치과 진료 경험 유무에 따른 구강건강관리에 대한 조사 연구 A Survey Study on Oral Health Care According to Appearance of Experiencing Dental Treatment

연구 목적 치과 진료 경험 유무에 따른 구강건강관리에 대한 조사로 치과진료 경험이 있는 대상자와 없는 대상자의 각각의 특성을 비교. 분석 ☞대상자별로 구강건강관리에 관련 있는 요인을 파악하여 구강건강증진을 위한 기초자료로 제공하고자 함 ☞ 치과위생사의 역할 확대의 필요성에 대한 참고 자료를 마련하고자 함

연구 방법

연구 방법 2010 년 3 월 ~ 2010 년 4 월말 연구기간 연구대상 설문내용 서울, 경기, 충북지역의 거주자 600 명 ( 진 료 유경험자 300 명, 무경험자 300 명 ) 자기기입식 설문조사 내용 : 일반적 특성 7 문항, 구강건강관리 행태 2 문항, 구강건강관리 인식도 3 문항, 지식도 15 문항 자기기입식 설문조사 내용 : 일반적 특성 7 문항, 구강건강관리 행태 2 문항, 구강건강관리 인식도 3 문항, 지식도 15 문항

연구 방법 SPSS 15.0 통계 프로그램 빈도분석, 카이 제곱, t-test SPSS 15.0 통계 프로그램 빈도분석, 카이 제곱, t-test 자료분석 제한점 단면조사로 치과진료 경험이 없는 대상자와 있는 대상자의 두 그룹의 구강건강관리 행태, 인식도, 지식도를 직접 비교하기에는 한계가 있음 일부 대상자로 하였기 때문에 일반화하기 어려움 단면조사로 치과진료 경험이 없는 대상자와 있는 대상자의 두 그룹의 구강건강관리 행태, 인식도, 지식도를 직접 비교하기에는 한계가 있음 일부 대상자로 하였기 때문에 일반화하기 어려움

연구 결과 Division Experience of dental treatment Total (n=600) p Yes (n=300)No (n=300) Age 10s67(22.3)58(19.3)125(20.8) s79(26.3)103(34.3)182(30.3) 30s83(27.7)68(22.7)151(25.2) 40s71(23.7)71(23.7)142(23.7) Gender Female150(50.0)150(50.0)300(50.0).533 Male150(50.0)150(50.0)300(50.0) Academic Background Middle school graduate72(24.0)61(20.3)133(22.2).000 High school graduate137(45.7)160(53.3)297(49.5) College graduate91(30.3)55(18.3)146(24.3) Others0(0)24(8.0)24(4.0) Dwelling region Seoul Metropolis54(18.0)42(14.0)96(16.0).000 Metropolitan city9(3.0)39(13.0)48(8.0) City region180(60.0)156(52.0)336(56.0) Eup & Myeon region42(14.0)54(18.0)96(16.0) Others15(5.0)9(3.0)24(4.0) Table 1. The general characteristics of the subjects Unit : Person(%)

연구 결과 Table 1. The general characteristics of the subjects p<0.05 Unit : Person(%) Division Experience of dental treatment Total (n=600) p Yes (n=300)No (n=300) Job Farming1(0.3)0(0)1(2.0).000 Production14(4.7)3(1.0)17(2.8) Administrative position7(2.3)7 14(2.3) Public servant4(1.3)0(0)4(0.7) Profession130(43.3)48(16.0)178(29.7) Student94(31.3)181(60.3)275(45.8) Housewife23(7.7)40(13.3)63(10.5) Others27(9.0)21(7.0)48(8.0) Income Under 1,000,000 won140(46.7)213(71.0)353(58.8).000 Over 1,000,000 won~Under 2,500,000 won115(38.3)54(18.0)169(28.2) Over 2,500,000 won~Under 3,500,000 won30(10.0)24(8.0)54(9.0) Over 3,500,000 won15(5.0)9(3.0)24(4.0) Experience of oral education Yes159(53.0)117(39.0)276(46.0).001 No141(47.0)183(61.0)324(54.0)

연구 결과 Division Experience of dental treatment Total (n=600) p Yes (n=300)No (n=300) Frequency of tooth brushing 1 Times6(2.0)11(3.7)17(2.8) Times72(24.0)107(35.7)179(29.8) 3 Times189(63.0)152(50.7)341(56.8) Over 4 Times33(11.0)30(10.0)63(10.5) Use of oral hygiene device Yes123(41.0)128(42.7)251(41.8).741 No177(59.0)172(41.0)39(58.2) Table 2. Oral health care condition according to the appearance of experiencing dental treatment p<0.05 Unit : Person(%)

연구 결과 Fig 2. Actual condition of using oral hygiene devices

연구 결과 Division Daily toothbrushing frequency Totalp 1 Times2 Times3 Timesover 4 times Experience of oral education Yes6(3.8)39(24.5)87(54.7)27(17)159(100).000 No0(0)33(23.4)102(72.3)6(4.3)141(100) Table 3. Daily toothbrushing frequency and experience of oral education in people with experience of dental treatment p<0.05 Unit : Person(%) Table 4. Daily toothbrushing frequency and experience of oral education in people without experience of dental treatment Division Daily toothbrushing frequency Totalp 1 Times2 Times3 Timesover 4 times Experience of oral education Yes5(4.2)36(30.8)56(47.9)20(17.1)117(100).010 No6(3.3)71(38.8)96(52.5)10(5.4)183(100) p<0.05 Unit : Person(%)

연구 결과 Question items of awareness level Experience of dental treatment YesNo Note) How much important do you think that oral health is? 186 (62) 96 (32) 18 (6) 0 (0) 0 (0) 170 (56.7) 112 (37.3) 10 (3.3) 8 (2.7) 0 (0) How much important do you think that scaling is? 66 (22) 138 (46) 87 (29) 9 (3) 0 (0) 38 (12.7) 139 (46.3) 101 (33.7) 22 (7.3) 0 (0) How much important do you think that periodic medical checkup is? 78 (26) 144 (48) 75 (25) 3 (1) 0 (0) 74 (24.7) 106 (35.3) 100 (33.3) 17 (5.7) 3 (1.0) Table 5. Awareness level of oral health care according to the appearance of experiencing dental treatment Note) 5: Very important, 4: Important, 3: Moderate, 2: Not important 1: Not so important Unit : Person(%)

연구 결과 Questionnaire items of knowledge level Experience of dental treatment (Yes) Experience of dental treatment (No) YesNoYesNo A decayed tooth is genetic, thereby being unable to be prevented. 35(11.7)265(88.3)59(19.7)241(80.3) A decayed tooth occurs due to not brushing teeth well.240(80.0)60(20.0)235(78.3)65(21.7) A decayed tooth is caused by bacteria, thereby having no relation to food. 21(7.0)279(93)13(4.3)287(95.7) A decayed tooth occurs only in children.12(4.0)288(96)30(10)270(90) Periodontal disease(gum disease) is experienced by anybody given aging, thereby being unable to be prevented. 57(19)243(81)77(25.7)223(74.3) Bleeding when toothbrushing is symptom of gum disease(periodontal disease). 228(76)72(24)210(70)90(30) A cause for gum disease is plaque.275(91.7)25(8.3)213(71)87(29) Table 6. Knowledge level of oral health care according to the appearance of experiencing dental treatment Unit : Person(%)

연구 결과 Questionnaire items of knowledge level Experience of dental treatment (Yes) Experience of dental treatment (No) YesNoYesNo The best method for preventing a decayed tooth is toothbrushing.285(95)15(5)253(84.3)47(15.7) Even if immediately brushing teeth after taking chocolate, biscuit, and candy, it hasn't big correlation with incidence of decayed tooth. 30(10)270(90)63(21)237(79) Using dental floss leads to broadening space between gums.11(37)189(63)129(43)171(57) It is ok for tooth brushing once a day.12(4.0)288(96)39(13)261(87) Toothbrushing is good for being unconditionally strong.23(7.7)227(92.3)166(55.3)134(44.7) Given toothbrushing, even tongue needs to be cleaned.284(94.7)16(5.3)248(82.7)52(17.3) There is no big correlation between well managing denture and toothbrushing. 41(13.7)259(86.3)57(19)243(81) Receiving scaling leads to broadening space between teeth.81(27)219(73)139(46.3)161(53.7) Table 6. Knowledge level of oral health care according to the appearance of experiencing dental treatment Unit : Person(%)

연구 결과 Division Experience of dental treatment tp YesNo awareness level 4.14± ± knowledge level1.86± ± Table 7. Relationship between awareness level and knowledge level in oral health care according to the appearance of experiencing dental treatment p<0.05

제언 대상자의 일반적 특성 ( 교육수준, 수입, 거주지 ) 에 상관없이 구강건강관리에 기본이 되는 칫솔질에 대한 실천 제고를 위한 노력 치과진료 무경험자가 접근할 수 있는 구강건강관리 프로그램 개발 필요 치과위생사의 역할 확대를 통하여 다양한 분야에 서의 치과위생사의 자리 매김이 필요  국민의 구강건강 증진에 대한 기여도