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성인의 스케일링 통증과 관련요인

Scaling pain and related factors in adults

  • 정은서 (신한대학교 치위생학과) ;
  • 주연진 (신한대학교 치위생학과) ;
  • 이가영 (신한대학교 치위생학과) ;
  • 최유경 (신한대학교 치위생학과) ;
  • 김수경 (신한대학교 치위생학과)
  • Jung, Eun-Seo (Department of Dental Hygiene, Shin-han University) ;
  • Joo, Yeon-Jin (Department of Dental Hygiene, Shin-han University) ;
  • Lee, Ga-Young (Department of Dental Hygiene, Shin-han University) ;
  • Choi, Yu-Kyung (Department of Dental Hygiene, Shin-han University) ;
  • Kim, Soo-Kyung (Department of Dental Hygiene, Shin-han University)
  • 투고 : 2018.01.03
  • 심사 : 2018.01.31
  • 발행 : 2018.02.28

초록

Objectives: The purpose of this study was to review depression and anxiety associated with pain during scaling procedures, and to establish measures for reducing scaling pain encompassing not only physical factors but also psychological aspects of patients. This study also attempts to reduce anxiety through proper patient education prior to scaling procedures. Methods: In Seoul, and Gyeonggi area from July 26, 2017 to August 19, 2017, there were 327 copies of questionnaire data collected, excluding 23 questionnaires with insufficient information such as missing entries. The following inductions were made based on data collected. Results: There are positive correlations between pain and depression, dental anxiety, trait anxiety, and state anxiety. Especially, stronger correlation is present between pain and dental anxiety. Depression (${\beta}=0.439$, p<0.001) is the most influential factor associated with pain. Next is dental anxiety (${\beta}=0.292$, p<0.001). Higher the depression and dental anxiety tend to increase pain over scaling procedure. This model is with adjusted explanatory power of 28.2%. Conclusions: The result demonstrates that there is a correlation between scaling pain and depression, dental anxiety, trait anxiety, and state anxiety. Especially, depression and dental anxiety were prominent factors in affecting scaling pain. Therefore, considering aforementioned-findings, a dental hygienist's positive attitude may help in reducing the pain of the patient during scaling procedures, by affecting the psychological state of the patient and reduce the anxiety through proper education prior to scaling procedures.

키워드

참고문헌

  1. Korean Council for Periodontology Professor. Periodontology. 5th ed. Seoul: Koonja; 2010: 109-45.
  2. Kim BO, Kim SA, Kim YJ, Seo EJ, Shim HS, Yang JS, et al. Periodontology. 2nd ed. Seoul: Daehannarae; 2009: 47-9.
  3. Kang YJ, Jang GW, Jeong MK. Oral health attitudes and behaviors among clients receiving scaling. J Korean Soc Dent Hyg 2011;11(5):773-82.
  4. Lee HS, Lee KH. Recognition about national health insurance of dental scaling in industry accident injury patients. J Korean Soc Dent Hyg 2013;13(4):561-8. https://doi.org/10.13065/iksdh.2013.13.4.561
  5. Lee KH, Son JY, Lee HO, Shin SH, Jeon HJ, You HJ, et al. Factors affecting the recognition about scaling after health insurance benefit business for scaling by national health insurance corporation. J Korean Soc Dent Hyg 2017;17(3):355-68. https://doi.org/10.13065/jksdh.2017.17.03.355
  6. National Health Insurance Service. National health insurance of dental scaling[Internet]. National Health Insurance Service; 2017.[cited 2017 June 26]. Available from: http://minwon.nhis.or.kr/static/html/wbma/c/wbmac0218.html
  7. Kwon SJ, Choi YJ. Impact of the type of dental treatment on the dental fear of adolescents in south gyeongsang province. Kor Cont Assoc 2010;10(2):277-85. https://doi.org/10.5392/JKCA.2010.10.2.277
  8. Oh JS, Lee GS. Relationship of pain and anger in patients with back or neck pain. Korean J Spine 2009;6(1):22-6.
  9. Kim SJ, Kim US, Kang UG, Lee SH, Joe SH. Influencing psychologic factors and stress in patients with chronic pain. AnnRehab Med 2000;24(6):1161-7.
  10. Kim HS, Choi CH, Hwang KY, Lee SS. Effects of music on dental anxiety and pain during ultrasonic teeth scaling. J Korean Soc Dent Hyg 2001;1(1):63-76.
  11. Kim SH, Baik BJ, Kim JG, Yang YM, Kwon BW. Relationship of dental anxiety between child and parent during dental visit. J Korean Acad Pedi Dent 2005;32(2):370-6.
  12. Nam YO, Ju OJ, Lee KH. Effects of musical intervention on the fear and anxiety reduction during scaling. J Korean Soc Dent Hyg 2017;17(3):395-404. https://doi.org/10.13065/jksdh.2017.17.03.395
  13. Bae SS. Relationship between dental anxiety and self-efficacy that patients feel while dental hygienist conduct scaling. J Korean Soc Dent Hyg 2009;9(3):1-13.
  14. Chon KK, Choi SC, Yang BC. Integrated adaptation of CES-D in Korea. Korean Psychological Association 2001;6(1):59-76.
  15. Humphis G, Morrison T, Lindsay SJE. The modified dental anxiety scale: UK norms and evidence for validity. Community Dent Health 1995;12:143-50.
  16. Spielberger CD. Anxiety as an emotional state, anxiety: Current trends in theory and research. New York: Academic Press 1972.
  17. Han DU, Lee JH, Cheon GG. Korean adaptation of spielberger's STAI (K-STAI). Korean J Health Psy 1996;1(1):1-14.
  18. Huskisson EC. Measurement of pain. Lancet 1974;9:1127-31.
  19. Joe JH. The effect of preferred music listening on dental treatment anxiety and reduction [Master's thesis]. Seoul: Univ. of Sungshin Women's, 2008.
  20. Kang HY. The effect of music therapy on the state anxiety, pain in dental patients. J Korean Acad Soc Nur Edu1 1998;4(2):147-58.
  21. Hwang M, Kim SH, Lee KH. The effects of ultrasonic scaling patients' depression and anxiety on pain. J Korean Soc Dent Hyg 2014;14(3):439-46. https://doi.org/10.13065/jksdh.2014.14.03.439