초등학교 보건교사의 구강보건교육 진단

Abstract

Diagnostic Analysis of Oral Health Education for Elementary School Health Instructors

kyung-hee choi, Advisor : Prof. Dong-kie Kim, D.D.S., M.S.D., Ph.D Department of Public Health, Graduate School of Health Science, Chosun University.

Objectives; The personal living habits account for an approximately 50% of oral health promotion as the major determining factor. The well-structured health education to stimulate the basic healthy lifestyle should be encouraged from elementary school. The elementary school health instructors' awareness and knowledge of health promotion is critical. The study is aimed to explore the ways to enhance oral health education at elementary schools.

Material and Methods; The total of 114 health instructors from elementary schools (Dong-Gu(9), Seo-Gu(28), Nam-Gu(19), Buk-Gu(39), Gwangsan-Gu (36)) in the city of Gwangju was selected at random for the study. The survey was conducted following the PRECEDE model (predisposing, reinforcing and enabling constructs in educational diagnosis and evaluation). There were 34 questions in the questionnaire; five questions on the social and epidemiological diagnosis, 9 questions each on behavioral diagnosis, and the primary cause for the low educational ranking, and 4 questions on reinforcing factors. The responses were collected by making personal contacts with the subjects.

Results; 1.For behavioral diagnosis the oral Health education accounts for less than 10% (58.8%), mostly educated in activity time (86.0%), and when the health instructors are needed (53.5%) . The ratio of oral health education during the last year is 78.1%, in the third grade is the highest with 77.2%, in the fifth grade with 55.3%, and in the first grade with 50.9%.

2.For predisposing diagnosis In the eight areas of health education, the oral health education is ranked as fourth, and fifth. Even in the subsequent year, the ratio of oral health education was 21.9%. We analyzed that tooth brushing, dental caries, dental trauma and emergency care are needed in a variety of subjects at the rate of 80.0%.

3.For enabling diagnosis about 13.2% received a training in the oral health education every year, and the satisfaction rate is 33.3%. The information on oral health education information was collected as follows; 72.8% from instructor's guide and 52.6% from Internet.

4.For reinforcement diagnosing the difficiency elements in the regular educational course are insufficient oral health-related information (46.7%), insufficient instructional materials (30.6%), and insufficient training opportunities (21.4%). The factors to promote oral health education are experts (43.0%), and cooperation among colleagues and supervisors (35.1%). In the external educational participation, the invited experts account for 19.3%, and school participation for 9.6%.

Conclusion; For further research, oral health educational textbooks, materials and methods should be developed. At the foundation of the development, the elementary oral health educational programs should be more fully developed, conducted and the evaluation of its effectiveness should be done