치위생관리과정에 기반한 치위생중재분류
Dental Hygiene Intervention Classification Based on Dental Hygiene Process of Care
- 저자식별ID ORCID:ORCID
- 주제(키워드) 도움말 Dental hygiene intervention , Dental hygiene practice , Dental hygiene process of care , Dental hygienist
- 발행기관 강릉원주대학교 일반대학원
- 지도교수 도움말 신보미
- 발행년도 2022
- 학위수여년월 2022. 8
- 학위명 박사
- 학과 및 전공 도움말 일반대학원 치위생학과
- 세부분야 해당없음
- 실제URI http://www.dcollection.net/handler/kangnung/000000011270
- UCI I804:42001-000000011270
- 본문언어 한국어
초록/요약 도움말
Objective: This study aimed to conceptualize the dental hygiene intervention performed by dental hygienists based on the dental hygiene process of care, which is the unique task of dental hygienists, and to systematize the dental hygiene practice by dental hygienists by organizing specific activities to provide dental hygiene interventions. Methods: The dental hygiene intervention classification was based on the qualitative content analysis method proposed by Elo and Kyngas. Dental hygiene interventions were derived by developing a classification matrix according to the clinical dental hygiene practice guidelines in Korea. In addition, by repeatedly reading dental hygiene textbooks, studies, and reports, meaningful statements about the research topic and dental hygiene interventions were discovered, coded, and organized into a dental hygiene practice. The contents of the primary dental hygiene intervention classification were refined after review by three internal experts. The final classification of dental hygiene interventions was derived through an expert Delphi survey conducted twice with 15 professors in charge of clinical dental hygiene in the department of dental hygiene nationwide. In the Delphi survey, the content validity, clarity, homogeneity, and mutual exclusion were evaluated. Results: As a result of the first and second expert Delphi surveys, the content validity ratio for all dental hygiene interventions, definitions, and practices was ≥0.60, and the content validity index was ≥0.80. The degree of agreement was a minimum of 0.80 and a maximum of 1.00. In the first survey, the degree of convergence was 0.50 in some items, and as a result of modifying the contents according to the opinions of the experts, the degree of convergence was improved to 1.00 in the second survey. Finally, 38 dental hygiene interventions and 451 dental hygiene practices were derived. As a result of checking dental hygiene interventions that correspond to each stage of the dental hygiene process of care, 8 interventions corresponded to dental hygiene assessments, 1 to dental hygiene diagnosis, 6 to dental hygiene plans, 19 to dental hygiene practices, 3 to dental hygiene evaluations, and 1 to documentation. Moreover, 21 of 38 dental hygiene interventions were named with the terms “examination,” “education,” and “management.” Conclusion: The dental hygiene intervention was conceptualized through the dental hygiene intervention classification, and the essence of the dental hygienist was confirmed. A dental hygienist is an oral health expert who helps in preventing oral diseases and promoting oral health by providing evidence-based comprehensive preventive management through interaction with the clients and is a primary care worker who can contribute to health promotion. In the future, dental hygienists are expected to be actively involved in the primary care system and dental clinical sites and contribute to health promotion through practical discussions for this purpose.
more목차 도움말
목 차
Ⅰ. 서 론 1
Ⅱ. 연구방법 7
1. 연구 설계 7
2. 연구 방법 9
1) 치위생중재 및 치위생활동에 대한 조작적 정의 9
2) 치위생중재분류 작성 원칙 9
3) 치위생중재분류를 위한 질적내용분석 11
4) 치위생중재분류 타당도 평가 12
Ⅲ. 연구결과 18
1) 1차 전문가 델파이조사 결과 18
2) 2차 전문가 델파이조사 결과 26
3) 치위생관리과정에 기반한 치위생중재분류 32
Ⅳ. 고 찰 73
Ⅴ. 결 론 81
참고문헌 83
Abstract 89
부 록 91
