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한국보건정보통계학회> 보건정보통계학회지> 댄스스포츠 프로그램이 농촌지역 여성노인의 신체기능과 인지, 우울 및 삶의 질에 미치는 영향

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

The Effect of Dance Sports Program on Physical Function, Cognition, Depression and Quality of Life in Rural Elderly Women

안윤희 ( Yun-hee An ) , 홍남수 ( Nam-soo Hong ) , 윤희정 ( Hee-jung Yoon )
  • : 한국보건정보통계학회
  • : 보건정보통계학회지 45권4호
  • : 연속간행물
  • : 2020년 11월
  • : 385-393(9pages)
보건정보통계학회지

DOI


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서 론
연구 방법
고찰 및 결론
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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.

UCI(KEPA)

I410-ECN-0102-2021-000-001218679

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.

KCI등재

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.

KCI등재

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.

KCI등재

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.

KCI등재

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.

KCI등재

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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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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