의치진료 경험 후 치과대학 학생들의 임상진료능력에 대한 자기인식도
Dental students’ clinical confidence in denture treatment after clinical experiences
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목적: 본 연구의 목적은 의치치료 경험이 있는 치과대학 학생들을 대상으로 임상진료능력에 대한 자기인식도를 조사하는 것이다. 재료 및 방법: 2019학년도 치과대학 본과4학년 학생 58명 중 설문에 응한 50명의 학생을 대상으로 하였다. 설문 문항은 치료계획 수립 및 보철 전 치료과정 (4문항), 의치 임상 및 기공과정 (20문항), 의치 임상교육 부분 (4문항)으로 구성하였다. 각 문항은 5점 척도로 응답하도록 하였고, 각 문항에서 4점과 5점(‘그렇다’와 ‘매우 그렇다’)의 응답비율을 긍정응답률로, 1점과 2점(‘그렇지 않다’와 ‘매우 그렇지 않다’)의 응답비율을 부정응답률로 분류하였다. 결과: 단계별 진료과정에 대한 설문에서 긍정응답률은 모두 60% 이상으로 전반적으로 학생들의 자기인식도는 높았다. 그러나 졸업 후 독립적인 의치 치료 수행능력에 대해서는 긍정응답률이 48%로 다소 낮았다. 환자관리, 의치에 대한 주의사항 설명, 개인트레이 제작, 박싱 및 작업모형 제작 항목이 긍정응답률이 가장 높았고, 치료계획수립, 최종인상 채득, 서베잉이 가장 낮았다. 결론: 의치치료 경험이 있는 치과대학 학생들은 의치치료 수행능력에 대한 자기인식도는 높은 편이었으나 독립적인 수행능력 증진을 위해서는 교육이 더 필요하다는 것을 알 수 있었다.
Abstract
Purpose: The purpose of this study is to investigate dental students’ self-perception of clinical care ability after a denture treatment experience. Materials and methods: Of the 58 fourth-year students at the dental school in 2019, 50 students completed the questionnaire concerning their denture treatment session, including treatment planning and pre-prosthetic treatment (4 questions), clinical and laboratory procedures (20 questions), and students’ opinions on clinical denture education (4 questions). Each question was answered on a five-point scale, of which points four and five, “agree” and “strongly agree” respectively, were classified as positive responses while points one and two, “disagree”and “strongly disagree” respectively, were classified as negative. Results: All the items on clinical and laboratory procedures received a positive response rate of over 60%, and the overall self-perception of the students appeared to be positive. However, the questions on the ability to perform denture treatment independently after graduation received only 48% of positive answer. Those on patient management, explanations of denture precautions, customized tray production, boxing, and work model production were answered with the highest positive response rate whereas those on treatment planning, final impression acquisition, and surveying, were the lowest in each session. Conclusion: The dental students with experience in denture treatment generally have a positive opinion of their clinical care ability, but further education may be necessary to improve their ability to treat their patients independently.
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