• Title/Summary/Keyword: Perceived health conditions

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Factors Affecting the Utilization of Korean Medicine in Last 1 Year : Analysis of the National Survey on Korean Medicine Utilization, 2020 (최근 1년 내 한방의료이용에 영향을 미치는 요인 - 2020년 한방의료이용 실태조사를 활용하여)

  • Jeong-Su Park
    • Journal of Society of Preventive Korean Medicine
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    • v.27 no.2
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    • pp.49-59
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    • 2023
  • Objectives : This study aimed to identify the factors that affect the utilization of Korean Medicine within the past year. Methods : I analyzed micro-data from the Korean Medicine Utilization Survey (2020), which surveyed the general public. "User (in last 1 year)" were defined as those who had used Korean Medicine within the past year, while "Non-user (in last 1 year)" were defined as those who had used it in their lifetime but not within the past year. I examined several factors, including general characteristics, perceptions of Korean Medicine, satisfaction with Korean Medicine, and intention for future utilization. I conducted the Rao-Scott chi-squared test and complex sample logistic regression analysis. Results : I analyzed a total of 3,762 respondents, of which 1,442 (36.3%) were User (in last 1 year) and 2,320 (63.7%) were Non-user (in last 1 year). User (in last 1 year) and Non-user (in last 1 year) differed significantly in terms of demographic characteristics, perceptions, and satisfaction with Korean Medicine. Women, the elderly, those with low education levels, non-married individuals, those with low-income, chronic diseases, and poor subjective health conditions were significant factors. Those who used Korean Medicine within the past year were more knowledgeable about Korean Medicine than those who had not used it recently, and recognized herbal medicine as safer. In terms of satisfaction, User (in last 1 year) were more satisfied than Non-user (in last 1 year). The more women, the older, the more aware of Korean Medicine, the safer they perceived herbal medicine, the more satisfied they were with its use, the better their subjective health condition, and the absence of chronic diseases, the less they experienced Korean Medicine. Conclusions : The study showed that positive experiences and perceptions of Korean Medicine increase the likelihood of its utilization. Individuals with better subjective health conditions and without chronic diseases have a lower possibility of using Korean Medicine.

Evaluation of Managerial Needs for Palliative Care Centers: Perspectives of Medical Directors

  • Kafadar, Didem;Ince, Nurhan;Akcakaya, Adem;Gumus, Mahmut
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.11
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    • pp.4653-4658
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    • 2015
  • Background: Palliative therapies have an important role in increasing the quality of healthcare and in dealing with physical and psychosocial problems due to cancer. We here aimed to evaluate the managerial perspectives and opinions of the hospital managers and clinical directors about specialized palliative care centers. Materials and Methods: This study was conducted in two large-scale hospitals in which oncology care is given with medical directors (n:70). A questionnaire developed by the researchers asking about demographic characteristics and professional experience, opinions and suggestions of medical directors about providing and integrating palliative care into healthcare was used and responses were analyzed. Results: Potential barriers in providing palliative care (PC) and integrating PC into health systems were perceived as institutional by most of the doctors (97%) and nurses (96%). Social barriers were reported by 54% of doctors and 82% of nurses. Barriers due to interest and knowledge of health professionals about PC were reported by 76% of doctors and 75% of nurses. Among encouragement ideas to provide PC were dealing with staff educational needs (72%), improved working conditions (77%) and establishing a special PC unit (49)%. An independent PC unit was suggested by 27.7% of participants and there was no difference between the hospitals. To overcome the barriers for integration of PC into health systems, providing education for health professionals and patient relatives, raising awareness in society, financial arrangements and providing infrastructure were suggested. The necessity for planning and programming were emphasized. Conclusions: In our study, the opinions and perspectives of hospital managers and clinical directors were similar to current approaches. Managerial needs for treating cancer in efficient cancer centers, increasing the capacity of health professionals to provide care in every stage of cancer, effective education planning and patient care management were emphasized.

Factors affecting job stress and physical symptoms of dental technicians in Daegu Metropolitan City (대구지역 치과기공사의 직무스트레스와 신체증상에 영향을 미치는 요인)

  • Lee, Deog-Su;Kim, Chang-Yoon;Lee, Kyeong-Soo;Hwang, Tae-Yoon
    • Journal of Technologic Dentistry
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    • v.33 no.4
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    • pp.453-466
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    • 2011
  • Purpose: This study aims to investigate the general characteristics of dental technicians and their health behaviors and to analyze the related factors of their work stress and physical symptoms. Methods: The survey used structured self administered questionnaires for a survey targeting 741 members registered of the Dental Technician Association in Daegu Metropolitan City from September to October, 2009. Total of 518 replies and analyzed 490 questionnaire excluding 28 incomplete questionnaires. Results: The work stresses were higher in those who answered that they were under 30-years old, unmarried, lower in rank, or had longer work hours, lower monthly incomes or poor self-perceived health status. In addition, those who worked in a dental laboratory with poor work environment including insufficient ventilation, sand blaster with no powder collecting functions, etc., tended to experience higher work stress than others due to their work conditions. The total average of the respondents of the survey who answered that they suffered from some physical symptoms was 14.7 points. It was found that the factors affecting the score of physical symptoms include occupational features such as work hours, monthly income, etc., and physical work environment such as the presence or absence of ventilator, of dust-collectors within sand blaster, etc., and work stress, exerted significant influence. Conclusion: The outcomes of this study indicates that to lessen work stress and to ultimately alleviate physical symptoms, it is necessary to do the following: improve work environment of young unmarried women; adjust their daily working hours; ameliorate physical work environment. To improve overall physical symptoms, it is importance to establish a safe and healthy working environment.

A Gender analysis of the association between Self-rated Health and Disability of daily living among Korean Elderly (주관적 건강 수준은 노인의 일상생활 수행 능력 정도를 예측할 수 있는가: 성별 비교를 중심으로)

  • Park, Gum-ryeong;Choi, Byong-ho
    • Korean Public Health Research
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    • v.44 no.4
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    • pp.25-34
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    • 2018
  • Objective : This study aimed to examine the association Self-Rated Health(hereafter SRH) and Activities of Daily Living(hereafter ADL), Independent Activities of Daily Living(hereafter IADL) among Korean elderly. Methods : Using nationally representative cross sectional studies called 2014 Survey of living conditions and welfare needs of Korean elder persons. We used SRH as an independent variable, disabilities of ADL and IADL as dependent variables. Logistic regression was implemented and potential confounders such as socio-economic status, demographic characteristics and others were adjusted. Results : It was revealed that people who were female(than male) and 75 or more years old(than less than 75 years old) were shown to have poor SRH and disabilities of both ADL and IADL. In logistic regression model, poor SRH was associated with ADL and IADL disabilities. Especially, their association was more remarkable among male than among female. It can be understood that socio-economic contexts affect quality of life among elderly and SRH can be differently perceived by gender. Conclusions : Our notable findings showed that gender perspective is needed to understand SRH and daily living among elderly.

The Impact of Job Overload, Relationship with Senior on Nurses' Intention to Quit Their Jobs - Mediating Role of Emotional Exhaust - (간호사가 지각하는 직무과부하, 상사부하관계의 질 및 정서적 소진이 이직의도에 미치는 영향 - 정서적 소진의 매개효과 검증 -)

  • Kim, Young-Hee;Choi, Jung-Hyun;Kim, Kyoung-Eun
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.3
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    • pp.372-381
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    • 2009
  • Purpose: The purpose of this study was to investigate how job overload, relationship with senior perceived by nurses and emotional exhaust related to turnover and explored the mediating role of emotional exhaust in job characteristics-turnover relationship. Method: Participants were 280 nurses from around the greater metropolitan area of Seoul, completed questionnaires. Correlation and Structural Equation Models were employed to investigate the various factors associated with this. Result: Job overload related positively to emotional exhaust and turnover and the quality of relationship with senior related negatively to emotional exhaust but positively to turnover. These findings suggest the important role played by job conditions in preventing nurses' emotional burnout and the intention to quit their jobs. Furthermore, emotional burnout mediated the effects of these job characteristics on nurses' turnover. Conclusion: It is suggested that the benefit of job conditions and emotional burnout should be taken into consideration when developing strategies to improve nurse retention and. social supporting programs for nurses more generally.

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Comparison of characteristics during backward walking according to various stride frequencies in underwater and ground environments

  • Kim, Heejoong;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.7 no.2
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    • pp.83-87
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    • 2018
  • Objective: The purpose of this study was to investigate the relationship between heart rate (HR), self-awareness of exercise intensity (rating of perceived exertion, RPE), and 5-meter walk test (5MWT) of persons affected by stroke during backward walking according to the preferred stride frequency (PSF), PSF+3 and PSF+6 conditions. Design: Cross-sectional study. Methods: A total of 11 persons with stroke (9 males, 2 females) participated voluntarily. All patients underwent backward walking under the PSF, PSF+3, and PSF+6 conditions in underwater and ground environments, and each condition was performed for 5 minutes. The HR, RPE, and walking speeds were measured during walking, and the measured values from underwater and ground environments were compared. Results: The HR and RPE in the ground environment were significantly increased (p<0.05), and although the 5MWT showed an increase in speed, it was not significant. The HR and RPE in the underwater environment were also significantly increased (p<0.05), however, although the 5MWT results was increased, it was not significant. The HR and RPE were significantly increased in the PSF+6 condition (p<0.05). Conclusions: The results of this study showed that backward gait training underwater can provide an appropriate exercise intensity for stroke survivors and suggests that exercises performed in an underwater environment is more effective compared to the ground environment.

Comparative Analysis Between MBT Shoes(Functional walking shoes) and General Sporting Shoes for the Muscle Activity and Energy Consumption (보행용 MBT신발과 일반 신발 보행 시 에너지 소비량과 근 활성도의 비교 분석)

  • Yoon, Bum-Chul;Kang, Se-Yong;Kim, Yae-Jung;Yu, Min-Ho;Lee, Mi-Jung;Kim, Nan-Soo
    • Journal of Korean Physical Therapy Science
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    • v.13 no.3
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    • pp.65-75
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    • 2006
  • This study was to find out whether MBT shoes were more effective than general sporting shoes on the kinematic physiology. We comparatively analyzed energy consumption, heart rates, rating of perceived exertion, lactic acid density in blood and muscle activity with EMG. The subjects were 10 regular students of K Univ.(5 male and 5 female). They wore the general sporting shoes for stage 1(group 1), the MBT walking shoes for stage 2(group2) under the same conditions. There was one week interval between stages. 1. There was no significant difference in the energy consumption and the heart rates between two groups. Group 1 showed a higher energy consumption and heart rates than Group 2 under the speed of 4.0 mph. On the other hand, Group 2 showed higher ones over the speed of 4.0 mph. 2. There was no significant difference in the rating of perceived exertion and lactic acid density in blood between two groups. But Group 2 showed a lower fatigue strength than Group 1. 3. Group 2 showed a higher muscle activity with EMG than group 1, especially at the speed of 2.0, 2.5, 3.0, 3.5 mph in quadratus lumborum muscle and at 4.0mph in tibialis anterior muscle. In conclusion, we are less tired in MBT shoes than in general sporting shoes. Also, we can dorsiflex better in the ankle joint, straighten the lumbar region well and walk erect in MBT shoes. Specially, when it walks slowly, it is favorable in an erection walk and when it walks quickly, we have advantage of obesity management.

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The Study on Legal Analysis of the Abortion Regulations and National Survey (낙태죄 허용한계에 관한 규범해석과 사회인식도)

  • Lee, In-Young
    • The Korean Society of Law and Medicine
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    • v.8 no.2
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    • pp.205-290
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    • 2007
  • In Korea, abortion in the Criminal Law is an illegal act in exception of limited cases stated in the Mother and the Child Health Law. There are grounds on which abortion may be carried out - though the grounds are very limited and related such as emergency situation of woman's physical health, rape, incest and genetic diseases. The Criminal Law regulates the mother's act of abortion and the doctor's surgical performance of abortion. The Mother and the Child Health Law prescribes the medical, ethical, and genetic grounds for the legal permission of abortion. Many people tend to abuse of abortion even though they are fully aware of its illegality. The law lead to be inconsistent with its enforcement. In this paper, I would like to suggest some proposals about the legal analysis of the Abortion Regulations to reform the existing regulations and increase the effectiveness of the regulations. A national survey was carried out using telephone interview with Korean citizens from August 1th to August 31th in 2005. A total of 1,025 citizens (male: female = 49.2%:50.8%) were randomly sampled in proportion to the number of population of 17 regions. The major findings of this survey were as follows. First, 91.4% of the respondents approved of abortion based on the medical grounds. Second 83.3% of the respondents perceived that abortion may be carried out based on ethical grounds for example rape. Third, 74.3% were agreed to abortion based on genetic diseases. Forth, 64.7% were approved the abortion that unmarried woman may be carried out. In contrast 45.0% were approved the abortion that girls may be carried out, whereas 46.4% were perceived that the abortion may not be permitted. Fifth, 58.3% were disagreed the permission of abortion based on social and economic grounds. According to the survey Korean citizens seem to have positive perception on the abortion that may be carried out based on medical, ethical and genetic grounds. Whereas they worried about the abortion based on social and economic grounds. Now the Mother and the Child Health Law prescribes the medical, ethical, and genetic grounds for the legal permission of abortion. But this law does not include social and economic grounds. In cases of when the mother has a impossibility to breed her child because of her social situations and financial conditions, we should accepted the legal acceptance of abortion due to social and economic grounds.

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The Relation between Life Stress and Nutrient Intake Status in Female University Students (여대생의 생활 스트레스와 영양소 섭취 상태와의 관계)

  • Kim, Kyung-Hee
    • Journal of the Korean Society of Food Culture
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    • v.15 no.5
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    • pp.387-397
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    • 2000
  • A survey was carried out to investigate relation between life stress and nutrient intake status in female university students. It was represented that increasing trends of food intake under the stress condition and preference taste was sweet and hot in female students. The female students thought that food intake for coping with stress was produced negative results and they perceived the relation between stress and their health problem. There was a positive correlation between stress level and the change of food intake in female students statistically(p<0.01). They had higher stress in future prospect, academic problem, friend relationship, personality and family relationship. The average calorie intake of female university students was 1553.06kcal(77.65% of RDA). The intake of protein, calcium and iron were quite less than the RDA, whereas the intake of phosphate, vitamin A, $B_2$, C, niacin were more than the RDA. In changes of nutrient intake under the stress conditions, the higher stress group had decreased intake of calcium, iron, vitamin $B_1,\;B_2$, C than the lower stress group(p<0.05).

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The Moderating Effect of the Leisure Satisfaction in the Job Stress on Job Satisfaction of Nurses on Shift Work (교대근무 간호사의 직무 스트레스와 직무만족도 관계에서 여가만족도의 조절효과)

  • Jun, Younghee;Song, Youngshin
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.3
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    • pp.208-215
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    • 2016
  • Purpose: The purpose of this study was to identify the moderating effect of leisure satisfaction on the relationship between job stress and job satisfaction. Methods: A cross-sectional study was performed with 292 nurses having experienced shift work at least for 6 months. Data were collected from August to September in 2014. Descriptive statistics, t-test, correlation coefficient, and hierarchical regression analysis were performed. Results: The study showed that job satisfaction was significantly correlated with job stress (r=.-320, p<.001) and leisure satisfaction (r=.317, p<.001). Leisure satisfaction had a significant moderating effect on the relationship between job stress and job satisfaction (F=25.087, p<.001). Conclusion: This study concluded that the role of leisure satisfaction may moderate the relationship between the two. That is, the nurses who perceived higher satisfaction on their leisure life tend to have higher satisfaction to their job even in stress situation. Therefore, the strategies for improving leisure satisfaction are needed to increase job satisfaction in stressful conditions.