• 한국직업건강간호학회지
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• 제15권1호
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• pp.14-29
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• 2006

Purpose: The purposes of this study were to survey the extent of pain and discomfort in the musculoskeletal system among visiting housekeepers, above all concerning neck, shoulder, back, wrist, knee, and arm pain and to find possible relations between symptoms and various working conditions. Method: A questionnaire was answered by 174 woman visiting housekeepers living in Kyeonggi-do and Seoul from December 1, 2003 to February 30, 2004. The symptoms of musculoskeletal system were coded by the pain index which illustrates the extent of the symptoms, and analyzed in view of NIOSH guideline and Kim, et. al.'s notion. Result: 1. As to the complaint rate of subjective musculoskeletal symptoms by body region, the figure was the highest for shoulder with 78.2%, followed by back with 66.7%, knee 53.6%, neck 56.3%, wrist 40.2%, and arm 29.2%, respectively. The logistic analysis showed shoulder pain and arm pain have no relation with working and health conditions, and back pain was significantly related to current health condition. In same way, knee pain and wrist pain were found to be mainly related to marital status. 2. Following the NIOSH guideline, the positive rate of subjective musculoskeletal symptoms was found out in following order: shoulder 69.5%, back 59.2%, knee 54%, neck 46%, wrist 32.8%, and arm 25.3%. To investigate the main cause of each disease, the symptoms were classified by pain index, where the value of more than 3 comes to the NIOSH case, and analyzed in term of complaint rate using discrete logistical method : shoulder pain was highly related to the housekeeping time after work, back pain was to current health condition and the heavy weight carrying and neck, wrist, arm pain were commonly related to the ordinary health condition. For knee pain, working speed was a main cause. 3. In view of Kim et. al.'s standard, where the pain index is over 7, the positive rate was showed in order slightly different from previous analyses : shoulder 33.3%. knee 29.9%, back 28.2%, neck 17.2%, wrist 17.2%, and 16.7%. From the logistical analysis, insufficient rest was shown as the main cause of shoulder, back, arm and wrist pain. For neck pain, ordinary health condition was mainly related. In case of knee pain, any apparent relation is not found. Conclusion: According to the logistic regression analysis of musculoskeletal system, there was strong suggestion that the less insufficient physical rest, the more significant disorder complaint. This means that the most musculoskeletal symptom among the visiting housekeepers can be prevented and cured by sufficient physical resting.

• 대한통합의학회지
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• 제10권4호
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• pp.35-47
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• 2022

Purpose : As the number of patients with systemic diseases is increasing in the old, the relevance of oral health is gaining particular research interest. To provide fundamental resources for dental services, this study examined the relationship between doctors' diagnoses of circulatory diseases and patients' awareness of oral health and oral care behaviors. Methods : SPSS 26.0 was used to assess various variables, including doctor's diagnosis of circulatory diseases, gender, age, household income quintile, participation in economic activity, marital status, subjective level of oral health awareness, mastication discomfort, speaking and chewing discomfort, dental inspection, use of oral care goods, teeth brushing during the previous day, and untreated oral conditions. Results : The circulatory diseases suffered by the subjects were as follows: 56 % high blood pressure, 36 % dyslipidemia, 6 % stroke, and 8 % myocardial infarction or angina. A higher age meant a higher diagnosis rate of high blood pressure (p<.001) and stroke (p<.001). Those with dyslipidemia showed a higher rate of receiving oral inspection (p=.040), and an untreated oral condition was more frequently observed among those not diagnosed with the disease (p=.035). The subjects who were not diagnosed with stroke showed a higher rate of oral inspection (p<.001), while those who had a prior experience of stroke suffered a higher rate of mastication discomfort (p=.020). People who had high blood pressure showed a lower rate of using oral care goods (p<.001), and those diagnosed with stroke showed a lower rate of brushing teeth the previous day. Conclusion : This study found a correlation between the diagnosis of circulatory diseases and the awareness of oral health and oral care behavior. Consequently, oral health education should be included in mental health-related education, and customized training to teach teeth brushing and the use of oral care goods should be provided to patients with circulatory diseases during dentist visits.

• 한국의료질향상학회지
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• 제7권1호
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• pp.18-31
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• 2000

Background : This study is to identify the inappropriate hospital services for elderly inpatients over 65 years in general hospital with acute care functioning. Consequently elderly inpatient care and the management of long-term care facilities are key issues for current government health policy. Method : The survey was conducted for two months for all inpatients over 65 in 7 general hospitals, 6 work sampling days randomly selected. In each survey day, the subjective judgement by medical staff on the degree of acute care needs and by nursing unit manager on hospital services of each inpatients was also conducted. Result : The total number of cases collected are 2,541 elderly inpatients, according to subjective judgements by medical staff on inpatient condition. However 46.8% of cases are turned out to be non-acute care group. The frequency of medical services provided to non-acute group are 2~3 vital sign checks per day 78.2%, IV injection 40.1%, antibiotics medication 20.2%. Conclusion : Lots of elderly patients' who are staving in acute hospitals, at present need to be transferred to long-term care facilities. However, there was been shortage of long-term care facilities. It is expected to identify the need of elderly inpatients and therefore, to provide cost-effective, appropriate and good quality health services to elderly inpatients depending on their needs.

• 한국치위생학회지
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• 제15권5호
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• pp.889-898
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• 2015

Objectives: The purpose of the study is to investigate the oral health-related quality of life (OHIP-14) according to smoking in the male workers in Gunsan. Methods: A self-reported questionnaire was completed by 460 male workers in Gunsan from April 13 to 30, 2015. Among 460 workers, smokers were 205 and nonsmokers were 255. The questionnaire included three questions of general characteristics of the subjects, four questions of subjective oral health, fourteen questions of OHIP, ten questions of sobriety test (AUDIT), and eight questions of smoking (Fagerstrom Test for Nicotine Dependence, FTND). Data were analyzed by frequency analysis, t-test, ANOVA, Pearson's correlation, and multiple regression analysis using IBM SPSS(Statistical Package for the Social Science) for Windows 20.0 program. Results: In the nonsmokers, there was a negative correlation between the alcohol consumption, dental health condition, tooth pain, gum bleeding, and halitosis. The higher OHIP in the smokers had the negative correlation with nicotine dependence, alcohol consumption, tooth pain, gum bleeding, and halitosis. In order to improve OHIP, smokers are encouraged to manage gum bleeding, and non-smokers to halitosis. Conclusions: In order to improve OHIP, cessation of smoking and alcohol consumption is very important and it can lead to improve the quality of life in the workers.

• 한국치위생학회지
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• 제15권1호
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• pp.153-159
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• 2015

Objectives: The purpose of this study was to investigate the oral health condition, recognition, and practice in prisoners. Methods: A self-reported questionnaire was filled out by 143 prisoners in three jails from April 7 to June 2, 2014. The questionnaire consisted of 35 questions including 5 questions of general characteristics of the subjects, 4 questions of subjective oral health condition, 5 questions of management of oral health care, 11 questions of oral health recognition, and 10 questions of oral health practice. The questionnaire was adopted and modified by Shon et al. and Cho & Choi and measured by Likert 5 scale. Cronbach's alpha was 0.845 in recognition questions and Cronbach's alpha was 0.826 in the practice questions. The data were analyzed using SPSS 18.0 for t-test, one-way analysis of variance(ANOVA) and Pearson's correlation analysis. Results: 21.0% of prisoners answered that their perceived oral health condition was good. Those who received the dental treatment accounted for 42.0% and 12.6% of them took the oral health education. There was a significantly negative relationship between perceived oral health and oral health recognition(p<0.05). The oral health recognition showed positive influence on oral health practice(p<0.001). Conclusions: In general, prisoners did not receive the proper care of oral health in jails. Therefore, It is desirable that we need to set up a oral health care system for prisoners.

• 한국산학기술학회논문지
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• 제14권6호
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• pp.2926-2934
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• 2013

본 연구는 119구급대원의 직무스트레스와 수면의 질과의 관련성을 알아보고 효율적인 직무스트레스 관리를 통해 수면의 질의 향상을 도모하기 위한 연구이다. 119구급대원 263명을 대상으로 설문지를 배포하였으며, 수집된 자료는 SPSS 18.0프로그램을 이용하여 분석하였다. 분석결과 수면의 질은 7.73점으로 좋지 않았으며, 근무지역, 주관적 건강상태, 하루 카페인 음용 횟수, 응급처치 거부경험에 따라 유의한 차이가 있었고, 직무스트레스와 수면의 질에는 유의한 양의 상관이 있음을 알 수 있었다. 다중회귀분석 결과 주관적 건강상태, 카페인 음용 횟수, 응급처치 거부경험이 유의한 영향요인이었다. 결론적으로 직무스트레스가 높을수록 수면의 질이 좋지 못하였다.

• 한국보건간호학회지
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• 제36권3호
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• pp.389-401
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• 2022

Purpose: This study was conducted to understand the actual condition and influencing factors of being underweight among older adults in the community based on a survey of national older Korean's data in 2020. Methods: The data from 9,555 older adults in the community were used for analysis. Composite sample analysis was performed with integrated weights applied to the raw data. A Rao Scott-test and logistic regression were performed using SPSS 24.0 for Windows. Results: Underweight older adults in the community were found to have significant differences in age, subjective health status, depression, chronic disease, drinking, exercise, nutrition, chewing, and activities of daily living (ADL). The factors affecting the underweight older adults were age, subjective health status, depression, chronic disease, drinking, exercise, nutrition, chewing, and activities of daily living. Conclusion: A customized program is needed for underweight older adults in the community. In addition, attempts should be made to motivate older adults in the community to continue to participate in the program.

• 한국지역사회생활과학회지
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• 제21권2호
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• pp.201-210
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• 2010

Over the past few decades, the proportion of elderly people in Korea has been rapidly increasing. In particular, rural areas are experiencing aging of communities more rapidly compared to urban areas. However, public policy for the elderly does not respond to the needs of rural elderly. To distribute health care resources equitably, it is necessary to gather reliable information on the health status of the elderly. The purpose of this study is to explore factors affecting Korean elderly people's ADL functional status. The data sources are from 2004 Elderly Living Condition Survey. The Analysis sample consists of 3,278 cases. Analysis results show that there is a significant residential variability in education, monthly stipend, living arrangement, subjective health status, regular food in-take, and regular exercise. Logistic regression analysis results also show that 'cognitive ability'(exp(B)=6.603), 'subjective health status'(exp(B)=4.576), 'age'(exp(B)=2.610), and 'living arrangement'(exp(B)=.589) are factors affecting ADLs. Namely, when a respondent's cognitive ability is limited, subjective health status is poor, or if their age is over 75, the probability of having a limited ADL has been 6.6 times, 4.6 times, and 2.6 times higher than otherwise. Among these variables, cognitive ability was the best explanation. In contrast, respondents who live with a spouse or adult children have a lower probability of having limited ADL compared with those who live alone. Considering that the most critical criteria in determining eligibility for social welfare services is ADLs, the development of appropriate ADL assessment tools is in an urgent need. Without the accurate assessment on ADLs, particularly on rural as well as the urban elderly, it seems to be hard to achieve effectiveness in the health care policy for the elderly.

• 지역사회간호학회지
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• 제20권1호
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• pp.12-22
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• 2009

Purpose: This study was done to investigate factors associated with depression and quality of life (QoL) among the community-dwelling elderly. Methods: This study used a descriptive correlational research design. The subjects were 730 elders aged over 65 living in D district of Daegu. Data were collected using questionnaires for 30 days in April, 2007. The research instruments utilized in this study were a physical function scale of long-term care insurance system, Geriatric Depression Scale Short Form Korea Version (GDSSF-K), and Korean Quality of Life Scale (KoQoLs). The collected data were analyzed by descriptive statistics, t-test, ANOVA, Duncan, stepwise multiple regression, and Spearman correlation. Results: The mean age of the subjects was 72.6, and 68.8% and 57.9% of subjects were, respectively, female and living alone. 12.3% of variance in depression was explained by age, education, economic status, subjective health, alcohol consumption, condition of teeth, and fall experience. 18.2% of variance in QoL was explained by economic status, number of diseases, condition of teeth, incontinence, paralysis, and IADL. Economic status and condition of teeth were contributing factors to depression and QoL of the elderly. Conclusion: Findings of this study may be useful in understanding the health status of the community-dwelling elderly and developing more regionally specific health promotion strategies.

• 보건의료산업학회지
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• 제9권1호
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• pp.41-55
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• 2015

Working the night-shift and long working hours may be linked to insomnia. The purpose of this study is to determine the association between night-shift work and long working-hours with regard to subjective insomnia in Korean workers. This study was based on the Third Korean Working Condition Survey (KWCS) conducted on workers in 2011. The total number of individuals included in the analysis was 34,708 workers. Adjusted odd ratios showed statistically effective associations to insomnia. For night-shift work, the results were 2.71 (1.53 - 4.82) for night shift work by experts and managers, 2.95 (2.11 - 4.11) for night-shift work by officers, and 3.90 (2.05 - 7.42) for night-shift work by engineers compared with day duty. For long working hours, the scores were 2.43 (1.68-3.51) for >52 working hours by officers, 1.72 (1.15 - 2.58) for those in sales and service compared to ${\leq}40$ working hours. We suggest the need for Korean workers to target specific groups when creating policies related to reasonable environmental conditions.