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논문 기본 정보

자료유형
학술저널
저자정보
장주혜 (서울대학교치과병원)
저널정보
Asia Association for Disability and Oral Health International Journal of Disability and Oral Health 대한장애인치과학회지 제15권 제1호
발행연도
2019.6
수록면
14 - 22 (9page)

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초록· 키워드

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The aim of this study was to determine the factors contributing to the barrier of dental treatment for special needs patients perceived by the main caregivers of the patients. A questionnaire was developed with three parts: patient-related factors, caregiver-related factors, and factors for treatment barriers. Patient- and caregiver-related factors were analyzed for correlations with the barrier factors. Fisher’s exact test and Chi-square test were used at the level of 0.05. A total of 52 caregivers (mean age [SD]=50.2 [11.5] years) for the patients with intellectual and cognitive disabilities (mean age [SD]=38.9 [21.3]) responded to the questionnaires. Oral hygiene status, need for assistance in tooth brushing, and cooperation for tooth brushing were correlated with the level of treatment cooperation of the patients (p<0.05). The above three factors were also correlated with the treatment barrier despite patients presenting oral symptoms (p<0.05). Two thirds of the caregivers felt the treatment cost as severe or a considerable financial burden. For patients, insurance types and need for assistance in tooth brushing, and for caregivers, education levels and financial status were significant factors contributing to financial burden (p<0.05). There were background factors of the patients and their caregivers associated with access to dental treatment for special needs patients. Deficient cooperative skills and financial burdens were the main obstacles to treatment access. Tooth brushing skills and oral hygiene status can be proxy measures to cooperative ability for dental treatment.

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Abstract
Ⅰ. 서론
Ⅱ. 연구 대상 및 방법
Ⅲ. 결과
Ⅳ. 고찰
Ⅴ. 결론
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UCI(KEPA) : I410-ECN-0101-2019-515-000944737