경제적 스트레스와 상태ㆍ특성불안이 치주질환에 미치는 영향
A Study on the Effects of the Economic Stress and State-Trait Anxiety on the Periodontal Disease
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본 연구는 경제적 스트레스와 상태ㆍ특성불안이 치주질환에 미치는 영향을 파악하여 치주질환의 예방과 발생 및진행 정도를 미연에 방지할 수 있는 방안을 마련하기 위하여 실시되었다. 연구대상은 일부 지역 치과의원에 내원한 40∼50대 성인남녀 총 326명을 대상으로 하여 구조화된 설문지와 치주상태를 측정하여 조사 분석하였다. 수집된 자료는 IBM SPSS ver. 19.0 통계프로그램(IBM Co., Armonk, NY, USA)을이용하여 빈도와 백분율, t-test (검증), One way ANOVA (일원배치 분산분석), Multiple regression Analysis (다중회귀분석)을 실시하여 분석결과는 다음과 같다.1. 경제적 스트레스는 치은염 지수의 고(1.12±0.72), 중(0.85±0.62), 저(0.88±0.62)에 따라 통계적으로 유의한 차이를 보였다(p＜0.01). 2. 상태ㆍ특성불안은 치은염 지수(p＜0.001)의 고(1.16±0.71), 중(0.81±0.63), 저(0.86±0.60), 치주낭 깊이(p＜0.05)의 고(3.86±1.12), 중(3.44±1.07), 저(3.57±1.01), 임상적 부착소실(p＜0.05)의 고(3.86±1.12), 중(3.44±1.07), 저(3.57±1.01)에 따라 통계적으로 유의한 차이를 보였다. 3. 치은염 지수에 영향을 미치는 요인으로 경제적 스트레스(β=0.052, p＜0.01)가 높을수록, 상태ㆍ특성불안(β=0.052, p＜0.01)이 높을수록 영향을 미치는 것으로 조사되었다. 이상의 연구결과에서 치과의료기관은 치주질환으로 힘들어 하는 환자에게 경제적 스트레스와 상태ㆍ특성불안이치주질환에 영향을 미친다는 사실을 인식시킬 필요가 있으며 이에 따른 치주질환의 예방과 발생 및 진행 정도를 방지할 수 있는 스트레스 관리능력배양을 위한 교육프로그램 개발이 마련되어야 할 것이다.
Abstract
The purpose of this study was to investigate effect of the economic stress and state-trait anxiety on the periodontal disease in order to prevent the occurrence and progression of periodontal disease. Date were collected from total of 326 subjects in their forties and fifties by using questionnaire and examination of periodontal states during the period from February to November 2011. Results were analyzed by using frequency, t-test, ANOVA and Multiple regression of SPSS ver. 19.0. 1. The economic stress were significant statistically to the higher, medium and low of gingival index (p＜0.01). 2. The state-trait anxiety were significant statistically to the higher, medium and low of gingival index (p＜0.001), of the pocket depth (p＜0.05), of the clinical attachment loss (p＜0.05). 3. The gingival index were investigate effect of the higher the economic stress (b=0.052, p＜ 0.01), the higher the state-trait anxiety (b=0.052, p＜0.01). As a result, this study suggests that the dental clinic institute needs to let the patients with the periodontal disease know about the effects of economic stress and state-trait anxiety. They also necessarily need to implement education program including stress management, economic stress, and state-trait anxiety improvement in order to prevent periodontal disease and to take charge.
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