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2019, Vol.19, No.5

  • 1.

    The fifty-year history of dental hygiene education in South Korea

    HieJin Noh | So Jung Mun | Sun-Young Han and 5other persons | 2019, 19(5) | pp.625~633 | number of Cited : 0
    Abstract PDF
    The aim of this study was to review the history of dental hygiene education in Korea on its 50th anniversary in 2015. Internal resources and documents from the Korean Dental Hygienists’Association and other accessible resources were examined to verify the historical facts of dental hygiene education in Korea. From 1965 to 1967, the first class of four dental hygiene students graduated, and the legal basis for dental hygiene as a profession was established, which led to the start of the profession Registered Dental Hygienist in 1971. From 1977 to 1993, 13 higher educational institutions started dental hygiene programs. The Korean Dental Hygienists’ Association (1977) and Korean Association of Dental Hygiene College Professors (1987) were established in this period. From 1994 to 2006, the duration of major-intensive course programs in dental hygiene was extended to three from the two years of 1994, and the first bachelor's degree program in dental hygiene started in 2002. In this period, studies on dental hygiene became significantly active owing to vigorous activities by academic societies. The master's degree program in dental hygiene was established in 2007. Academic dental hygiene journals, the Journal of Dental Hygiene Science, and Journal of Korean Academy of Dental Hygiene Education were promoted as the registered journals of the Korean Research Foundation. From 1965 to 2015, dental hygiene education in South Korea expanded both quantitatively and qualitatively and is now ready for further progress in the future.
  • 2.

    Analysis of liberal arts education based on NCS and K-CESA in dental hygiene

    Jin-Ah Yoo | Jong-Hwa Jang | 2019, 19(5) | pp.635~649 | number of Cited : 0
    Abstract PDF
    Objectives: This literature review seeks to identify the current status of the liberal arts education of dental hygiene majors offered by universities in Korea and the U.S. and provide a comparative analysis of the data on liberal arts education in both countries. Methods: From April 3, 2017 to May 1, 2017, research data on curriculum topics were collected from 60 selected universities. The data were collected from university websites, which also provided the universities’ emails and dental hygiene major descriptions. We calculated the descriptive statistics of the variables and performed independent t-tests on the data. Results: In all the domains of the NCS and K-CESA, the dental hygiene major currently offers courses on language and communication and general education, focusing on self-management and development. Few universities offer subjects from other disciplines. Conclusions: Pro-actively exploring strategies is a prerequisite to the systematic operation of standardized dental hygiene education. It is imperative to conduct research consistently on relevant topics, such as teaching methods, general education standards, and connectivity between major subjects and the goals and effects of exposure to a general education.
  • 3.

    Use of CDHC-applied educational curricula by dental hygiene departments in Korean universities

    moonsangeun | hong sun hwa | Kim Yun Jeong and 8other persons | 2019, 19(5) | pp.651~664 | number of Cited : 1
    Abstract PDF
    Objectives: This study surveyed the application of Comprehensive Dental Hygiene Care (CDHC), based on non-surgical periodontal therapy within the educational curricula of Korean universities and examined whether they recognized the need for CDHC. Methods: This study analyzed data from professors of dental hygiene practicum related subjects in 75 Korean universities. The collected data were analyzed using a Chi-square test, a Mann-Whitney U-test, and a Kruskal Wallis test via SPSS (Ver. 21.0). Results: First, the application scope of CDHC was higher in four-year universities than three-year ones with the scope of several characteristics increasing along with enrollment quota. The application scope of dental hygiene plans and actions increased with the number of patient practices in terms of periodontal evaluations. Second, the needs of the dental hygiene courses were more than 4 points in all characteristics. Although four-year universities exhibited higher points than three-year ones, there was no significant difference found except other test. Finally, all universities based their dental hygiene courses on case histories, oral and maxillofacial information, hard tissue modules, periodontal issues, and other tests, with needs also being high. Meanwhile, the application scope of the dental hygiene course evaluations was lowest in all characteristics. Conclusions: There were no significant differences in dental hygiene curricula among the universities. However, highly qualified and standardized educational courses and lectures should be developed by the Korean evaluation center for dental hygiene curricula using various studies as the basis of theory and practical classes, the total number of terms, number of case studies used, number of students per class, ratio of students to professor, and so on.
  • 4.

    Association between indirect vision skills and musculoskeletal pain in dental hygienists

    정여진 | 최준선 | 2019, 19(5) | pp.665~676 | number of Cited : 0
    Abstract PDF
    Objectives: The purpose of the study was to analyze the association between indirect vision skills and neck, shoulder, and back pain in dental hygienists. Methods: This cross-sectional study included 85 dental hygienists working full-time at dental clinics. A survey was performed for musculoskeletal symptoms in the neck, shoulders, and back of the subjects. The O’Connor tweezer dexterity test was performed using a mirror to evaluate their indirect vision skills. For statistical analyses, the t-test and one-way analysis of variance were performed. Results: The neck was the most common region of musculoskeletal pain (89.4%). The most intense pain was experienced in the neck (70.6%) and right shoulder (60.0%). Neck pain (20.0%) caused the most interference with clinical practice. Indirect vision skills were lower in the group with severe pain in the left shoulder or with high interference in work due to the left shoulder pain (p=0.026 and p= 0.017, respectively) or right shoulder pain (p=0.004) . Conclusions: In this study, neck pain was a major musculoskeletal symptom among dental hygienists, and poor indirect vision skills were associated with the development of shoulder pain. Therefore, to prevent such musculoskeletal symptoms, dental hygienists should become proficient in indirect visualization, which enables a balanced and neutral posture.
  • 5.

    Awareness and practice of infection control in dental hygienists: A comparison between accredited and non-accredited dental hospitals

    Jin-Ju Yang | moonsangeun | Kim Yun Jeong and 3other persons | 2019, 19(5) | pp.677~688 | number of Cited : 2
    Abstract PDF
    Objectives: The purpose of this study was to examine the perception of dental hospital accreditation and the awareness and practice of infection control in dental hygienists. Methods: A self-reported questionnaire was completed by 238 dental hygienists working at dental hospitals in Gwangju·Jeonnam and analyzed from October 24, 2016 to September 22, 2017. Data were analyzed with the independent t-test, one-way analysis of variance, Pearson's correlation analysis, and multiple regression analysis using the Statistical Package for the Social Sciences software, version 21.0. Results: Compared to non-accredited dental hospitals, all three variables were high for accredited dental hospitals. In accredited dental hospitals, healthcare accreditation expectancy effects correlated to awareness (r=0.407) and practice (r=0.533) of infection control, and awareness of infection control correlated to its practice (r=0.725). In non-accredited dental hospitals, healthcare accreditation expectancy effects correlated to awareness of infection control (r=0.239), and awareness of infection control correlated to its practice (r=0.481). Accredited dental hospitals showed healthcare accreditation expectancy effects (β=0.258) and awareness of infection control (β=0.556), and non-accredited dental hospitals were influenced by the number of employees (β=0.567) and awareness of infection control (β=0.376). Conclusions: It is necessary to develop efficient and systematic infection control programs to improve the awareness and practice of infection control in dental hygienists and patient’s safety in the clinical field.
  • 6.

    Relationship between depression and number of present teeth in Korean elderly: Data from the Sixth Korea National Health and Nutrition Examination Survey

    최혜숙 | 2019, 19(5) | pp.689~698 | number of Cited : 0
    Abstract PDF
    Objectives: The study aimed to investigate the relationship between depression and number of present teeth in Korean elderly individuals. Methods: Data for this cross-sectional survey was obtained from the records of the sixth Korea National Health and Nutrition Examination Survey (KNHANES). The subjects were 1,199 Korean elderly individuals above 65 years of age. The survey and examination data were used for the independent variables. The KNHANES included health status, nutrition survey, and oral examination. x2 -test was performed to identify the characteristics of depression and number of teeth present according to the characteristics of the study subjects. Logistic regression analysis was also performed to identify the relationship between depression and number of teeth present. The statistical significance level wa sset at 0.05. Results: The prevalence of depression in the subjects was 14.8%. There were statistically significant differences in the prevalence of depression, depending on gender (p<0.001), education level (p=0.001), income (p=0.001), spouse status (p<0.001), and alcohol consumption (p=0.020). The association between depression and the number of teeth present showed statistically significant difference after adjustment (p=0.040). Conclusions: Depression in elderly individuals was closely related to the number of teeth present. Therefore, public health policies for improving oral health should be established to prevent depression.
  • 7.

    The association between oral and general health-related characteristics and health-related quality of life (EQ-5D) by age groups among the elderly in Korea: The Sixth Korean National Health and Nutrition Examination Survey

    Han Su Jin | 2019, 19(5) | pp.699~713 | number of Cited : 3
    Abstract PDF
    Objectives: This study aimed to identify the relationships of oral and systemic health-related characteristics with health-related quality of life (EQ-5D) in the elderly, and factors related to quality of life were compared according to age subgroups classified as either younger (young-old) or older (old-old) than 75 years of age. Methods: Data acquired by the Sixth Korean National Health and Nutrition Examination Survey(KNHANES) from 2013 to 2015 were used, and the research target was 3,124 people aged 65 years or older. A complex samples general linear model was used to identify health-related quality of life factors. Results: Education, economic activity, depression, stress, regular walking, self-rated oral health, pronunciation problems, and unmet dental care had significant effects on quality of life in both young-old and old-old participants. Marriage, income, number of systemic diseases, sleeping, and chewing inconveniences were significant factors for the young-old but not in the old-old participants. Instead, obesity and drinking were identified as significant factors in the old-old participants. Conclusions: We reaffirmed that factors affecting health-related quality of life in older adults differed by age group. We also confirmed the impact of oral health-related characteristics on this quality. Therefore, to improve quality of life for older adults, it would be efficient to divide groups by age and develop and implement programs that take relevant factors into consideration.
  • 8.

    Relationship between perceived health status and health-related quality of life in the elderly: A focus on moderating effects of oral health

    Sue-Hyang Lee | 신보미 | 신선정 and 1other persons | 2019, 19(5) | pp.715~729 | number of Cited : 0
    Abstract PDF
    Objectives: This study aimed to validate the moderating effect of oral health on the relationship between perceived health status and health-related quality of life in the elderly and to use this information as primary data to suggest oral health policies for the aged society. Methods: This study included 3,707 subjects aged over 65 years who answered all the variables used in the study model and completed the health questionnaire and screening survey based on the sixth Korea National Health and Nutrition Examination Survey. Baron & Kenny’s linear regression analysis using SPSS 22.0 and SPSS Macro Version 3.1 programs was performed to confirm the moderating effect of the number of remaining natural teeth, chewing difficulty, and cardiovascular disease on the relationship between perceived health status and health-related quality of life in the elderly. Results: The number of remaining natural teeth, chewing difficulties, and cardiovascular diseases affected the perceived health status of the elderly. As the number of remaining natural teeth increased, the effect of perceived health status on the quality of life in the elderly was buffered. The effect of perceived health status on the quality of life increased with chewing difficulties and the number of cardiovascular diseases. In particular, it was confirmed that chewing difficulties, rather than the number of cardiovascular diseases. had a greater effect on the quality of life in the elderly. Conclusions: Oral health policies and projects are required to ensure oral rehabilitation with dentures and implants and restore chewing function to improve the quality of life of the elderly in Korea.
  • 9.

    The relationship between sleep duration and the number of remaining teeth among the elderly using data from the Korean National Health and Nutrition Examination Survey (KNHANES)

    김남숙 | Yun Jung Won | Lee Jung Hwa | 2019, 19(5) | pp.731~742 | number of Cited : 2
    Abstract PDF
    Objectives: To analyze the association between sleep duration and the number of remaining teeth in people aged 65 years or older in order to provide basic data for improving sleep quality and developing oral health programs for teeth maintenance. Methods: The raw data for the analysis were obtained from the sixth Korean National Health and Nutrition Examination Survey (KNHANES) dataset, conducted between 2013 and 2015. The 4,340 subjects included in the study underwent oral examinations and then proceeded to answer related questions. The collected data were analyzed using SPSS (ver 23.0) program via composite samples, with the calculations for mean, standard deviation, chi-square test, and logistic return analysis being performed. Results: An analysis of the effect of sleep duration on the number of remaining teeth among people aged >65 years old showed that if the confounding variables were not corrected for, the risk of having less than 9 hours of sleep was 1.40 times higher (95% CI: 1.06- 1.86). However, this was not statistically significant in models that corrected for gender, age, and other confounding variables (p>0.05). Conclusions: The association between sleep duration among the elderly with their number of remaining teeth was confirmed. Therefore, measures to improve sleep quality and oral care practices to maintain the remaining teeth in people over 65 years old should be developed.
  • 10.

    Association between oral health-related factors and grip strength using the 6th Korea National Health and Nutrition Examination Survey data

    Hyun-Kyung Kang | 2019, 19(5) | pp.743~752 | number of Cited : 0
    Abstract PDF
    Objectives: Grip strength is a measure for assessing overall muscle strength, muscle mass, and nutritional status, and is a useful tool for early examination of a person’s general health. Thus, this study analyzed the association between oral health-related factors and grip strength, using the 6th Korea National Health and Nutrition Examination Survey (KNHANES) data. Methods: Data were analyzed using the IBM SPSS version 25.0 (IBM Co., Armonk, NY, USA) software with a complex sampling analysis of stratified and clustered variables, all with weighted values, applied for every analysis conducted. From the 6th KNHANES data, a total of 26,101 people were selected as the study population. A complex sample generalized linear model analysis was performed for participants’ sociodemographic characteristics, health status, use of oral care products, and factors such as adult mastication and speaking habits. Results: Grip strength was found to be higher among men compared to women. Grip strength was the highest in the 20–39 year old group. Furthermore, grip strength was statistically significantly higher among married and employed individuals, and in the right hand (p<0.001). Grip strength was statistically significantly higher among people who perceived themselves to have good health and among those who did not have health-related problems in the past two weeks (p<0.001). It was also higher among those who used interdental brushes and electronic toothbrushes (p<0.001), but decreased with greater discomfort in mastication and speaking among adults (p<0.05). Conclusions: Grip strength was found to be associated with oral health-related factors and therefore, these could be helpful tools in evaluating both general and subjective health statuses. In general, oral care products are small in size with oral care involving the use of hands and certain precise motions and actions to remove foreign substances in the oral cavity. As shown in the findings, grip strength declines with increased age and as a result, the use of oral care products should be strongly recommended in order to promote better general health.
  • 11.

    Association between chewing problems and depression in Korean adults

    이은선 | 도경이 | 2019, 19(5) | pp.753~763 | number of Cited : 1
    Abstract PDF
    Objectives: To examine the association between chewing problems and depression in a representative sample of Korean adults. Methods: This study included 4,887 participants aged 19 years or older. Chewing problems were self-reported. Depression was measured using the PHQ-9 scale, which scored the frequency of symptoms over the last two weeks. Logistic regression analysis was used to estimate the odds ratio (OR) and 95% confidence intervals (CI). Results: There was a significant positive correlation between chewing problems and depression. Compared to those without chewing problems, participants with chewing problems had a 1.62 times higher risk of mild depression (OR=1.62; 95% CI:1.29–2.05), a 2.27 times higher risk of moderate depression (OR=2.27; 95% CI:1.52–3.38), and a 6.15 times higher risk of severe depression (OR=6.15; 95% CI:2.31–16.37). Conclusions: Results of this study indicate a significant association between chewing problems and depression. In addition, chewing problems were found to have a stronger relationship with higher severity levels of depression.
  • 12.

    Comparison of the oral health status before and after preventive scaling using the provision of national health insurance: The 5th–6th Korea National Health and Nutrition Examination Survey

    Hyun-Kyung Kang | Yu-Rin Kim | 2019, 19(5) | pp.765~776 | number of Cited : 1
    Abstract PDF
    Objectives: The purpose of this study was to compare the oral health statuses pre- and post- insurance using the 5th and 6th National Health and Nutrition Examination Survey data to confirm the effect of scaling insurance after a year. Methods: Data were analyzed using IBM SPSS ver. 21.0 (IBM Co., Armonk, NY, USA). The four years were integrated, and a composite sample analysis was performed. A total of 26,990 people were included in the study before applying for scaling insurance (14,343 persons) or after receiving scaling insurance (12,647 persons). A chi-squared test was performed to compare the demographic characteristics and oral health status of the subjects. The significance level of the statistical test was 0.05. Results: The proportion of patients without implants was high before the provision of scaling insurance once a year, however, the proportion of patients with one or more implants was high (p<0.05) after the provision of scaling insurance once a year. Hemorrhagic periodontal tissues and tartar formation in periodontal tissues were highly prevalent before the provision of scaling insurance once a year, however, healthy periodontal tissues and formation of periodontal pockets were highly prevalent (p<0.05) after the provision of scaling insurance once a year. The decay, missing, and filled teeth index scores were higher before the provision of scaling insurance once a year (p<0.05). Conclusions: The aforementioned results showed that scaling once a year helps prevent or treat periodontal disease. In addition, we confirmed the effect of prevention on periodontal disease and dental caries, therefore, we expect it to develop into a stable policy.
  • 13.

    Relationship between oral health factors and suicidal ideation in Korean adolescents : The 13th Korea Youth Risk Behavior Survey, 2017

    KyeongHee Lee | 2019, 19(5) | pp.777~789 | number of Cited : 1
    Abstract PDF
    Objectives: The purpose of this study was to investigate the relationship between oral health factors and suicidal ideation in adolescents in order to provide basic data for adolescent suicide prevention and oral health promotion. Methods: This study used data from the Korea Youth Risk Behavior Web-Based Survey held in 2017, in which a total of 62,276 youth participated. Data were analyzed by SPSS Ver. 22.0. Complex logistic regression analysis was used to analyze oral health factors related to suicidal ideation. Results: The effects of oral health on male students’ suicidal ideation were as follows: brushing teeth 2–3 times a day was associated with decreased suicidal ideation (p<0.01), while suicidal ideation was increased in individuals who had experienced scaling within the past year (p<0.001), or, among experiences of oral disease within the last year, had reported prickling and throbbing pain (p<0.001), pain on the tongue and inside the cheeks (p<0.001), or bad breath (p<0.001). The effects of oral health on female students’ suicidal ideation were as follows: brushing teeth 2–3 times a day was associated with decreased suicidal ideation (p<0.001), while suicidal ideation was increased in individuals who, among experiences of oral disease within the last year, had reported pain when chewing (p<0.001), pain on the tongue and inside the cheeks (p<0.01), or bad breath (p<0.001). Conclusions: The above results demonstrate that adolescent suicidal ideation and oral health factors are correlated, and it will be necessary to incorporate oral health interventions when planning or developing projects and programs for suicide prevention in adolescents.
  • 14.

    Relevance of dental hygiene students’ stress and its physical environmental and interpersonal factors in clinical practice institutions

    Ryu, Hae Gyum | 2019, 19(5) | pp.791~802 | number of Cited : 2
    Abstract PDF
    Objectives: The purpose of this study was to investigate the relevance of stress and stress amounts of physical environment factors and interpersonal factors of clinical practice institution of dental hygiene department students. It is in order to create condition to focus on clinical practice institution. Methods: The participants in this study were 231 dental hygiene department students engaged in clinical practice; the survey was conducted from September 1 to 30, 2018, using a structured questionnaire (1040460-A-2018-036). The questionnaire consisted of items on participants’ general characteristics (4 items), characteristics of the clinical practice institution (9 items), stress from environmental factors (8 items), stress from interpersonal factors (7 items), and stress amounts of BEPSI (5 items). The collected data were compared and analyzed using a t-test, ANOVA, and multiple regression. Results: The physical environment and interpersonal factors of stress according in clinical practice institutions were statistically significant. In case of a number of dentists (p<0.05), subjective practice atmosphere (p<0.001), practice satisfaction (p<0.001), and kindly teach (p<0.001). The factors affecting the amount of stress on the characteristics of the clinical practice institution were that the dental clinic, the relationship with the dental hygienist is common, the number of dentists is 4 or more, and there is no resting room. Conclusions: The selected clinical practice institutions should provide dental hygiene department students with places to relax and a systematic hands-on manual.
  • 15.

    Factors influencing organizational socialization in new dental hygienists

    LeeHyeJin | Min Hee-Hong | 2019, 19(5) | pp.803~811 | number of Cited : 0
    Abstract PDF
    Objectives: This study investigated the factors influencing organizational socialization of new dental hygienists and provides basic data for successful organizational socialization. Methods: Data were collected using self-report questionnaires from 199 new dental hygienists of dental clinic and hospital between June and September 2018. Data analysis using SPSS 22.0 included Independent t-test, one way ANOVA, Scheffe post-hoc test, Pearson correlation coefficients, and multiple regression analysis. Results: The new dental hygienists’ professional self-concept, interpersonal ability, and organizational socialization value were 3.27±0.50, 3.55±0.45, and 3.03±0.37, respectively. There were significant positive correlations between professional self-concepts, interpersonal relations, and organizational socialization. A positive correlation was found between professional self-concept and interpersonal relations. Factors affecting organizational socialization of new dental hygienists included the strength of work, interpersonal relations, and professional self-concept. Professional self-concept was the most influential factor leading to 54.7% of the variance in organizational socialization. Conclusions: Therefore, to improve the organizational socialization of new dental hygienists and reduce the turnover rate, it is necessary to develop and implement programs promoting professional self-concept and interpersonal relations.
  • 16.

    Effects of emotional labor, organizational climate, and job involvement on turnover intention in Korean dental hygienists

    JEUNG DA YEE | 2019, 19(5) | pp.813~824 | number of Cited : 1
    Abstract PDF
    Objectives: The purpose of this study was to investigate the effects of emotional labor, organizational climate, and job involvement on turnover intention in Korean dental hygienists. Methods: A total of 806 dental hygienists were enrolled in this study. A self-administered questionnaire was used to evaluate the demographic and occupational characteristics, emotional labor, organizational climate, job involvement, and turnover intention of the subjects. A hierarchical multiple regression analysis was performed. All statistical analyses were performed using the Statistical Package for the Social Sciences for Windows (version 23.0) and p-values < 0.05 were considered significant. Results: Highly chronic exposure to emotional labor were more likely to increase the risk of turnover intention among dental hygienists, especially in the sub-scales of “over-load and conflict in customer service” (OR: 1.64; CI: 1.01– 2.64), “organizational surveillance and monitoring” (OR: 1.76; 95% CI: 1.21–2.57), and “lack of a supportive and protective system in the organization” (OR: 1.76; 95% CI: 1.36–2.46). Job involvement (OR: 0.91; 95% CI: 0.86–0.96) and organizational climate (OR: 0.82; 95% CI: 0.75– 0.90) were negatively associated with turnover intention among dental hygienists. Conclusions: Exposure to chronic and excessive emotional labor might be a contributing factor for turnover intention, and job involvement and a positive organizational climate contribute to protecting the negative impacts of emotional labor on turnover intention in dental hygienists.
  • 17.

    Perceptual differences in internet oral health information use between dental hygienists and patients

    김선영 | Bo-Ram Lee | 2019, 19(5) | pp.825~834 | number of Cited : 0
    Abstract PDF
    Objectives: To analyze whether there are perceptual differences in internet oral health information use between ordinary people who underwent dental treatments and dental hygienists. Second, the study aimed to analyze related issues, and, third, to find a developmental direction to provide fundamental information for developing patient-customized websites to improve dental services to suit contemporary needs. Methods: From September 1 to September 30, 2018, a questionnaire survey was conducted, with 367 participants (209 dental hygienists and 149 patients) in order to analyze their objective agreement, subjective congruence, and accuracy. As a study tool, the questionnaire consisted of 11 items about the perception of internet oral health information use and 11 on the estimated perceptions of both groups in order to compare their perceptions and estimates of each other. Results: Objective agreement was analyzed and, as a result, dental hygienists and patients were found to demonstrate similar results in terms of their perceptions of internet oral health information use. With regard to subjective agreement, the study subjects either underestimated or overestimated internet oral health information use more than they perceived. In terms of accuracy, dental hygienists and patients had different perceptions regarding internet oral health information use. Therefore, accuracy was somewhat low. Conclusions: In order to improve individuals’ self-care ability and increase therapeutic instructional adherence for oral healthcare, it is necessary to apply internet oral health information properly to each patient’s individual oral state.
  • 18.

    Relationships between job embeddedness, organizational citizenship behavior, and turnover intention in clinical dental hygienists

    Kyoung-Hye Min | Min Hee-Hong | 2019, 19(5) | pp.835~843 | number of Cited : 0
    Abstract PDF
    Objectives: This study presents job embeddedness as the principal factor that reduces turnover intention of clinical dental hygienists. The study also promotes the utilization of job embeddedness for efficient human management in dental organizations. Methods: A self-reported questionnaire was completed by 200 dental hygienists from June 1 to July 15, 2019. Data were analyzed using SPSS 20.0. An independent t-test, a one-way ANOVA, Scheffe post-hoc test, and Pearson’s correlation coefficients were employed, and a multiple regression analysis was conducted. Results: The dental hygienists scored 3.25 points for job embeddedness, 3.81 points for organizational citizenship behavior, and 3.40 points for turnover intention. The variables that influenced their turnover intention were those related to job embeddedness. These factors showed 24.6% variance among the dental hygienists. Conclusions: Efficient human management of clinical dental hygienists requires increased interaction and compatibility within dental organizations. It is also necessary to create a variety of benefits and support systems.
  • 19.

    Oral care practices for dementia patients and social support and depression in family caregivers of dementia patients

    Nam.y.o | KyeongHee Lee | PARK IL SOON | 2019, 19(5) | pp.845~858 | number of Cited : 0
    Abstract PDF
    Objectives: This study aims to contribute to devising systems for family caregivers of dementia patients by examining the state of oral care of dementia patients, and depression and social support among family caregivers of dementia patients. Methods: Family caregivers of dementia patients in the metropolitan area were selected in this study. The inclusion criteria were individuals who have provided care for a dementia patient at home for at least six months and those who come in contact (including phone calls) with the patient at least twice a week. Results: Oral health knowledge of the elderly, caregiving burden, depression, and social support were examined. The mean scores for oral health knowledge of the elderly and caregiving burden were 57.11±16.94 out of 100 and 17.33±8.61 out of 48, respectively. Further, the mean caregiving behavior score, depression score, and social support score were 8.49±13.71 out of 100, 5.11±3.05 out of 10, and 72.75±17.03 out of 100, respectively. Factors affecting oral health knowledge of the elderly were examined. The results showed that the level of oral health knowledge of the elderly increased with an increasing perception of a need for oral health education (p<0.05), caregiving burden (p<0.01), and social support (p<0.01). Conclusions: These findings suggest that developing and popularizing oral care intervention programs for family caregivers of dementia patients are necessary to ensure systematic oral care for dementia patients.
  • 20.

    User evaluation of the mobile application, CAMBRA-kids, for caries management in preschoolers

    강유민 | Lee, Su Young | 2019, 19(5) | pp.859~871 | number of Cited : 0
    Abstract PDF
    Objectives: The present study aimed to evaluate the usability, quality, and usefulness of the mobile application, CAMBRA-kids, for caries management in preschoolers. Methods: Ninety-one caregivers and preschoolers participated in the user evaluation of CAMBRA-kids. The evaluators assessed the usability, quality, and usefulness of CAMBRA-kids. The collected data were analyzed using R studio 1.2.1335 for Windows (RStudio Inc. 2018, Boston, MA, USA). The evaluations for usability, quality, and usefulness were analyzed with descriptive statistics, Kruskal-Wallis rank sum test, and Wilcoxon rank sum test. Results: On user evaluation, the quality and usefulness of the application scored >3 points, and majority of the users rated the quality and usefulness of the application as high. The quality of the application’s system was the highest at 3.68 points, and the actual usage of the application was the lowest at 3.10 points. The application had the highest technological aspect score of 3.20, whereas the content related to oral health information had the lowest score of 3.10/5. Although the application showed no statistically significant differences in the quality and usefulness according to general characteristics, there was a statistically significant difference (p<0.05) between the two when compared between the caries risk group. For all items, the protector of the high-risk group evaluated the quality and usefulness of the application highly. The moderate risk group gave the lowest evaluation score for the application’s quality and usefulness. The usability score of the application, according to the user version of the mobile application rating scale (uMARS), was 3.25, and the average engagement score was 2.82 (56.31%). The highest subscale score was 3.63. Conclusions: In this study, we found suitable quality, usability, and usefulness of the mobile application, CAMBRA-kids. In future, the use of this application will contribute to the prevention of dental caries among preschoolers.