치과치료시 소아의 나이에 따른 행동 조절의 난이도 및 소요시간에 관한 연구
DIFFICULTY IN MANAGING THE BEHAVIOR AND TIME REQUIRED FOR TREATING THE PEDODONTIC PATIENTS IN ASSOCIATION WITH THEIR AGE
소속 상세정보
김광철/Kwang-Chul Kim
KMID : 0358919940210020469
Abstract
결론
69명의 개업 치과의사(남 62명, 여 7명)로 부터 본 연구를 위하여 작성 발송한 설문지의 답
신을 580매(남자환아 : 303매, 여자환아 : 277매) 회수하였고 이를 환자의 나이별(제1군 : 1
∼3세, 제2군 : 4∼6세, 제3군 : 7∼9세, 제4군 : 10∼12세, 제5군 : 13∼15세), 치과의사의 개
업년수별(Group 가 : 0∼5년, Group 나 : 6년이상) 또한 소아치과 전공의 과정 이수유무
(Group Ⅰ : 이수한 군, Group Ⅱ : 아니한 군)에 따른 환자의 치과치료에 대한 첫 행동지
수, 행동조절 과정을 거쳐 치과마취 직전까지 소요된 시간, 치과마취시 환자가 나타내는 행
동지수, 치과마취후 주 치료가 종료될 때까지 소요된 시간, 주 치료시 환자가 보이는 행동지
수 및 소요된 총 진료시간을 측정분석하여 다음과 같은 결론을 얻었다.
1. 나이가 어릴수록 치과치료 개시시, 마취시 및 주 치료시의 행동지수가 낮게 나타났으며
(p<0.001), 특히, 1∼3세군과 4∼6세군은 70%이상이 부정적인 행동지수를 나타내었다.
2. 마취시 가장 부정적인 행동지수를 나타내었다.
3. 10∼12세군과 13∼15세군에 비하여 7∼9세군에서는 행동조절 및 치과치료에 소요되는
시간이 다소 증가되었으나 4∼6세군과 1∼3세군으로 나이가 어려질수록 행동조절 및 치료에
소요되는 시간이 현저히 증가되었다.
4. 개업년수가 6년이상된 군이 치료한 환자가 그 이하인 군이 치료한 환자에 비하여 치과
치료에 대하여 긍정적인 행동지수를 나타내었다.
5. 전공의 과정 이수유무가 환자의 행동지수 및 치료시간에는 영향을 미치지 않았다.
#초록#
The present study was undertaken to examine the relationship between time required
for each step in the treatment process for pedodontic patients and age of the patients,
and experience of special training for periodontics and career of dental practitioners.
Information of these matters was gained from 580 questionnaires collected from 69
practitioners (62 male and 7 female). The questionnaires included questions about the
patients' sex(303 male and 207 female) and age. The patients were categorized into 5
different age groups' Group 1, age 1∼3-year : Group 2, 4∼6-year ; Group 3, 7∼9-year
; Group 4, 10∼12-year ; Group 5, 13∼15-year. The questions about the dental
practitioners were the years of experience in private dental practice(5 years or more
than 5 years) and whether or not they took the special training for pedodontics in the
authorized institutes. The practitioners were asked to answer the questions about Frankl
scale of the patients' behavior during the treatment, and time spent for managing the
patients to be subjected to local anesthetic injection (the first behavior control), time for
the injection, and time for the subsequent treatment. The results obtained by analyzing
the information collected from the questionnaires were as follows :
1. The younger the patients, the lower the Frankl scale was counted at the time of the
first behavior control, injection, and the subsequent treatment(p<0.001).
2. The lowest Frankl scale was scored during the injection regardless of the age of the
patients.
3. Time for management and treatment was decreased in the order of age Groups 1
and 2> Group 3 > Groups 4 and 5.
4. The patients showed a more positive frankl scale in response to the treatment
performed by those who were more-experienced in dental practice as compared with
those were less-experienced.
5. Pedodontic training experience of the practitioners did not appear to influence the
patients with respect to the treatment time and Frankl scale.
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