• 근관절건강학회지
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• 제8권1호
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• pp.122-140
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• 2001

The aims of this study were to understand and to predict the determinent factors affecting the exercise behaviors and physical fitness by testing the Pender's revised health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continous exercise program, and to help them maximize the physical effect such as muscle strength, endurance, and functional status and mental effects including self efficacy and quality of life, and improve the physical and mental well being, and to provide a basis for the nursing intervention strategies. Of the selected variables in this study, the endogenous variables included the physical fitness, exercise score, exercise participation, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue) and the exogenous variables included personal sociocultural factor(education level), personal biologic factor(body mass index), personal psychologic factor(perceived health status) and prior related behavior factors(previous participation in exercise, life-style). We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul. Data were composed of self reported qustionnaire and good of fitness score which were obtained by padalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. Of 75 hypothetical paths that influence on physical fitness, exercise participation, exercise score, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue), 40 were supported. The physical fitness was directly influenced by life-style, perceived health status, education level, family support, fatigue, which explained 12% of physical fitness. The exercise participation were directly influenced by life-style, education level, past exercise behavior, perceived benefits of action, perceived barriers of action, depression and duration of arthritis, which explained 47% of exercise participation. Exercise score were directly affected by perceived self efficacy. BMI, life-style, past exercise behavior, perceived benefits of action, family support, perceived health status. perceived barriers of action, and fatigue, which explained 70%. Perceived benefits of action was directly influenced by BMI, life-style, which explained 39%. Perceived barriers of action were directly influeced by past exercise behavior, perceived health status, which explained 7%. Perceived self efficacy were directly influeced by level of education, perceived health status, life-style, which explained 57%. Depression were directly influeced by past exercise behavior, BMI, life-style, which explained 27%. Family support were directly influeced by life-style, perceived health status, which explained 29%. Fatigue were directly influeced by BMI, life-style, perceived health status. which explained 41%. Duration of arthritis were directly influeced by life-style, past exercise behavior, BMI, which explained 6%. In conclusion, important variables for physical fitness were life-style, and variable affecting exercise participation were life-style. Perceived self-efficacy of exercise was a significant predictor of exercise score. BMI, Life-style, perceived benefits of action, family support, past exercise behavior showed direct effects on perceived self-efficacy. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be seeked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved. This study suggest that the methods to reduce the disease related factors, the importance of daily life-style, recognition of benefit of exercise, and educational program to promote self efficacy should be considered in the exercise behavior promotion and nursing intervention for continous performance. The significance of this study is also thought to provide patients with chronic arthritis the specific data for maximal physical and mental well being through exercise, chronic therapeutic procedure, daily adaptation and confrontation in nursing intervention.

• 한국컴퓨터정보학회논문지
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• 제19권11호
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• pp.115-126
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• 2014

본 논문에서는 건강검진을 통해 얻은 PHR정보를 개인의 특성에 따라 맞춤형 표현 방법론 및 디자인을 제시하여, 긍정적인 동기 부여 및 건강 상태 인지력을 높이기 위해 의사결정지원시스템을 통한 가이드라인을 제공하고 통합한 의료 시각화 표현 서비스 방법을 제안한다. 색상, 형태, 위치 3가지 요소를 사용하여 이미지기반의 시각화하여 제안하는 표현 방법은 기존에 수치로만 제공하였던 정보를 방사형차트로 만들어 정보의 인지력을 높였으며, 정상수치를 물방울을 핏방울로 형상화한 모습으로 제공하여 자신의 수치가 핏방울보다 다른 정도에 따라 혈액검사의 결과에 대한 상태의 심각함을 알 수 있다. 표준 수치와 함께 결과를 제공하여 시각적으로 비교하여 자신의 건강상태를 정확히 알 수 있으며, 인체와 연관 지어 시각화하여 표현 하였다. 또 한 개발된 종합 검진결과 시각화는 사람의 신체의 위치를 표시하고 검사항목을 해당 장기부분에 위치시켰다. 검사를 대표할 수 있는 아이콘을 사용함으로 결과에 대한 집중도를 높일 수 있으며, 정보의 습득시간을 단축시켰다.

• 융합정보논문지
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• 제7권6호
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• pp.135-141
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• 2017

최근 만성질환을 앓고 있는 고령자가 늘어나고 교통사고와 같은 재난이 증대됨에 따라 이와 같은 응급상황에 응급구조사와 의사들이 효율적으로 대응할 필요성이 대두되고 있다. 특히, 만성질환과 치매를 앓고 있던 고령자에게 뇌경색이나 교통사고와 같은 응급상황이 발생하게 되면, 기본적인 자신의 인적정보과 병력을 전달하지 못하여 구조대의 응급처치가 늦어지고 의료정보의 부족으로 병원에서의 효율적인 응급치료도 어렵게 된다. 본 논문에서는 QR 코드를 이용하여 응급 구조사에게는 응급치료에 필요한 최소한의 개인정보와 병력을 전달하고 병원의 응급실 의사에게는 QR 코드와 지문인식을 통해 그동안의 병력 및 치료데이터를 전달함으로써 효율적인 응급처치 및 응급치료가 가능하도록 하였다. 특히 스마트폰의 QR 코드와 개인의 지문을 동시에 활용함으로써 개인정보는 보호하고 권한을 부여받은 의사들만이 병적기록을 확인할 수 있도록 하여 의료정보의 프라이버시 및 보안을 강화했다.

• 대한물리치료과학회지
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• 제9권1호
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• pp.25-36
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• 2002

Objectives: This study was conducted to find out risk factors related to elderly hip fracture, so that the result could provide basic data to establish prevention programs for hip fracture among the elderly. Methods: The data were collected from 199 cases hospitalized in 4 university hospitals in Pusan from January, 1996 to December, 1998, 193 healthy controls who visited elderly facilities in Pusan. The data were obtained from medical records and by using questionnaires through telephone contact or direct personal interview with the subjects or their family, and were analyzed for 2-test and multiple logistic regression. The risk factors were shown with odds ratios and their 95% confidence intervals. Results: In univariate analysis, the odds ratio of hip fracture risk was estimated to be 1.9 for the elderly aged 75 years as compare with those aging less than 65 years; 42 for those with job as compared with those without job; 3.3 for those with more than 6 children as compared with those with one or two children. For the variables related to physical characteristics, small height (p=0.015), light weight (p=0.000), and low BMI (p=0.014) were risk factors for elderly hip fracture. Sane variables related to health, such as previous history of illness (OR=3.3.), abnormal blood pressure (OR=1.6), previous fracture history (OR=22), lower limbs weakness (OR=12.1) and gait disturbance (OR=42.6), were significantly associated with the risk of hip fracture. In multiple logistic regression, risk factors for hip fracture were age, having job, lower limb weakness and previous history of illness. The adjusted odds ratios of hip fracture risk among the elderly were age (OR=1.1), having jobs (OR=11.7), weak lower limb (OR=10.8) and previous history of illnesses (OR=3.3), respectively. Conclusion: This study suggests that the plan for improving the daily living environment for the elderly systematically should be implemented to avoid the chances of fall, and that programs encouraging to practice regular exercise for physical activity and to promote health of the elderly should be developed.

• 한국보건간호학회지
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• 제8권2호
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• pp.83-100
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• 1994

This study was conducted to investigate a shift in retirement of nursing personnel periodically. The periods surveyed in this study were 1977-78. 1982-83. 1987-88 and 1992-93. The data were obtained from personal records of nurses and aid nurses who had retired from a general hospital in Seoul during the above periods. The number of the data analyzed in this study was 429 in all 284 nurses and 145 aid nurses. The obained results were as follows: 1. The average age of the retirements of the nurses was raised to 27. 1 during the period of 1987-88 and fell to 26. 1 during the period of 1992-93. The average tenure of office of the nurses has become longer recently; It lengthened from 2.1 years in the year of 1977-78. to 3.8 years in the year of 1992-93. The average number of the previous employment before entering the hospital was 0.3 during the period of 1977-78. and 0.0 during the period of 1992-93. As for the aid nurses the average age of retirement. the average tenure of office' and the average number of the previous employoment were 25.0, 3.6 years and 0.5 respectively in the order above-mentioned. 2. As for the evaluation items in the final nurse evaluation sheet. such items as good appearance. health. job ability. trust and calmness were highly estimated throughout the periods. The items of the highest score were 'professional knowledge' and 'professional skil' in the year of 1982-83. and 'professional skill' and 'interpersonal relationship' in the year of 1987­88. 3. Private and public environments related to working variables decisive to the retirement of nursing personnel.

• 디지털융복합연구
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• 제19권2호
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• pp.345-355
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• 2021

본 연구는 기술수용모델과 건강신념모델을 통합, 적용하여 유튜브 기반 홈 트레이닝 콘텐츠의 이용에 영향을 미치는 요인을 살펴보았다. 주요 연구결과를 다음과 같다. 먼저, 개인의 혁신성은 지각된 용이성과 지각된 유용성에 정(+)의 영향을 미치는 것으로 나타났다. 그리고 지각된 민감성은 지각된 유용성에 유의한 영향을 미치지 못하였고, 지각된 이익은 지각된 유용성에 정(+)의 영향을 미친 것으로 나타났다. 마지막으로 지각된 용이성은 지각된 유용성에 정(+)의 영향을 미치는 것으로 나타났고, 지각된 용이성과 지각된 유용성은 모두 지속이용의도에 정(+)의 영향을 미치는 것으로 나타났다. 이를 통해 기술수용모델과 건강신념모델의 통합 가능성을 일정 부분 재확인하였다는 점에서 본 연구의 의의가 있을 것이다.

• PNF and Movement
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• 제22권2호
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• pp.257-266
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• 2024

Purpose: The aim of this study was to determine the influence of psychological and other risk factors on the recurrence of nonspecific neck pain. To achieve this, a nationwide cohort provided by the National Health Insurance Service in South Korea, with a three-year follow-up, was used. Methods: The study included patients who did not experience neck pain for the first year but were diagnosed with nonspecific neck pain (ICD-10 code: M54.2) in the second year. The progress of their neck pain recurrence was followed up for the next two years. Medical records, including age, gender, health insurance premium quintile, regional health vulnerability index score, initial onset duration, total hospitalization duration, and secondary diagnosis at onset, were extracted for analysis. Multivariate logistic regression analysis was performed to analyze the recurrence rate and risk factors for nonspecific neck pain recurrence. Results: Among a total of 591,215 patients, 29.2% experienced recurrence within two years. Patients with psychological disorders had a higher recurrence rate (30.6-33.8%) than those without psychological disorders (29.2%). Specifically, mood disorders (OR = 1.16) and stress-related disorders (OR = 1.06) were identified as risk factors for the recurrence of nonspecific neck pain. Older age (OR = 1.16-1.43), being female (OR = 1.17), being employed (OR = 1.23), and using medial aids (OR = 1.41) were also identified as risk factors. Conclusion: This study provides evidence for a high recurrence rate of nonspecific neck pain and highlights the need to consider psychological factors as well as personal factors in comprehensive interventions to prevent recurrent nonspecific neck pain.

• Journal of Nutrition and Health
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• 제27권10호
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• pp.1058-1069
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• 1994

This study was performed to study the effects of dietary factors on breast and cervical cancer incidence in female Koreans. The subjects were 60 breast and 109 cervical cancer patients recruited from five general hospitals in Seoul. Food intake, anthropometric measurement, and blood compositions were studied through personal interview and using medical records, from August 1991 to September 1992. Body weight, body mass index, triceps skinfold thickness and body muscle mass were at upper limit of normal value, which suggest that these patients had a tendency of overweight. The levels of hemoglobin and hematocrit of the patients were below the normal values. The values of serum protein, albumin, and calcium were in the normal range but close to the lower bound. Therefore the nutritional status assessed by blood composition seems to be marginal. The results of diet history showed that most of the nutrient intake of the subjects met with RDA. The fat intake were 22.9-36.9g/day which supplies about 15-16% of total calories. The results of this study do not agree with those reports of western societies which showed the positive correlation between calorie and fat intake and the incidence of breast and cervical cancer. Even through the calories and fat intake of the subjects were not high, it was higher than national average, especially in breast cancer patients. From this study, dietary factors does not seem to be a major risk factor in cancer incidence in Korea. However, the tendency of the increasing consumption of fat could be a contributing risk factor together with overweight.

• Asian Pacific Journal of Cancer Prevention
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• 제15권22호
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• pp.9631-9634
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• 2014

Background: : In 2012, the breast cancer estimate worldwide stood at 1.67 million new cases, these accounting for 25% of all types of cancer diagnosed in women. For 2014, 57,120 new cases are expected, with a risk estimated at 56.1 cases for every 100,000 women. The objective of this study was to analyze the satisfaction regarding the use of external breast prostheses by women undergoing mastectomy. Materials and Methods: This cross-sectional study was conducted with 76 women who used an external breast prosthesis (EBP), registered in the services of the Cuiaba Center for Comprehensive Rehabilitation, Mato Grosso, Brazil, from 2009 to 2012. Data were collected from the records of women who had requested the opening of a process of external breast prosthesis concession. Results: Satisfaction with the EBP was identified in 56.6% of the women. Those satisfied with the EBP reported that its weight was not annoying (p<0.01). Although the women felt body sensations of stitches, pains, pulling, dormancy and phantom limb, they are satisfied with the EBP. The variable related to the displacement of the breast prosthesis during activity of everyday life has demonstrated that even though the women have reported the possibility of displacements, they are satisfied with the EBP. The satisfaction with the use of external breast prosthesis did not affect the sexuality of the women with mastectomy. Conclusions: Learning the specificities of the EBP, taking into consideration the satisfaction of its use, allows the rehabilitation team, by listening to their clientele more attentively, following up this woman throughout her life journey, supporting and guiding the best way of use, with an eye to her personal, emotional and social life, as well as to her self-esteem.

• 보건교육건강증진학회지
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• 제17권2호
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• pp.183-205
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• 2000

This research was designed to compare the health condition and the quality of life of the elderly inpatients with those of the normal elderly people. The subjects of study were 482 elderly inpatients and 304 normal elderly people. The research was conducted in July and August using the instrument WHOQOL. The results of the research are as follows: For the level of health, it was recognized that male was healthier than female, having higher the education, living in the city rather than in the rural, keeping the normal life than being in the hospital. There were little difference in the past medical histories of the elderly inpatients and the normal elderly people. As to the diseases currently under the treatment, there were some difference between the elderly inpatients and the normal elderly people but the tendency was similar in the kinds and the frequencies. As to the recognition for the quality of life between the elderly inpatients and the normal elderly people based on the records reflected on each of the domains of WHOQOL, the normal elderly people more positively recognized in the overall quality of life and the following domains: physical, psychological, level of independence, and spirituality/religion/personal beliefs. The normal elderly people more positively recognized especially in the level of independence domain (mobility, activities of daily living, dependence on medication or treatments, working capacity). In the social relationships domain only the sexual activity was significant and the normal elderly people more positively recognized. The elderly inpatients showed the correlation of over 0.5 in the overall quality of life and the following domains: environment, social relationships, physical, psychological, level of independence. It was over 0.6 in the physical domain and the domains of psychological and level of independence. and the psychological domains of level of independence and social relationships. For the points of overall quality of life, it had no correlation with hospitalization but the health condition, residential district, occupation, and taste exerted a significant effect. As a result of separate analyses of the elderly inpatients and the normal elderly people, the health condition and the age only were the common variable which would exercise a significant effect. Besides, the primary factors which would exercise the quality of life were the occupation and taste for the elderly inpatients, and the residential district and source of income for the normal elderly people. In conclusion, it is first and foremost important to improve the standard of health for the overall quality of life for the elderly people, regardless of hospitalization. Therefore, a plan must be urgently drawn up for revitalization of the health promoting projects for the elderly people and the public health projects for the elderly people, and the investment must be increased for settlement of health problems of the elderly people.