Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
권호 표지

The Oral Health Behaviors for Children and Teachers by Teacher-Supervised Toothbrushing in Community Child Center

지역아동센터 교사의 칫솔질 지도여부에 따른 아동과 교사의 구강보건행태

  • Shin, Sun-Jung (Department of Dental Hygiene & Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Jang, Jung-Yoo (Department of Dental Hygiene, Andong Science College) ;
  • Kim, Chang-Hee (Department of Dental Hygiene, Chung Cheong University)
  • 신선정 (강릉원주대학교 치과대학 치위생학과 및 구강과학연구소) ;
  • 장정유 (안동과학대학교 치위생과) ;
  • 김창희 (충청대학교 치위생과)
  • Published : 2012.12.31
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Abstract

The purpose of this research was to compare the oral health behaviors for children and teachers in toothbrushing facilities installed community child center related with teacher-supervised toothbrushing. This research was follow-up study from the Korean Dental Hygienists Association third project '2010 program of making of the diamond tooth'. 266 child support teachers were invited and 201 were included in the study (response rate: 75.6%). Statistical analysis conducted using PASW ver. 18.0 for Windows. The difference on the distribution of independent variables related with teacher-supervised toothbrushing was verified with chi-square test. The results of this research could be summarized as follows: The children in the teacher-supervised toothbrushing community child center, the practice rate of toothbrushing was higher than the children in the non-supervised toothbrushing community child center (p<0.05). Teachers offered children one of snacks and drinks per day independently of teacher-supervised toothbrushing (p>0.05). Most of participated teachers accepted to be responsible for oral health of children (73.4%) and demanded that improve facilities for a toothbrushing in community child center (77.2%). In conclusion, this study suggests that a programme of daily teacher-supervised toothbrushing can be effectively targeted into community child center.

지역아동센터 아동의 구강건강증진을 위해 개인의 행동 변화, 물리적 환경의 변화와 더불어 교사의 역할과 책임을 고찰하고자 지역아동센터 내에서 양치시설이 설치되어 있는 센터와 그렇지 않는 센터와의 구강건강증진에 대한 견해를 비교한 결과는 다음과 같다. 1. 일상적으로 교사가 칫솔질을 지도하는 센터의 아동들이 급식 후 칫솔질 실천율이 높았고, 간식 후 칫솔질 칫솔질 또는 물양치를 실천하는 비율이 높았다(p<0.05). 또한 이를 교사가 지도하는 빈도는 일상적으로 칫솔질을 지도하는 센터의 경우 '항상 또는 자주 지도'하는 비율이 높았고, 더불어 치약의 사용량과 칫솔관리 및 보관 등 구체적인 구강건강관리 내용을 지도비율이 높았으며, 이는 일상적으로 칫솔질을 지도하지 않는 센터와 통계적으로 유의한 차이가 있었다(p<0.001). 2. 불량한 칫솔을 교체하지 못하는 아동의 비율이 40.0% 이상인 지역아동센터가 전체의 24.4% 수준이었고, 그 사유로는 대부분 부모의 관심부족으로 나타났으며, 이는 칫솔질 지도여부 간에는 통계적으로 유의한 차이가 없었다(p>0.05). 3. 지역아동센터 교사의 구강건강관련 보건행동은 칫솔질 지도여부와는 상관없이 일 평균 간식은 1회 정도 제공하며, 간식의 종류는 우식성 식품과 비우식성 식품을 반반 정도 제공하고 있었다. 또한 아동의 착한 행동에 대한 보상으로 일상적 또는 때때로 단것을 제공하는 비율이 각각 47.0%, 52.3%로 나타났다(p>0.05). 4. 지역아동센터 교사의 칫솔질을 지도여부와 상관없이 대부분의 교사들의 구강보건지식 수순은 높았고, 본인들의 칫솔질 실천도 일 평균 3회 정도로 높았으며, 회전법으로 칫솔질을 실천하고 있었다(p>0.05). 5. 지역아동센터 아동의 구강건강증진을 위한 환경 개선에 대한 견해는 칫솔질 지도여부와 상관없이 지역아동센터 아동의 건강증진 주체를 아동복지교사로 생각하고 있었으며(73.4%), 칫솔질 및 손씻기 용의 세면대 개선(77.2%)을 요구하였고, 대부분의 보건 프로그램을 건강증진 프로그램으로 생각하고 있으며, 그 중 양치와 손씻기 등 개인위생에 관한 내용의 요구도(100.0%)가 높았다. 뿐만 아니라 치과검진과 치과치료 연계(100.0%) 등 직접적인 치과의료 서비스제공의 요구도도 높았다. 이상의 결과로 지역아동센터 아동의 구강건강을 증진시키기 위해서는 아동의 올바른 구강건강관리 행동을 지속적으로 유지하기 위한 교사들의 적극적인 참여와 지도가 매우 중요하며, 이를 위해서 지역사회 내에서 교사를 위한 교육프로그램 마련뿐 아니라 사회적 지원이 함께 이루어져야 할 것으로 사료된다.

Keywords

References

  1. Ministry of Health & Welfare: 2007 Guide on support program for child support teacher. Ministry of Health & Welfare, Seoul, 2007.
  2. Heo JY, Yang HS: Vocation recognition of the welfare teachers dispatched to the region children centers in Busan. J Content Assoc 8: 211-226, 2008. https://doi.org/10.5392/JKCA.2008.8.4.211
  3. Kang MS: History of the community child center. Seoul: Training support center for support child teacher. KB Academy, Seoul, pp.1-29, 2010.
  4. Headquarters for Community Child Center: National community child center survey. Ministry of Health & Welfare.Headquarters for Community Child Center, Seoul, 2011.
  5. Suh HJ: Teacher's needs analysis on the community center for children. J Korean After-School Child Education 4: 25-51, 2007.
  6. Korea Ministry of Government Legislation: The child welfare law-an enforcement ordinance 16-11 clause. Retrieved July 15, 2012, from http://www.law.go.kr/main.html(2008, February 9).
  7. Kim YM: A study of the relationship among parents' characteristics, family environment of low income children and the child neglect. Unpublished master's thesis, Chungnam National University, Daejeon, 2003.
  8. Lee EH: Activating strategies about the health promoting function of community children's centers in Korea. Unpublished master's thesis, Joongbu University, Geumsan, 2007.
  9. Han SJ, et al.: A study on oral health awareness, oral health behavior and dental caries among low socio-economic status children: the cases of local children's center in Incheon. J Dent Hyg Sci 8: 147-153, 2008.
  10. Jin BH: The development of oral health educational program: for grade-schoolers in low-income families. Seoul National University Industry Academy Cooperation Group.Korea Health Promotion Foundation, Seoul, 2008.
  11. Kang MS: 5th course on operating practices for community child center. Ministry of Health & Welfare, Seoul, p.7, 2006.
  12. Shin SJ, et al.: Evaluation on the oral health promotion effect from some prat of community child center. J Dent Hyg Sci 11: 163-171, 2011.
  13. Choi YK: Evaluation of educational effectiveness on Rolling method and Bass' method at the degree of difficulty. Unpublished master's thesis, Gangneung-Wonju National University, Gangneung, 2007.
  14. Um MR: Enhancement of plaque control score following individualized repeated instruction. Unpublished master's thesis, Gangneung-Wonju National University, Gangneung, 2008.
  15. Han SJ: Effects of oral health promotion program of children with low socio-economic status: an application of the Theory of Planned Behavior (TPB). Unpublished doctoral dissertation, Hanyang University, Seoul, 2009.
  16. Na MH: Oral health care according to oral health education in teachers of local children's centers. Unpublished master's thesis, Kosin University, Busan, 2009.
  17. Choi KH: Diagnostic analysis on oral health education of primary school's health teacher. Unpublished master's thesis, Chosun University, Gwangju, 2010.
  18. Kim HK, et al.: The comparison of effect in oral health education frequency for elementary school students from a part of community child center. J Korean Soc Dent Hyg 11: 759-771, 2011.
  19. Korean Dental Hygienists Association: The third project '2010 program of making of the diamond tooth'. Korean Dental Hygienists Association, Seoul, 2011.
  20. Jung SH, et al.: Oral health promotion program of community children care center throughout community based network. Gangneung-Wonju National University Industry Academy Cooperation Group.Korea Health Promotion Foundation, Gangneung, 2007.
  21. Kim CS, et al.: Basic research on the environment of oral health promotion in the parent cooperating day-care facilities based on the survey for the nursery teacher. J Dent Hyg Sci 8: 331-336, 2008.
  22. Song KH, Choi EY: A study on the state of oral health care in local children's centers after the implementation of oral health promotion plans. J Korean Acad Dent Hyg 12: 244-262, 2010.
  23. Han SJ, Hwang YS: A study on the necessity of oral health promotion program for children visiting local child-care centers: the case of Incheon. J Korean Acad Dent Hyg Educ 7: 91-103, 2007.
  24. Jackson RJ, et al.: The effects of a supervised toothbrushing programme on the caries increment of primary school children, initially aged 5-6 years. Caries Res 39: 108-115, 2005. https://doi.org/10.1159/000083155
  25. Kim EJ, et al.: Aspects of oral health behaviors, snack intake, and the Patient Hygiene Performance (PHP) index scores among children in community children's centers. J Korean Acad Dent Health 34: 577-586, 2010.
  26. Kim JH, et al.: A study on needs of teachers in community children's centers for oral health education in Incheon. J Dent Hyg Sci 11: 505-512, 2011.
  27. Cho YS, et al.: Effect of oral heath education practice and self-efficacy of teacher oral health attitude. J Dent Hyg Sci 9: 99-108, 2009.