Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
권호 표지

The Effects of Established-Knowledge of Temporomandibular Disorders on Initial Treatment

측두하악장애에 대한 사전지식이 초기치료에 미치는 영향

  • Ok, Seung-Joon (Department of Oral Medicine, College of Dentistry, Pusan National University) ;
  • Suh, Bong-Jik (Department of Oral Medicine, College of Dentistry, Pusan National University) ;
  • Tae, Il-Ho (Department of Oral Medicine, College of Dentistry, Pusan National University) ;
  • Ko, Myung-Yun (Department of Oral Medicine, College of Dentistry, Pusan National University) ;
  • Ahn, Yong-Woo (Department of Oral Medicine, College of Dentistry, Pusan National University)
  • 옥승준 (부산대학교 치과대학 구강내과학 교실) ;
  • 서봉직 (부산대학교 치과대학 구강내과학 교실) ;
  • 태일호 (부산대학교 치과대학 구강내과학 교실) ;
  • 고명연 (부산대학교 치과대학 구강내과학 교실) ;
  • 안용우 (부산대학교 치과대학 구강내과학 교실)
  • Published : 2008.03.30
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Abstract

There was a research to make it sure that among the contributing factors, the cognitive factor affects on TMD(temporomandibular disorders) or not, we used a questionnaire on new TMD patients who visited the Department of Oral Medicine at Pusan National University of Hospital(PNUH). Research was to identify the patients' understanding of the TMD. 120 patients who visited PNUH from 2007 June to August were tested and following are the results. 1. Those who were in Jr. college or had higher scholarship showed higher understanding than those with final graduation of high school or had lower scholarship(p=0.129). 2. Percentage of high scorers(score of $16{\sim}20$) were in Jr. college or had higher scholarship than those with final graduation of high school or had lower scholarship(p=0.098). 3. Both in those who scored higher than average and in those scored lower than average, there was no difference in the rate of previsit to local dental clinic, selection of special treatment(by professor), and attendance to next visit after their conservative treatment. 4. Patients who claimed that their symptom did not change after conservative treatment showed higher rate of pre-visit to local dentist(p=0.107) and selection of special treatment(by professor)(p=0.101) and many of them were in Jr. college or had higher scholarship(p=0.005). 5. The fact the patients who claimed their symptoms did not changed or got worsen had a tendency of higher scholarship showed that understanding of the TMD has little to do with the improvement of symptom and that TMD is a very complicated disease.

측두하악장애의 기여요인 중 인지요인이 환자초기치료에 어떤 영향을 주는지 알아보기 위해 2007년 6월에서 8월까지 부산대학병원 구강내과를 초진 방문하여 측두하악장애로 진단받은 178명에게 자체 제작한 설문조사를 시행하여 그 중 모든 문항에 대해 성실히 답을 기입한 120명의 설문지를 바탕으로 점수에 따른 차이를 분석하였고, 이를 바탕으로 질환에 대한 이해도가 초기치료에 어떠한 영향을 주는지 알아보았으며 그 결과는 다음과 같다. 1. 전문대재학이상의 학력을 지닌 환자들이 고졸 이하의 학력을 지닌 환자들보다 질환에 대한 이해도가 높은 경향을 보였다(P=0.129). 2. 전문대재학이상의 학력을 지닌 환자들의 고득점자 비율이 고졸이하의 학력을 지닌 환자군에서 보다 높게 나타나는 경향을 보였다(p=0.098) 3. 평균점수 이상군과 이하군에서 특진선택율, LDC(local dental clinic)선방문율, 초기치료후 재내원율에 있어서의 차이는 관찰되지 않았다. 4. 재내원 환자중 증상이 개선되지 않은 군에서 전문대 재학이상의 학력을 지닌 사람이 많았으며(p=0.005), 특진의사 선택율(p=0.101), LDC 선방문율(p=0.107) 또한 높은 경향을 나타내었다. 5. 증상이 개선되지 않은 환자들 중 전문대 재학이상의 학력을 지닌 사람의 비율이 높게 나타난 것은, 질환에 대한 이해도가 증상의 개선과 직접적으로 연관되는 것이 아니라는 추측을 가능하게 하며 측두하악장애의 복잡성을 재확인시켜 주었다.

Keywords

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