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한국보건정보통계학회> 보건정보통계학회지> 금연 시도자의 금연지원서비스 이용 관련 요인

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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


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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
  • : 1976-2021
  • : 746


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46권4호(2021년 11월) 수록논문
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KCI등재

1유럽의 백신 유익성-위해성 감시를 위한 ADVANCE 프로젝트 소개

저자 : 정나영 ( Na-young Jeong ) , 이해인 ( Hae-in Lee ) , 김민주 ( Min-ju Kim ) , 김희진 ( Hee-jin Kim ) , 최남경 ( Nam-kyong Choi )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 4호 발행 연도 : 2021 페이지 : pp. 369-378 (10 pages)

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The vaccine benefit-risk assessment entails comprehensive and systematic evaluation of the major benefits and risks of vaccine based on information after a marketing authorization. In 2009, the influenza A (H1N1) pandemic led to the licensing of new H1N1 vaccines in many countries including Europe. The post-marketing evaluation and monitoring of H1N1 vaccines was carried out based on a project previously conducted in Europe. In 2013, the Accelerated Development of VAccine beNefit-risk Collaboration in Europe (ADVANCE) project was launched with the support of Innovative Medicines Initiative (IMI) to address the limitations reported in the previous project. ADVANCE consisted of seven Work Packages (WPs), each indicating the vaccine benefit-risk monitoring readiness across four areas: Governance, Data source, Methods, and Study. First, a model for vaccine surveillance and governance with various functions such as decision making, quality management, execution, and financial administration was established. Also, the project developed a tool to identify, collect, and link the data sources available for vaccine surveillance. In addition, various methodologies were reviewed to assess the infectious disease burden, vaccine coverage, and benefit-risk based on linked data sources in Europe. Guidelines were proposed for real-world vaccine surveillance studies. Accordingly, a variety of tools and programs were developed, including a code of conduct related to the benefit-risk assessment of vaccines, ADVANCE International Research Readiness (AIRR), CodeMapper, and VaccO. Since the end of the ADVANCE project in 2019, the Vaccine Monitoring Collaboration for Europe (VAC4EU) has been conducting effective and sustainable vaccine benefit-risk monitoring programs based on the vision and ideology of ADVANCE. This study explains the contents and findings of ADVANCE with emphasis on WPs and proposes directions for establishing a vaccine benefit-risk assessment system in Korea.

KCI등재

2한국 고등학생들의 식이습관 및 체질량지수와 구강질환증상경험의 관련성-2019년도 제15차 청소년건강행태온라인조사를 중심으로

저자 : 장지언 ( Ji Eon Jang ) , 정선락 ( Sun Rak Jeong )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 4호 발행 연도 : 2021 페이지 : pp. 378-384 (7 pages)

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Objectives: This study was to survey the distribution of Korean high school students' dietary habits, body mass index (BMI) and oral symptom experiences and analyze the relevance of those to contribute to the development of a program to prevent and manage their oral diseases. Methods: The analysis was based on the raw data of the 15th Online Youth Health Behavior Survey in 2019 and the subjects were 27,919 high school students which went under complex sample analysis. Results: In the dietary habits of the subjects, the highest were 'once or twice a week' with 33.8% in recent 7 days' fruit intake frequency, 42.9% of 'once or twice a week' in soda intake frequency, 35.8% of 'once or twice a week' in sweet drinks frequency, and 56.1% of 'once or twice a week' in fast food frequency. BMI showed the highest 52.9% of 'normal', 19.5% of 'obesity', 14.1% of 'overweight', and 13.5% of 'underweight' in order. In the recent 12-month experience of oral disease symptoms, the highest was 39.2% of 'none' with 25.4% of 'one', 18.0% of 'more than three', and 17.4% of 'two' in order. In the affecting factors on BMI '3 or 4 times a week' in soda, 'once or twice a week' in sweet drinks were significantly high and '3 or 4 times a week' were significantly low in vegetable intake (p<0.05). The affecting factors on oral disease symptoms were significantly lower with male than female, and those on academic achievements and economic status were significantly lower in 'mid' than in 'low' (p<0.01). 'Once or twice a week' soda intake and less sweet drinks and fast food were significantly low (p<0.01). Less vegetable intake showed significantly higher (p<0.01), and there were no significant relevance between BMI and oral disease symptoms. Conclusions: It is suggested that a program be developed as soon as possible for preventing and managing oral diseases for adolescents to grow up to be healthy adults in terms of surveying characteristic distribution of dietary habits, BMI and oral disease symptoms and analyzing the relevance among them efficiently.

KCI등재

3치과위생사의 보수교육 참여도와 면허신고제 인식수준의 관련성

저자 : 이혜영 ( Hye-young Lee ) , 송근배 ( Keun-bae Song ) , 김건엽 ( Keon-yeop Kim ) , 최연희 ( Youn-hee Choi )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 4호 발행 연도 : 2021 페이지 : pp. 385-392 (8 pages)

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Objectives: The purpose of this study was to identify the relevant factors between the completion of continuing education that is required for license registration and license registration awareness. Methods: The data were conducted an online questionnaire survey on 330 dental hygienists working in dental clinic in Daegu. Data were analyzed using frequency, logistic regression, multiple regression with the SPSS 25.0 program. Results: It was revealed that 83.4% of the subjects of this study completed continuing education. The variables that were statistically significant in multivariate analysis with license registration awareness as a dependent variable were marital status, education level, number of dental hygienists, main duty, annual, monthly leave, route of information, and experience of getting official documents. Finally, when continuing education was completed, license registration awareness was found to have a positive correlation compared to those who did not complete continuing education (p<0.001). Conclusions: The role and responsibility of the Korean Dental Hygienists Association is more important for practical alternatives and improvements leading to license registration by increasing the completion of continuing education and license registration awareness.

KCI등재

4COVID-19 대유행으로 인한 대구시민의 신체활동 변화와 영향요인

저자 : 진수희 ( Soo-hee Jin ) , 김건엽 ( Keon-yeop Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 4호 발행 연도 : 2021 페이지 : pp. 393-401 (9 pages)

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Objectives: We investigated relation between changes in physical activity during the COVID-19 pandemic and its related factors in Daegu Metropolitan City. Methods: 6,910 subjects were selected from 2020 Community Health Survey in Daegu. We analyzed the relation of changes in physical activity and general characteristics, health behavior, health status, health anxiety, mental health, chronic disease. Results: 49.7% of the total survey subjects, 47.8% of hypertensive patients, 46.7% of diabetic, and 54.3% of obesity patient showed a decrease in physical activity during the COVID-19 outbreak. Results by multiple logistic regression analysis, in female (odds ratio, OR=1.37; 95% confidence interval, CI=1.18-1.59), 19-29y (OR=1.49; 95% CI=1.18-1.88), 30s (OR=1.52; 95% CI=1.18-1.96), 40s (OR=1.55; 95% CI=1.20-2.00), residents in the urban area (OR=1.41; 95% CI=1.18-1.69), non-practice of moderate to vigorous physical activity (OR=1.49; 95% CI=1.26-1.76), high health anxiety from COVID-19 infection (OR=1.41; 95% CI=1.21-1.65), perceived depression (OR=1.90; 95% CI=1.50-2.40), and obesity (OR=1.23; 95% CI=1.07-1.41) more decreased than before COVID-19 pandemic in physical activity. Conclusions: The prolonged reduction in physical activity due to COVID-19 may increase the burden of disease on infectious and chronic diseases. Therefore, a public health intervention is essential to increase physical activity for the group with a high decrease in physical activity and then interventions are needed involving the entire population.

KCI등재

5대학생의 생활습관 요인과 비만과의 상관성: 경기도 지역 1개 대학교를 중심으로

저자 : 정진희 ( Jin Hee Jeong ) , 박혜자 ( Hye-ja Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 4호 발행 연도 : 2021 페이지 : pp. 402-409 (8 pages)

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Objectives: This study examined the associations between lifestyle factors and obesity among university students. Methods: In this cross-sectional correlational study, 671 students completed measures of lifestyle factors (dietary habit, exercise, smoking, and alcohol drinking), health concern, academic stress, and anthropometric indices. Obesity was classified by body mass index (BMI) and abdominal circumference (AC). The data were analyzed with χ2 test, Mann-Whitney U test and logistic regression. Results: The frequencies of obesity and abdominal obesity were higher in male students than in female students (17.6% vs. 3.4% by BMI, 18.9% vs. 5.9% by AC). Abdominal obesity in students with diabetic parent was higher (16.8%) than in students without diabetic family history (9.2%). Obesity of BMI≥25 kg/m2 associated with breakfast absence of 5-7 times/week (odds ratio, OR: 1.98, 95% confidence interval, CI: 1.05-3.71). Abdominal obesity associated with instant foods intake of 5-7 times/week (OR: 2.65, 95% CI: 1.14-6.17), fast foods intake of 3-4 times/week (OR: 2.87, 95% CI: 1.48-5.56), snacks of 3-4 times/wk (OR: 2.15, 95% CI: 1.15-4.00), and consumed alcohol of ≥1 glass a day (OR: 2.11, 95% CI: 1.19-3.73). Conclusions: Breakfast absence is associated with obesity. Instant foods, fast foods, snacks, and alcohol consumption are the associated factors with abdominal obesity among university students.

KCI등재

6시군구 지역별 성인의 비만율 차이 및 영향요인

저자 : 김봉정 ( Bongjeong Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 4호 발행 연도 : 2021 페이지 : pp. 410-419 (10 pages)

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Objectives: The purpose of this study was to examine the factors affecting regional disparities in the prevalence of adult obesity. Methods: This study is an ecological study in which the unit of analysis were 229 local authorities (si=78, gun=82, and gu=68). The data were obtained from database (ver 1.1) of community health outcomes and health determinants (2015-2017) and Community Health Survey data (2018-2019). Multiple regression analysis was used to identify factors related to the prevalence of obesity in 4 groups (all regions, si, gun, and gu). Results: The prevalence of regional obesity varied 23.5% to 45.15% with a mean of 34.13%. Obesity prevalence was highest in 'gun', and lowest in 'gu' area. In the overall model, sociodemographic characteristics including sex ratio (β=0.26), household income over 3 million won (β=-0.23), and the unemployment (β=-0.18)), high-risk drinking (β=0.18), and satisfaction with public transportation (β=-0.24) were associated with the prevalence of regional obesity. Other than those things, in 'si' area, population density, walking practice, in 'gun' area, participation in social activity were associated with the prevalence of regional obesity. Conclusions: To reduce obesity prevalence and it's regional disparities, it is important to make intervention and prevention efforts taking into account the socioeconomic and physical environmental characteristics of the region as well as health behaviors.

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Objectives: The purpose of this study was to determine the impacts of self-leadership, self-directed learning competency, and clinical competency on the career adaptability of nursing college students. This study also was conducted to explore the mediating effects of self-directed learning competency and clinical competency on the relationship between self-leadership and career adaptability among nursing college students. Methods: Participants were 150 nursing college students. Data were collected from November 1 to November 30, 2020 using self-report questionnaires and were analyzed using frequency, t-test, one-way ANOVA, Pearson's correlation, multiple regression analysis, and Baron and Kenny's method for mediation with IBM SPSS 22.0. Results: The regression model explained 64.0% variance of nursing college students' career adaptability (F=63.94, p<0.001). Significant factors were clinical competency (β=0.40, p<0.001), self-directed learning competency (β=0.36, p<0.001), self-leadership (β=0.18, p=0.011), and application motivation (β=0.11, p=0.035). Moreover, self-directed learning competency showed partial mediating effects on self-leadership and career adaptability. Clinical competency also showed partial mediating effects on self-leadership and career adaptability. Conclusions: The results suggest that nursing college students' career adaptability can be increased through strategies aimed at increasing self-leadership, self-directed learning competency, and clinical competency.

KCI등재

8혈액투석 환자의 삶의 질 영향요인-회복탄력성, 증상경험, 자가관리를 중심으로

저자 : 정현영 ( Hyun-young Jung ) , 박용경 ( Yong-kyung Park ) , 서순림 ( Soon-rim Suh )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 4호 발행 연도 : 2021 페이지 : pp. 429-434 (6 pages)

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Objectives: The purpose of this study was to investigate the factors affecting quality of life of hemodialysis patients. Methods: As a descriptive study, the data were collected from 172 hemodialysis patients receiving hemodialysis at 4 medical institutions. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation analysis and multiple regression. Results: The influential variable of the quality of Life of hemodialysis patients were resilience, symptom experience and monthly income less than 2 million won. These factors explained for 48.7% of the quality of Life of hemodialysis patients. Conclusions: The most ideal method to increase the quality of hemodialysis patients' lives is to develop an integrated nursing intervention that will increase patients' resilience and reduce the intensity of symptoms.

KCI등재

9보건계열 대학생의 우울, 자기효능감 및 건강증진행위

저자 : 김경희 ( Kyung Hee Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 4호 발행 연도 : 2021 페이지 : pp. 435-441 (7 pages)

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Objectives: The Purpose of this study is to find out the relationship among depression, self-efficacy, and health promotion behaviors of health college students and to develop programs and mediate strategies to improve desirable health promotion behaviors. Methods: This descriptive study examined the correlation between the depression, self-efficacy, and health promotion behaviors of health college students located in Daegu Metropolitan City participated in the study from October to December. The collected data were analyzed using IBM SPSS 25.0. The general characteristics of the subjects were presented in frequency and percentage, and depression, self-efficacy and health promotion behaviors were presented in average and standard deviation. The results of this study were as follows: First, the correlation between depression, self-efficacy and health promotion behavior was analyzed by t-test and ANOVA. Multiple regression analysis was conducted to identify the effects of general characteristics, depression, and self-efficacy on health promotion behaviors. Results: The depression of health college students was 14.94±11.51, the total score of self-efficacy was 74.60±12.92, and the health promotion behavior was 74.85±18.62. As a result of analyzing the correlation between depression, self-efficacy and health promotion behavior, depression had a statistically significant negative correlation with health promotion behavior, and self-efficacy and health promotion behavior had a statistically significant positive correlation. The factors that depression and self-efficacy have influence on health promotion behavior were gender, depression (-0.15, p=0.048), and self-efficacy (0.59, p<0.001). Conclusions: The depression, self-efficacy, and health promotion behaviors of health college students were found to be correlated; development of health promotion programs to improve desirable health promotion behaviors is required.

KCI등재

10대학교 신입생의 삶의 만족도에 대한 영향요인

저자 : 도은영 ( Eun Young Do ) , 홍연란 ( Yeon Ran Hong )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 4호 발행 연도 : 2021 페이지 : pp. 442-449 (8 pages)

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Objectives: The purpose of this study was to investigate the influence of psychosocial factors and addiction-related factors on the life satisfaction of college freshmen. Methods: This study used the data of 212 first-year college students from the survey on the actual condition of addiction conducted by the B Addiction Management Integrated Support Center in G Metropolitan City in 2017. Results: Life satisfaction of college students was found to have an inverse correlation with smartphone addiction and depression, and there was a correlation between life satisfaction and social support. As a result of analyzing the variables affecting the life satisfaction of freshmen in college, social support, school life satisfaction, depression, economic level, and smartphone addiction were in the following order. Conclusions: It is necessary to develop various interventions and related programs for the prevention of problems related to psychosocial and addiction issues in order to improve life satisfaction of university freshmen.

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KCI등재

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.

KCI등재

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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