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한국보건정보통계학회> 보건정보통계학회지> 65세 이상 고령자에서 비만과 악력의 상호작용이 건강관련 삶의 질에 미치는 영향: 제7기(2016-2018) 국민건강 영양조사 자료를 기반으로

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65세 이상 고령자에서 비만과 악력의 상호작용이 건강관련 삶의 질에 미치는 영향: 제7기(2016-2018) 국민건강 영양조사 자료를 기반으로

The Effect of Interaction between Obesity and Grip Strength on Health-Related Quality of Life in Elderly: Based on the Korea National Health and Nutrition Examination Survey (2016-2018)

현승재 ( Seungjae Hyun ) , 우다래 ( Darae Woo ) , 박상신 ( Sangshin Park )
  • : 한국보건정보통계학회
  • : 보건정보통계학회지 46권1호
  • : 연속간행물
  • : 2021년 02월
  • : 28-35(8pages)
보건정보통계학회지

DOI


목차

서 론
연구 방법
연구 결과
고 찰
결 론
ORCID
REFERENCES

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초록 보기

The aim of this study is to determine interaction between obesity and grip strength in health-related quality of life (HRQOL). Methods: This study analyzed the data of 4,119 Korean men and women aged 65 years or older who participated in Korea Health and Nutrition Examination Survey, 2016-2018. Body mass index was divided into normal and obesity. Grip strength was defined as the maximum value of the measured data. Sarcopenia was considered as the average of grip strength less than 26 kg in men and 18 kg in women. HRQOL was measured based on the Euro quality of life-5 dimensions questionnaire. We conducted a linear regression analysis to examine interaction effect between obesity and grip strength, and to estimate the interaction term between obesity and sarcopenia in HRQOL. Results: We identified that obesity interacted with grip strength to affect HRQOL (p=0.022) in aged people. Obese elderly men and women were more likely to have lower HRQOL scores compared to those who had normal weight among participants with low grip strength values. However, there was no significant difference between obesity and normal weight at high grip strength (34.3 kg- 52.7 kg) in HRQOL significantly (p=0.41). Moreover, we identified interaction effect between obesity and sarcopenia (p=0.019). Participants who had sarcopenia with normal weight were not different from those who were obese in HRQOL (p=0.61). Conclusions: Obesity and grip strength were associated with HRQOL. Also, those two factors were interacted to affect HRQOL. Obesity was interacted with sarcopenia to shape HRQOL. Therefore, we need to give a more attention to the elderly who were obese with low grip strength.

UCI(KEPA)

I410-ECN-0102-2022-500-000515821

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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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.

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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.

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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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1임상시험을 위한 연구계획서의 오류에 대한 고찰

저자 : 이휘승 ( Hui Seung Lee ) , 임지연 ( Chi-yeon Lim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 1호 발행 연도 : 2021 페이지 : pp. 1-7 (7 pages)

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Statistics are essential for clinical trials, and it is very important to have an accurate understanding of the purpose of the study and to apply the appropriate statistical design or methodology. Prior to conducting a clinical trial, the research protocol requires approval from the IRB (Institutional Review Board) or regulatory agency approval, and contains a variety of contents. The research protocol conducts clinical trials according to GCP (Good Clinical Practice) and describe clinical design and statistical methodologies for demonstrate the efficacy and safety of new drug or new medical devices using the obtained data in clinical trials. At this time, statistical design is applied for the protocol based on the primary study objective. The primary study objective is to influence the selection of primary endpoint to evaluate this, the sample size, the technique of minimizing the bias, the statistical analysis and method of testing the statistical hypothesis. However, statistical errors and contradictions are easy to find in the study protocol and the same errors are repeated many times, so in this paper we aim to avoid these errors in clinical studies and apply them correctly in clinical trials, intended to be helpful in derives scientific design, validity, and reliable results.

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2응급의료 취약지 거주가 심근경색증 증상 인지에 미치는 영향

저자 : 조미래 ( Mirae Jo ) , 오희영 ( Heeyoung Oh ) , 장석용 ( Suk-yong Jang )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 1호 발행 연도 : 2021 페이지 : pp. 8-18 (11 pages)

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The purpose of this study is to investigate the awareness level of myocardial infarction (MI) symptoms for the residents in the underserved and deserved emergency medical services areas and verify the effect of the existence of residence in the underserved emergency medical services areas on the awareness of MI symptoms. Methods: This is a cross sectional study by using the data of the 2017 Korea Community Health Survey. The residence in the underserved emergency medical services areas is defined as being targeted to the residents in 101 areas notified in 『Emergency Medical Service Act』. The awareness of MI symptoms was classified as being aware of all five items of MI symptoms. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) are computed by multivariable logistic regression. Results: Of the total 195,246 subjects, 43.6% were aware of MI symptoms (43.7% and 43.6% of underserved and deserved emergency medical services areas, respectively). The residence in the underserved emergency medical services areas was associated with the awareness of MI symptoms (aOR 1.15, 95% CI=1.11-1.18). In addition, this study has found that gender, age, education level, income level, occupation, subjective stress level, drinking frequency, current smoking, and diagnosis of hypertension and diabetes were factors influencing the awareness of MI symptoms. Conclusions: Continuous efforts are needed to increase the awareness of MI symptoms for the residents in the underserved and deserved emergency medical services areas. Education and promotion should be conducted in consideration of gender, age, education level, income level, and occupation to improve the awareness of MI symptoms.

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3임상간호사의 투약오류에 영향을 미치는 요인

저자 : 김준규 ( Junekyu Kim ) , 송영숙 ( Yeoungsuk Song ) , 서순림 ( Soon Rim Suh )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 1호 발행 연도 : 2021 페이지 : pp. 19-27 (9 pages)

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The aim of this study was to identify predictive factors (fatigue, labor intensity, quality of sleep, and job stress) of medication errors in clinical nurses to improve patients' safety. Methods: The participants of this study were 148 female nurses who have clinical experience for more than 1 year at K hospital and pregnant nurses among them were excluded. The data were collected from February 27th to March 20th, 2019. The measurements of medication errors, fatigue, labor intensity, quality of sleep, and job stress were used. Data were analyzed with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficients and multiple regression analysis using IBM SPSS/WIN 23.0. Results: The predictive factors associated with nurses' medication errors were clinical experience (β=-0.41), fatigue (β=0.31), work department emergency room (β=0.28), work department surgery ward (β=0.25), and job stress (β=0.23). The results showed that the nurses who had less clinical experience and felt more fatigue or job stress, were likely to have more medication errors. Also, the nurses who work in emergency room or surgery units, experience more medication errors. Conclusions: Clinical experience, fatigue, work area-emergency room, work area-surgery word and job stress were the main influential factors on medication errors of clinic nurse. Theses influential factors should be integrally considered in nursing management to decrease medication errors. Especially, it is needed to develop a programs that can indirectly improve clinical experience to prevent medication errors.

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465세 이상 고령자에서 비만과 악력의 상호작용이 건강관련 삶의 질에 미치는 영향: 제7기(2016-2018) 국민건강 영양조사 자료를 기반으로

저자 : 현승재 ( Seungjae Hyun ) , 우다래 ( Darae Woo ) , 박상신 ( Sangshin Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 1호 발행 연도 : 2021 페이지 : pp. 28-35 (8 pages)

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The aim of this study is to determine interaction between obesity and grip strength in health-related quality of life (HRQOL). Methods: This study analyzed the data of 4,119 Korean men and women aged 65 years or older who participated in Korea Health and Nutrition Examination Survey, 2016-2018. Body mass index was divided into normal and obesity. Grip strength was defined as the maximum value of the measured data. Sarcopenia was considered as the average of grip strength less than 26 kg in men and 18 kg in women. HRQOL was measured based on the Euro quality of life-5 dimensions questionnaire. We conducted a linear regression analysis to examine interaction effect between obesity and grip strength, and to estimate the interaction term between obesity and sarcopenia in HRQOL. Results: We identified that obesity interacted with grip strength to affect HRQOL (p=0.022) in aged people. Obese elderly men and women were more likely to have lower HRQOL scores compared to those who had normal weight among participants with low grip strength values. However, there was no significant difference between obesity and normal weight at high grip strength (34.3 kg- 52.7 kg) in HRQOL significantly (p=0.41). Moreover, we identified interaction effect between obesity and sarcopenia (p=0.019). Participants who had sarcopenia with normal weight were not different from those who were obese in HRQOL (p=0.61). Conclusions: Obesity and grip strength were associated with HRQOL. Also, those two factors were interacted to affect HRQOL. Obesity was interacted with sarcopenia to shape HRQOL. Therefore, we need to give a more attention to the elderly who were obese with low grip strength.

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5간호대학생의 건강신념, 안전동기, 안전환경이 감염관리 표준주의 수행도에 미치는 영향

저자 : 송영숙 ( Yeoungsuk Song ) , 변소혜 ( So Hae Byun ) , 강선영 ( Sun Yeong Kang ) , 정다민 ( Da Min Jeong ) , 최유진 ( Yu Jin Choi ) , 장지원 ( Ji Won Jang ) , 한예령 ( Ye Ryeong Han ) , 이정훈 ( Jung-hoon Lee )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 1호 발행 연도 : 2021 페이지 : pp. 36-43 (8 pages)

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This study was conducted to investigate the effect of health beliefs, safety motivations, and safety-climate on the performance of taking standard precautions of nursing college students with clinical practice experience. Methods: The subjects of this study were 173 students in the 3rd and 4th grades of nursing college located in Daegu Metropolitan City with clinical practice experience, and data were collected from September 7th to September 25th, 2020 using a structured questionnaire. Results: As a result of the study, the health belief of nursing college students was 3.60 (±0.75) points, safety motivation 22.40 (±5.33) points, safety-climate 4.79 (±1.90) points, and the performance of taking standard precautions was 3.21 (±0.63) points. Hierarchical regression analysis was performed with the presence or absence of infection management education, health belief, safety motivation, and safety-climate as independent variables to identify the factors that affect the performance of taking standard precautions. Factors affecting the performance of taking standard precautions are health belief (β=0.33, p=0.003), safety motivation (β=0.28, p=0.003), safety-climate (β=0.20, p=0.009). Conclusions: According to this study, health belief, safety motivation, and safety-climate influenced the performance of taking standard precautions. These results suggest that it is necessary to emphasize the importance of practicing standardism, motivate nursing students, and provide a safer hospital practice environment in order to improve the performance of taking standard precaution when nursing college students are in hospital practice.

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6우리나라 성인 여성의 골다공증 위험도 평가점수 모형 개발

저자 : 박일수 ( Ilsu Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 1호 발행 연도 : 2021 페이지 : pp. 44-53 (10 pages)

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The aim of the study was to develop the osteoporosis risk scorecard model in korean adult women aged over 30 years old. Methods: The participants of the study were 11,427 adult women aged over 30 years old who participated in the four years of the Korea National Health and Nutrition Examination Survey (2015-2018). The data were analyzed using Rao-Scott chi-square test and weighted multiple logistic regression analysis of complex sampling design. The osteoporosis risk scorecard model was developed by weighted multiple logistic regression using points to double the odds (PDO) method. Results: This study found that there were many major influencing factors for osteoporosis which included household income, educational level, body mass index (BMI), hypertension, stroke, rheumatoid arthritis, hypercholesterolemia, sarcopenia, menopause and age of menarche. In the scorecard results, the highest score range was observed in the order menopause, age of menarche (16-17 years old), educational level (elementary school or below), rheumatoid arthritis BMI (<18.5 kg/m2) and others, suggesting that these were the most important risk factors. Conclusions: The significance of this study is that it comprehensively grasps the causal relationship between osteoporosis and various factors in korean adult women. Also, it can be used as a useful measurement tool for women's musculoskeletal health management in health-related organizations by scoring this relationship.

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7코로나19 팬데믹 상황에서 국내 지역사회 노인들의 우울감 영향 요인

저자 : 서부덕 ( Boo Deuk Suh ) , 권경희 ( Kyoung Hee Kwon )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 1호 발행 연도 : 2021 페이지 : pp. 54-63 (10 pages)

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The purpose of this study was to examine factors influencing on depression among elderlies of activity of daily living, participation of social activity, loneliness, stress in COVID-19 pandemic. Methods: The research design for this study was a descriptive survey using convenience sampling. Data collection was done using self-report questionnaire of 142 elderlies in D city and K province. Collected data were analyzed using percentage, mean, standard deviation, independent t-test, one-way ANOVA, Pearson's correlation analysis, step-wise multiple regression. Results: Total mean scores of activity of daily living was 3.66±0.52, total mean scores of participation of social activity was 2.77±0.58, total mean scores of loneliness was 2.09±0.43 and total mean scores of participation of depression was 9.97±4.45. Depression was showed significantly positive correlation with loneliness (r=0.67, p<0.001), stress (r=0.10, p=0.260). Depression was showed significantly negative correlation with activity of daily living (r=-0.49, p<0.001), participation of social activity (r=-0.54, p<0.001). In the step-wise multiple regression analysis, loneliness, activity of daily living were significant predictors and explained 54% of depression. Loneliness was the biggest predictor of depression. Conclusions: The results of this study showed that loneliness and activity of daily living are significant factors affecting the depression of elderlies in the South Korea community in COVID-19 pandemic.

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8계획된 행위이론에 근거한 대학생의 인플루엔자 예방접종 행위의도 관련 요인

저자 : 채여주 ( Yeojoo Chae ) , 김선주 ( Sunjoo Kim ) , 양승경 ( Seungkyoung Yang )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 1호 발행 연도 : 2021 페이지 : pp. 64-71 (8 pages)

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The purpose of this study was to identify the factors that affect the influenza vaccination intention in university students based on theory of planned behavior. Methods: The data were collected total 149 university students in the G region who agreed to participate in the study from September 21 to September 29, 2020 by using self reported questionnaires. Date were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression with the SPSS 23.0 program. Results: The mean score of attitude toward influenza vaccine was 6.06±1.03, subjective norm was 5.90±1.19, perceived behavioral control was 5.85±0.96, intention was 5.71±1.35. Intention to influenza vaccine showed a significantly positive correlation with attitude (r=0.62, p<0.001), subjective norms (r=0.50, p<0.001), perceived behavioral control (r=0.48, p<0.001). The influence the intent to influenza vaccination in university students were attitude (β=0.47, p<0.001), subjective norm (β=0.18, p=0.032). The explanatory power of these variables was 43.0%. Conclusions: In order to improve the influenza vaccination rate of university students, positive attitude toward influenza vaccination should be made first, and efforts should be made to improve the purpose of vaccination by meaningful people around them through interest in vaccination and positive awareness.

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9사람유두종 바이러스 백신 미접종 관련 요인: 미국 국민건강영양조사 자료를 이용한 단면연구

저자 : 김민주 ( Min-ju Kim ) , 임은선 ( Eunsun Lim ) , 박상신 ( Sangshin Park ) , 최남경 ( Nam-kyong Choi )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 1호 발행 연도 : 2021 페이지 : pp. 72-81 (10 pages)

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The purpose of this study was to investigate the human papillomavirus (HPV) vaccination proportion and the factors associated with HPV non-vaccination according to the characteristics of Americans. Methods: The 2015-2018 National Health and Nutrition Survey (NHANES) data were analyzed. The subjects aged 9 to 26 were divided into subgroups according to age and sex. Results: The meaningful variables influencing HPV vaccination included birth country, health insurance, hepatitis A vaccine, hepatitis B vaccine, routine place to go for healthcare and times receive healthcare last year. The factors associated with HPV non-vaccination were income, hepatitis A vaccine, hepatitis B vaccine and times receive healthcare last year. Conclusions: This study was based on a survey of Americans, so the factors associated with HPV non-vaccination may differ from those of Koreans.

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10우리나라 혼외 출생아의 조기분만과 저체중아 발생에 관한 연구: 2015-2018년

저자 : 박상화 ( Sang Hwa Park ) , 임달오 ( Dar Oh Lim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 1호 발행 연도 : 2021 페이지 : pp. 82-87 (6 pages)

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The purpose of this study was to analyze the risk of preterm birth (PTB) and low birth weight (LBW) in babies born to unmarried parents (extramarital birth). Methods: This study used birth certificate data (1,523,594 births) from Korea Statistics, 2015-2018 years. Odds ratio and 95% confidence intervals were calculated by logistic regression analyses to describe the risk of PTB and LBW in extramarital birth adjusted for maternal age, maternal education, infantile sex, and type of birth (singleton & multiple birth). Results: During this periods, the rate of extramarital birth was 1.9 percent in 2015-2018. The incidence of LBW was 8.4 percent in extramarital birth and 5.9 percent in marital birth. The rate of PTB in extramarital birth were 10.6 percent and 7.3 percent in marital birth. The LBW and PTB rate of extramarital birth (father listed on the birth certificate) was 7.4 percent and 9.1 percent, respectively. Among extramarital birth (father not listed on the birth certificate) was associated with increased risk of PTB (12.3%) and LBW (9.5%). Compared with LBW and PTB rate of marital birth, the odds ratio (OR) for LBW and PTB were 1.66 (95% confidence interval, 95% CI: 1.56-1.77) and 1.57 (95% CI: 1.49-1.67) for extramarital birth (father listed). Risk of LBW (OR: 2.14) and PTB (OR: 2.14) was higher in extramarital birth (father not listed) than that of marital birth. Conclusions: The babies born to unmarried parents was associated with increased risk of LBW and PTB, compared with those of marital birth. Risk of adversed pregnancy outcome was higher in extramarital birth (father not listed on the birth certificate). More study is required to understand the factors to adversed pregnancy outcome of extramarital status.

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