일부 보건소 고혈압·당뇨관리교실 연계 구강건강증진 프로그램운영 및 평가: 논리적 모형을 이용하여
Evaluation of Oral Health Promotion Program Connected with Hypertension and Diabetes Management Programs: Use of a Logical Model
0
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
This study aimed to design and operate a complementary integrated health management program based on the connection between thehypertension and diabetes management programs and the oral health programs at a public health center. It also proposed to suggest the phasedevaluation indicators. In this study, 48 adults registered in the hypertension and diabetes management program were selected from the Gangneungpublic health center. The clinic-specific programs were led by dental hygienists and operated for visitors twice every two weeks. The programs weredesigned based on the logical model, and indicators for evaluating the structure, process, and outcome were presented and applied to the input,process, output, and outcome. The evaluation indices consisted of quantitative and qualitative indicators, and the planning and operation, goalachievement, and effect of each program were assessed. The process evaluations were assessed by the appropriateness of the managers andthe operating fidelity of the programs. Indicators for evaluating the outcomes were gingival bleeding, oral health knowledge, oral health awareness,and the satisfaction of the participant and the manager. The clinic-specific programs resulted in positive changes in the evaluated outcomes. Theintegrated health management of visitors to the hypertension and diabetes management program is important as the general and oral health hascommon risk factors. Furthermore, long-term operation and continuous monitoring of oral health programs are necessary to evaluate the commonfactors in chronic disease management.
Abstract
This study aimed to design and operate a complementary integrated health management program based on the connection between thehypertension and diabetes management programs and the oral health programs at a public health center. It also proposed to suggest the phasedevaluation indicators. In this study, 48 adults registered in the hypertension and diabetes management program were selected from the Gangneungpublic health center. The clinic-specific programs were led by dental hygienists and operated for visitors twice every two weeks. The programs weredesigned based on the logical model, and indicators for evaluating the structure, process, and outcome were presented and applied to the input,process, output, and outcome. The evaluation indices consisted of quantitative and qualitative indicators, and the planning and operation, goalachievement, and effect of each program were assessed. The process evaluations were assessed by the appropriateness of the managers andthe operating fidelity of the programs. Indicators for evaluating the outcomes were gingival bleeding, oral health knowledge, oral health awareness,and the satisfaction of the participant and the manager. The clinic-specific programs resulted in positive changes in the evaluated outcomes. Theintegrated health management of visitors to the hypertension and diabetes management program is important as the general and oral health hascommon risk factors. Furthermore, long-term operation and continuous monitoring of oral health programs are necessary to evaluate the commonfactors in chronic disease management.
참고문헌 (33)
- Strengthening strategies of oral health program throughout lifecycle, "Jung SH", Gangneung-Wonju National University Industry Academy Cooperation Group, 46~138 (2007)
- 이주열, "보건소 통합건강증진사업의 발전 방향", 보건교육건강증진학회지, 30(4), pp.1~7 (2013), 한국보건교육건강증진학회
- Ministry of Health and Welfare, "Community integrated health promotion program guidance 2015", Ministry of Health and Welfare, 3~22 (2015)
- "Diabetes Fact Sheets. Noncommunicable diseases" (2015)[URL]
- FDI World Dental Federation, "Oral health and the United Nations Political Declaration on NCDs", FDI World Dental Federation, 3~7 (2012)
- Löe H, "Periodontal disease: the sixth complication of diabetes mellitus", Diabetes Care, 16, pp.329~334 (1993)
- Gulati M, "Essentials of periodontal medicine in preventive medicine", Int J Prev Med, 4, pp.988~994 (2013)
- Grossi SG, "Periodontal disease and diabetes mellitus:a two-way relationship", Ann Periodontol, 3, pp.51~61 (1998)
- Chapple IL, "Working Group 2 of the Joint EFP", AAP Workshop: Diabetes and periodontal diseases: consensus report of the Joint EFP, J Periodontol, pp.2013, 84[DOI]
- Simpson TC, "Treatment of periodontal disease for glycaemic control in people with diabetes", Aust Dent J, 55, pp.472~474 (2010)
- Lockhart PB, "Periodontal disease and atherosclerotic vascular disease: does the evidence support an independent association?", J Am Heart Assoc, 125, pp.2520~2544 (2012)
- Persson GR, "Cardiovascular disease and periodontitis:an update on the associations and risk", J Clin Periodontol, 35, pp.362~379 (2008)
- D’Aiuto F, "Periodontal disease and C-reactive protein-associated cardiovascular risk", J Periodont Res, 39, pp.236~241 (2004)
- Development of oral health promotion program connected with prevention and management programs of NCDs in Gangdong-gu, "Jung SH", Gangneung-Wonju National University Industry Academy Cooperation Group, 137~148 (2014)
- Developing a comprehensive health promotion program for hypertension, diabetes, and periodontal disease care, "Kim NH", Yonsei University Industry Foundation, 40~67 (2015)
- Bae SS, "Health program planning", pp.309~366 (2015), Gyechukmunwhasa
- Implementation of assessment in a competency-based dental hygiene science education, "Bae SM", Korean Association of Dental Hygiene Professors, 34~48 (2014)
- 신선정, "한국의 노인 구강건강증진사업에 대한 평가도구 개발", 박사, 치의학, pp.2010
- 김세안, "구강자기관리 프로그램이 노인복지관을 이용하는 당뇨병환자의 지식, 동기, 자기효능감, 행위와 구강건강상태에 미치는 효과", 박사, 간호학과 간호학전공, pp.2014
- Podshadley AG, "A method for evaluating oral hygiene performance", Public Health Rep, 83, pp.259~264 (1968)
- National Health Insurance Service, "Criteria of health examination 2011", National Health Insurance Service, 29~ (2011)
- Bae KH, "Guideline for planning of oral health program", Korea Human Resource Development Institute for Health and Welfare, 93~124 (2015)
- 백학영, "자활사업 성과관리에 대한 비판적 접근: 논리모델을 적용한 자활사업 성과평가 체계 분석을 중심으로", 보건사회연구, 31(2), pp.3~35 (2011), 한국보건사회연구원[DOI]
- 김복규, "프로그램 논리모형 설계 및 평가: 농촌활력화사업을 대상으로", 한국사회와 행정연구, 19(2), pp.97~122 (2008), 서울행정학회
- Lando J, "A logic model for the integration of mental health into chronic disease prevention and health promotion", Prev Chronic Dis, 3, pp.A61~ (2006)
- 전미진, "보건소 노인의치 보철사업 업무수행 평가", 대한구강보건학회지, 33(3), pp.377~387 (2009), 대한예방치과·구강보건학회
- 이주열, "공공부문 건강증진사업의 발전방향", 보건교육건강증진학회지, 29(4), pp.29~38 (2012), 한국보건교육건강증진학회
- Chang KW, "Dental plaque control by professional toothbrushing", J Korean Dent Assoc, 39, pp.443~449 (2001)
- 조문미, "노인에서 전문가잇솔질과 치간잇솔 사용교육의 치주건강증진 효과", 대한구강보건학회지, 37(3), pp.132~140 (2013), 대한예방치과·구강보건학회[DOI]
- Watanabe T, "Nukuna kezuruna kiruna tsumayojiho de ha mo karada mo kenko", pp.62~66 (2011), Daehannarae Publishing
- Nutbeam D, "Evaluating health promotion–progress, problems and solutions", Health Promot Int, 13, pp.27~44 (1998)
- 이석민, "프로그램 논리모형(Logic Models)의 적용과 사용에 관한 연구 - “간접흡연제로! 서울 평가지표 개발연구” 사례를 중심으로 -", 한국거버넌스학회보, 18(1), pp.211~242 (2011), 한국거버넌스학회[DOI]
- The development of comprehensive health promotion model for adult diabetes mellitus patients using non-surgical periodontal treatment program, "Jin BH", Korea Health Promotion Foundation, 83~101 (2013)