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한국보건정보통계학회> 보건정보통계학회지> 일 상급종합병원 심부전환자의 재입원 관련 요인

KCI등재

일 상급종합병원 심부전환자의 재입원 관련 요인

Related Factors to Readmission of Heart Failure Patients at an Advanced General Hospital in Korea

박성혜 ( Sung Hye Park ) , 이주희 ( Ju Hee Lee ) , 장연수 ( Yeon Soo Jang ) , 한수영 ( Soo Young Han ) , 김영아 ( Young Ah Kim ) , 오의금 ( Eui Geum Oh )
  • : 한국보건정보통계학회
  • : 보건정보통계학회지 47권3호
  • : 연속간행물
  • : 2022년 08월
  • : 191-198(8pages)
보건정보통계학회지

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연구 방법
연구 결과
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REFERENCES

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초록 보기

Objectives: This study was to provide supporting data to identify related factors of heart failure patients readmission. Methods: This study is a retrospective study of secondary data analysis using electronic medical record of patients who were discharged from advanced general hospital diagnosed with heart failure from April 2017 to March 2020. Results: A total of 267 (14.4%) of 1,857 heart failure patients was readmitted. Age, initial body weight, body weight change, pulse rate, hospitalization for 6 months prior or emergency room visit, number of medications, blood sampling result, main diagnosis of ER, and ACEI/ARB medication were found to be significantly related to readmission. As a result of multivariate logistic regression analysis, each increase in the number of discharge medications, the readmission rate increased by 3.0% (OR=1.030, p<0.001). For each increase in Na level at admission and discharge, the readmission rate decreased by 5.4% (OR =0.946, p=0.021), 6.6% (OR=0.934, p=0.028). For each increase in the CRP level, the readmission rate decreased by 1.1% (OR=0.989, p=0.049) and AUC was 0.735. Conclusions: Based on the high-risk factors of readmission for heart failure patients identified in this study, patients centered nursing interventions should be developed to promote self-care practices.

UCI(KEPA)

간행물정보

  • : 의약학분야  > 예방의학및보건학
  • : KCI등재
  • :
  • : 계간
  • : 2465-8014
  • : 2465-8022
  • : 학술지
  • : 연속간행물
  • : 1976-2022
  • : 779


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47권3호(2022년 08월) 수록논문
최근 권호 논문
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KCI등재

1일 상급종합병원 심부전환자의 재입원 관련 요인

저자 : 박성혜 ( Sung Hye Park ) , 이주희 ( Ju Hee Lee ) , 장연수 ( Yeon Soo Jang ) , 한수영 ( Soo Young Han ) , 김영아 ( Young Ah Kim ) , 오의금 ( Eui Geum Oh )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 191-198 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: This study was to provide supporting data to identify related factors of heart failure patients readmission. Methods: This study is a retrospective study of secondary data analysis using electronic medical record of patients who were discharged from advanced general hospital diagnosed with heart failure from April 2017 to March 2020. Results: A total of 267 (14.4%) of 1,857 heart failure patients was readmitted. Age, initial body weight, body weight change, pulse rate, hospitalization for 6 months prior or emergency room visit, number of medications, blood sampling result, main diagnosis of ER, and ACEI/ARB medication were found to be significantly related to readmission. As a result of multivariate logistic regression analysis, each increase in the number of discharge medications, the readmission rate increased by 3.0% (OR=1.030, p<0.001). For each increase in Na level at admission and discharge, the readmission rate decreased by 5.4% (OR =0.946, p=0.021), 6.6% (OR=0.934, p=0.028). For each increase in the CRP level, the readmission rate decreased by 1.1% (OR=0.989, p=0.049) and AUC was 0.735. Conclusions: Based on the high-risk factors of readmission for heart failure patients identified in this study, patients centered nursing interventions should be developed to promote self-care practices.

KCI등재

2청소년의 건강행위 실천이 정신건강에 미치는 영향

저자 : 윤현정 ( Hyun Jung Yun )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 199-208 (10 pages)

다운로드

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초록보기

Objectives: The study aimed to investigate the effect of health behaviors practice on mental health in adolescents. Methods: Data from 16th (2020) Korea Youth Risk Behavior Web-based Survey were used. The study sample included 54,948 middle and high school students. The data were analyzed using Rao-Scott χ2, t-test, and complex samples logistic regression. Results: The prevalence of subjects with anxiety, depression, and suicidal ideation was 9.2%, 25.2%, and 10.9%, respectively. Health behaviors practice such as smoking, drinking, weight control, exercise, eating breakfast, sufficient sleep, and fruit intake were found to be significantly related to mental health. After controlling general characteristics, mental health factors such as anxiety, depression, and suicidal ideation were influenced by health behaviors practice. Conclusions: Interventions, including comprehensive health behaviors, should be strengthened to prevent mental health problems in adolescents.

KCI등재

3요부안정화 운동프로그램이 중환자실 간호사의 요통, 요통장애지수, 신체역학이용 및 배근력에 미치는 효과

저자 : 장해미 ( Hae Mi Jang ) , 박혜자 ( Hye-ja Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 209-216 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: This study examined the effects of a lumbar stabilization exercise program on low back pain, the Oswestry Disability Index, use of body mechanics, and lumbar strength among intensive care unit nurses. Methods: Thirty-five nurses were assigned to an exercise group (n=18) or a control group (n=17) from a university hospital-affiliated intensive care unit. The 8-week lumbar stabilization exercise program comprised 30 minutes of stretching, lumbar stabilization exercise, and Mckenzie extension exercise (3 times/week) and a single education session on body mechanics. Outcomes were assessed using questionnaires on low back pain (visual analogue scale), the Oswestry Disability Index (%), use of body mechanics, and back strength (kg). Data were analyzed by χ²-test, independent t-test, and analysis of covariance. Results: The lumbar stabilization exercise program provided improvements in low back pain, the Oswestry Disability Index, use of body mechanics, and back strength Conclusions: Lumbar stabilization exercise program might be a useful strategy for enhancing usage of work-related body mechanics and back muscle strength, and ameliorating low back pain and disability index for nurses working at the intensive care units.

KCI등재

4기계학습방법을 이용한 순서형 결측자료 대체의 성능비교

저자 : 손세림 ( Serhim Son ) , 안형진 ( Hyonggin An )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 217-221 (5 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: When missing values occur, complete case analysis can cause biased results. In this paper, we discuss imputation methods using machine learning techniques when missing values occurred in ordinal variables. Methods: We consider two machine learning techniques, the ordinal decision tree and the random forest, for the imputation of missing values. We use the ordinal decision tree treating variables as ordinal, and the random forest as nominal. In addition, we apply the cumulative logistic model. The results are compared with complete case analysis using empirical bias, empirical mean squared error and accuracy. The same methods are applied using the Korea National Health and Nutrition Examination Survey. Results: In the case of five ordinal categories, machine learning techniques yield better performance than the cumulative logistic and complete case. The ordinal decision shows lower bias while random forest shows higher accuracy. In the case of 3 categories, random forest produces better performance in all respects. In the case study, biased results are also identified if we use complete case analysis. Random forest shows the best performance, and the parametric method shows similar performance to the ordinal decision tree. Conclusions: Missing imputation using machine learning techniques can reduce bias and improve performance. If possible, it is recommended to use the ordinal decision tree to impute missing values that reflects the meaning of order. If it is not possible, it is recommended to treat them at least as nominal variables and then impute.

KCI등재

5한국 청소년의 간접흡연 노출과 범불안장애와의 연관성에 관한 연구: 제17차 청소년건강행태온라인조사를 이용하여

저자 : 신효민 ( Hyo-min Shin ) , 이상준 ( Sang-jun Lee ) , 고우림 ( Woo-rim Ko ) , 정재연 ( Jae-yeon Jeong ) , 고상백 ( Sang-baek Koh ) , 도경이 ( Kyung-yi Do )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 222-232 (11 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: The purpose of this study was to investigate the association between secondhand smoke exposure at home, school, and public places and Generalized Anxiety Disorder (GAD) among Korean adolescents, and to determine whether the risk of GAD increases as the frequency of exposure to secondhand smoke increases. Methods: This cross-sectional study is based on the 17th Korean Youth Risk Behavior Survey (2021), Out of the 54,848 students who participated in the survey, 5,975 current smokers were excluded, leaving the final analysis subject as 48,873 non-smokers. Rao-Scott chi-square analysis was done to examine the difference between general characteristics depending on the GAD levels of the subject and to investigate the association between second-hand smoke exposure and GAD. Multivariate logistic regression analysis was performed to investigate the effect of exposure to secondhand smoke in adolescents on GAD. Results: With all the confounding factors adjusted (Model IV), the risk of high GAD when exposed to secondhand smoke at home was 1.08 times higher for 1-3 days compared to “none” and 1.17 times higher when exposed to more than 4 days. In public places, the risk increased by 1.10 times and 1.49 times, when exposure was 1-3 days and more than 4 days respectively. At school, the risk increased by 1.34 times when exposed to 1-3 days, and 1.40 times when exposed to more than 4 days. Conclusions: Based on the results of this study, public awareness of secondhand smoke should be improved, health policies should be developed to prevent exposure to secondhand smoke among adolescents.

KCI등재

6코로나바이러스감염증-19 유행 중 치과 진료실 내 감염관리 수행도 관련 요인

저자 : 주수연 ( Sooyeon Joo ) , 신형호 ( Hyeongho Shin ) , 박상신 ( Sangshin Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 232-239 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: The objective of this study was to determine the related factors of adherence to infection prevention and control practices (IPCPs) in dental clinics during the Coronavirus disease 2019 (COVID-19) epidemic. Methods: We surveyed 137 dental hygienists working in dental clinics in November 2021. We considered demographic characteristics, workplace characteristics, COVID-19 experiences, and motivation to IPCPs as independent variables. We performed multivariable regression modeling for adherence to IPCPs using the stepwise-selection method. Results: Dental hygienists properly adhered to recommended IPCPs if they were 30 years old or above (B=0.31, p=0.014), if their clinic employed infection control practitioners (B=0.79, p=0.001), and if they gained a will to adhere IPCPs after treating patients who were very conscious about hygiene (B=0.26, p=0.020). The interaction between dental hygienists' age and the employment status of infection control practitioners was significant (p=0.047). Conclusions: During the COVID-19 epidemic, dental hygienists' age, the employment status of infection control practitioners in clinics, and their motivation to adhere IPCPs after treating patients who were very conscious about hygiene were significantly associated with their adherence to recommended IPCPs.

1
권호별 보기
같은 권호 다른 논문
| | | | 다운로드

KCI등재

1일 상급종합병원 심부전환자의 재입원 관련 요인

저자 : 박성혜 ( Sung Hye Park ) , 이주희 ( Ju Hee Lee ) , 장연수 ( Yeon Soo Jang ) , 한수영 ( Soo Young Han ) , 김영아 ( Young Ah Kim ) , 오의금 ( Eui Geum Oh )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 191-198 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: This study was to provide supporting data to identify related factors of heart failure patients readmission. Methods: This study is a retrospective study of secondary data analysis using electronic medical record of patients who were discharged from advanced general hospital diagnosed with heart failure from April 2017 to March 2020. Results: A total of 267 (14.4%) of 1,857 heart failure patients was readmitted. Age, initial body weight, body weight change, pulse rate, hospitalization for 6 months prior or emergency room visit, number of medications, blood sampling result, main diagnosis of ER, and ACEI/ARB medication were found to be significantly related to readmission. As a result of multivariate logistic regression analysis, each increase in the number of discharge medications, the readmission rate increased by 3.0% (OR=1.030, p<0.001). For each increase in Na level at admission and discharge, the readmission rate decreased by 5.4% (OR =0.946, p=0.021), 6.6% (OR=0.934, p=0.028). For each increase in the CRP level, the readmission rate decreased by 1.1% (OR=0.989, p=0.049) and AUC was 0.735. Conclusions: Based on the high-risk factors of readmission for heart failure patients identified in this study, patients centered nursing interventions should be developed to promote self-care practices.

KCI등재

2청소년의 건강행위 실천이 정신건강에 미치는 영향

저자 : 윤현정 ( Hyun Jung Yun )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 199-208 (10 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: The study aimed to investigate the effect of health behaviors practice on mental health in adolescents. Methods: Data from 16th (2020) Korea Youth Risk Behavior Web-based Survey were used. The study sample included 54,948 middle and high school students. The data were analyzed using Rao-Scott χ2, t-test, and complex samples logistic regression. Results: The prevalence of subjects with anxiety, depression, and suicidal ideation was 9.2%, 25.2%, and 10.9%, respectively. Health behaviors practice such as smoking, drinking, weight control, exercise, eating breakfast, sufficient sleep, and fruit intake were found to be significantly related to mental health. After controlling general characteristics, mental health factors such as anxiety, depression, and suicidal ideation were influenced by health behaviors practice. Conclusions: Interventions, including comprehensive health behaviors, should be strengthened to prevent mental health problems in adolescents.

KCI등재

3요부안정화 운동프로그램이 중환자실 간호사의 요통, 요통장애지수, 신체역학이용 및 배근력에 미치는 효과

저자 : 장해미 ( Hae Mi Jang ) , 박혜자 ( Hye-ja Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 209-216 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: This study examined the effects of a lumbar stabilization exercise program on low back pain, the Oswestry Disability Index, use of body mechanics, and lumbar strength among intensive care unit nurses. Methods: Thirty-five nurses were assigned to an exercise group (n=18) or a control group (n=17) from a university hospital-affiliated intensive care unit. The 8-week lumbar stabilization exercise program comprised 30 minutes of stretching, lumbar stabilization exercise, and Mckenzie extension exercise (3 times/week) and a single education session on body mechanics. Outcomes were assessed using questionnaires on low back pain (visual analogue scale), the Oswestry Disability Index (%), use of body mechanics, and back strength (kg). Data were analyzed by χ²-test, independent t-test, and analysis of covariance. Results: The lumbar stabilization exercise program provided improvements in low back pain, the Oswestry Disability Index, use of body mechanics, and back strength Conclusions: Lumbar stabilization exercise program might be a useful strategy for enhancing usage of work-related body mechanics and back muscle strength, and ameliorating low back pain and disability index for nurses working at the intensive care units.

KCI등재

4기계학습방법을 이용한 순서형 결측자료 대체의 성능비교

저자 : 손세림 ( Serhim Son ) , 안형진 ( Hyonggin An )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 217-221 (5 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: When missing values occur, complete case analysis can cause biased results. In this paper, we discuss imputation methods using machine learning techniques when missing values occurred in ordinal variables. Methods: We consider two machine learning techniques, the ordinal decision tree and the random forest, for the imputation of missing values. We use the ordinal decision tree treating variables as ordinal, and the random forest as nominal. In addition, we apply the cumulative logistic model. The results are compared with complete case analysis using empirical bias, empirical mean squared error and accuracy. The same methods are applied using the Korea National Health and Nutrition Examination Survey. Results: In the case of five ordinal categories, machine learning techniques yield better performance than the cumulative logistic and complete case. The ordinal decision shows lower bias while random forest shows higher accuracy. In the case of 3 categories, random forest produces better performance in all respects. In the case study, biased results are also identified if we use complete case analysis. Random forest shows the best performance, and the parametric method shows similar performance to the ordinal decision tree. Conclusions: Missing imputation using machine learning techniques can reduce bias and improve performance. If possible, it is recommended to use the ordinal decision tree to impute missing values that reflects the meaning of order. If it is not possible, it is recommended to treat them at least as nominal variables and then impute.

KCI등재

5한국 청소년의 간접흡연 노출과 범불안장애와의 연관성에 관한 연구: 제17차 청소년건강행태온라인조사를 이용하여

저자 : 신효민 ( Hyo-min Shin ) , 이상준 ( Sang-jun Lee ) , 고우림 ( Woo-rim Ko ) , 정재연 ( Jae-yeon Jeong ) , 고상백 ( Sang-baek Koh ) , 도경이 ( Kyung-yi Do )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 222-232 (11 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: The purpose of this study was to investigate the association between secondhand smoke exposure at home, school, and public places and Generalized Anxiety Disorder (GAD) among Korean adolescents, and to determine whether the risk of GAD increases as the frequency of exposure to secondhand smoke increases. Methods: This cross-sectional study is based on the 17th Korean Youth Risk Behavior Survey (2021), Out of the 54,848 students who participated in the survey, 5,975 current smokers were excluded, leaving the final analysis subject as 48,873 non-smokers. Rao-Scott chi-square analysis was done to examine the difference between general characteristics depending on the GAD levels of the subject and to investigate the association between second-hand smoke exposure and GAD. Multivariate logistic regression analysis was performed to investigate the effect of exposure to secondhand smoke in adolescents on GAD. Results: With all the confounding factors adjusted (Model IV), the risk of high GAD when exposed to secondhand smoke at home was 1.08 times higher for 1-3 days compared to “none” and 1.17 times higher when exposed to more than 4 days. In public places, the risk increased by 1.10 times and 1.49 times, when exposure was 1-3 days and more than 4 days respectively. At school, the risk increased by 1.34 times when exposed to 1-3 days, and 1.40 times when exposed to more than 4 days. Conclusions: Based on the results of this study, public awareness of secondhand smoke should be improved, health policies should be developed to prevent exposure to secondhand smoke among adolescents.

KCI등재

6코로나바이러스감염증-19 유행 중 치과 진료실 내 감염관리 수행도 관련 요인

저자 : 주수연 ( Sooyeon Joo ) , 신형호 ( Hyeongho Shin ) , 박상신 ( Sangshin Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 232-239 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: The objective of this study was to determine the related factors of adherence to infection prevention and control practices (IPCPs) in dental clinics during the Coronavirus disease 2019 (COVID-19) epidemic. Methods: We surveyed 137 dental hygienists working in dental clinics in November 2021. We considered demographic characteristics, workplace characteristics, COVID-19 experiences, and motivation to IPCPs as independent variables. We performed multivariable regression modeling for adherence to IPCPs using the stepwise-selection method. Results: Dental hygienists properly adhered to recommended IPCPs if they were 30 years old or above (B=0.31, p=0.014), if their clinic employed infection control practitioners (B=0.79, p=0.001), and if they gained a will to adhere IPCPs after treating patients who were very conscious about hygiene (B=0.26, p=0.020). The interaction between dental hygienists' age and the employment status of infection control practitioners was significant (p=0.047). Conclusions: During the COVID-19 epidemic, dental hygienists' age, the employment status of infection control practitioners in clinics, and their motivation to adhere IPCPs after treating patients who were very conscious about hygiene were significantly associated with their adherence to recommended IPCPs.

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