장애 아동 특수학교의 학교구강보건사업 평가 연구

이규환 한국지체.중복.건강장애교육학회 2009 지체.중복.건강장애연구 Vol.52 No.4

Objectives: The author has surveyed for appraisal of the school dental health program on the children with disabilities, in order to make a reference for promoting the oral health on children with disabilities by showing the right direction and making national wide plans. Methods: 142 among 144 schools for disabilities were participated in the survey through the self appraisal method with the questionnaire by each school nurse. Results: All schools performed the oral exam, program and 92% of them did the oral health education, otherwise 69%, in toothbrushing program, 15% in fluoride mouth rinsing, 28% in fluoride application, 42% in sealant program and 36% in school dental clinic program, last year. Comprehensive appraisal score of the school dental health program for children with disabilities was revealed as 3.02±1.50 among 5.0 points of full scores and 3.52±1.45 in oral exam. 2.61±1.48 in oral health education, 3.07±1.60 in toothbrushing project, 2.73±1.13 in fluoride mouth rinsing, 2.79±1.47 in fluoride topical application, 3.08±1.39 in sealant program and 3.38±1.39 in school dental clinic program. It was recommended that such point as reforming the oral health education program, more extent for fluoride mouth rinsing and topical application programs, and supporting to establish and to manage the school dental clinic program to all school children with disabilities, should be considered, to promote the oral health for children with disabilities in Korea. It revealed relatively high scores in such items of the subjective, procedures, dental care supplies, and preparation of materials or equipments as a quantitative appraisals, otherwise low scores in such qualitative appraisal items as establishment of the goals, achievement of the goals, and the promotion of the oral health level, so it should be recommended to try for enhancing the qualitative appraisal scores more for children with disabilities. Conclusion: The proper school oral health programs for children with disabilities should be developed, with the consideration of the specific characteristics for children with disabilities, in Korea. 전국 장애 아동 특수학교에서 실시되고 있는 학교구강보건사업에 대한 실태를 조사, 평가하여, 향후에 장애 아동 특수학교 학교구강보건사업의 올바른 방향을 제시하고 장애 아동의 진정한 구강건강증진과 구강건강관리 체계의 확립을 위한 참고자료를 마련하고자 전국 142개 장애 아동 특수학교 학교구강보건사업의 담당, 보건교사를 대상으로, 자체 평가서를 발송하고 회신된 설문서를 분석해 본 결과, 학교구강검진사업과 학교구강보건교육사업은 많이 이루어 졌으나 학교집단이닦기사업, 학교불소용액양치사업, 학교불소도포사업, 치아홈메우기사업, 학교구강보건실운영사업 등은 잘 이루어지지 아니하고 있었으며, 종합평점은 보통 정도로 평가되었다. 향후에는 장애 아동 특수학교구강보건사업의 발전을 위해서 구강보건교육사업을 보다 체계적으로 확립하고, 불소용액양치사업과 불소도포 사업을 보다 더 확대해야 하며, 가급적 모든 장애아동 특수학교에 구강보건실을 설치하여 구강보건전문가가 책임지고 전담하여 운영/평가 할 수 있도록 하는 방안이 권장 되었다.

R-program을 이용한 학교 구강보건 사업의 평가에 관한 모형분석 연구

정미애 한국지체.중복.건강장애교육학회 2009 지체.중복.건강장애연구 Vol.52 No.2

The author has performed the appraisal for school dental health project by use of the "R‐program"in order to understand easily and simple for the results, through the analysis of 141 appraisal sheets which were written by school nurses, 8 items as school oral examination program, school dental health education, school fluoride mouth rinsing, school tooth brushing, school fluoride application, school dental sealant, school dental clinic project and the other special school dental project, were selected with 8 question for each item. On using the R‐program for drawing the star‐diagram, 6 kinds of types for results as circle type, Amorphous type, oval type, triangular or rhombus type, linear type and spot type shapes were classified and counted for the number of the schools included. The obtained results were as followings. 1. It was shown that 33.3% of the circle typed ,24.8% of amorphous, 12.8% of the oval typed , 11.4% of triangular or rhombus typed , 3.6% 0f linear typed and 14.2%of spot typed shapes were revealed by drawing Star Diagram with R-Program. 2. 11.4% of the schools were included in the group of extremely well done for school dental program and one third were in relatively well done, other wise the last one third were in the least for school dental program. 3. R‐program was recommended to use for national wide, for appraisal on school dental health program, in order to activate and to the appraisal, in korea. 4. Because of little cases of the big circle typed in diagram for the appraisal for school oral health program in this study, it was recommended to harmonize with the more proper projects in planning for school oral health program for handicapped children in the future. 학교구강보건사업은 일반 아동이나 장애아동에 있어서 구강건강관리 뿐만 아니라 일생동안 건강한 구강을 유지 증진 할 수 있도록 능력을 배양한다는 점에서 매우 중요하다. 우리나라에서 지체 장애아의 구강보건사업에 관해서는 몇 가지 사업이 진행되고 있으나 일반 아동 구강보건사업과 마찬가지로, 사업의 기획과 수행 과정은 비교적 많이 이루어지고 있지만 그 평가는 체계적으로 잘 이루어지지 아니하고 있고, 더욱이 일반아동의 사업평가 결과와 장애아동의 구강보건 사업 결과를 비교해 보려는 시도는 거의 이루어지지 않고 있다. 이에 전국 각 보건소 관할내의 1개 학교씩 선정된 평가 대상 학교에서 평가에 응한 141개 초등학교에서 지난 1 년간 실시했던 8 개 항목의 학교구강보건사업에 대하여 보건복지부가 제안한 평가 항목과 기준으로 자체 평가를 실시하고 그 결과를 R-Program을 이용한 Star Diagram 으로 나타내어 그 유형별로 분석해 본 바 향후 장애아동 학교구강보건사업 평가에 이용하고자한다.

구강보건교육을 통한 태백시 미취학 아동들의 구강건강관리 변화에 대한 연구

문상진,박재홍,최영철,최성철 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.1

The objective of this study is to find the improvement in the dental health care of the children through oral hygiene education and TBI. In Taebaek public health care center, an oral hygiene education, TBI and fluoride gel application was conducted 2 times for about 631 preschool children living in Taebaek City. The ages of preschool children were from 4 to 7. To examine the changes, a questionnaire was written and distributed for the collecting the results after the education of the second half for children, parents and teachers. As a result, the children showed better understanding of the caries through oral hygiene education and reduction of fright and fears for dental treatment. Many children learned how to brush and there was a significant increase in the number of brushing. Children learned to be able to classify good food and bad food for teeth and showed the change in eating habits although in small part through the oral hygiene education. Through this study, it is judged that the oral hygiene education of the preschool children has effectiveness and it is in need for the expansion of oral hygiene education in homes, kindergartens and dental offices. 본 연구는 올바른 구강보건교육과 칫솔질 교육을 통해 아동들의 구강건강에 관한 관심을 증진시키고 구강관리법의 변화와 개선 정도를 알아보고 더 나아가 좀 더 효율적인 구강보건교육의 방법을 모색하고자 하였다. 강원도 태백시 보건소에서 2003년 4월 1일부터 12월 16일까지 구강보건교육에 참가한 631명의 미취학 아동들을 대상으로 시행하였다. 매회 약 20-30명 정도를 대상으로 약 30분 정도 시청각 자료를 이용한 치과의사의 직접설명과 아동들이 참여놀이를 이용하여 구강보건교육 후 칫솔질 교육과 불소 겔 도포를 시행하였으며, 불소도포 과정 중 대기하는 아동들은 구강보건교육 비디오를 시청하도록 하였다. 구강보건교육의 효과와 아동들의 구강 건강관리의 변화를 알아보기 위하여 하반기 교육 후 아동들의 부모와 선생님들을 대상으로 설문지를 작성하게 하고 그 결과를 수집, 분석하였다. 아동들은 보건소에서의 전문가 구강보건교육을 시행한 후 치아우식증에 대한 지식이 향상되었으며, 치과 치료에 대한 두려움이나 공포가 감소하는 변화가 있었다. 많은 아동들이 올바른 칫솔질 방법을 습득하였으며 칫솔질 횟수의 증가를 보였다. 또한 칫솔질에 대한 재미와 흥미를 유발하는 효과도 나타내었다. 아동들은 구강보건교육을 통해 치아에 좋은 음식과 해로운 음식을 구별 할 수 있는 능력을 가지게 되었고 미약하나마 식습관의 변화를 발견할 수 있었다. 본 조사를 통해 미취학 아동의 구강보건교육은 매우 실효성이 있는 것으로 판단되며 가정에서나 유치원, 치과에서의 구강보건교육의 확대가 요구된다.

장애인의 구강건강증진을 위한 공공구강보건의료서비스의 최근 동향과 발전 방향

이해인 ( Lee Hae-in ) 미래융합통섭학회 2021 현대사회와 안전문화 Vol.4 No.1

연구목적 구강건강관리에 취약한 장애인의 구강건강증진을 위해서는 반드시 국가 및 지방자치단체의 지원이 뒷받침되어야 한다. 이 연구에서는 공공구강보건의료사업를 진행하는데 근거가 되어 줄 법령들을 확인하고 최근 시행 중인 복지사업과 정부 계획을 조사하여 장애인의 구강건강 증진을 위한 방안을 찾고자 한다. 연구방법 이 연구는 장애인 구강건강과 관련된 법령을 살펴보고 장애인을 위한 구강보건사업 및 최근 발표된 국가정책 등을 확인하여 문헌고찰방법으로 연구되었다. 결과 구강보건법과 2017년 신설된 장애인건강권법 등의 법적인 근거를 바탕으로 중앙, 권역, 지역의 장애인구강센터가 설치·운영 중이고, 특수학교 구강보건사업, CBR과 연계된 방문구강건강관리사업, 구강보건 이동진료차량 지원사업이 진행 중이다. 정부는 양질의 공공구강보건의료서비스의 공급을 확대하기 위한 장기적인 목표를 제시하였다. 결론 사업의 지속성과 혜택을 받는 수혜자을 증가시키기 위해서는 치과위생사의 업무와 역할이 중요하며 이와 관련된 제도까지 개선된다면 장애인의 구강건강증진, 구강질환 예방, 의료접근성 향상, 형평성 재고와 같은 결과를 얻을 수 있을 것이다. PURPOSE To achieve the dental health of the disabled the role of the public dental health service should be increased. METHOD Case studies were conducted using references to examine disabled-related acts and the recent progress dental policy for the disabled. RESULT The basis of the public service is established by many acts of which the 「dental health act」 and the 「act on guarantee of right to health and access to medical services for persons with disabilities are most important. Recently, public dental health services for the disabled are underway, such as dental treatment centers for persons with disabilities, projects for dental health in special schools, home visiting dental health care services as part of CBR, and vehicle support projects for dental mobile clinics. CONCLUSION These projects suggest the improvement of dental health for the disabled, prevention of dental diseases, improvement of health accessibility, and improvement of dental health equity. To provide efficient services, the role of the dental hygienist at the center of the dental health services is important, and education for capacity building is necessary, and law support is also required.

체육 중⋅고등학생의 구강보건 지식⋅태도⋅행동 및 구강악안면 외상에 관한 융합 연구

최민지,김지화,오나래 한국융합학회 2016 한국융합학회논문지 Vol.7 No.5

이 연구는 체육 중⋅고등학생의 구강보건에 관한 특성을 알아보고자 하였다. 2013년 4월부터 6월까지 경산의 체육 중⋅고등학생 가운데 당일 출석한 250명의 구강건강상태와 구강보건 지식⋅태도⋅행동 및 구강악안면 외상을 구강검사와 구조화된 설문지를 사용하여 조사하였다. 구강보건 지식⋅태도⋅행동의 일반적 특성은 t-test를 실시하였고, 각 항목별 응답은 빈도분석을 실시하였다. 우식경험영구치율에서 여학생 평균 22.30%, 남학생 평균 15.41%로 여학생이 통계적으로 유의하게 높았으며 치주건강상태 점수는 중학생 평균 1.19점, 고등학생 평균 0.68점 으로 중학생의 점수가 통계적으로 유의하게 높았다. 구강보건 지식 점수는 여학생 평균 3.69점, 남학생 평균 2.81점, 구강보건 행동 점수는 여학생 평균 38.26점, 남학생 평균 36.92점으로 여학생이 통계적으로 유의하게 높았다. 그러 므로 체육 중⋅고등학생의 특성을 고려한 구강보건교육 및 맞춤형 구강보건사업의 실시가 필요하다고 하겠다. The purpose of this study is to investigate the properties about oral health of 250 physical education middle-high school students. From April 2013 to June, we researched their oral health knowledge, attitude, behavior and oromaxillofacial trauma using oral examination and structured survey and implemented independent t-test and frequency analysis. Female students were statistically higher in DMFT rate(Female 22.30 % and male 15.41% in average). Middle school students were higher in periodontal health status score compared to high school students(Middle school 1.19 and high school 0.68 in average). Female students scored higher in both oral health knowledge(Female 3.69 and male 2.81 in average) and behavior(female 38.26 and male 36.92 in average). Therefore, the implementation of oral health education and personalized oral health program that considers properties of physical education middle-high school students.

학교계속구강건강관리사업 운영기간에 따른 학부모의 구강보건 인지도와 지지도 조사

이정화 ( Jung Hwa Lee ),김진범 ( Jin Bom Kim ),한동헌 ( Dong Hun Han ) 대한예방치과·구강보건학회 2009 大韓口腔保健學會誌 Vol.33 No.1

학교구강보건실 계속구강건강관리사업 효과 평가

강승훈 ( Sung Hoon Kang ),김명섭 ( Myung Soup Kim ),이선미 ( Sun Mi Lee ),배광학 ( Kwang Hak Bae ),오막엽 ( Mag Yup Oh ),김진범 ( Jin Bom Kim ) 대한예방치과·구강보건학회 2006 大韓口腔保健學會誌 Vol.30 No.3

사업장 관련자를 대상으로 한 공중구강보건사업 우선순위 결정도구 개발

한동헌 ( Dong Hun Han ),신혜선 ( Hye Sun Shin ),김현덕 ( Hyun Duck Kim ) 대한예방치과·구강보건학회 2011 大韓口腔保健學會誌 Vol.35 No.2

Objectives. The aim of this study was to develop a standardized measurement and assessment toolkit for analyzing priority decisions in public oral health programs (POHP). Methods. The development process was conducted by face and content validity, followed by a criterion about Need/Impact- Based-Planning (NIBP). The comprehensive decision for the priority was made according to the results of sensitive analysis using relative weights of groups. For pilot application, a total of 56 participants were surveyed using the developed priority evaluation assessment form (PEAF): 28 workers, 10 dentists in the special oral health examination programs and 16 administrators in the ministry of labor. They were asked to make an order among all of the 15 items of public oral health programs selected by delphi. Results. The PEAF includes 15 items of oral health programs: community water fluoridation, infants oral health program, school-based toothbrushing, sealants for children, oral health education for children, toothbrushing for pregnant and delivered women, oral health education for pregnant and delivered women in public health center, worksite toothbrushing, worksite oral health education, worksite periodontal care, oral health program for mothers, toothbrushing for seniors, periodontal care for seniors, free denture service for seniors, and toothbrushing contest for citizens. The study subjects were asked to make an order for the 15 items of public oral health programs according to their priority. Based on the results of the pilot survey, workers and dentists put higher priority on oral health programs for infants and children than adults. However, this toolkit was not discriminating for administrations. The sensitive analyses drew the first priority on community water fluoridation, school-based toothbrushing, sealants for children, oral health education for children. Conclusions. This priority decision toolkit may be available for analyzing the priority POHP. Further study is needed for developing a more valid and sensitive priority determination toolkit for public oral health promotion.

보건(지)소 치과위생사의 지역사회구강보건사업에 관한 인식 및 실천도 연구

김숙향 ( Sook Hyang Kim ),정세환 ( Se Hwan Jung ),장종화 ( Jong Hwa Jang ) 대한구강보건학회 2005 大韓口腔保健學會誌 Vol.29 No.1

치과 설치 사업장 근로자의 구강보건에 대한 인식 및 실천

김은경 ( Eun Kyoung Kim ),홍석진 ( Suk Jin Hong ),정은경 ( Eun Kyung Chung ),박영남 ( Young Nam Park ),정은주 ( Eun Ju Jung ),최충호 ( Choong Ho Choi ) 대한예방치과·구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.2

Objectives. The purpose of this study was to understand the factors related to worker cognition of oral health and resolve to practice good oral health, with the aim of increasing the utilization rate of dental clinics in factories. Methods. A questionnaire on factors related to oral health cognition and action was mailed to 1,658 workers. The return rate of the self-completed questionnaires between July 23 and August 14, 2008 was 44%. Of the responses, 701 answers were analyzed. Results. The average cognition value for oral health of workers on a 4-point scale was 3.05±0.39 points. The average action value on a 4-point scale was 2.63±0.37 points. Individuals who were unmarried, white-collar researchers and who used factory dental clinics demonstrated higher oral health awareness than individuals who were married and blue-collar workers, and who did not use the factory dental clinics. Oral health action values of the respondents who had a better educational background, white-collar workers, or researchers, and those who used the factory dental clinics were highest. Conclusions. Dental clinics located in factories can be an important factor to promote oral health cognition and oral health action of workers. Factory dental clinics and provision of oral health programs for workers are prudent steps.