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한국보건정보통계학회> 보건정보통계학회지> 의도적 자해의 요일별 사망 양상, 2010-15

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의도적 자해의 요일별 사망 양상, 2010-15

Weekly Variation of Deaths by Intentional Self-harm by Hanging, Strangulation and Suffocation in Korea, 2010-15

임달오 ( Dar Oh Lim ) , 박상화 ( Sang Hwa Park )
  • : 한국보건정보통계학회
  • : 보건정보통계학회지 43권1호
  • : 연속간행물
  • : 2018년 02월
  • : 96-104(9pages)
보건정보통계학회지

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Objectives: The objective of the study was to analyze the weekly variation of deaths from intentional self-harm by hanging, strangulation and suffocation (HSS: KCD-6 code, X70). Methods: There were 44,794 HSS deaths from the death certificate data (2010-15) of Korea Statistics. For analyzing weekly pattern of HSS deaths, we used the average number of daily HSS deaths and the index of death occurrence (IDO). IDO was calculated as a ratio of the average number of HSS deaths per day of the week to the average number of HSS deaths per day during 6 years. Results: Through 2010-15, the HSS death rate (per 100,000) decreased from 22.1 to 16.3. The HSS death rate was 27.0 in male and 11.1 in female. The HSS death rate by age was 13.0 in aged 20-39 years, 19.4 in aged 40-59 years, and 28.6 in aged 60 years and older. The average number of HSS deaths per day was 20.4 deaths during the period. The daily average of HSS deaths was lower at weekends and holidays than that of weekdays, they have become more concentrated on Monday. On Saturday (17.9 deaths, IDO: 88), the number of HSS death per day was the lowest, and Monday (23.4 deaths, IDO: 115) was the highest. The daily HSS deaths was less likely to occur on holidays (18.0 deaths, IDO: 88). In both gender, all age group and all seasons, the pattern of daily HSS deaths were more prevalent on Monday and were less likely to occur on Saturday, Sunday and holidays. The variations of daily HSS deaths in consecutive holidays (lunar new year’s day and Korean thanksgiving day) showed wide fluctuation from a trough deaths (a holiday) to a peak deaths (after a holiday). The daily HSS deaths 4 days after a holiday increased I.5 times in both gender as compared with daily HSS deaths of a holiday. The daily HSS deaths during 4 days after a holiday increased 1.4 times in aged 40-59 years, and 1.9 times in aged 60 years and older than that of a holiday. Conclusions: The daily HSS deaths were more prevalent on Monday and were less likely to occur on Saturday and public holidays. The daily HSS deaths among aged 40-59 and ≥60 years increased in the week after consecutive holidays.

UCI(KEPA)

I410-ECN-0102-2018-500-004109831

간행물정보

  • : 의약학분야  > 예방의학및보건학
  • : KCI등재
  • :
  • : 계간
  • : 2465-8014
  • : 2465-8022
  • : 학술지
  • : 연속간행물
  • : 1976-2022
  • : 755


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47권1호(2022년 02월) 수록논문
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1빅 데이터를 이용한 국내의 성인 및 노인대상 작업치료 관련 연구: 체계적 고찰

저자 : 남상훈 ( Sanghun Nam ) , 배수영 ( Suyeong Bae ) , 홍익표 ( Ickpyo Hong )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 1-8 (8 pages)

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Objectives: This study systematically reviewed the literatures related to domestic occupational therapy and big data and suggested the need for changes in occupational therapy and big data research for adults and the older adults. Methods: From January 2010 to December 2020, Google Scholar, Korean Studies Information Service System, and Research Information Sharing Service were utilized to search for literatures related to occupational therapy and big data in South Korea. Results: Of the 954 searched literatures, 17 literatures were selected. Most of the literatures were the evidence level II (n=7, 41.2%), 7 (41.2%) literatures conducted with older adults, and 3 literatures (17.6%) utilized the Korean National Health and Nutrition Examination Survey as a big data source. Finally, in the literature, the research was conducted by selecting variables suitable for the subject from various panel surveys. Conclusions: In south Korea, panel surveys for each topic are being created and various variables are being collected. As a result, research in occupational therapy for adults and the elderly using big data became possible, making it possible to conduct various studies.

KCI등재

2뇌졸중 환자의 재활을 위한 병원선택요인

저자 : 김미옥 ( Miok Kim ) , 김건엽 ( Keon-yeop Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 9-19 (11 pages)

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Objectives: The purpose of this study was to investigate the factors influencing selection for rehabilitation hospital in patients who have been diagnosed with stroke. Methods: This study included 169 stroke patients who were admitted to the top 5 hospitals with the highest recovery rate among 13 hospitals where the rehabilitation medicine is operated as the main medical department in Daegu Metropolitan City. The data was collected from 10 February, 2020 to 17 March, 2020, and the survey was conducted by the head of the hospital administration in each hospital for about a month through face to face. Results: Among the factors influencing selection for rehabilitation hospital after stroke, image factors were at the highest mean and standard deviation (3.83±0.74), following human factors (3.75±0.77), physical factors (3.57±0.89), efficiency factors (3.35±0.69), accessibility factors (3.11±1.00). In the demographic characteristics, human factors were considered important when selecting hospital in aged people over 70 years old (p<0.01). Efficiency factors and human factors were considered important if patients living outside Daegu (p<0.05), but accessibility factors were more important if patients living in Daegu (p<0.01). In the stroke related characteristics, the human factors were considered important in the shorter the disease period, and in the case of having swallowing disorders (p<0.05). When paralysis was affected on both sides (bilateral paralysis), physical factors were considered important (p<0.05), and efficiency factor was also considered important as the disease periods gets shorter (p<0.05). Efficiency factors and accessibility were important in the case of not having respiratory disorders compared to those with the respiratory disorders (p<0.05). The results of the factors for choosing a hospital according to the stroke diseases-related characteristics showed that human factors, physical factors, and hospital image factors were considered important in case of putting much of the efforts to gather hospital information (p<0.01). When the patients who had rehabilitation in the tertiary hospital prior to the current hospital admission, the physical factors were considered important (p<0.05). Conclusions: This study found that various factors were considered in patients who have been diagnosed with stroke, when selecting rehabilitation hospital after stroke. Therefore, it should be warranted to provide reliable and objective hospital information for stroke patients through establishing national level health system and sharing rehabilitation data so that the people can get effective rehabilitation at the right time.

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3간호대학생의 MBTI 성격유형에 따른 자아존중감, 스트레스 대처방식 및 회복탄력성 영향요인

저자 : 박정미 ( Jeong Mi Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 20-26 (7 pages)

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Objectives: This study aimed to identify the effects of self-esteem and stress coping styles on resilience in nursing students according to the Myers- Briggs Type Indicator (MBTI). Methods: A descriptive study was conducted. Data were collected from 205 nursing senior students and analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficient and multiple regression analysis. Results: In terms of self-esteem, social support-seeking stress coping style, and resilience, extroversion was significantly higher than introversion in MBTI preference. Among all factors, self-esteem had the greatest effect on resilience (r=0.53), followed by the emotion-focused coping style (r=-0.31) and the problem-focused coping style (r=0.23), with an explanation power of 57.1%. Conclusions: The results of this study indicate that self-esteem is an essential factor affecting resilience. Thus, nursing intervention programs for improvement of resilience in nursing students should be considered by the degree of self-esteem based on the MBTI personality preference.

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4노인요양시설의 영양사 배치유무에 따른 영양관리 실태 비교

저자 : 권진희 ( Jin Hee Kwon ) , 황라일 ( Rah Il Hwang ) , 류재현 ( Jaehyeon Ryu )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 27-34 (8 pages)

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Objectives: The study was performed to compare the status of nutrition management with and without dietitian in residential facilities in order to provide basic data for high quality of nutrition management services across the country. Methods: Among long-term care facilities with claims of benefits, 747 samples were extracted through a proportionate stratified sampling method based on region, agents of foundation, types of food service, and facility size. Results: The subjects of the survey were dietitian, general managers, or facility directors. Nutrition evaluation, nutrition intervention, and nutrition monitoring were performed by professional staff at the residential facilities with a dietitian. On the other hand, it was found that the rate of nutrition management performance was relatively low in residential facilities where no dietitian was assigned, and it was performed by non-professional personnel such as nurse aids and social workers. Conclusions: The results of this study suggested that developing strategies is required to reinforce the safe minimal standard of dietitians' staffing levels for systematic nutrition management.

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5CEA 및 CA15-3 혈청 수준 기반 유방암 예후 예측 모델 개발 연구

저자 : 양희수 ( Hee Soo Yang ) , 권성욱 ( Seonguk Kwon ) , 이승희 ( Seunghee Lee ) , 이수현 ( Suehyun Lee ) , 김종엽 ( Jong-yeup Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 35-47 (13 pages)

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목적: CEA와 CA15-3 혈청 수준은 유방암 환자의 예후를 예측하기 위해 사용되며, 본 연구에서는 이를 활용하여 유방암 예후 예측 모델을 개발하고자 한다.
방법: 2012년 1월부터 2019년 12월까지 유방암을 진단받은 639명의 환자를 대상으로 분석하였다. CEA와 CA15-3 검사 정보를 포함하는 20개의 변수를 선정하여 예후 예측 모델 개발을 위해 인공신경망, 랜덤 포레스트, 서포트 벡터 머신, 로지스틱 회귀 총 4개의 기계학습 알고리즘을 활용하였다.
결과: 환자군(n= 63)과 대조군(n=576) 간에 CEA와 CA15-3 혈청 수준과 나이, 고혈압 및 당뇨병을 제외한 다른 질병의 병력, 화학요법 및 약물요법일 시행한 경우에서 통계적으로 유의미한 차이가 보였다. 유방암 예후 예측 모델에 대한 인공신경망 모델의 민감도와 특이 도는 각각 26.7%, 92.6%로 확인되었다.
결론: Shapley 부가 설명 모델 활용 결과, 유방암 예후 예측 모델에서 가장 중요한 변수는 CEA와 CA15-3 혈청 수준으로 확인되었다. 결과적으로 본 연구에서 제안된 인공신경망 기반 기계학습 모델과 종양표지자 혈청 수치는 유방암 예후 예측에 유용하게 작용될 것이라고 기대된다.


Objectives: Serum levels of carcinoembryonic antigen and cancer antigen 15-3 tumor markers are used for breast cancer prognosis. This study developed a breast cancer prognosis prediction model. Methods: We retrospectively analyzed data of 639 patients diagnosed between January 2012 and December 2019. We selected 20 independent variables with carcinoembryonic antigen and cancer antigen 15-3 serum levels and employed four machine-learning algorithms for the model: artificial neural network, random forest, support vector machine, and logistic regression. Results: Significant differences in carcinoembryonic antigen and cancer antigen 15-3 serum levels, age, history of other diseases excluding hypertension and diabetes mellitus, chemotherapy, and drug therapy were noted between control (n=576) and case groups (n=63). The sensitivity and specificity of the artificial neural network model for prognosis prediction were 26.7% and 92.6%, respectively. Conclusions: Carcinoembryonic antigen and cancer antigen 15-3 serum levels were the most significant variables for developing a breast cancer prognosis prediction model using the Shapley additive explanations model. The proposed machine-learning model and tumor marker serum levels may be useful for breast cancer prognosis.

KCI등재

6임상간호사의 COVID-19 백신 접종 의도에 대한 영향요인

저자 : 최연희 ( Yeonhui Choe ) , 차지은 ( Jieun Cha )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 48-56 (9 pages)

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Objectives: This study investigated psychosocial factors that influence nurse's intention to receive a COVID-19 vaccine. We focused on factors including COVID-19 knowledge, attitudes and beliefs related to COVID-19 vaccines, social contexts, and demographics. Methods: Data were collected from 200 nurses at five hospitals in Daegu between 12 April and 19 June 2021. We assessed COVID-19 knowledge, perceived susceptibility, severity, benefits, barriers, safety concerns, COVID-19 exposure, demographics, and the intention to get COVID-19 vaccines. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and hierarchial multiple regression. Results: Of 200 participants, 180 (90.0%) reported an intention to obtain a vaccination against COVID-19. Among four health beliefs towards COVID-19 vaccines, perceived severity was the highest. Perceived benefits (r=0.42, p<0.001) were positively associated with vaccination intention, while perceived barriers (r=-0.32, p<0.001) and safety concerns (r=-0.20, p<0.001) negatively influenced vaccination intention. There were differences in the scores for vaccination intention according to hospital grade and work department. According to the regression analysis, perceived benefits and barriers were discovered to account for 21% of the variance in vaccination intention. Conclusions: This study offers a timely overview of psychosocial factors that are related to nurses' intention to get vaccinated for COVID-19. The vaccines' benefits need to be highlighted in campaigns and educations, and it is imperative to remain transparent and truthful in communications about the vaccine safety.

KCI등재

7정신질환이 동반된 입원환자의 특성과 주진단과의 연관성

저자 : 김성수 ( Sung-soo Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 57-65 (9 pages)

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Objectives: The purpose of this study was to determine the prevalence of the principal diagnosis among hospitalized patients with mental disorders and to investigate the association between the principal diagnosis and mental diseases as comorbidity. Methods: The subjects of this study were patients with mental disorders, regardless of the main diagnosis, among the Korean National Hospital Discharge In-depth Injury Survey (KNHDS) from 2006 to 2018. Frequency analysis was performed on the general characteristics, principal diagnosis, and mental disorders of the study subjects. The association between the principal diagnosis and mental diseases was analyzed for patterns using association rule mining (ARM). Results: The main result is that liver diseases are fairly associated with behavioral disorders due to psychoactive substance use. And then organic, including symptomatic, and mental disorders are associated with cerebrovascular diseases, Influenza and pneumonia, and other degenerative diseases of the nervous system. Mood disorders are linked to poisoning by drugs, medicaments, and biological substances. Conclusions: It is necessary to raise awareness of mental diseases and to build a care cooperative system between diseases that are highly associated. It will be possible to monitor key association rules and apply them to clinical decision-making systems.

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8중소병원 간호사의 안전문화인식, 간호근무환경, 전문직 자아개념이 환자안전간호활동에 미치는 영향

저자 : 조영옥 ( Young Ok Cho ) , 김명수 ( Myoung Soo Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 66-73 (8 pages)

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Objectives: The purpose of this study was to investigate the influencing factors of perceived safety culture, nursing work environment, and professional self-concept on patient safety care activities of nurse in small-medium sized hospitals. Methods: A cross-sectional survey was used. Participants were 186 nurses in seven small-medium sized hospitals of a metropolitan city, in Korea. Data were analyzed using multiple linear regression analysis. Results: The influencing factors of the patient safety care activities were perceived patient safety culture and professional self-concept. These two factors explained for 15.1% of the patient safety acre activities. Conclusions: Based on the result of this study, it is necessary to build a good patient safety culture and to develop a positive professional self-concept. The establishment of a positive safety culture should be prioritized to quickly recognized and sensitively accept problems related to patient safety and actively carry out patient safety nursing activity. In order to improve the professional self-concept, it is necessary to increase the social performance for voluntary cooperation and to recognize the self-categorization that the group to which one belongs is distinguished from other groups.

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9확산 모형에 의한 첨단 영상진단 의료기기 수요확산의 특성 분석 및 수요예측에 관한 연구

저자 : 김수범 ( Su-beom Kim ) , 김태구 ( Taegu Kim ) , 임달오 ( Daroh Lim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 74-78 (5 pages)

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Objectives: In this study, we explore the demand forecasting of Advanced Diagnostic imaging Equipment. Methods: The analysis was based on logistic diffusion model. We analyze the specific pattern of each equipment's diffusion curve by interpreting the parameter estimates of logistic diffusion model. Results: Our findings are follows. First, Computed tomography is in the stage of saturation and so, the future demands of that is not too large. Second, Magnetic resonance imaging (MRI) is expected that it will take about 5 years to reach saturation, and further growth is expected to continue. Third, Positron emission tomography (PET) has been shown to be saturated, and therefore, it is not expected that there will be a rapid increase in demand in the future. However, since demand data has been declining since 2000, it is said that additional data collection is required to reliably predict future demand. Conclusions: As a result of analyzing the demand for three major advanced diagnostic imaging equipment, it was found that the domestic market is generally in saturation. Therefore, a future research task will be to predict and analyze the demand for advanced diagnostic imaging equipment in consideration of the government's policy changes.

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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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