans SM-2001. The anti-cancer effects of β-gluconsan calcium, polycan and calcium gluconate complex, were evaluated in human oral cancer YD-10B cells. YD-10B cells were cultured in the presence of 0, 0.5, 0.75, 1 mg/ml β-gluconsan calcium for 48 hours. MTT assay, cell counting, and observation of cell morphology were conducted. The number of cells decreased and cell morphology changed in the 0.5 mg/ml of β-gluconsan calcium. Almost all cells were dead in the 0.75 and 1 mg/ml. MTT assay showed a dose-dependent reduction in cell proliferation (p<0.05). These results indicate that β-gluconsan calcium exhibiting anti-cancer effects in YD-10B cells through changes in cell morphology and cell death.

어린이 일상생활구강영향지수(C-OIDP)와 구강관리 및 구강건강행태와의 관련성

조화영 ( Hwa Young Jo ),정윤숙 ( Yun Sook Jung ),박동옥 ( Dong Ok Park ),이영은 ( Young Eun Lee ),최연희 ( Youn Hee Choi ),송근배 ( Keun Bae Song ) 한국치위생과학회 2016 치위생과학회지 Vol.16 No.3

이 연구는 일부 아동들을 대상으로 일상생활구강영향지수와 구강건강관련행태, 구강건강상태를 조사하였으며, 일상생활구강영향지수에 영향을 미치는 요인을 파악하고, 서로간의 연관성을 알아보고자 2012년 3월부터 5월까지 인천광역시와 천안시 소재 일부 학교 아동 200명을 대상으로 설문조사를 하였다. 그 중 설문조사가 완료된 175명을 최종 분석대상으로 하여 SPSS WIN 20.0 프로그램을 이용하여 분석한 후 다음과 같은 결과를 얻었다. 일반적 특성과 C-OIDP 불편경험 항목 수, 구강건강관련행태와 C-OIDP 불편경험 항목 수는 통계적으로 유의한 차이가 없었다(p>0.05). 그리고 C-OIDP 불편 경험 항목 수가 많을수록 충전유치치면과(p=0.024), 우식경험유치치면이 많고(p=0.049), 구강 내 전체충전치면과(p=0.021) 구강내 전체우식경험치면 역시 많은 것으로 나타났다(p=0.047).이것은 객관적인 구강건강상태와 주관적 지표인 C-OIDP가서로 관련성이 있음을 보여준다. C-OIDP 여덟 항목 중 영향빈도가 높은 것은 식사하기, 치아 닦기, 웃기 순이었으며, 구강 내 전체 우식경험치면수가 많고, 지난 한 달간 잇몸 통증을 경험한 대상자에서 C-OIDP 항목점수가 높았다. 이것은 C-OIDP가 우식과 치주 상태와 관련이 있음을 보여주는 것이다. 이 연구는 주관적 구강건강지표와 실제 구강건강과의 관련성을 본 연구로서 매우 의미 있는 연구이며, 앞으로 C-OIDP에 영향을 미치는 다양한 요인에 대한 연구가 필요할 것으로 생각된다. The purposes of this study were to investigate the factors affection the Oral Impacts on Daily Performances for Children (C-OIDP) in elementary and middle school students, and identify the association between oral health-related behaviors, oral health condition and C-OIDP. A cross-sectional study was conducted in three schools in Incheon, Asan, Korea. A total of 175 selected children were interviewed by a trained examiner using a questionnaire. Oral Health Related Quality of Life was assessed by the Korean version of C-OIDP. Socio-economic characteristics, oral health-related behaviors, oral health condition and C-OIDP were verified using the questionnaire. ANOVA analysis was performed to determine the oral health and C-OIDP, and multiple regression analysis was performed to determine the factors affecting the C-OIDP. The activities with the greatest effect were eating (28.0%), cleaning teeth (22.9%), and smiling (18.9%). In the logistic regression model, the high item score of C-OIDP was associated with experiencing dental caries and gum pain in the past month. The more the C-OIDP prevalence item, the more the fillng deciduous tooth surface (fs) (p=0.024), caries experienced deciduous tooth surface (dfs) (p=0.049), total caries tooth surface (ds+DS) (p=0.021), and total caries experienced tooth surface (dfs+DMFS) (p=0.047). It can be concluded that the factors affecting C-OIDP are fs, dfs, dfs+DMFS, and gingival pain. Based on these results, we can improve C-OIDP to advance preventive practice.

우리나라 일부 농촌지역 노인의 고독감과 주관적 저작불편감의 관련성

조혜경 ( Hye-kyong Cho ),정윤숙 ( Yun-sook Jung ),허효진 ( Hyo-jin Heo ),염유식 ( Yoo-sik Youm ),송근배 ( Keun-bae Song ),최연희 ( Youn-hee Choi ) 대한예방치과·구강보건학회 2020 大韓口腔保健學會誌 Vol.44 No.2

Objectives: Loneliness was associated with not only social status but also general health. Psychological conditions in older people have negative effects on general health and oral health. The purpose of the study was to investigate the relationship between loneliness and subjective chewing discomfort in the elderly. Methods: This cross-sectional study analyzed the Korean Social Life, Health, and Aging Project (KSHAP) for the questionnaire, UCLA loneliness scale data of 1,511 older adults living in a rural community. Logistic regression was conducted to identify the relevance of subjective chewing discomfort in the elderly according to the level of loneliness. Results: According to the final model that after adjustment for other risk factors (age, gender, level of education, smoking, drinking, etc.), in the elderly who rarely feel loneliness group compared to the elderly who never feel loneliness was Odds ratio (OR) 1.256 (95% Confidence Interval [CI]: 0.99-1.60) and sometimes+often feel loneliness was OR 2.110 (95% CI: 1.39-3.21). Conclusions: Loneliness is associated with subjective chewing discomfort in the elderly. Older people feeling loneliness are likely to have more subjective chewing discomfort.