일부 남자 고등학생의 치과치료 공포감과 구강건강 삶의 질에 관한 연구
Fear of dentist care and quality of life in dental health in male high school students
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Objectives: The purpose of this study was to find out the fear of dentist care, subjective recognition of dental health, and quality oflife in the male high school students and to analyze the influencing factors on dental health care. Methods: A self-reported questionnaire was filled out by 243 special high-school in Deagu province from March 3 to March 14,2014. The questionnaire consisted of general characteristics of the subjects(5 questions), subjective recognition of health andactivities to improve health(6 questions), dental fear(20 questions), oral health related quality of life(16 questions). The instrumentfor dental fear was adapted from measured by Berggren Dental Fear Survey(DFS). A total of 20 DFS questions included treatmentavoidance(8 questions), stimulus reaction(6 questions), and physiological reaction(5 questions) and score by Likert 5 scale. Cronbach alpha was 0.974 in the study. Oral health related quality of life was measured by 16 questions of CPQ11-14 for theadolescents by Lau. CPQ11-14 consisted of oral symptoms(4 questions), functional restriction(4 questions), and emotionalwellbeing(4 questions). The instrument was score by Likert 5 scale and Cronbach alpha was 0.9354 in the study. Data were analyzedusing SPSS 18.0 program for ANOVA and multiple regression analysis. Results: Fear of dentist care showed significant differences in treatment avoidance factor(p<0.001), stimulus reaction factor(p<0.05), and physiological reaction factor(p<0.001). The factors depended on subjective recognition of health andhealth-improving activities and differences in treatment avoidance factor(p<0.05) and physiological reaction factor(p<0.01). Thedental symptoms factors showed significant differences in health recognition(p<0.001), interest in health(p<0.001), alcohol drinkingstatus(p<0.001) and regular meal(p<0.001). While function limit factors showed differences in health recognition (p<0.001), interestin health(p<0.001), smoking(p<0.001), alcohol drinking(p<0.001) and regular meal(p<0.001). Mental and social stabilities factorsshowed significant differences in health recognition(p<0.001), interest in health(p<0.001) and alcohol drinking status(p<0.001). Among the factors influencing on the quality of life in dental health, interest in health(p<0.005), alcohol drinking(p<0.005) andphysiological reaction in the midst of fear of dentist care(p<0.001) were the significant impact factor. Conclusions: It is necessary to develop a continuous and systematical program of dental health and dental care by experts so that thestudents can reduce the fear of dentist care by regular dental checkup and preventive treatment and care.
Abstract
Objectives: The purpose of this study was to find out the fear of dentist care, subjective recognition of dental health, and quality oflife in the male high school students and to analyze the influencing factors on dental health care. Methods: A self-reported questionnaire was filled out by 243 special high-school in Deagu province from March 3 to March 14,2014. The questionnaire consisted of general characteristics of the subjects(5 questions), subjective recognition of health andactivities to improve health(6 questions), dental fear(20 questions), oral health related quality of life(16 questions). The instrumentfor dental fear was adapted from measured by Berggren Dental Fear Survey(DFS). A total of 20 DFS questions included treatmentavoidance(8 questions), stimulus reaction(6 questions), and physiological reaction(5 questions) and score by Likert 5 scale. Cronbach alpha was 0.974 in the study. Oral health related quality of life was measured by 16 questions of CPQ11-14 for theadolescents by Lau. CPQ11-14 consisted of oral symptoms(4 questions), functional restriction(4 questions), and emotionalwellbeing(4 questions). The instrument was score by Likert 5 scale and Cronbach alpha was 0.9354 in the study. Data were analyzedusing SPSS 18.0 program for ANOVA and multiple regression analysis. Results: Fear of dentist care showed significant differences in treatment avoidance factor(p<0.001), stimulus reaction factor(p<0.05), and physiological reaction factor(p<0.001). The factors depended on subjective recognition of health andhealth-improving activities and differences in treatment avoidance factor(p<0.05) and physiological reaction factor(p<0.01). Thedental symptoms factors showed significant differences in health recognition(p<0.001), interest in health(p<0.001), alcohol drinkingstatus(p<0.001) and regular meal(p<0.001). While function limit factors showed differences in health recognition (p<0.001), interestin health(p<0.001), smoking(p<0.001), alcohol drinking(p<0.001) and regular meal(p<0.001). Mental and social stabilities factorsshowed significant differences in health recognition(p<0.001), interest in health(p<0.001) and alcohol drinking status(p<0.001). Among the factors influencing on the quality of life in dental health, interest in health(p<0.005), alcohol drinking(p<0.005) andphysiological reaction in the midst of fear of dentist care(p<0.001) were the significant impact factor. Conclusions: It is necessary to develop a continuous and systematical program of dental health and dental care by experts so that thestudents can reduce the fear of dentist care by regular dental checkup and preventive treatment and care.
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