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한국보건정보통계학회> 보건정보통계학회지> 간호대학생의 자기효능감, 전공만족도 및 진로결정 수준과의 관계

KCI등재

간호대학생의 자기효능감, 전공만족도 및 진로결정 수준과의 관계

The Relationship between Self-efficacy, Major Satisfaction and Career Decision Level of Nursing Students

박형숙 ( Hyoung Sook Park ) , 윤정미 ( Jung Mi Yun ) , 이선녀 ( Sun Nyeo Lee ) , 이숙련 ( Sook Ryon Lee ) , 이미순 ( Mi Soon Lee )
  • : 한국보건정보통계학회
  • : 보건정보통계학회지 43권1호
  • : 연속간행물
  • : 2018년 02월
  • : 35-45(11pages)
보건정보통계학회지

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Objectives: The purpose of this study was to contribute to career counseling and career guidance for nursing students by investigating the influences of self efficacy and major satisfaction on career decision level of nursing students. Methods: For this study, data were collected from 383 nursing students from Busan and South Gyeongsang Province Data collection was done during the period November, 2017. A descriptive survey design was used and data were collected using questionnaires from a sample of 380 nursing students. Data were analyzed using descriptive statistics, Mann Whiney U test, Kruskal-Wallis test, Pearson correlation coefficient and multiple regression with SPSS WIN 22.0. Results: Career decision level had a significant correlation with self-efficacy and major satisfaction. Fits aptitude (β=0.14, p=0.001), score (β=-0.11, p=0.004), major reselect (β=0.11, p=0.016), hospital employment (β=0.10, p=0.011), self efficacy (β=0.33, p<0.001), general satisfaction (β=0.18, p=0.003), social perception satisfaction (β=0.15, p=0.003) were significant predictors of career decision level. Conclusions: It is necessary to develop effective career support programs according to type of motivation, career plans to improve nursing students’ self efficacy and satisfaction in the nursing major.

UCI(KEPA)

I410-ECN-0102-2018-500-004109760

간행물정보

  • : 의약학분야  > 예방의학및보건학
  • : KCI등재
  • :
  • : 계간
  • : 2465-8014
  • : 2465-8022
  • : 학술지
  • : 연속간행물
  • : 1976-2022
  • : 771


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47권2호(2022년 05월) 수록논문
최근 권호 논문
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KCI등재

1전자의무기록 데이터 분석 접근법

저자 : 한창호 ( Changho Han ) , 박찬민 ( Chan Min Park ) , 김유정 ( Yujeong Kim ) , 강소라 ( Sora Kang ) , 박태준 ( Tae Jun Park ) , 윤덕용 ( Dukyong Yoon )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 51-58 (8 pages)

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As the healthcare environment is being digitalized and changed rapidly, research using medical big data is increasing. One of the most applicable data is electronic medical records which can provide a large amount of clinically practical meaning. Electronic medical data include patient's demographic information, laboratory test results, imaging and biosignal data. In this article, we provide support for a wide variety of researchers in their efforts to use electronic medical record data accurately and usefully in their work. From the basic concept of the research using electronic medical records to challenging aspects like data integration between multiple institutions are described. Also, examples of each type of data are covered; structured such as numeric data and unstructured such as images, biosignals and narrative text. Using these kinds of electronic medical records, analyses are processed by data cleansing, transforming, and reducing in order. Many kinds of variables such as the exposure and outcome of interest, covariate and the research design can be chosen during the preprocessing. As many machine-learning-based studies as well as epidemiologic-based studies have been conducted using electronic medical records, various research frameworks have been proposed. However, data quality management and data standardization for multi-center data analysis are still remaining as challenging tasks.

KCI등재

2인과성 추론에서 성향점수 매칭에 대한 비판적 고찰

저자 : 유지웅 ( Jiwoong Yu ) , 이우주 ( Woojoo Lee )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 59-69 (11 pages)

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Propensity score matching (PSM) is one of the most widely-used causal inference methods to estimate the causal estimands such as average treatment effect or average treatment effect on the treated from observational studies. To implement PSM, a researcher first selects an appropriate set of confounders, estimates the propensity score, and matches the treated group with the control group using a matching algorithm such as nearest neighborhood or optimal matching. In this paper, we highlight the importance of investigating the assumptions employed in the PSM procedure thoroughly because they strongly affect the analysis result, but are not testable using observational data. We explain how to exploit the domain knowledge to avoid the potential risks from the violation of the untestable assumptions, and show how the research purpose is linked to selecting the matching algorithm and downstream analysis after PSM. In addition, to examine the vulnerability of the causal result, we highlight the use of sensitivity analysis for the analysis after PSM. These points are demonstrated in detail using National Supported Work data.

KCI등재

3간호대학생의 셀프리더십, 감성지능, 사회적 지지가 문제해결능력에 미치는 영향

저자 : 김민서 ( Min-seo Kim ) , 배한주 ( Han-ju Bea ) , 이정숙 ( Jung-suk Lee )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 79-85 (7 pages)

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Objectives: The purpose of this study was to identify the relationship of self-leadership, emotional intelligence, social support, and problem-solving ability of nursing college students, and to understand the factors that affect problem-solving ability. Methods: Participants were in 2nd and 3rd grade of nursing students. The collected data were analyzed by SPSS 22.0 program using descriptive statistics, t-test, ANOVA, correlation, and multiple regression analysis. Results: The significant influencing factors of problem-solving ability were self-leadership. β=0.36 (p=0.001), emotional intelligence β=0.15 (p<0.04), social support β=0.29 (p<0.001) and club activity β=0.14 (p<0.02). These factors explained 45.5% of the variance (R2=0.46, p<0.001). Conclusions: This study showed that problem-solving ability were influencing factors on self-leadership and it is necessary to develop various strategies to improve self leadership in nursing college students.

KCI등재

4한국 성인의 우울증과 심혈관질환 위험요인의 관련성: 2014년, 2016년 국민건강영양조사

저자 : 조은영 ( Eunyoung Cho ) , 송영숙 ( Yeoungsuk Song )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 86-94 (9 pages)

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Objectives: This study was to investigate the relationship between depression and cardiovascular disease (CVD) risk factors among Korean adults. Methods: A total of subjects from the Korean National Health and Nutrition Examination Survey (VI-2, VIII-1) were 7,417 (men 3,023, women 4,394). The relationship between depression and CVD risk factors of the study subjects were analyzed using descriptive analysis, chi-square test, and multiple logistic regression. Results: The prevalence of diabetes mellitus and hyperlipidemia was 14.9% and 43.5% in depression group and there were stastically signficant. However there was not significantly associated between depression and hypertension, diabetes mellitus, and hyperlipidemia. Conclusions: Although this study showed that depression was not associated with cardiovascular factors such as hypertension, diabetes mellitus, and hyperlipidemia, the prevalence of diabetes and hyperlipidemia in depression group was significant. Therefore, further study is needed to find relationship with depression and CVD risk factors, and develop the intervention program to control depression and CVD risk factors.

KCI등재

5중환자실 간호사의 요통 및 요통 영향요인

저자 : 엄현주 ( Hyun Ju Uhm ) , 박혜자 ( Hye-ja Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 95-102 (8 pages)

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Objectives: This study determined the associated factors with low back pain in intensive care unit nurses. Methods: In this cross-sectional correlational study, 85 nurses working at five intensive care units completed questionnaires on the low back pain using visual analogue scale (VAS), use of body mechanics, work-related factors, the Oswestry disability index (%), the FACIT-fatigue, and the mini-sleep questionnaire. A back pain score of ≥4 was considered significant. Data were analyzed with χ2 test, unpaired t-test, Pearson correlation analysis and logistic regression. Results: Forty-five nurses (52.9%) had a significant low back pain score of ≥4 (VAS). Higher low back pain was associated with greater use of body mechanics (r=0.37, p=0.001), higher disability index (r=0.72, p<0.001), greater fatigue (r=0.59, p<0.001), and poorer sleep quality (r=0.36, p=0.001). Low back pain was associated with heavy workload (odds ratio, OR: 4.20, 95% confidence interval, CI: 1.40-12.58) and long standing to work (OR: 3.54, 95% CI: 1.20-10.48). Low back pain was associated with fatigue (OR: 1.18, 95% CI: 1.08-1.30) after adjusting covariates. Conclusions: Low back pain is associated with a heavy workload, long-standing to work, and greater fatigue among intensive care unit nurses.

KCI등재

6한국의 고령자에서 교육과 인지기능 관련성에 미치는 성별의 조절효과: 한국고령화연구패널조사자료의 분석

저자 : 송인명 ( Inmyung Song )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 103-110 (8 pages)

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목적: 전통적인 개발국의 연구결과에 따르면, 인지장애의 위험으로부터 보호하는 교육의 효과가 남녀 간 차이가 있었다. 이에 본 연구에서는 과거 교육기회에 대한 접근성에 있어 남녀 간 차별을 겪었던 고령 한국인들을 대상으로 인지기능과 교육수준 간의 관계에 미치는 성별의 조절효과를 조사하고자 한다.
방법: 본 연구는 전국적인 조사자료인 2018년 고령화연구패널조사자료를 사용하였다. 인지장애는 Mini-Mental State Exam (MMSE) 점수 24점 이하로 정의하였다. 단변량분석에서는 MMSE 점수와 각각의 사회경제학적 변수 또는 행위 변수들 간의 관계를 확인하기 위하여 카이제곱검정을 사용하였다. 공변량을 통제한 상태에서 MMSE 점수와 교육수준 간의 관련성을 확인하기 위해서는 다변량로지스틱 회귀분석을 사용하였으며, 교차비(OR)와 95% 신뢰구간(CI)을 구하였다.
결과: 분석에 포함된 총 5,793명의 대상자 중 31.53%은 교육을 전혀 받지 못하였거나 초등교육만 이수하였다. 이처럼 무교육/초등교육을 받은 대상자는 대학 이상의 교육을 받은 사람에 비해서 인지장애를 겪을 위험이 유의하게 높았다(OR=3.31, 95% CI=3.29-3.34, p<0.001). 낮은 교육수준과 인지장애의 관련성은 남성에 비해서 여성에게서 더 높았다. 교차비는 여성에서 4.58 (95% CI= 4.52-4.65) 남성에서 2.98 (95% CI=2.95-3.00)이었다.
결론: 낮은 교육수준은 인지장애의 위험도 증가와 관련성이 있었으며 그 관련성이 남성보다는 여성에게서 더 높았다. 전통적으로 교육 기회에 대한 차별을 겪었던 여성고령자에게서 교육의 인지기능 보호효과가 클 가능성을 시사한다.


Objectives: In traditionally developed countries, the protective role of higher education on cognitive impairment differed between men and women. This study investigated the moderating impact of sex on the relationship between cognitive function and educational level in older Koreans, who may have experienced inequality in access to educational opportunities in the past. Methods: This study used data from the 2018 Korean Longitudinal Study on Aging (KLoSA), a nationwide panel survey of community-dwelling older adults. Cognitive impairment was defined as a Mini-Mental State Exam (MMSE) score below 24. In univariate analyses, the χ2 test was used to examine the relationship between MMSE and each of sociodemographic and behavioral variables. Multiple logistic regression models were implemented to examine the association between MMSE score and educational level controlling for covariates. Multivariate-adjusted odds ratios (OR) and 95% confidence intervals (CI) were calculated. Results: A total of 5,793 respondents were analyzed; 31.53% received no or only primary education. Individuals with up to primary education were more likely than those with college or higher education to have cognitive impairment (OR=3.31, 95% CI=3.29-3.34, p<0.001). The association between lower educational level and cognitive impairment was stronger for women than for men; OR was 4.58 for women (95% CI=4.52-4.65) and 2.98 for men (95% CI=2.95-3.00). Conclusions: Lower education was associated with increased risk of cognitive impairment and the protective role of education in cognitive function was stronger in women than in men.

KCI등재

7직장 여성 흡연자의 흡연 유형, 금연 관련 심리적 요인 그리고 니코틴 의존도가 금연에 미치는 영향

저자 : 김현민 ( Hyun-min Kim ) , 박기수 ( Ki-soo Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 111-117 (7 pages)

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Objectives: Recently, female smokers are increasing in Korea. This study aims to report the dependence of nicotine and the type of smoking as a factor influencing the success of smoking cessation among female smokers. Methods: Data were collected from the Comprehensive information system for smoking cessation service, and data from 862 women who used the smoking cessation service by Gyeongnam Tobacco Control Center between June 2015, and December, 2018, were used. After controlling demographic and smoking-related variables, a multiple logistic regression analysis was performed on the relationship between nicotine dependence, smoking type, smoking cessation related psychological factors and smoking cessation. Results: The smoking cessation rate of female smokers was 7.8%. Smoking type and nicotine dependence were low in stimulus-seeking type, and high in addiction, habit type, and complex type. After controlling demographic, health behavior and disease variables, the factors affecting female smokers' smoking cessation were nicotine dependence (odds ratio, OR=0.49, p=0.020), preparation (OR=7.14, p=0.015), confidence (OR=7.14, p=0.015) of smoking cessation. In other words, smoking cessation among women who smoked was higher in the high group than in the group with low anti-smoking preparation and confidence and smoking cessation was higher in the low group than in the high group of nicotine dependence. Conclusions: The actual smoking cessation strategy for women considering related factors of smoking cessation is to reconsider the content of counseling interventions according to the type of smoking and to reduce the dependence of nicotine through a treatment approach for each type, resulting in a higher smoking cessation rate.

KCI등재

8가상현실을 활용한 디지털 역량증진 교원연수 프로그램이 보건교사의 디지털 미디어 리터러시, 교사 효능감, 문제해결 능력에 미치는 효과

저자 : 하영선 ( Young-sun Ha ) , 박용경 ( Yong-kyung Park ) , 김은휘 ( Eun-hwi Kim ) , 김경진 ( Kyeng-jin Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 118-125 (8 pages)

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Objectives: This study was conducted to examine the effects of digital empowerment teacher training program applying virtual reality on digital media literacy, teacher efficacy, and problem-solving ability of school nurse. Methods: A quasi -experimental study of pre- and post-experimental design was performed on 47 school nurse located in K city and the developed digital empowerment teacher training program was implemented. The data collection period is July 27, 2021, and the collected data is collected using the SPSS 18.0 program. Paired t-test were analyzed. Results: According to the results of the effect, it was found that there was a significant difference in digital media literacy and problem-solving ability. Conclusions: The digital empowerment teacher training program developed in this study can be used as an effective program to enhance the digital media literacy and problem-solving ability of school nurse.

KCI등재

9간호대학생의 그릿과 문제해결능력의 관계에서 고통감내력과 자기주도성의 매개효과

저자 : 김수진 ( Su Jin Kim ) , 장군자 ( Gun Ja Jang )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 126-132 (7 pages)

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목적: 본 연구는 간호대학생의 그릿과 문제해결능력과의 관계에서 고통감내력과 자기주도성의 매개효과를 규명하기 위함이다.
방법: 간호대학생 335명을 대상으로 일반적 특성과 측정변수들은 기술통계를 이용하였고, 변수 간 상관관계는 Pearson 상관계수로, 그 릿과 문제해결능력의 매개효과는 Baron and Kenny가 제안한 3단계 회귀분석 매개효과 검정방법을 이용하였다.
결과: 그릿, 고통감내력, 자기주도성, 문제해결능력은 서로 양의 상관관계를 보였고, 간호대학생의 그릿과 문제해결능력의 관계에 고통 감내력과 자기주도성의 매개효과가 있는 것으로 나타났다.
결론: 간호대학생의 문제해결능력 향상을 위해 고통감내력과 자기주도성을 향상시킬 수 있는 프로그램 개발이 필요함을 밝히는 바이다.


Objectives: This study aimed to identify the mediating effects of distress tolerance and self-directedness on the relationship between grit and problem-solving ability in nursing students. Methods: Participants were 335 nursing students in two universities between September to December 2018. The data were analyzed using a t-test, one-way ANOVA, and Person's correlation coefficients. In addition, Baron and Kenny's method was used to analyze mediating effects of distress tolerance and self-directedness between grit and problem-solving ability. Results: Significant correlations were found between grit and problem-solving ability (r=0.57, p<0.001), between grit and distress tolerance (r=0.38, p<0.001), and grit and self-directedness (r=0.46, p<0.001). There were the mediating effects of distress tolerance (z=5.37, p<0.001) and self-directedness (z=7.25, p<0.001) on the relationship between grit and problem-solving ability. Conclusions: It is necessary to develop and apply the programs that strengthen distress tolerance and self-directedness to improve nursing students' problem-solving ability.

KCI등재

10최근 9년간의 1급 응급구조사 국가자격시험 결과 추이 분석

저자 : 김영화 ( Young Hwa Kim ) , 강민주 ( Min Ju Kang )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 133-138 (6 pages)

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Objectives: The study was to analyze the trend of the result of the national examination for EMT-paramedics. Methods: This study was to find the result of published on the website of Korea Health Personnel Licensing Examination Institute for the past 9 years. Results: Although there was no significant change in the pass rate, difficulty, and discrimination of the national examination, the average score of the total score showed a tendency to decrease every year. Unlike the average scores of other subjects, the basic medicine subjects showed a steady decline. The number of those who failed the written test were higher than those who failed the practical test. As a result of analyzing those who failed the written test, the majority of those who failed basic medicine and emergency medical service-related legislation. Conclusions: The steady decline in basic medicine scores and the steady increase in the number of people who failed has raised the need to reinforce basic medicine in universities or institutions that are nurturing EMT-paramedics in order to improve the quality of the national examination. In addition, the subjects of emergency medical service-related legislation was considered as subjects to be strengthened along with basic medicine.

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1중환자실 간호사의 인공호흡기관련 폐렴 예방을 위한 감염관리 수행도 및 관련 요인

저자 : 이현화 ( Hyeon Hwa Lee ) , 한미아 ( Mi Ah Han ) , 박종 ( Jong Park ) , 최성우 ( Seong Woo Choi )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 43권 1호 발행 연도 : 2018 페이지 : pp. 1-8 (8 pages)

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Objectives: Ventilator-associated pneumonia (VAP) is the most common form of nosocomial infections in intensive care units. The purpose of this study was to measure infection control knowledge and practice for VAP, and investigate the factors associated with them among staff nurses in intensive care units. Methods: The 232 staff nurses working in three university hospitals were surveyed by closed ended questionnaires using scoring system about infection control knowledge, practice for VAP and general characteristics. Practice scores for VAP were compared in groups of nurse. The factors associated to practice for VAP were analyzed with multiple linear regression using a SPSS version 16.0 statistical program. Results: The score of knowledge and performance of infection control were 4.85±1.18 and 1.82±0.13, respectively. In multiple regression analysis, the level of performance of infection control was significantly higher in nurses who cared for less than 3 patients compared to nurses who cared for more than 4 patients (β=0.04, p=0.067). And nurses with experience of education for the VAP prevention within 2 years had higher performance for the VAP prevention (β=0.05, p=0.009). The level of knowledge was higher, performance of infection control better. Conclusions: Performance for the VAP prevention was associated with the number of patients in charge, experience of education and the level of knowledge for the VAP prevention. So the level of performance of the VAP prevention will be improved by the reasonable nurse-to-patient ratio in intensive care unit and supplying of education and increasing of the level of knowledge for the VAP prevention.

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212주간 지속적, 간헐적 운동형태가 중년여성의 심혈관질환 위험인자에 미치는 영향

저자 : 정주하 ( Joo-ha Jung ) , 박정준 ( Jung Jun Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 43권 1호 발행 연도 : 2018 페이지 : pp. 9-17 (9 pages)

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Objectives: The purpose of this study was to examine the effects of continuous combined exercise with detraining and retraining on metabolic syndrome risk factors in middle-aged women. Methods: Forty women (40-49 years) were randomly divided into four groups, continuous combined training group (CCTG, n=10), intermittent combined training group (ICTG, n=10) and continuous aerobic training group (CATG, n=10), intermittent aerobic training continuous group (IATG, n=10). CCTG and CATG was trained for 12 weeks and ICTG and IATG was trained for the first 4 weeks, detrained for the following 4 weeks, and then retrained for the last 4 weeks. CCTG and ICTG conducted a combined exercise program, CATG and IATG conducted an aerobic exercise for 60 minutes a day, 3 days per week. Date analyzing method were two-way repeated ANOVA, one-way ANOVA and scheffe, paired t-test using SPSS 21.0. Results: Cardiovascular risk factors were measured before and 12 weeks after training. Combined exercise for 12 weeks was effective for cardiovascular risk factors such as body weight, % body fat, 1,600 m walk & run, glucose, HDL-C and triglyceride. However, intermittent combined exercise group was effective only in blood glucose and HDL-C. When aerobic exercise was continued for 12 weeks, it was effective only in % body fat and 1,600 m walk & run, and it was not effective in all items when intermittent. Conclusions: Thus, the combined exercise was more effective for cardiovascular risk factors than intermittent exercise and continuous exercise than aerobic exercise. However, in intermittent exercise, combined exercise, including strength training, was more effective for cardiovascular risk factors than aerobic exercise.

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3입원 암환자의 거주지역 및 병상규모가 타지역 의료기관 이용에 미치는 영향

저자 : 김성수 ( Sung-soo Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 43권 1호 발행 연도 : 2018 페이지 : pp. 18-25 (8 pages)

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Objectives: The purpose of this study is, using the data of Korean National Hospital Discharge In-depth Injury Survey, to examine the characteristics of cancer patients' medical care utilization rate and provide the baseline data for development of cancer policy. Methods: This is a cross-sectional study using the data of Korean National Hospital Discharge In-depth Injury Survey provided by Korea Centers for Disease Control and Prevention every year since 2005. It used 9 years (2005-2013) of data finished with refinement after investigation. Based on the Korean standard classification of disease and cause of death, considering principal diagnosis, patients diagnosed with C00-C97 code, malignant neoplasm, were selected as research subjects. Results: The medical care utilization rate in other regions was 31.7%, and there were statistically significant differences in the general characteristics including gender, age, hospital average length of stay (ALOS), and the scale of beds. There were changes in the medical care utilization rate and mortality in other regions depending on cancers, and there were differences in the medical care utilization rate and mortality in other regions depending on patients' residential districts. The results of multivariate analysis using logistic-regression analysis also revealed that the scale of beds and residential districts should be the major factors for the medical care utilization rate in other regions. Conclusions: In order to resolve regional inequality of cancer patients' medical care utilization rate, the current supply-centered policy should be changed to a policy that can improve healthcare quality.

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4노년기 건강검진과 건강행동의 관계에 대한 종단적 연구

저자 : 정윤경 ( Yunkyung Jung )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 43권 1호 발행 연도 : 2018 페이지 : pp. 26-34 (9 pages)

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Objectives: Despite the increasing importance of older adults' own health behaviors in achieving healthy aging, there has been lack of research on associations between health screening and other health behaviors of older adults. The present study aims to examine longitudinal associations between health screening and smoking, drinking, and practice of regular exercise among older adults. Methods: Analyse were based on 2,458 individuals aged 65 and over who participated in the 1-4 waves of the Korean Longitudinal Study of Ageing (KLoSA). Generalized Estimating Equations were performed to investigate associations between health screening and health behaviors when effects of demographic characteristics and health-related variables were controlled. Results: Findings suggested that older adults who participated in private health screening showed a lower odds of drinking over the 6-year-period. Both public screening and private screening were associated with greater odds practice of regular exercise. Conclusions: Results from the present analyses emphasized health screening, as a preventive health behavior, could promote healthier lifestyle of older adults and suggest potential needs for follow-up after health screening.

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5간호대학생의 자기효능감, 전공만족도 및 진로결정 수준과의 관계

저자 : 박형숙 ( Hyoung Sook Park ) , 윤정미 ( Jung Mi Yun ) , 이선녀 ( Sun Nyeo Lee ) , 이숙련 ( Sook Ryon Lee ) , 이미순 ( Mi Soon Lee )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 43권 1호 발행 연도 : 2018 페이지 : pp. 35-45 (11 pages)

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Objectives: The purpose of this study was to contribute to career counseling and career guidance for nursing students by investigating the influences of self efficacy and major satisfaction on career decision level of nursing students. Methods: For this study, data were collected from 383 nursing students from Busan and South Gyeongsang Province Data collection was done during the period November, 2017. A descriptive survey design was used and data were collected using questionnaires from a sample of 380 nursing students. Data were analyzed using descriptive statistics, Mann Whiney U test, Kruskal-Wallis test, Pearson correlation coefficient and multiple regression with SPSS WIN 22.0. Results: Career decision level had a significant correlation with self-efficacy and major satisfaction. Fits aptitude (β=0.14, p=0.001), score (β=-0.11, p=0.004), major reselect (β=0.11, p=0.016), hospital employment (β=0.10, p=0.011), self efficacy (β=0.33, p<0.001), general satisfaction (β=0.18, p=0.003), social perception satisfaction (β=0.15, p=0.003) were significant predictors of career decision level. Conclusions: It is necessary to develop effective career support programs according to type of motivation, career plans to improve nursing students' self efficacy and satisfaction in the nursing major.

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6로봇 중재가 뇌졸중 환자의 상지기능에 미치는 영향: 무작위대조연구에 대한 메타분석

저자 : 권재성 ( Jae-sung Kwon )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 43권 1호 발행 연도 : 2018 페이지 : pp. 46-53 (8 pages)

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Objectives: The main symptom of stroke is upper limb function deficit. Robotic intervention has been applied to treat the paretic upper limb. Through this meta-analysis, we investigated the effect of robotic intervention on upper limb function recovery of individuals with stroke. Methods: The analyzed studies were identified through electronic search engines such as PubMed, CINAHL, MEDLINE for the last 5 years. The PEDro scale was used to rate the methodological quality of included studies. Meta-analysis is performed to analyze the sample size, means, and standard deviations in selected studies. Results: Ten randomized controlled trails were included for meta-analysis. PEDro scale was more than 6 points in all studies. Three hundred twenty subjects participated in included studies. In order to statistically analyze the effect size of the robotic interventions, the outcomes of studies were classified into upper limb function (ULF) and activities of daily living (ADL). In consideration of heterogeneity of effect size, we used random effect model. Meta-analysis of 10 trials showed “small effect size”. The effect size of ULF was 0.288 and the effect size of ADL was 0.265. Conclusions: Robotic intervention was not more effective than other dose-matching conventional therapies. Therefore, it is necessary to select appropriate individual interventions reflect characteristics of the individuals with stroke and robotic interventions may be used as a complementary methods to conventional therapy.

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7디지털 헬스케어 서비스에 대한 보건의료제공자의 인식

저자 : 문세연 ( Seyeon Mun ) , 윤영미 ( Young Mi Yun ) , 한태화 ( Tae Hwa Han ) , 이상은 ( Sang Eun Lee ) , 장혁재 ( Hyuk Jae Chang ) , 송시영 ( Si Young Song ) , 이유미 ( Yumie Rhee ) , 김현창 ( Hyeon Chang Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 43권 1호 발행 연도 : 2018 페이지 : pp. 54-63 (10 pages)

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Objectives: The purpose of this study is to examine healthcare providers' understanding, opinions and requirements about digital healthcare services. Methods: We conducted an online survey of 1,942 healthcare providers on their opinions about digital (or information technology-based) healthcare services between May 15 to 31, 2017. The respondents were divided into four groups: medical doctors, nurses, other certified personnel, and the remainings. The characteristics of respondents were summarized as number and percentage. Chi-square test was used to assess statistical differences according to job. Results: More than half of the respondents knew about digital healthcare, and the awareness of doctors was higher than other groups (70.5%, p<0.001). Only a part of the respondents (31.8%) ever used digital healthcare services, and 67.7% of them used services for self-care. A majority of respondents answered that digital healthcare could improve the quality of healthcare (88.2%) and they were willing to use digital healthcare services in the future (72.2%). Respondents were most concerned about the risks of mistakes or medical accidents (37.7%) and security of personal information (28.3%), when digital healthcare was applied to real practice. Most wanted services were 'personal health record management' and 'disease prevention information' in the prevention area, and 'notification for medication' and 'notification for treatment schedule' in the treatment area. Conclusions: There was a high expectation for the digital healthcare services in the healthcare providers. Therefore, if the considered problems are mitigated, the active introduction could be achieved.

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8구강건강행태와 고감도 C-반응성 단백질의 상관관계: 국민건강영양조사 제6기(2015년)자료

저자 : 이석준 ( Suk Jun Lee )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 43권 1호 발행 연도 : 2018 페이지 : pp. 64-69 (6 pages)

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Objectives: The purpose of this study was synthetically examine the relationship between oral health-related behaviors and high-sensitivity CRP levels. Methods: This study was conducted using data of Fifth Korea National Health and Nutrition Examination Survey. SPSS 20.0 for Window was applied for statistical analysis. The data were collected from 5,945, age ≥19 years. To analyze the association between oral health-related behaviors and high-sensitivity CRP level, was used multiple logistic regression analysis and the independent t-test. Results: The concentration of high-sensitivity CRP was lower in group for preventive dental care such as scaling treatment in recent 1 year (p<0.10). The frequency of daily tooth brushing was significant to high-sensitivity CRP level (r=-0.055, p<0.001). Preventive dental care and the frequency of daily tooth brushing were significantly correlated with the plasma high-sensitivity CRP level after adjusting for sex, age and chronic disease status. Conclusions: The concentration of high-sensitivity CRP seems to be correlated with oral health-related behaviors such as the frequency of daily tooth brushing and preventive dental care. This study may be used as a basic data for research to clarify the relationship between oral health-related behaviors and cardiovascular diseases and chronic inflammatory diseases.

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9텍스트마이닝을 이용한 금연 홍보 웹툰의 반응분석: “씌가렛뎐” 댓글을 중심으로

저자 : 이동균 ( Dong Kyun Lee ) , 이서준 ( Seo Joon Lee ) , 최인영 ( In Young Choi )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 43권 1호 발행 연도 : 2018 페이지 : pp. 70-79 (10 pages)

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Objectives: Recently, webtoons have been developed through a variety of fields' advertisement platforms as well as non-smoking campaign. However, the only way to evaluate the effect of brand webtoons is limited to ratings, comments, and page views so far. Our research analyzed smoking cessation advertising brand webtoon's comments by using text mining method. Methods: We chose the “Tale of Cigarette” webtoon which was well known as a cartoon for non-smoking campaign. Its rating was 9.91 rated by 107,264 readers. We analyzed the association between frequent morpheme and morpheme, and also analyzed sentiments embedded in user comments. A total of 20,560 comments were manually exported from Naver webtoon site and 18,117 comments were used for morpheme analysis and sentiment analysis. Results: Frequent morpheme analysis results showed that the 'cigarette' was most frequent, and was followed by other words such as 'smoking cessation', 'human', 'smoker', 'dad', 'please', 'smoking' in ranking. Comments were converted through transaction for association analysis. Support, confidence and lift were applied to the transaction data to check for association patterns, and results showed high lifts between the word 'cigarette' and words 'smoking', 'tax', 'street', 'smell', and 'smoke'. Sentiment analysis results showed that negative sentiment in the early episodes changed into positive sentiment as the episodes progressed. Conclusions: Our results showed that the webtoon was an effective media as a non-smoking campaign. In order to successfully advertise smoking cessation through brand webtoon, it was important to convince the users and make them understand the harmful effects of smoking. In addition, it was equally important to ultimately make them quit through repeated publishing, and to attract them to smoking cessation related topics.

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10IPA를 활용한 의료기관 아웃소싱 직원의 내부고객 서비스품질 인식차이

저자 : 김성수 ( Sung-soo Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 43권 1호 발행 연도 : 2018 페이지 : pp. 80-88 (9 pages)

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Objectives: This study was undertaken to analyze the difference between the expectation and performance of service quality provided by a medical institution with outsourced employees in charge of telephone booking services at the medical institution, and use the results to establish strategies for efficient outsourcing management tasks. Methods: The data were collected through a self-administered questionnaire survey of 197 employees providing telephone booking services at four upper-scale general hospitals located in Seoul. A paired t-test was used to analyze the difference between the expectation and performance of service quality, and an importance-performance analysis (IPA) was conducted to derive strategies. Results: Among the determinants of perceived service quality, tangibles showed a great difference between expectation and performance and were found to be an area that requires urgent improvements with consistent interest and concern in the IPA matrix. Conclusions: Therefore, there is a need for strategies to prioritize improvement in tangible aspects of service quality for internal customer satisfaction and maintain reliability and assurance.

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