장애 아동 특수학교의 학교구강보건사업 평가 연구

Abstract

Objectives: The author has surveyed for appraisal of the school dental health program on the children with disabilities, in order to make a reference for promoting the oral health on children with disabilities by showing the right direction and making national wide plans. Methods: 142 among 144 schools for disabilities were participated in the survey through the self appraisal method with the questionnaire by each school nurse. Results: All schools performed the oral exam, program and 92% of them did the oral health education, otherwise 69%, in toothbrushing program, 15% in fluoride mouth rinsing, 28% in fluoride application, 42% in sealant program and 36% in school dental clinic program, last year. Comprehensive appraisal score of the school dental health program for children with disabilities was revealed as 3.02±1.50 among 5.0 points of full scores and 3.52±1.45 in oral exam. 2.61±1.48 in oral health education, 3.07±1.60 in toothbrushing project, 2.73±1.13 in fluoride mouth rinsing, 2.79±1.47 in fluoride topical application, 3.08±1.39 in sealant program and 3.38±1.39 in school dental clinic program. It was recommended that such point as reforming the oral health education program, more extent for fluoride mouth rinsing and topical application programs, and supporting to establish and to manage the school dental clinic program to all school children with disabilities, should be considered, to promote the oral health for children with disabilities in Korea. It revealed relatively high scores in such items of the subjective, procedures, dental care supplies, and preparation of materials or equipments as a quantitative appraisals, otherwise low scores in such qualitative appraisal items as establishment of the goals, achievement of the goals, and the promotion of the oral health level, so it should be recommended to try for enhancing the qualitative appraisal scores more for children with disabilities. Conclusion: The proper school oral health programs for children with disabilities should be developed, with the consideration of the specific characteristics for children with disabilities, in Korea.