일부 초등학교 양치교실 운영 효과 평가
Evaluation of the Effect of Operation of Toothbrushing Room in between Two Elementary Schools
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초록
본 연구는 창원시 M 초등학교 양치교실 운영에 따른 효과를 평가하고 추후 효과적인 사업 운영을 위한 기초자료를제공하기 위하여 실시되었다. 연구대상은 양치교실이 운영되고 있는 M 초등학교 347명을 실험군으로, 양치교실이 운영되지 않는 J 초등학교 289명을 대조군으로 하여 구조화된설문지와 DMFT index, DMFS index, 치면세균막지수를검사하여 조사 분석하였다. 수집된 자료는 IBM SPSS Statistics ver. 19.0 프로그램을 이용하여 분석한 결과는 다음과같다. 양치교실 운영여부에 따라 FT index (p＜0.001), SeT index (p＜0.001), FS index (p＜0.001), MS index (p＜ 0.01), SeS index (p＜0.001), DMFS index (p＜0.001), 치면세균막지수(p＜0.001)에서 실험군과 대조군 간에 통계적으로 유의미한 차이를 보였다. 칫솔질 횟수가 적을수록(t= －2.704, p＜0.01) DMFT index가 높아지는, 통계적으로유의미한 부적관계가 있는 것으로 나타났으며, 칫솔질 횟수가 적을수록(t=－2.413, p＜0.05), 회전법이 아닌 경우(t= －2.003, p＜0.05) DMFS index가 높아지는, 통계적으로유의미한 부적관계가 있는 것으로 나타났다. 양치교실이 운영되는 경우(t=－4.010, p＜0.001) 치면세균막지수는 낮은것으로 나타나 통계적으로 유의미한 부적관계가 있는 것으로 나타났다. 이상의 결과에서 학교 내 양치교실의 설치 및 운영은 초기 교육 이후 구강보건전문가의 계속적인 도움 없이도 아동들의 식사 후 칫솔질 습관을 지속적으로 인식시켜 학생 스스로가 구강건강관리 능력을 배양할 수 있는 구강건강 예방사업이다. 따라서 효과적인 양치교실의 지속적인 운영을 위해서는 학교장과 보건교사, 담임선생님의 학생들에 대한 꾸준한 관리 감독이 절실히 요구되며 또한 지역 내 관할 보건소와 인근 대학 관련전공학과와 체계적인 협력구축을 통한지속적인 구강보건교육과 인근 초등학교 내 양치교실 설치사업의 확대를 제언한다.
Abstract
This research was conducted in order to examine the effect of tooth brushing room M elementary school in Changwon-city and to provide foundation data for effective project operation afterwards. The subjects were 347 students at the M elementary school where the tooth brushing room was being taught. The control group is 289 students at J elementary school where the tooth brushing room was not being taught. Research and analysis were carried out with structured survey and examination of decayed, missing, filled teeth (DMFT) index, decayed, missing, filled tooth surface (DMFS) index and Oʼleary index. The data was analysed by IBM SPSS Statistics ver. 19.0 program and the result is as follows: Depends on the tooth brushing room there was difference in statistical significance in filling teeth, sealant tooth surface, filling tooth surface, missing tooth surface, DMFS, Oʼleary index between the subject and control group. The less the frequency of brushing, the higher the DMFT index. Negative correlation was statistically significant. With incorrect brushing method, the less the frequency, the higher the DMFS index, Negative correlation was statistically significant. When the tooth brushing room was being implemented, Oʼleary index became low, negative correlation was statistically significant. As a result, in order to continue the effective operation of tooth brushing room, constant supervision and monitoring on students should be acutely needed by a principal, a school nurse and teachers in charge. Also together with a systemized cooperation between a health center and a nearby university's related majors departments, the research proposes to execute constant oral health education and to expand the implementation project of the tooth brushing room at nearby elementary schools.
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