• Journal of Preventive Medicine and Public Health
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• 제47권5호
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• pp.273-280
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• 2014

Objectives: To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level. Methods: In total, 3096 nurses working in 60 general inpatient hospital units were included. A two-level logistic regression analysis was performed. Results: At the hospital level, patient adverse events included patient falls (60.5%), nosocomial infections (51.7%), pressure sores (42.6%) and medication errors (33.3%). Among the hospital-level explanatory variables associated with the nursing practice environment, 'physician-nurse relationship' correlated with medication errors while 'education for improving quality of care' affected patient falls. Conclusions: The doctor-nurse relationship and access to education that can improve the quality of care at the hospital level may help decrease the occurrence of patient adverse events.

• 보건교육건강증진학회지
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• 제24권2호
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• pp.29-44
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• 2007

Objectives: The administrative employees of government were analyzed on their levels of fatigue symptoms to reveal the various factors related to them. Methods: The self-administered questionnaires were performed, during the period between Dec. 5th, 2005 and Jan. 31st, 2006, to 1,005 individuals in the service of general administration located in Daejeon Metropolitan City. The survey items included subjects' socio-demographic and job-related characteristics, health-related behavior, degree of job demand, job autonomy, social support in work, type A behavior pattern, locus of control, sense of self-esteem, and degree of fatigue. The study results were analyzed and the authors came to the following major findings, by univariate and multiple regression analysis with degree of fatigue dependent variables and other variables independent. Results and Conclusions: The study results indicated that the level of fatigue symptoms is so complicatedly influenced by variable factors as well as job-related characteristics such as socio-demographic characteristics, rank in work, or job career, to a greater extent, by job specifications and personality traits(type A) like whether performing health-related behavior or not, job demand, job autonomy, social support in work, or sense of self-esteem. Thus the effective strategy for stress reduction among governmental employees requires additional programs focusing on innovated job specifications and managed personality trait.

• 농촌의학ㆍ지역보건
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• 제32권1호
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• pp.1-12
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• 2007

Objectives: This study was performed to provide the fundamental data available in the field of the elderly health of the low-income bracket by researching and comparing related factors for the assessment of the degree of depression and cognitive function between elderly welfare recipients and non-elderly welfare recipients. Methods: The study subjects, 402 elderly person over 65-year-old in Daejeon were interviewed, during the two-month from May to June 2006, about their general characteristics, depression and cognitive function. Results: elderly welfare recipients was higher than non-elderly welfare recipients in degree of depression on the other hand, in cognitive function is lower. Also, the depression and cognitive function were related with not only socio-demographic characteristics like the age, the degree of education, the presence of spouse or not and the health status but also health behavior characteristics like the sleeping time, the drinking and the exercise. Conclusions: The project of health promotion and programs that can improve the related factors to the depression and cognitive function for elderly welfare recipients should be developed and practiced.

• 한국간호교육학회지
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• 제20권4호
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• pp.606-616
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• 2014

Purpose: This study compares differences between male and female nursing students in terms of the level of stress experienced during clinical practice settings, stress coping mechanisms and clinical competency. Method: The study population was nursing students who had taken a clinical practice course at one of five general hospitals in city D. Data were collected from September 15 to October 15, 2013 through a structured self-administered questionnaire survey given to 319 subjects (156 male students, 163 female students) enrolled in a statistical analysis course. Results: Male nursing students experienced lower stress levels during clinical practice and higher clinical competency than female students. In terms of stress coping mechanisms, male students were significantly more active than female students in deploying coping strategies. Among all students, students with higher clinical practice stress and concomitant stress coping scores exhibited higher clinical competency. Conclusion: Noticeable differences between male and female nursing students in terms of stress levels arising in the course of clinical practice, stress coping strategies, and clinical competency were revealed. However, further identification of specific stressful situations for male and female nursing students and subsequent management of clinical training circumstances are required.

• 보건행정학회지
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• 제28권1호
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• pp.23-34
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• 2018

Background: This study aims to conduct curriculum analysis on health management schools focusing on relationship with licence and certification in Republic of Korea. Methods: Possible employment field, licence and certification as well as curriculum were collected from the home page of 30 health management schools. The subjects and credits of curriculum were analyzed using descriptive statistics. Main subjects by areas were drew using categorization and ranking within qualitative methods. Comparative analysis was conducted for checking relationship between main subject and possible employment field, licence and certification. Results: First, major employment fields after graduation were public health officer, general hospital and clinic, and National Health Insurance Service. Possible licence and certificate were hospital administrator, medical recorder, health education specialist, and medical insurance specialist. Second, total graduate credits were 133.9 including 79.0 for major education, 30.5 for of general education, and 30.5 for elective courses. Third, main subjects were reviewed by areas including basic medicine, health management, hospital business & management, medical records & information, insurance billing & assessment, healthcare marketing & tourism, and health education. There were highest number of subjects on health education area among 8 categories. By subjects, many health management schools open health law, medical terminology, introduction to public health, and biostatistics. Relationship between main subjects and possible employment field, licence and certification in health management schools was strong. Conclusion: It is necessary to review curriculum and for improving educational quality in health management schools. Also, development of curriculum standards for courses in health administration and introduction of accreditation system can be considered.

• Journal of Preventive Medicine and Public Health
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• 제26권4호
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• pp.574-586
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• 1993

산업장 근로자들의 결근실태와 요인을 알아보기 위해 대전시내에 위치한 제조업에 종사하는 근로자 1,184명을 대상으로 1992년 6월에서 8월 사이의 3개월간 결근양상에 대한 조사에서 다음과 같은 결과를 얻었다. 1. 조사대상자의 총결근자율은 20.1%, 질병결근자율은 6.9% 였으며 총결근율은 1.2%, 질병 결근율은 0.5%로 나타났다. 2. 결근자의 평균결근일수는 2.8일이었으며 이중 질병으로 인한 경우가 4.4일, 질병이 아닌 원인으로 인한 경우는 1.4일로 나타났다. 원인별 질병결근의 평균결근일수는 두부, 사지, 체간의 상해로 인한 경우가 $13.2{\sim}18.6$일로 다른 원인에 비해 높았으며, 총 결근일수는 사지상해, 체간상해, 몸살, 두부상해, 근골격계 증상의 순으로 높게 나타났다. 3. 결근여부에 관련있는 변수로서 총결근여부에는 고용구분, 교육정도, 유해요인 노출여부, 1일 근무시간, 직종의 변수였으며, 질병결근여부에는 고용구분, 교육정도, 직종 변수였다. 4. 결근자군에서 결근율에 영향있는 변수로서 총결근율에 작업분위기, 비만지수, 작업환경, 1일 작업시간이었으며 이들 변수의 총결근율에 대한 설명력은 13.1 % 였다. 질병 결근율에는 1일 작업시간, 교육정도, 작업분위기의 순이었으며, 이들 변수의 질병결근율에 대한 설명력은 25.4% 였다.

• 한국학교ㆍ지역보건교육학회지
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• 제17권1호
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• pp.89-99
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• 2016

Objectives: This cross-sectional study aims to investigate the prevalence and factors relating to handwashing with soap among Korean adults. Methods: Study subjects consist of 755 adults who have been contacted in September 2013 via telephone surveys. The data collected has been analyzed using descriptive statistics, a chi-square test and a logistic regression analysis. A primary purpose is to understand the prevalence of handwashing with soap more than 8 times daily and for 30 seconds per wash among adults. Independent variables include socioeconomic levels, the participants' perception and knowledge of handwashing and their educational experiences relating to handwashing. Results: The overall percentile of people who wash their hands with soap 8 time per day for 30 seconds or more per wash was 16.0%, which is 121 people out of 755 study subjects. In univariate analysis, age, education levels, monthly average income, handwashing habits, perceptions relate to the importance of handwashing, self-assessment of handwashing, environment of public toilet, and the completion of handwashing education shows significant result. Significant differences also appear (p<0.05) in logistic regression analysis on binary variables. There is a strong correlation between daily frequency of handwashing and willingness to wash hands while outside. For example, people who wash their hands very often while outside are 2.24 times (95% C.I. 1.29-3.87) more likely to practice handwashing with soap 8 times per day for 30 seconds or more per wash than those people who only intermittently wash their hands while outside. Furthermore, people with general unwillingness to wash their hands while outside are 4.61 times (95% C.I. 1.22-3.28) less likely to practice handwashing with soap 8 times per day for 30 seconds or more per wash than those with general willingness. Conclusions: This study has been carried out to identify the decision factors in practicing handwashing with soap for Korean adults. In univariate analysis, age, education level, monthly average income, handwashing habits, handwashing self-assessment, public toilet environment, completion of handwashing education and so forth have been identified to be the decision factors. This study result shows that the overall level of cleanliness of public toilet perceives to be poor and it suggests that the environment of public toilet needs to be enhanced. As the handwashing habits and handwashing-self assessment have been identified to be the significant decision factors for handwashing, there search and approach in these factors need to be developed further.

• Journal of Preventive Medicine and Public Health
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• 제36권2호
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• pp.125-130
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• 2003

Objectives : This study evaluated the stress of community residents using the General Health Questionnaire, GHQ-60, as an instrument of stress measurement. Methods : The study included 2100 residents, aged 20 and over, living in three areas, a large city, a medium sized city and a rural area, between June and September 2001. A questionnaire interviewing method was used to collect data. The data were analyzed using a t-test, ANOVA, Pearson's correlation coefficients and multiple regression analysis. Results : In this study, the degree of stress, as measured by the GHQ-60, was shown to be significantly higher in the following categories: females, people over 60 years old, people engaged in the primary industries and labor work, low incomes, the divorced and the bereaved, people who received no more than an elementary education, people who suffer from chronic diseases and non-exercisers. A factor analysis suggested that there were three factors of social dysfunction factors; psychosomatic symptom, and depression and anxiety, The social dysfunction factors was statistically significant for the groups described above. The factor of psychosomatic symptoms was statistically significant in the rural residents, and in the groups describedabove. The depression and anxiety factor was statistically significant in the large city residents, people aged between 20-29 years, students, unmarried persons, university graduates and those having suffered from chronic diseases. From the multiple linear regression analyses, chronic disease, exercise, gender and income, proved to be significant stress related factors Conclusions : This study suggests that special attention should be given to the management of the chronic invalided, non-exercisers, females and snail income earners, in order to maintain and promote the psychological health of residents in a community.

• 농촌의학ㆍ지역보건
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• 제42권4호
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• pp.226-233
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• 2017

이 연구는 입퇴원을 반복하는 치료 미순응 노인 당뇨병 환자들의 퇴원 후 자가 관리 수준을 파악하기 위하여 실시하였다. 일개 종합병원에서 고혈당으로 최근 1년 이내에 2회 이상 입원 치료받은 65세 이상 노인 당뇨병 환자 15명을 대상으로 2015년 11월 1일부터 2016년 3월 1일까지 심층 면담을 통한 질적 연구를 수행하여 다음의 결과를 얻었다. 연구 대상자들은 당뇨병 관련 지식 중 발병원인과 증상에 대한 지식수준이 낮았다. 혈당 측정은 불규칙적으로 하거나 하지 않고 있었고, 가정에 혈당기가 없어 측정을 하지 못하는 경우도 있었다. 일상생활 중 가족들로부터 스트레스를 많이 받고 있었고, 노령으로 인하여 신체 활동에 제한이 많았으며, 뇌졸중의 후유증과 근골격계 질환 등의 문제들로 운동을 거의 못하고 있었다. 규칙적인 식사도 거의 이뤄지지 않고 있었으며, 당뇨병 자가관리 교육은 받을 필요가 없다고 생각하거나 거동 불편으로 받지 못하고 있었다. 자가 혈당 측정 행위 저조, 가족으로부터의 심리적 압박, 퇴원 후 교육 기회 부재 등이 당뇨병자가 관리와 관련된 두드러진 문제점들이었다. 따라서 치료 미순응 노인 당뇨병 환자들의 자가관리 수준을 높이기 위해서는 환자와 가족을 포함하는 맞춤형 교육 프로그램을 개발하고, 교육참여 기회를 보장하여 자가 관리의 중요성과 기술습득을 통하여 자가 관리를 실천하게 하는 것이 필요하다.

• Journal of Preventive Medicine and Public Health
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• 제57권3호
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• pp.252-259
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• 2024

Objectives: This study investigated factors associated with the retention of people living with human immunodeficiency virus (HIV) on antiretroviral therapy (ART) during the first 3 years of treatment. Methods: A retrospective study using electronic health records was conducted at a tertiary hospital in Jakarta, Indonesia. Adult HIV-positive patients who started ART from 2010 until 2020 were included. A binary logistic regression model was used to identify factors associated with ART retention in the first 3 years. Results: In total, 535 respondents were included in the analysis. The ART retention rates for the first, second, and third years were 83.7%, 79.1%, and 77.2%, respectively. The multivariate analysis revealed a negative association between CD4 count when starting ART and retention. Patients with CD4 counts >200 cells/mL were 0.65 times less likely to have good retention than those with CD4 counts ≤200 cells/mL. The year of starting ART was also significantly associated with retention. Patients who started ART in 2010-2013 or 2014-2016 were less likely to have good retention than those who started ART in 2017-2020, with adjusted odds ratios of 0.52 and 0.40, respectively. Patients who received efavirenz-based therapy were 1.69 times more likely to have good retention than those who received nevirapine (95% confidence interval, 1.05 to 2.72). Conclusions: Our study revealed a decline in ART retention in the third year. The CD4 count, year of enrollment, and an efavirenz-based regimen were significantly associated with retention. Patient engagement has long been a priority in HIV programs, with interventions being implemented to address this issue.