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한국보건정보통계학회> 보건정보통계학회지> 금연 시도자의 금연지원서비스 이용 관련 요인

KCI등재

금연 시도자의 금연지원서비스 이용 관련 요인

Factors Related to Utilization of Smoking Cessation Support Service among Attempters for Quitting Smoking

김현우 ( Hyun-woo Kim )
  • : 한국보건정보통계학회
  • : 보건정보통계학회지 45권4호
  • : 연속간행물
  • : 2020년 11월
  • : 349-355(7pages)
보건정보통계학회지

DOI


목차

서 론
연구 방법
연구 결과
고찰 및 결론
REFERENCES

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Objectives: This study was executed to understand the factors related to utilization of smoking cessation support service among attempters for quitting smoking. Methods: The data of Korea National Health and Nutrition Examination Survey in 2016-2017 was used for the analysis in this study. Logistic regression analysis was executed to understand the factors related to utilization of smoking cessation support service among attempters for quitting smoking. Results: the factors related to utilization of smoking cessation support service are daily average smoking amount, current electronic cigarette usage status and subjective health status and the anti-smoking attempters use the smoking cessation support service more in case of having more daily average smoking amount, using the electronic cigarette currently and having worse subjective health level. Conclusions: To increase the smoking cessation success rate of the attempters for quitting smoking, the strategy to make the anti-smoking attempters having lower usage rate of smoking cessation support service participate the smoking cessation support service more should be established.

UCI(KEPA)

I410-ECN-0102-2021-000-001218639

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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1단태 후기 미숙아의 모유수유 영향 요인

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

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 45권 4호 발행 연도 : 2020 페이지 : pp. 311-316 (6 pages)

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목적: 본 연구는 단태 후기 미숙아의 병원 퇴원 후 1개월 시점에서 모유수유 영향요인을 규명하기 위함이다.
방법: 후기 미숙아의 모유수유 실천율과 관련된 2개 선행 연구에서 쌍태아를 제외하고 단태아 데이터를 활용한 이차분석연구이다. 후 기 미숙아 244명의 퇴원 1개월 시점 수유형태의 데이터를 활용하였고, 모유수유군과 조제유군 간 일반적 특성 및 수유관련 특성은 chi-square test와 t-test, 모유수유 영향 요인은 로지스틱 회귀 분석으로 분석하였다.
결과: 후기 미숙아의 퇴원 1개월 모유수유에 영향을 미치는 요인은 병원 입원 기간 동안의 수유형태였다. 즉, 병원에서 완전 모유수유를 하거나 혼합유를 통해 모유를 제공받은 경우 퇴원 후에도 모유수유를 지속하는 것으로 나타났다.
결론: 후기 미숙아의 입원 동안 임상에서 모유수유를 적극적으로 지지하고 권장하는 것이 단태 미숙아의 모유수유를 증진하는 중요 한 요인임을 밝히는 바이다.

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2변수 중요도를 이용한 설명 가능한 인공지능 기법의 시각화에 대한 고찰과 보건정보 자료에의 응용

저자 : 정혜린 ( Hyerin Jeong ) , 박정훈 ( Junghoon Park ) , 이영섭 ( Yungseop Lee ) , 임창원 ( Changwon Lim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 45권 4호 발행 연도 : 2020 페이지 : pp. 317-334 (18 pages)

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Objectives: Deep learning techniques have been actively used in the medical field where precise diagnosis and results are very important. Deep neural network-based models utilizing big data from medical records are supporting medical opinions and are revolutionizing the medical industry. In addition, the convolutional neural network model shows excellent performance in analyzing image data and are used for image classification and X-ray/CT image reconstruction. Methods: In this paper, we conducted a visualization study using structured and unstructured data in the medical field. Results: In order to determine input variables affecting mortality and to evaluate their importance, a total of five techniques, namely, the augmented neural network model with multi-task learning, random forest, extra tree, gradient boosting and xgboost are applied to the intensive care unit data. Variable importance is calculated for each technique, and these indicators are all converted to ratios in consideration of the differences considering the patient group as a stratification variable. The converted values are shown in three graphs, a lollipop graph, a bubble chart graph, and a heat map graph. Through the visualization, it was easy to see which variables were relatively important for each technique and to what extent. InceptionResnetV2 was used as a classification model for skin cancer image data, and LIME and Grad-CAM were applied to the model to easily identify the characteristics of each cancer. Conclusions: Through this study, we apply several explainable artificial intelligence techniques to medical data to enhance understanding of the results of analysis and to help identify and visualize important input variables and features.

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3중등교사의 미세먼지 관련 건강행위 영향요인: 지식과 태도를 중심으로

저자 : 박용경 ( Yong-kyung Park ) , 김은휘 ( Eun-hwi Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 45권 4호 발행 연도 : 2020 페이지 : pp. 335-340 (6 pages)

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Objectives: The purpose of this study was to investigate the factors affecting health behavior related to particulate matter (PM) in middle school teacher. Methods: The subjects of analysis were 192 middle school teachers. Data were analyzed with SPSS 22.0 program. Results: The greatest influential variable of heath behavior of PM were behavior attitude (β=0.38, p<0.001) and knowledge (β=0.13, p=0.034). These factors explained for 28.3% of health behavior related to PM. Conclusions: It will be necessary to develop a program to improve knowledge, attitude and health behavior for PM in middle school teacher.

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4요양병원 전원 노인 환자의 종합병원 중환자실 재원기간 영향요인

저자 : 정이슬 ( Lee-seul Jeong ) , 이수정 ( Su Jung Lee ) , 신동수 ( Dong-soo Shin )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 45권 4호 발행 연도 : 2020 페이지 : pp. 341-348 (8 pages)

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Objectives: This study aimed to identify factors affecting the length of intensive care unit (ICU) and characteristics among older patients transferred from long-term care hospital. Methods: This is a retrospective study and we extracted data from electronic medical records. Study participants were patients aged 65 or older who were admitted to ICU after they had been transferred to emergency department from long-term care hospitals. Length of stay (LOS) in ICU was defined as the patients had stayed in ICU for 7 days or more. Factors influencing the LOS were identified through the binary logistic regression analyses based on demographic and clinical characteristics and laboratory parameters. Results: Of all screened patients, 243 subjects were transferred from long term care hospitals. Participants mean age was 80.3 (±7.0) years and female comprised 63%. Participants had stayed in ICU for 13.4 days in average. Factors affecting the LOS in ICU were presence of multidrug resistant organism after ICU admission (odds ratio, OR 5.66, 95% confidence interval, 95% CI=1.79-17.82, p<0.010), tracheostomy insertion (OR 3.35, 95% CI=1.28-8.74, p<0.014), mechanical ventilator application (OR 2.49, 95% CI=1.11-5.58, p<0.026), central venous catheterization (OR 2.13, 95% CI=1.09-4.17, p<0.027) and simplified acute physiology score III (OR 0.95, 95% CI=0.91-1.00, p<0.039) by multivariate binary logistic regression analysis. Conclusions: Older patients in long-term care hospitals stayed longer in ICU and were vulnerable to infection. It is important to develop strategies to reduce LOS in ICU as the number of older patients admitted from long-term care institutions increases.

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5금연 시도자의 금연지원서비스 이용 관련 요인

저자 : 김현우 ( Hyun-woo Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 45권 4호 발행 연도 : 2020 페이지 : pp. 349-355 (7 pages)

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Objectives: This study was executed to understand the factors related to utilization of smoking cessation support service among attempters for quitting smoking. Methods: The data of Korea National Health and Nutrition Examination Survey in 2016-2017 was used for the analysis in this study. Logistic regression analysis was executed to understand the factors related to utilization of smoking cessation support service among attempters for quitting smoking. Results: the factors related to utilization of smoking cessation support service are daily average smoking amount, current electronic cigarette usage status and subjective health status and the anti-smoking attempters use the smoking cessation support service more in case of having more daily average smoking amount, using the electronic cigarette currently and having worse subjective health level. Conclusions: To increase the smoking cessation success rate of the attempters for quitting smoking, the strategy to make the anti-smoking attempters having lower usage rate of smoking cessation support service participate the smoking cessation support service more should be established.

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6만성신장질환의 동반질환이 말기신부전으로의 진행에 미치는 영향

저자 : 서화정 ( Hwa Jeong Seo )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 45권 4호 발행 연도 : 2020 페이지 : pp. 356-364 (9 pages)

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Objectives: Due to the aging of population and increase of chronic diseases worldwide, the prevalence of chronic kidney disease (CKD) is on the rise. The increase of CKD is connected to the development of end-stage renal diseases (ESRD) and the occurrence of death caused by ESRD. This study explored the risk factors affecting the progression of CKD patients to ESRD using the sample cohort database built by the Korean National Health Insurance Service. Methods: This study targeted 2,354 new patients to whom the CKD occurred between 2003 and 2012. The development of ESRD of the CKD patients was checked through the number of cases per 1,000 person years. Significance was confirmed through the t-test and Wilcoxon signed-rank test. For the factors affecting the occurrence of ESRD by risk factor of comorbidities, the Cox proportional hazard regression analysis was carried out. Results: The average routing period of the subjects of this study was 2.98±2.69 years. 105.69 cases of ESRD among CKD patients took place per 1,000 person years during the observation period. The proportional hazard of CKD patients' ESRD became higher as the subjects' age became younger (50-59, HR=0.76; 60-69, 0.64; 70-79, HR=0.63), and the proportional hazard was higher from the subjects having proteinuria (Yes, HR=2.16), high hypertension (Yes, HR=1.38), diabetes mellitus (Yes, HR=1.23), and anemia (Yes, HR=1.77) (All p<0.05). Conclusions: Risk factors for the progression of CKD to ESRD were low age group (less than 60), underweight (less than 23), diabetes, hypertension, and anemia patients. To control the occurrence of ESRD that increases social and economic burdens, along with death risk, it is necessary to establish individualized treatment plans depending on the characteristics and risks of patients based on each type of comorbidity.

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7욕창예방간호의 임상적 의사결정지지 시스템의 컨텐츠 개발과 활용

저자 : 김명수 ( Myoung Soo Kim ) , 류정미 ( Jung Mi Ryu )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 45권 4호 발행 연도 : 2020 페이지 : pp. 365-372 (8 pages)

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Objectives: The purpose of this study was to develop the contents of a clinical decision support system and assess the actual degree of utilization in order to promote the performance of pressure ulcer prevention care. Methods: Data were collected from March to April 2020. The development of the clinical decision support system was carried out through the steps of according to the ADDIE (analysis -design-development-implementation and evaluation) model. The system was built using Android, iOS, and Safari 604.1 browsers. This study was assess the utilization of clinical decision support system developed over four weeks to 23 nurses. Collected data were analyzed using SPSS WIN 25.0 program. Results: Algorithm for calculation of risk of oral mucous pressure ulcer was developed in clinical decision support system, and information on determination of skin pressure ulcer and oral mucosa pressure ulcer stage and suitable nursing interventions were constructed. At the skin pressure ulcer stage, the deep tissue injury suspected stage and unclassified stage were used a lot. Information corresponding to the second stage of oral mucosa pressure ulcer and the risk level of 31-60% was used a lot. Conclusions: These results suggest that it has been developed as a clinical decision support system content applicable to practice for nurses at the pressure ulcer prevention care.

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8소방공무원의 외상 후 성장 관련요인에 대한 체계적 문헌고찰 및 메타분석

저자 : 김명관 ( Myung-gwan Kim ) , 한승우 ( Seung-woo Han )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 45권 4호 발행 연도 : 2020 페이지 : pp. 373-384 (12 pages)

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목적: 본 연구는 소방공무원의 외상 후 성장에 관련된 요인들을 분석하기 위하여 선행논문들을 중심으로 한 체계적 문헌고찰 및 메타분석 연구이다.
방법: 최종 선정한 14편의 논문은 오픈 소스 통계 소프트웨어인 R (3.6.0)프로그램을 사용하여 상관계수를 활용한 효과크기 메타분석을 실시하였다. 4개의 국외 검색엔진과 4개의 국내 검색엔진으로 시행하였다. 국외 검색엔진으로는 EMBASE, CINAHL, PubMed, Cochrane Library를 통해 검색하였다. 반면 한국 검색엔진으로는 KISS, RISS, NDSL, KMbase를 사용하여 문헌검색을 하였다.
결과: 연구결과 내적요인의 자아탄력성과 외상 후 성장 간의 효과크기는 r= 0.37, 회복탄력성의 효과크기는 r= 0.34, 자존감의 효과크기는 r= 0.32로 나타났다. 외적요인에서 소명의식과 외상 후 성장 간의 효과크기는 r= 0.50, 직업소명의 효과크기는 r= 0.25로 나타났다. 대처기전의 사회적 지지와 외상 후 성장 간의 효과크기는 r= 0.36, 자기노출의 효과크기는 r= 0.20이었다. 대처전략의 문제중심대처와 외상후 성장 간의 효과크기는 r= 0.49, 의도적 반추의 효과크기는 r= 0.54로 나타났다. 마지막으로 외상 후 스트레스 장애와 외상 후 성장 간의 효과크기는 r= 0.23으로 나타났으며 의도적 반추는 외상 후 성장에 가장 크게 효과크기가 나타났다.
결론: 한국 소방공무원의 외상 후 성장에 영향을 미치는 관련요인으로 내적요인, 외적요인, 대처기전, 대처전략, 외상 경험에서 영향을 미치는 변인으로 확인되었다. 그 중 의도적 반추는 가장 큰 효과크기를 나타내었다. 따라서 의도적 반추를 촉진할 수 있는 전략을 개발하고 본 연구를 바탕으로 정신간호 중재 프로그램에 기초자료를 제공하고자 한다.

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9댄스스포츠 프로그램이 농촌지역 여성노인의 신체기능과 인지, 우울 및 삶의 질에 미치는 영향

저자 : 안윤희 ( Yun-hee An ) , 홍남수 ( Nam-soo Hong ) , 윤희정 ( Hee-jung Yoon )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 45권 4호 발행 연도 : 2020 페이지 : pp. 385-393 (9 pages)

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Objectives: In this study, the effects of dance sports programs on the physical function, cognition, depression and quality of life of the elderly were verified for women aged 65 and older. Methods: The experimental group applied dance sports programs for once a week, 50 minutes/times and 12 weeks, and the comparison group was required to participate in existing sports programs without applying dance sports programs for 12 weeks. The experimental group and comparison group were randomly allocated with 33 subjects and 31 controls. Results: balance, depression, and quality of life were investigated in advance and post-production of the program to compare the changes between the experimental group and the control group. Conclusions: Dance sports programs targeting the elderly are life sports that help improve balance, depression, and quality of life.

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10간호대학생의 간호전문직관, 돌봄효능감 및 윤리적 민감성이 돌봄행위에 미치는 영향

저자 : 진수희 ( Su Hee Jin ) , 김은희 ( Eun Hee Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 45권 4호 발행 연도 : 2020 페이지 : pp. 394-401 (8 pages)

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Objectives: It is important for nursing students to properly establish the caring behaviors awareness in order to become a competent and professional nurse in the future. This study was to examine the effects of nursing professionalism, caring efficacy, and ethical sensitivity on caring behaviors in nursing students. Methods: The subjects of this study were total 205 nursing students in universities located in D Metropolitan City. Data were collected from September 2 to 30 in 2019 by using self-reported questionnaires. The data were analyzed by using statistical package the independent t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression analysis with IBM SPSS 25.0 program. Results: The mean score of ethical sensitivity was 4.40±0.42, caring efficacy was 3.69±0.33, nursing professionalism was 3.57±0.40, and caring behaviors was 4.04±0.49. There were significant differences in biomedical ethics awareness by grade and satisfaction of nursing major. The influencing factors on caring behaviors in nursing students were ethical sensitivity (β=0.44, p<0.001), nursing professionalism (β=0.18, p=0.005), grade (β=0.18, p=0.006), and caring efficacy (β=0.16, p=0.006) which explained 31.1% of the variance. Conclusions: These results highlight the importance of developing caring behaviors in nursing students and the need to develop intervention programs that can enhance their nursing professionalism, caring efficacy, and ethical sensitivity should be considered.

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