• Annals of Occupational and Environmental Medicine
• /
• v.35
• /
• pp.10.1-10.10
• /
• 2023

The purpose of this paper was to review the problems relating to Korea's occupational health services and suggest ways to improve them. Korea can be classified as a welfare state type of conservative corporatism partially interwoven with liberalism. While experiencing compressed economic growth, the economic sectors of developed (excess areas) and developing (deficient areas) countries are interwoven. Therefore, it is necessary to perfect conservative corporatism along with a complementary reinforcement of liberal contents and to apply a multilayered approach focusing on complementing the deficient areas. It is essential to form a national representative indicator related to occupational health, and a strategy for selection and concentration is needed. The proposed central indicator is the occupational health coverage rate (OHCR), which is the number of workers who have applied for mandatory occupational health services under the Occupational Safety and Health Act in the numerator with the total working population in the denominator. This paper proposes ways to raise the OHCR, which is currently at the level of 25%-40%, to 70%-80%, which is the level of Japan, Germany, and France. To achieve this target, it is necessary to focus on small businesses and vulnerable workers. This is an area of market failure and requires the active input of community-oriented public resources. For access to larger workplaces, the marketability of services should be strengthened and personal intervention using digital health resources should be actively attempted. Taking a national perspective, work environment improvement committees with tripartite (labor, management, and government) participation for improvement of the working environment need to be established at the center and in the regions. Through this, prevention funds linked to industrial accident compensation and prevention could be used efficiently. A national chemical substance management system must be established to monitor the health of workers and the general public.

• The Journal of the Korea Contents Association
• /
• v.14 no.5
• /
• pp.251-261
• /
• 2014

Primary percutaneous coronary intervention (PCI) has been found to be superior, in terms of hospital mortality and long-term outcome, compared with thrombolytic therapy in patients with acute myocardial infarction (AMI). However, the clinical benefits of primary PCI have not been precisely evaluated in elderly patients.1,974 patients (Group I: n=1,018, $age{\geq}65years$, $73.8{\pm}5.99years$; Group II: n=956, age<65years, $52.8{\pm}7.96years$) who underwent primary PCI for AMI at Chonnam National University Hospital between 2006 and 2010 were analyzed according to their clinical, angiographic characteristics for hospital and one-year survival. Group I had a higher percentage of women, diabetes mellitus, hypertension, multi-vessel disease and lower prevalence of current smoking, hyperlipidemia, familial history than Group II. Culprit lesions were at the left anterior descending artery, left circumflex artery, right coronary artery and left main artery in 42.8% vs. 45.0%, 34.1% vs. 29.6%, 14.6% vs 14.6, 2.7% vs. 1.6%, respectively (p=0.007). Stent diameter was smaller in group I ($3.17{\pm}0.39$ vs. $3.29{\pm}0.42mm$, p=0.001). In-hospital mortality was higher in group I (8.4 vs. 1.9%, p<0.001). There were significant differences in the rates of major adverse cardiac events between the two groups during one-year clinical follow-up (20.1 vs.14.0%, p<0.001). On multiple logistic regression analysis, systolic blood pressure<100mmHg, serum $creatinine{\geq}1.3mg/dL$, Killip class> I, multivessel disease, left ventricular ejection fraction <40% and cerebro vascular disease were independent predictors of one-year motality in patients over 65 years after PCI.

• The Journal of the Korea Contents Association
• /
• v.20 no.4
• /
• pp.464-474
• /
• 2020

This study provides basic data for nursing intervention to increase self management of hemodialysis patients by identifying the relation among their illness perception, physiological indicators, and self management. The participants were 134 patients receiving hemodialysis at a general hospital in Seoul. Data were collected by using a structured questionnaire and medical records. The collected data were analyzed by using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient and multiple regression analysis with the SPSS/WIN 23.0 program. The significant factors influencing self-management of hemodialysis patients have been identified with 8 variables. The first one is registration for kidney transplantation (β=-.20, p=.034). Among sub items of illness perception are consequence (β=-.20, p=.031), treatment control (β=.19, p=.040), and illness coherence (β=-.18, p=.049). In addition, among physiological indicators are hematocrit (β=.38, p<.001), hemoglobin (β=.29, p=.005), BUN (β=-.25, p=.010), and phosphorous (β=.22, p=.033). These variables explained 26.3% for self-management of hemodialysis patients. In order for hemodialysis patients to improve their self-management, a concrete nursing intervention improving the treatment control among illness perception as well as improving the understanding of physical indicators needs to be provided.

• The Journal of the Korea Contents Association
• /
• v.13 no.12
• /
• pp.880-892
• /
• 2013

Stent thrombosis after successful drug-eluting stent(DES) implantation has been reported in around 1% of patients in clinical trials. However, the increased risk of ST associated with DES remains a matter of concern. From 1 June 2003 to 30 June 2013, we investigated clinical characteristics, in-hospital outcomes in 10,273 patients who underwent percutaneous coronary intervention in the Heart Center of CNUH. Overall incidence of ST was 1.30% (134 patients). The incidence of ST according to the stent generations and the timing of ST (n=total, early vs. late vs. very late) were 0.79% (n=81, 26 vs. 12 vs. 43) in first-generation, 0.38% (n=39, 21 vs. 9 vs. 9) in second-generation and 0.14% (n=14, 8 vs 3 vs. 3) in third-generation, (p=0.70). The mortality from ST was significantly higher in early ST group compared to the late and very late ST groups (18.2% vs. 8.3% vs. 3.6%, p=0.042). Overall incidence of ST after DES implantation was 1.30% (134 patients). The in-hospital mortality was significantly higher in early ST group compared to the late and very late ST groups.

• The Journal of the Korea Contents Association
• /
• v.17 no.7
• /
• pp.56-66
• /
• 2017

This study is a descriptive research study conducted to investigate the influence of fear of evaluation and test anxiety on social anxiety among nursing students. The subjects were 383 nursing students in a university and surveyed the structured questionnaires for evaluation fear, test anxiety and social anxiety from June to July 2015. As a result, it was found that fear of positive evaluation, fear of negative evaluation and test anxiety were found to affect social anxiety, and these variables predicted social anxiety of nursing students by 30%. The social anxiety of nursing students verified differences according to the economic condition, satisfaction of major in nursing, and academic stress, and that there was a positive correlation between fear of positive evaluation (r=.45, p<.001), fear of negative evaluation (r=.29, p<.001) and test anxiety (r=.29, p<.001). This study is significant in that fear of evaluation and test anxiety of nursing students are verified to be factors affecting social anxiety. We suggest that a social anxiety intervention program be developed and applied for nursing students. Also, it is necessary secure a strategy to apply the intervention program by screening social anxiety of nursing students in advance.

• The Journal of the Korea Contents Association
• /
• v.16 no.6
• /
• pp.462-473
• /
• 2016

This study was proposed in obtaining basic data for an intervention programs of the stable child care by identifying the effects of support from the spouse and family on the child rearing among marriage immigrant women. Subjects consisted of 110 marriage immigrant women in Gyeonggi-do in December, 2014. SPSS/WIN 22.0 program was used for ANOVA, Pearson's correlation and multiple regression analysis to figure out burden and efficacy of child rearing through the general characteristics. The increased burden of child rearing was statistically significant with young age, lower level of education, low income and less spending time to raise their children by husband. Additionally, the increased efficacy of child rearing was statistically significant with young age and using two languages. The pressure of the child rearing showed a negative correlation with spouse support, income, and old age. The efficacy of child rearing had a positive correlation with spouse support, spending time to take care of their children by family, and ages. In the regression analysis, the burden of child rearing among immigrant women increased by old age (${\beta}=-2.097$, p<.05) and less time to raise their children by husband (${\beta}=-2.165$, p<.05). It is important to provide spouse and family support to encourage desirable child rearing behavior. These results may provide to improve intervention programs for child rearing among marriage immigrant women.

• The Journal of the Korea Contents Association
• /
• v.18 no.8
• /
• pp.503-513
• /
• 2018

The purpose of this study was to identify the effectiveness of oral care protocol including individual oral care education, cryotherapy and benzydamine gargling on oral cavity status and self-care performance in solid cancer patients receiving chemotherapy. Thirty-one patients were enrolled by convenience sampling in this study and allocated to control (n=18) and experimental group (n=13). In the intervention group, individual oral care education, oral cryotherapy and benzydamine gargling were applied, while the control group received pre-existed oral care. Oral cavity status and self-oral care behavior were measured in five periods. The data were analyzed using the Mann-Whitney test, Friedman test, and Chi-square test. There was no significant difference in oral cavity status between the groups. But the two groups showed the poorest oral cavity status on $14^{th}$ day. Self-care behavior was significantly higher in the intervention group than the control group. This effect had maintained for 4months after completion of study. The results showed that individual oral care education by oncology nurse is effective to encourage patients to do self-care behavior and a further study is needed to explore the effect of cryotherapy and benzydamine gargling on oral cavity status of patient with solid tumor.

• The Journal of the Korea Contents Association
• /
• v.16 no.11
• /
• pp.384-398
• /
• 2016

The purpose of this study is to explore how school social workers recognize on the school violence of adolescents by using Q methodology. To this study, selected 31 of Q samples related school violence of adolescent by applying Q methodology and 33 of socials workers completed classification table, and three types were derived. The first type is named 'a type of improvement parents' concern with nonprofessional perception' because it has a significant part in bringing up children by parents to prevent school violence of adolescent and also has a negative perception, which is difficult to approach professional intervention. The second type is named 'a type of uncertainty of responsibility with passive perception' because there is an ambiguousness between responsibility and criteria through connection of official on the school violence. The third type is named 'a type of absence of responsibility with professional perception' because it is perceived absence of job roles to prevent school violence. This type showed school social workers, as a professionals of school violence of adolescents, wanted to intervene school violence but realistic intervention was difficult. From this study, it is considered subjective perception of school social workers on the school violence of adolescents will be affected on the change of adolescents in the future, and it is a significant way to use them as a basic data to prevent or remove school violence of adolescents in the school through conception and typology of them.

• The Journal of the Korea Contents Association
• /
• v.16 no.5
• /
• pp.180-193
• /
• 2016

The purpose of this study was to identify the utilization of school health room and the health problems among elementary and secondary school students as years go by sex, school locations, and to analyze the frequency and difficulty of nursing interventions performance that school health teachers was available to resolve students' health problems at school health room. Participants were fifty nine school health teachers with more than 3 years of career. As the years go by, utilization of school health room has gradually increased. Utilization of female than male was higher than 200%, i.e. Elementary school girls in urban area were the highest rate, and secondary school boys in urban area were the lowest. In male, utilization of school health room was in order the skin and subcutaneous, musculoskeletal, and digestive problems, and also was in order the skin and subcutaneous, digestive, and musculoskeletal problems in female. Utilization of in urban elementary school was higher on patricular health problem than in suburban areas. Nursing interventions of most often using were self-care management & education and counselling. Nursing intervention was the highest degree of difficulty in self-harm, seizure, circulatory health problems. In conclusions, utilization of school health room has gradually increased; therefore workload of school health teacher aggravated. To perform a heath teacher to effectively operate the general and emergency health issues, the expansion of qualified school health teachers is needed, and the standardized guidelines and refresher training programs is required.

• The Journal of the Korea Contents Association
• /
• v.15 no.10
• /
• pp.253-266
• /
• 2015

The purpose of this study, regarding the effect of the marriage immigrant women's marriage adaptation living in urban and rural areas on their quality of the life, is to analyze whether there are any differences in the moderating effect of support from spouses and families for different areas of residence. This is in order to serve as the preliminary data for preparing intervention strategies that are suited to different areas of residence, so that the quality of life of marriage immigrant women may be improved. This study is a correlational research that targeted 304 marriage immigrant women living in urban and rural areas (148 in urban areas, 156 in rural areas). The study revealed that the support from spouses and families, marriage adaption, and the quality of life were lower in rural than in urban areas and that support from spouses and families, and marriage adaptation had a significant positive correlation for all areas of residence. Also, there was a moderating effect of support from spouses and families in the effect relationship between marriage adaptation and the quality of life. Also, it appeared that this moderating effect was more important in rural than in urban areas. On the basis of the results of this study, we propose that customized intervention strategies for each area of residence be developed so that regardless of the area, migrant women will be able to lead a marriage well and live a fulfilling life.