• 제목/요약/키워드: Medical treatment environment

검색결과 509건 처리시간 0.031초

햅틱 피드백 장치를 이용한 치과 수술 시뮬레이션 (Dental Surgery Simulation Using Haptic Feedback Device)

  • 윤상연;성수경;신병석
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제12권6호
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    • pp.275-284
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    • 2023
  • 가상 현실 시뮬레이션은 다양한 분야에서의 교육과 훈련에 활용이 되며, 특히 최근에는 의료 분야에서 많이 사용되고 있다. 교육/훈련용 시뮬레이터는 의사가 실제 수술 도구를 이용하여 실제 환자에 대해 처치를 하는 것과 같은 느낌이 나게 하는 촉감/역감 생성 및 영상/음향 출력 하드웨어와 여기에 실감 나는 영상과 촉감을 생성해주는 소프트웨어로 이루어진다. 기존의 시뮬레이터들은 수술 시에 사용되는 다양한 수술 도구들을 모사하기 위해 다양한 형태의 하드웨어들을 사용해야 하므로 복잡하고 비용이 많이 소요되는 문제가 있다. 이 논문에서는 포스 피드백 장치와 변형 가능한 햅틱 컨트롤러를 이용한 치과 수술 시뮬레이션 시스템을 제안한다. 햅틱 하드웨어들은 수술 도구와 수술 부위의 충돌 여부를 파악하고 그에 따른 저항감과 진동감을 제공한다. 특히 길이 변화, 굽힘과 같은 변형이 가능한 햅틱 컨트롤러는 여러 수술 도구들의 형태에 따라 느껴지는 다양한 감각을 표현할 수 있다. 사용자가 햅틱 피드백 장치를 조작하면 햅틱 피드백 장치의 움직임이나 버튼 클릭 등의 이벤트가 시뮬레이션 시스템에 전달되어 치과용 수술 도구와 구강 내부 모델들 사이의 상호작용이 발생하고 이에 따른 햅틱 피드백이 햅틱 피드백 장치로 전달된다. 이러한 기반 기술들을 활용하여 정교한 3차원 모델로 표현된 가상 환경에서 대표적인 치과 수술기법인 매복 사랑니 발치 수술의 현실적인 훈련 경험을 제공한다.

전기식 온침기의 온도 변화 특성에 관한 연구 (The Characteristics of Temperature Variation in Electronic Warm Acupuncture Device)

  • 이자하;문정현;정우령;홍수화;박경은;이병욱;성원석;윤종화;김은정
    • Korean Journal of Acupuncture
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    • 제40권4호
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    • pp.184-193
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    • 2023
  • Objectives : The purpose of this study is to understand the temperature characteristics depending on the thickness and material of the needle used with the Electronic Warm Acupuncture Device (EWAD). Methods : We controlled experimental environment and measured temperature changes of a silicon phantom in which K-type thermocouples were inserted at depths of 2, 7 mm. EWAD perfomed with acupuncture needles of various thicknesses (0.25×60 mm, 0.40×60 mm, and 0.50×60 mm) and materials (Gold 0.40×50 mm). We set non-needle (only heated with EWAD skin heater) group as a control group. Results : The maximum temperature and temperature changes of 0.40 mm, 0.50 mm needle group were significantly higher than the non-needle group. The highest temperature range in all needle groups was 0.50 mm needle group (41.44±0.31℃). However, the 0.25 mm needle group was not significantly different from the non-needle group. Maximum temperature of gold needle group was significantly higher than stainless steel needle group. Temperature changes of gold needle group were higher than stainless steel group at the depth of 7 mm. Conclusions : It was found that needle thickness and material of acupuncture had an effect on the temperature of the EWAD. When performing EWAD treatment, consideration of thickness and material of acupuncture is needed. Future research is needed using phantoms that can reflect actual clinical situations and better mimic the human body.

일부지역 산업재해환자 실태 연구 -대구, 경북지역 일부 종합병원 중심으로- (A Study of Industrial Patients from Selected General Hospitals in the Kyung Pook and Taegu City Areas)

  • 허춘복;남철현
    • 한국환경보건학회지
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    • 제17권2호
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    • pp.78-94
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    • 1991
  • The purpose of this study is to research the actual conditions of industrial accident patients and to produce worker satisfaction and a rational and effective counter measure pain. Direct interviews with 179 cases (in and out patients) were carried out during a three month period from April to July 1990, at six hospitals two general hospitals Sun Lin and Sung Mo in Po Hang, and four general hospitals in Taegu Kyung Pook University Hospital, Dong San Medical Center, Young Nam Medical Center and Catholic Hospital. The results of this study are summarized as follows: 1. Among the 179 cases, 51.6 % were male and 48.4 % were female. The two largest age groups were 30~39, 31.8 % and 20~29, 27.4 %. Among the 179 cases, 51.6% were married, the largest family number was 2 to 3, 41.1% and 4 to 5, 25.6%. Educationally, graduation from high school was the largest group, 46.4% among the patients, followed by middle school and primary school. The largest group income level was from 40~69만원, 45.2%. The largest group of patients who worked over 50 hrs. a week was 52.0%. The largest group of patients who worked less than 1 year was 44.7%, of the patients in work places of less than 100 people, 60.3% were injured and in work places of 100~299 people, 20.1% were injured. In manufacturing, the lagest group injured was 55.3%, the next group was transport, stroage, communication. The largest group of production workers injured was 40.2%. 2. The cause of injury in the largest group was facility problems, 33.5%. The next group was unsafe habits, 30.2% a lack of safety knowledge, 17.9% and insufficient supervision, 12.3%. The 30~39 year age group was head the highest number of injuries, 40.4% work places with more than 10 yeras of work, 44.4% work palces with more than 1000 people, 56.3% and mining accidents, 80.0%. Among these groups the highest cause of injury was due to facility problems. 3. The accident pattern showed machinery injuries 28.5% as the largest group, followed by falls & falling objects 17.3%, fire & electric 15.1%, struke by an object 14.5%, followed by overaction and vehicular accidents. The accident pattern showed 46.4 % among workers over the 50 year age group, workers in the 5~10 year group, 50.0 % places employing more than 1000 workers, 35.3 % : construction 73.7%, and construction workers 57.1%, among these fall & falling objects caused the greatest number of injuries. 4. The largest group of injuries was fractures 54.8%, trauma 14.5%, amputation 11.7%, open wound, and burns. The largest number of fractures occurred in people in the 30~39 year age group, 63.2 % over 10 years of work, 55.6% in work places of 300~400 people, 63.6% construction 63.2% and general workers 57.2 %. 5. The largest group of injuries was upper extremity 45.3%, lower extremity 24.0%, trunk 18.5 % and head or neck 12.2%. Of these groups, upper extremity injuries were the highest in those less 20 years old 75.0%, less than 1 years of work 59.5%, in work places of 500~999 people 60.0%, manufacturing 56.6 % and production workers 55.6%. 6. Periods of injury showed 34 people injured in September, to be the largest followed by October, 32 August, 22 people July, 19 people and the lowest December, 2 people. During the week, Friday had the largest group injured, 35 people followed by Saturday, 26 people and the lowest was Wednesday, 17 people, During the day 1400 hours had the largest group injured, 38 people followed by 800 hours, 31 people. 7. On a basis of 5 as the highest mark, the average, according to worker satisfaction showed facility safety 3.55, work environment 3.47, income 3.44, job 3.21 and treatment 2.98. 8. The correlation between general characteristics and injury showed that age was directly correlated to the duration of work(r=.2591) p<0.01, age was directly correlated to industry (r=2311) p<0.01, and the duration was directly correlated to occupation(r =.4372) p<0.001.

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퇴원환자의 가정간호 이용의사와 관련 요인 (A Study on the Expressed Desire at Discharge of Patients to Use Home Nursing and Affecting Factors of the Desire)

  • 이지현;이영은;이명화;손수경
    • 재활간호학회지
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    • 제2권2호
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    • pp.257-270
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    • 1999
  • The purpose of this study is to investigate factors related to the intent of using home nursing of chronic disease patients who got out of a university hospital. For the purpose, the study selected 153 patients who were hospitalized and left K university hospital with diagnoses of cancer, hypertension, diabetes and cerebral vascular accident and ordered to be discharged and performed interviews with them and surveys on their medical records to obtain the following results. For this study a direct-interview survey and medical record review was conducted from June 28 to Aug. 30, 1998. The frequency and mean values were computed to find the characteristics of the study subjects, and $X^2$-test, t-test, factor analysis and multiple logistic regession analysis were applied for the analysis of the data. The following results were obtained. 1) When characteristics of the subjects were examined, men and women occupied for 58.8% and 41.2%, respectively. The subjects were 41.3 years old in aver age and had the monthly aver age earning of 0.99 million won or below, which was the most out of the total subjects at 34.6%. Among the total, 87.6% resided in cities and 12.4 in counties. The most left the hospital with diagnosis of cancer at 51.6%, followed by hyper tension at 24.2%, diabetes at 13.7% and cerebral vascular accident at 7.2%. 2) 93.5% of the selected patients had the intent of using home nursing and 6.5%, didn't. Among those patients having the intent, 85.6% had the intent of paying for home nursing and 14.4%, didn't. The subjects expected that the nursing would be paid 9,143 won in aver age and 47.7% of them preferred national authorities as the main servers. 86.3% of the subjects thought that home nursing business had the main advantage of making it possible to learn nursing methods at home and thereby contributing to improving the ability of patients and their facilities to solve health problems. 3) Relations between the intent of use and characteristics of the subjects such as demography-related social, home environment, disease and physical function characteristics did not show statistically significant differences among one another. Compared to those who had no intent of using home nursing, the group having the intent had more cases of male patients, the age of 39 or below, residence in cities, 5 family member s or more, no existence of home nursing servers, leaving the hospital from a non-hospitalized building, disease development for five months or below, hospitalization for ten days or more, non-hospitalization with in the recent one month, two times or over of hospitalization, leaving the hospital with no demand of special treatment, operation underwent, poor results of treatment, leaving the hospital with demand of rehabilitation services, physical disablement and high evaluation point of daily life. 4) Among those patients having the intent of using home nursing, 47.6% demanded technical nursing and 55.9%, supportive nursing. As technical nursing,' inject into a blood vessel ' and 'treat pustule and teach basic prevention methods occupied for 57.4%, respectively, topping the list. Among demands of supportive nursing, 'observe patients 'status and refer them to hospitals or community resources as available, if necessary' was the most with percent age point of 59.5. Regarding the intent of paying for home nursing, 39.2% of those patients wishing to use the nursing responded paying for technical services and 20.2, supportive services. In detail, 70.0% wanted to pay for a service stated as 'inject into a blood vessel', highest among the former services and 30.7%, a service referred to as 'teaching exercises needed to make the body of patients move', highest among the latter. When this was analyzed in terms of a relation between the need(the need for home nursing) and the demand(the intent of paying for home nursing), The rate of the need to the demand was found two or three times higher in technical nursing(0.82) than in supportive nursing(0.35). In aspects of tech ical nursing, muscle injection(1.26, the 1st rank) was highest in the rate while among aspects of supportive nursing, a service referred to as 'teach exercises needed for making patients move their bodies normally'(0.58, the 1st rank). 5) factors I(satisfaction with hospital services), II(recognition of disease state), III(economy) and IV(period of disease) occupied for 34.4, 13.8, 11.9 and 9.2 percents, respectively among factors related to the intent by the subjects of using home nursing, totaled 59.3%. In conclusion, most of chronic disease patients have the intent of using hospital-based home nursing and satisfaction with hospital services is a factor affecting the intent most. Thus a post-management system is needed to continue providing health management to those patients after they leave the hospital. Further, supportive services should be provided in order that those who are satisfied with hospital services return to their community and live their in dependent lives. Based on these results, the researcher would make the following recommendation. 1) Because home nursing becomes more and more needed due to a sharp increase in chronic disease patients and elderly people, related rules and regulations should be made and implemented. 2) Hospital nurses specializing in home nursing should be cultivated.

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만성(漫性) 위장장애증상(胃腸障碍症狀)을 가진 농촌주민(農村住民)들의 위내시경(胃內視鏡) 검사소견(檢査所見) (Gastroscopic Findings of Rural Residents with Symptoms of Chronic Gastrointestinal Disorder)

  • 박정한;천병열;이동구;최용환
    • Journal of Preventive Medicine and Public Health
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    • 제19권1호
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    • pp.85-90
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    • 1986
  • 농촌주민들 가운데 만성 상부위장장애증상을 가진 사람들이 어떤 위장질환을 갖고 있는지를 조사하고 그 관리대책을 마련하기 위하여 1984년 7월${\sim}8$월에 성주와 영천군의 전 주민들을 대상으로 최근 6개월이상 상부위장장애증상으로 고통을 받으면서도 의사의 진단을 받아본 적이 없으며 본 조사에 응한 20세이상의 남자 106명, 여자 108명, 합계 214명을 대상으로 위내시경 검사를 시행하였다. 대상자의 16.8%가 위궤양, 15.4%가 십이지장궤양, 14.0%가 위염, 그리고 3.7%가 위암이었으며 내시경 검사상 아무런 병소부위가 발견되지 않았던 경우가 52.3%나 되었다. 위궤양은 남자가 26.4%로 여자의 7.4%보다 많았으며(p<0.01) 십이지장궤양도 남자가 20.8%로 여자의 10.2%보다 많았다(p<0.01). 남자의 7.5%가 위암이었으며 여자들 가운데는 한 명도 없었으며 60대에서 가장 높은 유병율을 보였다. 위장장애증상이 있음에도 내시경검사상 아무런 병소부위가 없는 사람이 남자는 35.9%인데 비해 여자는 68.5%였다. 위장장애증상과 내시경소견 사이에는 특별한 연관성이 없었다. 본 조사에서 위궤양이 십이지장궤양보다 더 많은 것은 농촌지역 주민들의 식생활 및 사회생활관경과 관련이 있는 것으로 생각된다. 위암은 조기발견이 치료에 가장 중요하나 증상이 있어도 진찰을 받지않는 사람이 많은 것은 농촌주민들의 암에 대한 인식부족과 의료기관이용의 어려움등에 기인된 것으로 생각되므로 집단검진과 같은 위암조기발견을 위한 국가적시책이 마련되어야 할 것이다.

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치과기공사의 업무스트레스에 대한 연구 (A Study on Job Stress of Dental Technician)

  • 이덕수;곽동주;남상용
    • 대한치과기공학회지
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    • 제24권1호
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    • pp.51-63
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    • 2002
  • The purpose of this study was to be of use for getting rid of job stress from dental technicians, by examining how much they were stressed out at work place as one of the professional medical personnels. The subjects in this study were 255 selected dental technicians who were working in the region of Taegu. The one-on-one interview was conducted from March 1 to 30, 2001, with structured questionnaire. The questionnaire sued in this study included 19 question items about the general characteristics and 29 items regarding job stress. The job stress was categorized into seven subareas based on earlier studies and considering the job situations of dental technicians: heavy workload, job conflicts, improper treatment, role and job knowledge, human relations, physical environment and personal matters. The job stress extent was measured on five-point Likert scale that is widely used in social science: one point for no stress, two for little stress, three for so-so, four for a little stress, and five for severe stress. Therefore, a higher point means a severer job stress. The reliability of the questionnaire turned out very good with Cronbach a = 0.9272. The findings of this study were as follows: 1. The general characteristics of the dental technicians investigated could be described as below: (1) By gender, 80.4% of the dental technicians were male, and 50.2%, the largest percentage, were in their 20s, followed by those in their 30s, those in their 40s, and those in their 50s in the order named. (2) The most common work place was dental technician shop(92.5%), followed by dental technology room in dental hospital or clinic and in general hospital in the order named. The primary duties were coating materials work(30.6%), followed by sculpture, grinding, partial and full denture and orthodontics in the order named. 2. The most larges (1) The most largest motivation to be a dental technician was its being a professional(33.7%), followed by the advice from others, their own aptitude, and good economic treatment in the order named. 3. Their job stress could be explained as below: (1) Their collective job stress average was 3.96$^{\circ}{\ae}$0.50 on the basis of 5 point, which showed that they were exposed to a fairly severe job stress. (2) By area, they were most stressed out from heavy workload (4.12), and they also were severely stressed from role and job knowledge(4.02) and personal matters(4.00). (3) By situation, they were most stressed when the disagreement of prosthesis that results from a specific error is unconditionally attributed to them(4.43). And they were also stressed a lot when their workload increases due to the rework(4.38), when a dentist asks something difficult for them to resolve(4.20), when heavy workload makes their working hours irregular and it's impossible to lead a personal life or have leisure time(4.16), and when they are o work for an excessively short time(4.16). This fact indicated that most of the dental technicians were exposed to a lot of stress in conjunction with job performance. 4. The main duties they took charge of didn't make any significant difference to their job stress, but yielded a significant difference to the extent of job stress in individual areas and the order of the most stressful one. Those who were engaged in grinding were most stressed from their own matters, whereas heavy workload was most stressful for those who were engaged in the other types of works. 5. As a result of seeing if their personal characteristics yielded any differences to job stress, the personal characteristics that made their job stress vary significantly were working hours, motivation of being a dental technician, job satisfaction and willingness to continue doing dental technology works. There was a tendency that longer working hours led to severer job stress, and those who chose to be a dental technician according to their own aptitude were less stressed than the others who became a dental technician because of economic reason or advices from others. And the people who were satisfied with their job were exposed to less job stress than the others who weren't, and those who had an intention to keep that job as much as possible were less stressed, compared to the others who hadn't.

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소변 유기산 분석 8년의 정리 -탠덤매스(Tandem mass spectrometry)를 이용한 신생아 선별검사 도입 전후의 비교- (8 Years Report of Urine Organic Acid Analysis - Comparison before and after Introduction of Neonatal Screening Test using Tandem Mass Spectrometry -)

  • 안석민;신우철;정한빈;서영준;정활림;윤종형;배은주;이홍진
    • 대한유전성대사질환학회지
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    • 제18권1호
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    • pp.1-12
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    • 2018
  • 목적: 유기산 대사이상 질환은 신경학적 증상과 증후를 포함하여 다양한 임상증상으로 나타날 수 있으며 때로는 생명을 위협할 수 있는 급성 악화로 발현될 수 있다. 따라서 이환된 환자들의 예후는 조기 진단과 치료에 의해 좌우된다. 탠덤매스검사의 도입 후 본원에 의뢰된 검체들을 분석하여 유기산 대사이상 질환의 진단율의 변화 및 연령별 분포와 임상양상을 알아보기 위해 본 연구를 시행하였다. 방법: 2007년 1월부터 2015년 9월까지 약 8년 9개월간 전국에 있는 대학병원에서 의뢰된 2,794례의 검체들을 이용하여 소변 유기산검사를 실시하였고 임상증상과 성별 및 연령군별 분포를 분석하여 정리하였다. 불확실한 결과를 보였던 환자들은 24시간 이상의 고단백 식사 후와 24시간 이상의 단백질 제한식사 후에 소변 유기산 분석을 재시행 하였다. 결과: 총 20가지 질환, 626례의 환자들이 진단되었는데, 사립체 질환이 482례로 가장 많이 진단되었고 그 뒤를 이어 케톤분해이상질환군 67례, 3-히드록시이소부티르산뇨증 32례, EPEMA 증후군 8례, 3-메틸크로토닐 글리신뇨증 7례, 글루타르산뇨증 II형 6례와 I형 4례, 메틸말론산뇨증, 이소발레린산뇨증, 중쇄 acyl-CoA 탈수소효소 결핍증이 각 3례 등이 진단되었다. 결론: 탠덤매스를 이용한 신생아 선별검사가 점차 보편화되고 의료환경의 변화로 인해, 이전의 보고와 비교했을 때 본 연구 기간동안의 유기산 대사이상 질환의 진단율은 다소 감소하였다. 유기산 대사이상 질환들은 다양한 증상들이 나타나고 종종 생명을 위협하는 상태로 발현되는 경우가 많다. 조기 진단과 처치를 통해 이런 급성 악화의 발현을 예방할 수 있기 때문에 진료현장에서 비특이적인 증상 및 신경학적 장애를 보이는 환자를 진료할 때 주의가 필요하다고 할 수 있겠다.

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해원상생 관점에서의 북한인권문제 고찰 (A Study on Human Rights in North Korea in terms of Haewon-sangsaeng)

  • 김영진
    • 대순사상논총
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    • 제43집
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    • pp.67-102
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    • 2022
  • 이 연구의 목적은 대순진리회 해원상생에 내포된 인권 요소를 중심으로 북한헌법의 자체적 인권과 북한 주민의 인권 실상에 대해 고찰하는 것이다. 해원상생은 선천의 상극적 자연법에 지배된 인간의 원한을 해소하고 인간 서로서로 잘되게 해주는 의미를 가진 새로운 자연법이다. 해원상생의 자연법에는 인간 존엄의 가치인 생명권, 자유의사에 따라 결정하고 말하며 행동할 수 있는 자유권(신체의 자유, 양심의 자유, 종교의 자유, 언론의 자유, 출판의 자유), 사회적 환경에서 평등한 대우를 받을 권리인 평등권, 치료를 통해 최고 수준의 건강을 확보할 권리인 건강권이 내포되어 있다. 북한헌법에는 헌법의 근본원리인 천부적 인권을 보장하기 위한 제도적 장치로서의 성격이 없고, 독재자와 독재체제를 옹호하고 주체사상을 완성하기 위한 혁명 전사의 권리를 규정하고 있다. 생명권은 사회정치적 생명론에 따라 개인의 생명이 집단의 생명에 귀속되도록 명시되어 있다. 자유권은 집단주의 원칙에 따라 개인의 이익보다 집단의 이익을 더 우선시하도록 명시되어 있다. 평등권과 건강권은 계급적 차별을 명시하여 차별적 대우를 정당화시켰다. 북한 주민의 생명권은 북한형법과 형법부칙의 사형제도로 인해 보장받지 못하고 있다. 북한 정권은 공개처형을 통해 북한 주민이 인간으로서 존엄하게 죽을 수 있는 권리까지 박탈하고 있다. 북한 정권은 노동당의 지시로 적법절차가 이루어지게 하고, 종교를 미신 또는 아편으로 인식하며, 노동당이 언론과 출판물을 감시하게 하여 신체·종교·언론·출판의 자유를 보장하지 않는다. 북한 주민은 신분에 따라 분류되고, 가부장적 질서에 따라 전근대적 생활방식을 강요받으며, 평등권을 보장받지 못하고 있다. 또한 의료분야 가용성·접근성의 양극화와 무상치료제의 붕괴로 건강권을 보장받지 못하고 있다.

ROS 의존적 세포사멸 유도를 통한 isoalantolactone의 인간 간세포암종 Hep3B 세포 유래 다세포 종양 spheroid 형성의 억제 (Isoalantolactone Inhibits the Formation of Multicellular Tumor Spheroids Derived From Human Hepatocellular Carcinoma Hep3B Cells Through the Induction of ROS-dependent Apoptosis)

  • 김민영;손변우;이상엽;박상은;홍수현;홍상훈;김은정;최영현;황보현
    • 생명과학회지
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    • 제34권7호
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    • pp.476-484
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    • 2024
  • 항암 활성 연구를 위한 최적의 모델로서 2-D culture 모델은 여전히 널리 사용되고 있으나, 종양 환경에 더 잘 근접할 수 있는 3D MTS 모델은 시험관 내 모델 연구와 동물 모델 연구 간의 격차를 해소하기 위한 대안이 될 수 있다. Isoalantolactone은 목향(木香: Elecampane, Inula helenium L.)을 포함한 약용 식물에서 발견되는 sesquiterpene lactone 중의 하나로서 항암 활성을 포함한 다양한 약리학적 활성을 가지고 있는 것으로 알려져 있다. 본 연구에서는 HCC Hep3B 세포에서 유래된 2D 모델에서 관찰된 isoalantolactone의 항암 활성이 3D MTS 모델에서도 재현될 수 있는지를 조사하였다. 우리들의 결과에 의하면 isoalantolactone은 처리 농도 의존적으로 MTSs 형성을 억제하였으며, ROS 생성의 증가를 동반하였다. 특히 isoalantolactone 처리 및 배양 시간이 증가하면서 증식성 세포 영역이 세포사멸이 유발된 세포로 대체되었다. 또한, MTSs에서 isoalantolactone은 DR 관련 단백질들의 발현과 caspase-3의 활성을 증가시켰고, Bax/Bcl-2 발현 비율 및 총 PARP 단백질의 발현은 감소시켰다. 그러나 ROS의 생성을 인위적으로 차단하였을 경우, isoalantolactone에 의한 이러한 변화들이 모두 차단되면서 MTSs 구성 세포들의 세포 생존율을 회복시켰다. 따라서 본 연구의 결과는 isoalantolactone에 의한 Hep3B 세포 유래 MTSs의 세포사멸 유도는 외인성 및 내인성 경로의 활성화를 통하여 이루어지며 이는 ROS 의존적임을 시사한다.

대구지역 초등학생의 저체중 현황파악 및 관련요인 분석 (Underweight Related Factors in School-Aged Children in Daegu)

  • 윤영희;박경
    • 한국식품영양과학회지
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    • 제42권10호
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    • pp.1592-1599
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    • 2013
  • 본 연구는 학령기아동의 저체중 현황 및 관련요인을 살펴보기 위하여 대구지역 초등학교 5, 6학년을 대상으로 저체중군 86명과 정상체중군 407명의 식습관, 건강상태, 자아체형 인식 및 체중조절의지, 영양소 섭취수준과 출생 시 정보를 수집하여 비교 분석하였다. 그 결과를 요약하면 첫째, 저체중군 비율의 66.3%가 여학생으로 남학생에 비해 유의적으로 높았고, 저체중 자녀를 둔 아버지의 신장은 정상체중군과 비교하여 약 1.8 cm 정도 더 큰 것으로 관찰되었다. 둘째, 저체중군이 정상체중군보다 최근 1년간 병원진료 및 감기증상 빈도가 유의적으로 더 높았고, 특히 저체중군에서 월 1회이상 병원진료를 경험한 비율은 14.5%로, 정상체중군 5.5%에 비해 약 9% 높은 수준을 보였다. 셋째, 저체중 남학생은 본인 체형에 대하여 비교적 정확하게 인식하고 있는 반면, 정상체중 남학생은 본인 체형에 대해 실제 체형보다 왜소하다고 평가하는 비율이 36.6%를 차지하였다. 저체중 여학생의 경우 33.3%는 본인이 마른 체형임에도 불구하고 보통체중 혹은 과체중이라고 응답하는 등 잘못된 체형 인식 수준이 비교적 높은 경향을 보였다. 넷째, 저체중 여학생은 현재 자신의 체중을 그대로 유지하거나 더 줄이려고 노력하는 비율이 31.6%였고, 정상체중 여학생의 35.5%가 정상체중임에도 체중을 더 줄이기 위하여 노력한다고 응답하였다. 다섯째, 한국인 영양섭취기준 대비 영양소 섭취비율을 남녀별 체중군에 따라 비교한 결과, 단백질은 두 체중군 모두 권장량보다 2배 가량 높은 섭취비율을 보였으나 정상체중군이 저체중군에 비해 유의적으로 더 많이 섭취하고 있었으며, 그 차이는 남학생에게서 더 두드러졌다. 반면 식이섬유, 칼슘, 칼륨, 엽산은 두 체중군에서 권장량보다 낮은 섭취수준을 보였다. 여섯째, 출생체중과 현재체중, 현재신장, 현재 Rohrer's index 간의 상관관계를 분석한 결과, 여학생의 출생체중은 현재체중과 현재신장에서 유의적인 양의 상관관계를 보였다. 위에 제시한 것과 같이 본 연구에서는 저체중 아동의 건강상 문제에 대한 가능성, 여학생의 왜곡된 자아체형인식 및 체중조절의지, 그리고 출생 시 체중과 현재 체중과의 연관성을 제시하였다. 따라서 이러한 결과를 토대로 가정과 학교에서 학령기 아동의 저체중 문제를 해소할 수 있는 지속적이고 다각적인 노력이 필요하다.