The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Changes in Anxiety and Vital Signs of Scaling Patients

스케일링 전과 후의 불안 및 Vital Sign 변화

  • 김해선 (백석문화대학교 치위생과) ;
  • 한지연 (백석문화대학교 치위생과) ;
  • 황지민 (백석문화대학교 치위생과)
  • Received : 2017.02.17
  • Accepted : 2017.03.27
  • Published : 2017.06.28
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Abstract

The purpose of this study was to investigate the changes in the vital signs and anxiety reactions during scaling to patients who had received the dental hygiene treatment at department of Dental Hygiene in a university. A total of 189 patients were participated in the study. The level of anxiety was assessed through a dental anxiety questionnaire consisting of dental fear survey scale and dental anxiety survey scale. The vital signs were measured before and after scaling. The obtained results were as follows. The level of anxiety before scaling was 2.16 and after scaling was 1.96. This was significantly higher in women. The pulse and systolic blood pressure after scaling significantly decreased from 77.48 times to 74.36 times per minute and from 124.96 mmHg to 122.50 mmHg respectively. These changes are within the normal physiological variations. Individual changes in respiration, pulse, blood pressure, body temperature are affected by age, gender and previous dental experience, but previous scaling experience. The level of anxiety was significantly explained by respiration before scaling and pulse after scaling. As a result, scaling was associated with dental anxiety reactions and changes in vital signs.

본 연구는 일개 대학 치위생과에 스켈링을 받으러 내원한 환자를 대상으로 스켈링 전과 후의 불안 및 공포와 vital sign 변화를 알아보기 위해 2015년 8월부터 11월까지 실시되었다. 자기기입식 설문지 작성과 Vital Sign을 측정하여 진행하였으며, 다음과 같은 결론을 얻었다. 불안 및 공포에 대한 항목 중 '마취용 주사바늘을 볼 때 두려움을 느낀다.'가 가장 높은 점수를 보였으며, 스케일링 전과 후에 각각 2.84점, 2.51점으로 조사되었다. 스케일링 전 맥박은 분당 77.48회에서 스케일링 후 분당 74.36회, 혈압은 스케일링 전 수축기 혈압이 124.86mmHg에서 122.34mmHg로 유의하게 감소하였다. 스케일링 전과 후의 불안 및 공포와 Vital Sign 변수들 간의 상관관계는 모두 수축기 혈압과 이완기 혈압이 가장 높은 양의 상관관계를 보였으며, 일반적 특성에 따른 불안의 경우 스케일링 전에 여자는 2.40점, 남자는 1.86점, 스케일링 후에는 여자 2.16점, 남자 1.65점으로 각각 조사되었다. 일반적 특성에 따른 Vital Sign의 경우 스케일링 전 수축기혈압이 남자가 133.59mmHg, 여자가 118.31mmHg으로 조사되었으며, 스케일링 후에는 수축기혈압이 남자가 129.36mmHg, 여자가 117.87mmHg으로 나타나 통계적으로 유의한 차이를 보였다. 연령에 따른 Vital Sign은 스케일링 후의 이완기 혈압의 경우 10대 69.63mmHg, 20대 76.48mmHg, 30대 이상은 79.29mmHg으로 연령이 증가할수록 이완기 혈압이 상승하는 것으로 조사되었다. 이상의 결과를 정리해보면 스케일링 전과 후의 불안 및 공포와 Vital Sign은 변화가 있으며, 성별, 거주지, 연령 직업 등이 불안과 Vital Sign 변화에 영향을 미치는 것으로 나타났다. 이에 본 연구를 바탕으로 치과에 방문하는 환자들의 불안과 공포를 줄일 수 있는 방안에 대한 연구가 필요할 것으로 사료된다.

Keywords

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