• 성인간호학회지
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• 제23권6호
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• pp.554-563
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• 2011

Purpose: The purpose of this study was to investigate factors associated with drug misuse behaviors among polypharmacy elderly. Methods: This was a cross-sectional survey. Participants consisted of 116 polypharmacy elderly who were taking 5 or more medications each day. Data were collected via face to face interviews. Data were analyzed using the PASW 18.0 program. Data concerning predisposing factor (knowledge, benefit), enabling factor (communication with health care provider), and need factor (perceived health status, number of disease) were collected. Results: The total mean score of drug misuse behaviors among polypharmacy elderly was 3.04 out of 10 points. Communication with health care provider, perceived health status, and knowledge were found to be significantly correlated with drug misuse behaviors. In stepwise multiple regression analysis, a total of 42% of the variance in drug misuse behaviors was accounted for communication with health care provider, perceived health status, and knowledge. Conclusion: Therefore, education program for improving communication with health care provider, and knowledge should be designed and provided for polypharmacy elderly.

• 한국전문물리치료학회지
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• 제11권4호
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• pp.51-60
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• 2004

Falls are common, costly, and a leading cause of death among older adults. The major predisposing factors of a fall may include age-related deterioration in the dynamic system composed of auditory, somatosensory, vestibular, visual, musculoskeletal, and neuromuscular subsystems. Older adults with a history of frequent falls demonstrated significant reductions in gait velocity, muscle force production, and balance performance. These altered neuromechanical characteristics may be further exaggerated when faced with conflicting multisensory conditions. Despite the important contribution of multisensory function on the sensorimotor system during postural and locomotor tasks, it remains unclear whether multisensory intervention will produce dynamic balance improvement during locomotion in older adults with a history of frequent falls. Therefore, the purpose of this paper is to address important factors associated with falls in elderly adults and provide theoretical rationale for a multisensory intervention program model.

• 한국치위생학회지
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• 제16권2호
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• pp.155-163
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• 2016

The purpose of the review article is to investigate the influence of periodontal diseases on preterm birth(PTB) and low birth weight(LBW). PTB and LBW are the main risk factors of infant mortality and a major public health problem. PTB is defined as delivery at less than 37 weeks and LBW is less than 2,500 grams. Over Approximately 60 percent of perinatal mortality results from PTB or LBW. Although the causes of PTB and LBW are not fully understood, infection is the leading cause of PTB and LBW. Periodontal diseases are serious disease burdens because they are caused by bacterial endotoxin, inflammatory reaction, and cytokine. The periodontal diseases are the predisposing factors of cerebrovascular and cardiovascular diseases including atherosclerosis. Over the past 15 years, previous studies revealed that periodontitis had adverse outcomes including PTB and LBW in pregnancy.

• 수면정신생리
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• 제9권2호
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• pp.100-105
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• 2002

Personality traits in insomniac patients have been a subject of many studies. A number of these studies have used the MMPI and have demonstrated elevated scores on several clinical scales reflecting somatic concerns, somatization, depression, anxiety, worry and social alienation. And it was suggested that insomnia was due to a process of internalization of psychological distress. Another hypothesis about psychological mechanisms has focused upon worry. Excessive and uncontrollable cognitive activity seem to be a characteristic feature of many insomniacs. One author emphasized the role of the dependency need and found a characteristic pattern among insomniacs. The central feature of this pattern is frustration of dependency need. The purpose of this paper was to review possible personality variable that may be predisposing causal factors of insomnia. Several factors are suggested by many studies, but in order to explore their causal importance other experimental and longitudinal studies are needed.

• 보건의료산업학회지
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• 제11권2호
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• pp.65-79
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• 2017

Objectives : This study aimed to investigate the types of unmet health care needs of the elderly and factors affecting them. Methods : This study used data from the 2012 Community Health Survey. Multinomial logistic regression analysis was conducted to identify the relevance between each type of unmet health care needs and predisposing, enabling, and needs factors, based on the cases without unmet health care needs. Results : Persons with unmet health care needs were 4,460 (9.5%) of the total sample. By types of unmet health care needs, 1,171 (2.5%), 1,026 (2.2%), and 2,263 (4.8%) persons reported inaccessibility, non-accommodativeness, and unaffordability respectively. It was concluded that the there were differences in the associated factors according to the types of unmet medical needs. Conclusions : It is suggested that unmet health care needs in the elderly should be examined from diverse angles rather than from a single aspect of partial limits. In particular, diverse types of unmet health care needs for health care in the elderly according to limited accommodation shoulder be examined. Finally, strategies to decrease unmet health care needs that reflect the associated factors should be developed.

• 한국치위생학회지
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• 제21권5호
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• pp.585-594
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• 2021

Objectives: This study aimed to understand the effect of factors, possibilities, and desires on oral examination experience behavior of the elderly using raw data from the 2017 Community Health Survey. Methods: Hierarchical logistic regression analysis, an analysis method that controls the input order of a series of independent variables, was performed for 67,835 senior citizens aged 65 and older. Results: In terms of predisposing factors-in women, the higher the level of education, the higher the oral examination practice rate, and the lower the oral examination practice rate in divorce and bereavement among those aged 75 years or older. Regarding enabling factors, the lower the income rating, the higher the oral examination experience rate in religious and social participants as well as, leisure and charity participants, and the lower the oral examination experience rate in the natural environment. Regarding the need factors, the oral examination practice rate was high when the subjective oral health level was recognized as good. Conclusions: As a result, Anderson's model confirmed that various factors affect oral examination experience behavior, and institutional support for policy consensus is needed to promote oral examination experience behavior in older people in various directions.

• 임상간호연구
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• 제16권3호
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• pp.175-186
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• 2010

Purpose: Delirium can be a highly prevalent symptom in intensive care units but it may still be under-recognized despite its relation with inclined morbidity, mortality, cost, and readmission. Therefore, this study aimed to develop a protocol that covers risk factors and non-pharmacological interventions to prevent delirium in ICU patients. Methods: This study was conducted using methodological design, and it followed the Scottish Intercollegiate Guideline Network (SIGN) guideline development steps: 1) the scope of protocol was decided (population, intervention, comparison, and outcomes); 2) guidelines, systematic reviews, and protocols were reviewed and checked using methodology checklist; 3) the level of evidence and recommendation grades was assigned; 4) the appropriateness of recommendations was scored by experts; 5) the final protocol & algorithm was modified and complemented. Results: The evidence-based delirium prevention protocol was completed that includes predisposing factors, precipitating factors and recommendations with evidenced grades. Conclusion: This protocol can be used as a guide nurses in screening patients with high risk factors of delirium as well as in intervening the patients non-pharmacologically to prevent delirium.

• 보건교육건강증진학회지
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• 제18권1호
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• pp.35-47
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• 2001

As the complexity of the our environment is further complicated by advancements in industry and increase in vehicle traffic flow, the incidents of injury causing accidents are on the rise. Consequently, there is increasing emphasis on the importance of systematic and continual safety education for injury preventive behaviors. This study investigates safety related problems of elementary school students based on the PRECEDE model, proposed by Green et al.(1980 Green), to comprehensively identify the requirements of school safety education. The identified requirements were used to diagnose the current state of elementary school safety education through the analysis of multidimensional factors. A questionnaire survey was conducted on 594 sixth grade students from randomly selected 4 schools in Seoul to examine their injury preventive behaviors and to determine the educational diagnosis variables that affect it. The duration of the survey was 3 weeks starting from April 12, 1999 to May 8, 1999. A summary of the survey results are presented below; 1. Situations in which accidents have occurred were, in their order of frequency, ‘during play or sports activities within the school grounds’ was most frequent at 59.6％, ‘during play on local streets’ at 49.5％, and ‘traffic accidents’ at 41.6％. 2. Categorization of the injury preventive behavior showed that ‘not playing at high traffic flow locations such as streets and construction sites’ had the higher level of observance, while ‘wearing of helmets and joint protection devices during playing’ was least observed. 3. Considering injury preventive behaviors in relation to educational diagnosis variables indicated, for predisposing factors, lower ‘perception to injury accidents’ (p〈0.001) combined with higher ‘concerns for injury accidents’(p〈0.001), ‘practice of preventive behavior’(p〈0.001), and ‘the level of safety knowledge’(p〈0.001) resulted in significantly higher observance of injury preventive behaviors. For enabling factors, higher ‘perceived level of the school safety education’ (p〈0.001) and ‘availability of safety education resources’(p〈0.01) indicated significantly higher observance of injury preventive behaviors. For the reinforcing factor, frequent exposure to ‘safety education brochure’ (p〈0.01) and ‘audio-visual material for safety education’(p〈0.01) combined with more ‘regional safety education’ (p〈0.01), ‘home safety education’ (p〈0.01), ‘school safety education’(p〈0.001), and, ‘parents’ observance of preventive behaviors' (p〈0.001) showed significantly higher observance of injury preventive behaviors. 4. An analysis of the factors that affect injury preventive behaviors showed that the enabling factor ‘awareness of school safety education’ had the highest correlation with injury preventive behaviors followed by factors, in their order of significance, ‘practice of preventive behavior’, ‘perception to injury accidents’, ‘level of safety knowledge’, ‘parents’ observances of preventive behaviors', and ‘concerns for injury accidents.’

• 한국노년학
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• 제29권3호
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• pp.1063-1085
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• 2009

본 연구는 시간이 경과함에 따른 노인들의 복지서비스 이용경험의 변화를 살펴보고, Andersen과 Newman(1973)의 행동주의 모델을 적용하여 서비스 이용경험에 영향을 미치는 요인들을 밝힘과 동시에 지속적으로 영향을 미치는 요인을 밝히고자 시도되었다. 이를 위해 2003년부터 2007년까지 세 차례에 걸쳐 수집된 한림고령자패널자료 중 60세 이상 노인을 분석대상으로 경로우대서비스, 여가서비스, 재가복지서비스 이용경험과 Andersen과 Newman(1973)의 모델에서 제시된 선행요인(성, 연령, 교육수준), 가능성요인(거주지역, 배우자유무, 월 용돈, 서비스 인지수준), 욕구요인(일상생활동작수행능력)에 해당하는 문항들을 분석하였다. 연구문제를 해결하기 위해 자귀회귀모형과 회귀분석을 결합한 모형을 만들고 이를 구조방정식 모형을 이용하여 분석하였다. 분석결과 첫째, 시간이 흐름에 따라 노인들은 경로우대서비스를 점차 보편적으로 이용하게 되었지만 여가서비스와 재가복지서비스를 이용함에 있어서는 아직까지 제한적이었다. 둘째, 경로우대서비스와 여가서비스에 대한 이용경험은 다음의 서비스 이용경험에 정적인 영향을 미치고 있었다. 셋째, 서비스 이용경험에 영향을 미친 요인들이 조사시점마다 달라졌지만, 경로우대서비스 이용에는 선행요인인 연령과 가능성요인인 거주지역, 여가서비스 이용에는 가능성요인인 거주지역과 배우자유무, 그리고 재가복지서비스 이용에는 선행요인인 교육수준과 가능성요인인 서비스 인지수준이 5년 동안 지속적으로 영향을 미치는 것으로 나타났다. 특히 선행연구들에서 서비스 이용에 욕구요인이 중요한 요인으로 지목되어온 것과는 달리 본 연구에서는 가능성요인이 중요하게 부각되었다. 이러한 결과를 통해 노인 개인이나 가족의 특성보다는 서비스를 공급하는 지역의 복지환경이 노인의 서비스 이용에 더 영향을 미침을 확인하였다. 따라서 노인의 노인복지서비스 이용을 확대하기 위해서는 경로우대서비스와 여가서비스에 대한 복지자원과 재정에 있어서의 지역 간 격차를 줄이고 재가복지서비스에 대한 홍보를 체계화하는 노력이 요구되었다.

• 한국지역사회생활과학회지
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• 제18권1호
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• pp.21-37
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• 2007

The purpose of this study is to investigate factors that explain the degree of need for community welfare services designed for the residents of Wonju City. For this purpose, we identify five categories of community welfare services : employment no income supporting programs, residence supporting programs, public health programs, family programs and welfare facilities for enhancing quality of life. The data come from 234 adults living in Wonju city, Major findings can be summarized as follows. Firstly, we find that participants are well aware of needs for community welfare service, and that the degree of need for public health services is the highest among the five types of welfare programs. Secondly, we find differential effects of the individual factors such as predisposing, enabling, and need, and the community factors such as quality of environmental facilities which make daily lives convenient, and residential region. Particularly, environmental facilities appear to have a strong association with high needs for the majority of welfare services. Finally, differences between urban and rural areas are still observed. These results suggest that the responsibility of Wonju city for providing diverse and adequate welfare services should be emphasized. Priorities for welfare policies based on the empirical data are also taken into consideration in the process of developing community welfare policies.