성인여성들의 스트레스 정도에 따른 구강증상자각여부

Perceived Oral Subjective Symptoms According to Stress Level of Adult Female

본 연구는 2016년 12월부터 4개월간 일부지역 성인여성을 대상으로 스트레스지수와 구강자각증상과의 관련성을 알아보고 구강자각증상완화를 위한 방안을 모색하기 위한 기초자료로 삼고자 한다. 스트레스 수준은 20대, 대학졸업이상의 학력에서, 대학생에서 높았으나, 기혼, 음주를 하지 않는 경우, 농촌지역 거주 여성에서 스트레스 수준이 낮았다. 연령이 증가하고, 학력이 낮고, 자영업, 기혼에서 구강자각증상 인지 수준이 높았으며, 농촌지역, 흡연, 음주를 하지 않는 경우에 구강자극수준이 높았다. 스트레스가 높으면 입술에서는 입술이나 입술주위에 물집 형성(p=0.022), 볼 파임증상(p=0.043), 입술껍질 벗겨지고 피가 났으며(p=0.022), 혀에서는 혀의 통증(p=0.023), 미각장애(p=0.011), 혀의 갈라짐이 나타났다(p=0.005). 치아와 잇몸에서는 치아통증(p<0.001), 이 악물기와 이갈이(p=0.001)가 나타났고, 턱관절에서는 소리와 통증(p<0.001), 두통이 자주 나타났다(p<0.001). 따라서 스트레스로 인하여 구강 내 통증의 발생을 완화하기 위해서는 비타민섭취와 정기적 구강검진, 타액유출량 증가를 위한 입체조 등을 제안할 수 있다.

The purpose of this study was to examine the relationship between the stress index and perceived oral symptoms of adult women in some regions for four months from December, 2016, and to provide information on how to relieve perceived oral symptoms. As for stress level, the women who were in their 20s, who had college or higher degrees and who were college students were under heavier stress, and the women who were married, who didn t drink and who resided in rural areas were less stressed. More perceived oral symptoms were found in the older, less-educated, self-employed and married women, and there were less perceived oral symptoms in the respondents who dwelled in rural regions, who didn t drink and who didn t smoke. When there was heavier stress, the lip symptoms that accompanied it were blisters on or around the lips(p=0.022), dipped cheeks(p=0.043) and peeled lips or lip bleeding(p=0.022), and the tongue symptoms were tongue pain(p=0.023), dysgeusis(p=0.011) and chapped tongue(p=0.005). The tooth and gingival symptoms were toothache(p<0.001) and clenching/gnashing(p=0.001). The temporomandibular joint symptoms were sounding and pain(p<0.001), and frequent headaches took place(p<0.001). Accordingly, vitamin intake, regular oral checkups and oral exercise that can facilitate salivating could be suggested as ways to minimize the occurrence of oral pains caused by stress.