• Journal of Preventive Medicine and Public Health
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• v.24 no.4 s.36
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• pp.531-548
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• 1991

To assess the adequacy of medical manpower and medical fee for the newborn nursery care, the author visited 20 out of 24 hospitals with the pediatric training program in Youngnam area between July 29 and August 14, 1991. Total number of newborn, both normal and sick, admission and discharge in 1-30 June 1991 was obtained from the logbook of nursery. Head nurse and staff pediatrician of the nursery were interviewed to get the current staffing for the nursery and their subjective opinion on the adequacy of nursery manpower and the difficulties in recruiting manpower. Average medical fee charged for the maternity and normal newborn nursery care was obtained from the division of self-audit of medical insurance claim of each hospital. Average minimum requirement of nursing care time for one normal newborn per day was 179.5 (${\pm}58.6$) minutes; 202.3(${\pm}50.7$) minutes for the university hospitals and 164.2(${\pm}60.5$) minutes for the general hospitals. The ratio of minimum requirement of nursing care time and available nursing time was 1.42 on the average. Taking the additional requirement of nursing care for the sick newborns into consideration, the ratio was 2.06. The numbers of R. N. and A. N. in the nurserys of study hospitals were 31%, and 17%, respectively, of the nursing manpower for the nursery recommended by the American Academy of Pediatrics. These findings indicate that the nursing manpower in newborn nursery is in severe shortage. Ninety percent of the head nurses and 85% of the staff pediatrician stated that the newborn nursery is short of R.N. and 75% of them said that the nurse's aide is also short. Major reason for not recruiting R.N. was the financial constraint of hospital. For the recruitment of nurse's aide, short supply was the second most important reason next to the financial constraint. However, limit of quarter in T.O. was the mar reason for the national university hospitals. Average total medical fee for the maternity and newborn nursery cares of a normal vaginal delivery who stayed two nights and three days at hospital was 219,430won. Out of the total medical fee, 20,323won(9.3%) was for the newborn nursery care. In case of C-section delivery who stayed six nights and seven days, total medical fee was 732,578won and out of the total fee 76,937won (12.0%) was for the newborn care. Cost for a newborn care per day by cost accounting was 16,141won for the tertiary care hospitals and 14,576won for the all other hopitals. The ratio of cost and the fee schedule of the medical insurance for a newborn care per day was 5.0 for the tertiary care hospitals and 4.9 for the all other hospitals. Considering the current wage level of the medical personnel, capital investment for the hospital facilities and equipments, and the cost for hospital maintenance, it is hard to expect adequate quality care in the newborn nursery under the current medical insurance fee schedule.

• 한국노년학
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• v.31 no.3
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• pp.831-848
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• 2011

The purpose of this study is to analyse the family caregivers' stress pathways by types of long term care services for the elderly, and then to discuss the findings of analysis. For this research, primary caregivers that provide care the elderly requiring long term care services sanctioned by National Health Insurance Corporation were drawn and surveyed. Among collected data, data for 258 primary caregivers by type of long term care services were used for this study. The results of this study can be summarized as follows. First, on average, the elders that utilize care service in institutions for the elderly were higher proportion of women, older, higher rate of bereavement, more children than the elders that utilize in-home care service, but some cases were vice-versa. Second, the elders that utilize care service in institutions more ADL dependency, higher proportion of severe dementia or severe stroke, higher care rank by National Health Insurance Corporation than the elders that utilize in-home care service on average. Third, primary caregivers with elders that utilize in-home care service were higher proportion of women, older, lower education level, higher rate of spouse and daughter-in-law in relationship with care recipient, less health, lower income than primary caregivers with elders that utilize care service in institutions. Fourth, subjective indicators representing caregivers' reactions to caregiving for the elderly significantly impact on caregivers' stress(ie, depression), and pathway of caregivers' stress are differentiated by type of long term care services. Fifth, stressors that have direct impacts on depression as caregiving family are differentiated by type of long term care services. Therefore, policies or programs to reduce negative mental health or stress of caregivig families should be designed differently by reflecting pathway of various stressors and stress by use types of long term care services for the elderly.

• Journal of dental hygiene science
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• v.12 no.2
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• pp.115-121
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• 2012

The aim of this study was to investigate the correlations between the self-reported symptoms of periodontal diseases and the quality of life. This study conducted its questionnaire survey over the subjects of 450 adults who had ever visited dental clinics among the adults of age 35-65 living in Seoul and Gyeonggi-do region from January 7 to March 14, 2010. The data were analyzed using a chi-square test, t-test, binominal logistic regression analysis in the SPSS version 12.0 program. Among the self-reported symptoms of periodontal diseases, 65% of respondents perceived that 'I bleed from the gums in brushing my teeth', which was the most, whereas 18.8% of respondents perceived to 'tooth mobility', which was the least. Self-reported symptoms of periodontal diseases was associated with socio-demographic characteristics such as sex, age, level of education and periodic oral examination, dental scaling(p<0.05). People who perceived the symptoms of periodontal diseases experienced functional limitation, physical pain, psychological discomfort, disability in diverse domains, and social handicap more than the group who did not perceive them(p<0.001). OHIP-14 scores were significantly correlated with sex, bleeding gums, swollen gums and bad breath(p<0.05). This study showed the self-reported periodontal problem had a negative impact on the public's leading their happy life. Therefore, in order to enhance the quality of life in adults, it is necessary to prevent periodontal diseases and reduce the subjective symptoms.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.3
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• pp.250-259
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• 2018

This study was conducted to investigate the factors influencing exercise adherence among elderly with degenerative arthritis. The data were analyzed by t-test, ANOVA, Scheffe's test, pearson's correlation, and multiple regression using SPSS 22.0. Data were collected from October 30 to November 10, in 2017. A total of 121 elderly in Daegu and Gyeongsan who had degenerative arthritis were surveyed. Significant differences in exercise adherence were observed among education level, spouse, type of residence, subjective health status, amount of exercise per week, and exercise time per day. The subjects' exercise adherence was positively correlated with self-efficacy (r = 0.621, p <0.001) and social support (r = 685, p <0.001). Elderly with degenerative arthritis had an explanatory power of 68.9%. There results showed that social support, self-efficacy, and amount of exercise per week were influencing exercise adherence by elderly with degenerative arthritis, and that social support was the most influential

• Journal of Music and Human Behavior
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• v.14 no.1
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• pp.41-62
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• 2017

The purpose of this study was to examine the effect that preferred music listening had on police officers' occupational stress and fatigue. The musical intervention took place over a total of six sessions from October 11 to October 19, 2016. At each session, the experimental group (n = 19) received 20 minutes of music listening with individually customized playlists that were compiled based on their preferred music list. The control group (n = 21) simply took a break from work for 20 minutes. Every participant checked his or her occupational stress and fatigue level before and after the experiment using the Occupational Stress Inventory and Subjective Symptoms of Fatigue Test. The data were then analyzed by the SPSS 22.0 statistics program. To examine the homogeneity and pretest-posttest results between groups, an independent t test was conducted, and a paired t test was used to examine the pretest-posttest results within groups. The results confirmed all hypotheses. Findings support that the use of preferred music listening is an effective way to help police officers to control their occupational stress and fatigue. This study used a convenience sample and has limited generalizability. Future research should explore interactive approaches in music therapy as well as receptive music listening for alleviating police officers' occupational stress and fatigue.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.10
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• pp.530-539
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• 2018

This study was conducted to compare the resilience, social support, psychosocial stress and burnout between novice and experienced nurses. Data collection was conducted using structured questionnaires for 65 novice nurses with less than one year of clinical experience and 70 experienced nurses with at least seven years of clinical experience working in general hospitals. The results revealed that the resilience of novice nurses was lower than that of experienced nurses, and there were significant differences according to educational level, job satisfaction, and subjective health status. Conversely, experienced nurses' resilience differed according to their position. In addition, the resilience of novice and experienced nurses showed the highest correlation with psychosocial stress (r=-0.633, p<0.001; r=-0.586, p<0.001), while novice nurses' social support (r=0.560, p<0.001) and experienced nurses' burnout (r=-0.404, p=0.001) showed the second highest correlations. These results demonstrate that the factors related to resilience of novice and the experienced nurses differ. Therefore, it is necessary to develop a differentiated program according to the characteristics of resilience of each nurse to improve the resilience of novice and experienced nurses.

• Journal of Nutrition and Health
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• v.47 no.2
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• pp.134-144
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• 2014

Purpose: The purpose of this study is to identify factors affecting fruit consumption behavior by application of the Theory of Planned Behavior. In addition, this study examined the moderating effect of a fruit eating habit. Methods: A total of 734 consumers who have ever purchased fruit participated in this study. Results: Results of this study showed that attitudes toward fruit intake, social norms, and perceived behavioral control had significant impacts on the level of fruit intake. Fruit eating habit that showed high correlation with eating behavior was also included in the model identifying factors having an influence on fruit intake. Attitudes toward fruit intake, social norms, and perceived behavioral control had a positive influence on intention to intake fruit. Fruit eating habits played a moderating role in the relationships between intention to intake fruit and real fruit intake. Conclusion: Increasing positive attitudes toward fruit intake, social norms, and perceived behavioral control would be helpful in increasing the amount of fruit intake.

• Journal of the Korean Society of Radiology
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• v.13 no.4
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• pp.629-635
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• 2019

In term of the factors affecting psychosocial adjustment of breast cancer patients, their quality of life after surgical operation, radiation, and chemotherapy were systematically meta-analyzed. As a result, their qualities of life of the patients that had radiation therapy was the lowest right after the therapy, and gradually increased after the end of the therapy. However, after six months, their quality of life failed to reach the same level before the therapy. They had depression and side effects the most right after the therapy, and somewhat reduced them after the end of the therapy. In case of surgical operation, the more they were educated, the more they had psychosocial adjustment, and the more they had a medical examination and took out an insurance policy, the more they had psychosocial adjustment. In case of chemotherapy, their cognitive function is influenced so that they have impairments in memory, learning, and thinking stages. Since subjective cognitive impairment has a relationship with depression, it is necessary to monitor depression of chemotherapy patients. Given the results of this systematic meta-analysis, when three types of therapies (surgical operation, radiation therapy, and chemotherapy) are applied to patients with breast cancer, it is necessary to recognize their psychosocial adjustment, depression, anxiety, and quality of life in the nursing and radiation therapy fields and thereby to introduce an intervention program for a holistic approach.

• Journal of Korean Neurosurgical Society
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• v.64 no.4
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• pp.644-664
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• 2021

Objective : Since the enactment of the Special Act on Korean Medical Residents, neurosurgeons working at training hospitals have been performing the duties of residents, in addition to their existing patient care responsibilities, which include surgery, education, and research. This study explores the relationships between work intensity, work-life balance, and burnout experienced by Korean neurosurgeons. Methods : The participants (n=451) were neurosurgeons working at training hospitals throughout Republic of Korea. Data on socio-demographic characteristics (including objective and subjective work environment), work intensity, work-life balance, and burnout were gathered using self-report questionnaires completed between March 1 and December 20, 2019. The data were analyzed using descriptive statistics, independent samples t-tests, one-way analysis of variance, Pearson's correlations, and multiple regression analysis. IBM SPSS Statistics for Windows, version 25 (IBM Corp., Armonk, NY, USA) was used for the analyses. Results : The work intensity, work-life balance, and burnout levels of neurosurgeons were 3.95, 3.57 (on a scale from 1 to 5) and 4.60 (on a scale from 1 to 7); and 280 (62.1%) of 451 neurosurgeons were found to be experiencing burnout. By controlling for the socio-demographic characteristics, the effects of work intensity and work-life balance on burnout were analyzed. Work intensity (B=0.314), work-life balance-family and leisure (B=0.216), work-life balance-growth (B=0.147), job stress (B=0.133), and satisfaction with human relationships (B=-0.069) were shown to be significant (all p<0.05), and they were found to affect burnout in the abovementioned order. The overall explanatory power was 58.3% (p<0.05), and the explanatory power with the addition of independent variables such as work intensity and work-life balance was 14.5% (p<0.05). Conclusion : This study showed that Korean neurosurgeons working at training hospitals experienced a high level of work intensity and job stress, and low work-life balance. Additionally, nearly half of the neurosurgeons were found to experience burnout related to factors such as work intensity, work-life balance, job stress, and satisfaction with human relationships. In particular, these factors seem to have deteriorated further after the implementation of the Special Act on Korean Medical Residents. These very high levels of burnout among Korean neurosurgeons who care for patients with both brain and spinal diseases may have a very important impact on patients' health. Therefore, it is recommended that the Korean Neurosurgical Society and the Korean government make efforts to improve the factors that affect burnout among Korean neurosurgeons.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.1
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• pp.178-187
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• 2021

This study is a descriptive correlation study to identify the factors affecting life satisfaction for shift service workers and is a secondary data analysis study using the raw data from the Fifth Korean Work Environment Survey. Five hundred and seventy-seven study subjects were selected from 20-year-old wage workers who had more than one year of work experience at the time of the survey and had worked more than 40 hours a week. The analysis used SPSS 23.0 WIN, including a t-test, one-way ANOVA by Scheffe test, Pearson's correlation oefficients, and Hierarchical multiple regression analysis. Regarding the general characteristics of the subjects, there was a difference in life satisfaction according to age, educational level, industrial type, and subjective health status. The higher the work-life balance and work satisfaction of the shift service worker, the higher the life satisfaction. In addition, social support had a moderating effect on the relationship between work-life balance and work satisfaction of shift service workers. Active social support, work satisfaction, and work-life balance improvement promotion programs were developed and applied to shift work service workers considering the factors influencing life satisfaction, thereby improving the life satisfaction of work shift service workers.