지역사회 기반 참여모형(CBPR)을 중심으로 한 고혈압·당뇨병환자의 전문가 치주질환관리프로그램 평가
Evaluation of a Community-based participatory professional periodontal care program for hypertension and diabetes patients
박수경, 이가영, 김연주, 이민영, 변도화, 김경희, 손효림, 김춘배, 안양희, 김남희,
소속 상세정보
박수경 ( Park Su-Kyung ) - 연세대학교 일반대학원 치위생학과
이가영 ( Lee Ga-Yeong ) - 연세대학교 일반대학원 치위생학과
김연주 ( KIm Yeon-Ju ) - 연세대학교 일반대학원 보건행정학과
이민영 ( Lee Min-Young ) - 연세대학교 일반대학원 의학과
변도화 ( Byun Do-Hwa ) - 홍천군 보건소
김경희 ( Kim Kyung-Hee ) - 홍천군 보건소
손효림 ( Son Hyo-Rim ) - 홍천군 고혈압·당뇨병등록교육센터
김춘배 ( Kim Chun-Bae ) - 연세대학교 원주의과대학 예방의학교실
안양희 ( Ahn Yang-Heui ) - 연세대학교 원주의과대학 간호학과
김남희 ( Kim Nam-Hee ) - 연세대학교 원주의과대학 치위생학과
KMID : 0355420170410010056
Abstract
Objectives: To evaluate the Community-Based Participatory Research (CBPR) professional periodontal care program model for patients with hypertension and diabetes.
Methods: This descriptive case study included 151 participants of the professional periodontal care program. The CBPR-based professional periodontal care program consists of 5-steps: ‘Issue identification and prioritization’ (Step 1), ‘Strategy development’ (Step 2), ‘Entry into community’ (Step 3), ‘Implementation’ (Step 4), and ‘Transition’ (Step 5). Quantitative data were analyzed using frequency analysis, and descriptive data with PASW 23.0 (SPSS Inc., Chicago, IL, USA). The results of the Focus group interview (FGI) were classified as ‘general opinions regarding the program planning and operation receptiveness’, ‘sustainability’, ‘potential spread of the program’, and ‘improvement of program’. The interviews were qualitative research involving seven people.
Results: 1. Participants increased their interest in health and oral health by managing their hypertension, diabetes, and periodontal disease using community resources. Through this, healthy practices and improved awareness helped to prevent complications and manage periodontal diseases. 2. Community organizations actively cooperated, resulting in positive changes in oral health practices (increased registration of patients in education centers for hypertension and diabetes, and increased number of patients visiting the local dental clinic). In the future, it was positive to participate in the program continuously.
Conclusions: The most important step is ‘Entry into community’, which has led to active participation and cooperation of community organizations and participants. Therefore, community organizations and strategy development should be discussed, and the role of community leaders should be emphasized to build cooperative relationships. In addition, participation in and collaboration with health-based projects should be achieved through a search of various community organizations.
키워드
Chronic disease; Community-based participatory research (CBPR); Community participa-tion; Oral health; Periodontal disease
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