Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
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Influence of Clinical Characteristics and Restriction Factors on Cooperation for Orthodontic Treatment in Adolescent Orthodontic Patients

청소년 교정환자의 임상적 특성과 통제소재가 교정치료 협조도에 미치는 영향

  • Seong, Hye-Jin (Department of Oral Health, Graduate School, Kosin University) ;
  • Jeong, Ji-Hye (Department of Oral Health, Graduate School, Kosin University) ;
  • Lee, So-Young (Department of Dental Hygiene, Taegu Sience University) ;
  • Cho, Mi-Suk (Department of Dental Hygiene, Choonhae Health College) ;
  • Ryu, Hae-Gyum (Department of Dental Hygiene, Masan College) ;
  • Kwun, Hyeon-Sook (Department of Dental Hygiene, Masan College) ;
  • Yu, Byeng-chul (Department of Preventive and Medicine, Kosin University College of Medicine)
  • 성혜진 (고신대학교 보건대학원 구강보건학과) ;
  • 정지혜 (고신대학교 보건대학원 구강보건학과) ;
  • 이소영 (대구과학대학교 치과위생과) ;
  • 조미숙 (춘해보건대학교 치위생과) ;
  • 류혜겸 (마산대학교 치위생과) ;
  • 권현숙 (마산대학교 치위생과) ;
  • 유병철 (고신대학교 의과대학 예방의학교실)
  • Received : 2015.12.26
  • Accepted : 2016.01.13
  • Published : 2016.02.29
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Abstract

Cooperation of the patients in orthodontic treatment is an essential element. This study examines the internal and external restriction factors and level of cooperation for orthodontic treatment of adolescent orthodontic treatment patients, and the factors that impart influence on the level of cooperation for orthodontic treatment. 'Form for students' among the indices of internal and external restrictions for orthodontics, which is an adaption of 'Orthodontic Locus of Control Scale' was used as survey tool, and 'Reliability and Stability of the Orthodontic Patient Cooperation Scale' was used as survey tool for the level of cooperation of orthodontic patients. As the result of examination of the effect of internal and external restriction factors on level of cooperation for orthodontic treatment by compensating the general characteristics in the multiple regression analysis, it was found that the level of cooperation for orthodontic treatment is higher for the patients who believe there is strong influence of external restrictions-patents-on the events that determines orthodontic treatment. In order to enhance the level of cooperation for orthodontic treatment of adolescent orthodontic patients, there is a need to assess the relationship between the patient and parents as well as the attitude or psychological state of the patients on orthodontic treatment.

청소년기 교정환자의 통제소재와 교정치료 협조도의 수준을 조사하고 그 관련성을 알아보고자 설문조사를 실시하였다. 경상남도 창원시 소재 3개 치과 병, 의원에서 교정치 료를 받고 있는 청소년 238명(남자 70명, 여자 168명)을 대상으로 실시한 연구조사의 결과는 다음과 같다. 청소년기 교정환자의 협조도 수준은 $4.1{\pm}0.39$로 나타났고, 교정치료를 결정하는 사건들에 대해서 외적 통제-부모의 영향이 강하다고 판단되는 환자일수록 교정치료 협조도가 높은 것으로 나타났다. 통제소재 수준은 $3.49{\pm}0.37$로 나타났고 하위요인 중 내적 통제가 강하다고 판단되는 점수가 $4.46{\pm}0.53$으로 가장 높게 나타났다. 청소년기 교정환자의 내적 통제가 가장 높은 점수로 나타났지만, 실제 교정치료 협조도에 영향을 미치는 통제소재는 부모로 나타났다. 청소년기는 부모로부터 정서적 심리적 독립을 추구하면서도 미성년이기에 완전히 독립할 수 없고 아동에서 성인이 되어가는 과도기적 단계이기 때문에 부모의 영향이 크게 작용할 수 있다. 청소년 교정환자의 교정치료 협조도를 증진시키기 위해서는 환자와 부모의 유대관계를 파악할 필요가 있으며, 환자의 교정치료에 대한 태도나 심리 상태를 파악할 필요가 있겠다. 나아가, 성공적인 교정치료를 결정짓는 중요한 요인 중 하나인 교정환자의 협조도를 증진시킬 수 있는 여러 방법을 모색하기 위한 연구들이 필요하겠다.

Keywords

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