상아질 지각과민증에 관한 치과의사와 치과위생사의 인식 수준 측정도구에 대한 고찰
A scoping review on measurement tools of dentin hypersensitivity knowledge for dentist or dental hygienists
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초록
본 연구는 한국 치과의사와 치과위생사의 상아질 지각과민증에 대한 인식 수준을 조사하기 위한 기초자료를 제시하기 위하여 해외 각국의 관련 연구에서 사용된 측정 도구를 주제범위 문헌고찰(scoping review) 을 하였다. 고찰 문헌은 총 10개로 네덜란드ㆍ영국ㆍ미국ㆍ나이지리아 등 해외 각국에서 수행된 연구이며, 치과의사만 대상으로 한 경우가 9건, 치과의사와 치과위생사를 모두 대상으로 한 경우가 1건으로 나타났다. 상아질 지각과민증에 대한 조사항목은 상아질 지각과민증의 원인, 치료 방법, 예방법, 감별진단 방법 등으로나타났고, 함께 조사된 문항은 나이, 성별, 최종학력, 근무 유형, 임상 경력 등 일반적 특성과 치과 의료현황을 파악하는 문항 등으로 나타났다. 응답 형식은 각 질문에 대해 Likert 5점 척도, 정답 여부를 판단하는 형태, 맞는 답에 모두 중복응답 하는 형태, 또는 단일응답 하는 형태로 나타났다. 보기 문항에 잘못된 내용을포함해 정답여부를 파악하는 방법으로 치과의사와 치과위생사의 상아질 지각과민증에 대한 인식 수준을 평가하는 것으로 나타났다. 한국 치과의사와 치과위생사의 상아질 지각과민증 인식 수준 측정 도구에 상아질지각과민증의 원인 요소, 증상 요소, 치료 방법과 예방법을 포함한 관리 방법 요소 등이 포함되어야 하고, 연속형 변수로 처리가 가능한 응답 형식이 바람직하며, 인식 수준에 영향을 미칠 수 있는 변수들을 함께 조사하여야 한다. 본 연구는 문헌의 질을 평가하지 않았다는 한계점이 있지만, 치과의사와 치과위생사를 대상으로 한 상아질 지각과민증에 관한 설문 연구를 통합하여 고찰하고 제언점을 도출하였다는 점에 의의가 있다.
Abstract
According to the scoping review guidelines, this study discussed the measurement tools used in related studies in foreign countries to present the baseline data to investigate the knowledge of dentin hypersensitivity in Korean dentists or dental hygienists. Ten works of literature were discussed, which were conducted in foreign countries, including the Netherlands, the U.K., the U.S., and Nigeria, and nine were conducted with dentists only, and one was conducted with both dentists and dental hygienists. The items of the surveys on dentin hypersensitivity were the causes, treatment methods, prevention methods and differential diagnosis of dentin hypersensitivity. The items surveyed along with them were the general characteristics such as age, sex, educational background, work type, clinical experience, and a question to understand the dental medical status. The forms of responses included the form of judging whether the answer was correct or not to each question on a five-point Likert scale, the form of making duplicate responses to all correct answers, and the form of making single responses. It turned out that the knowledge of dentin hypersensitivity in dentists or dental hygienists was assessed with the method of understanding whether the answer was correct or not by including wrong information in the example item. In the level of Korean dentists or dental hygienists’ knowledge of the measurement tools of dentin hypersensitivity, the causative factors, symptom factors of dentin hypersensitivity, and the management method factors, including treatment and prevention methods should be included, and the form of responses that could be processed as a continuous variable is desirable, and the variables that may affect the level of knowledge should be investigated together. This study has a limitation in that it did not evaluate the quality of the literature; however, it has significance in that it integrated and investigated survey research on dentin hypersensitivity with dentists or dental hygienists and drew suggestions.
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