• 한국산학기술학회논문지
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• 제16권1호
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• pp.617-626
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• 2015

본 연구는 제 5기 전체(2010~2012)국민건강영양조사 자료를 이용하여 우리나라 노인의 신체활동 정도와 의료이용과의 관련성을 파악하기 위하여 실시하였다. 연구결과에서 비활동적인 신체활동군과 비교하여 활동적 신체활동군의 경우에 입원이용 가능성이 0.54배(OR;95% CI, p<0.001), 외래이용은 0.73배(OR;95% CI, p=0.040), 약국이용은 0.75배(OR;95% CI, p<0.007) 더 낮으것으로 나타났으며, 의료이용 횟수도 감소하는 것으로 나타났다. 또한, 최소 신체활동군의 경우에 비활동적 신체활동군과 비교하여 입원 의료이용 가능성이 0.64배(OR;95% CI, p<0.001) 낮고, 이용횟수도 감소하는 것을 확인하였다. 결론적으로 노인의 신체활동 정도에 따라서 의료이용과의 관련성을 확인하였다는 데 의의가 있으며, 신체활동을 활발하게 실천하는 것이 노인의 건강증진과 삶의 질을 향상시킬 뿐만 아니라 의료비 지출의 감소에도 도움이 될 것으로 사료된다.

• 가정간호학회지
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• 제4권
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• pp.41-52
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• 1997

The purpose of this study is to identify the domestic research results related to the outcomes of home care services for 1981-1996. 12 studies were analized by the characteristics of the subjects, home care services provided, and outcome variables and tools during the period of Apirl-June, 1997. The results were as follows: the subjects of 8 studies conducted before 1993 were discharged patients comparing to early discharged patients of 2 studies conducted after 1994. The main home care service delivered to the clients and their families were education before 1993. The outcome variables were used the level of sat. isfaction of home care services, quality of care, cost-effectveness, health status, quality of life, and self -care ability. A variable, health status, were mainly measured by the global outcome measures such as quality of life, health hehelief, health perception, activity of daily living, health management pattern but also foused outcome measures that could be specified by the medical diagnoses.

• 한국보건간호학회지
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• 제10권2호
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• pp.146-161
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• 1996

This study was purposed to find health promotion and care needs of the elderly in rural area of Korea. As the rural elderly are limited in accessibility to health care resources and could not immediately solve their health care needs when they need. health promotion and care services are expected to bring better and more practical solutions of their health care needs. Thus, the type of health care services to be developed in Korea rural area is discussed to have emphasis on health care service component in addition to health promoting components. Methods of this study was based on survey data analysis : total 322 persons aged older than 55 living at one 'Kun' in Korea administrative unit were interviewed by health workers working at the region and also get trained for this study data collection. The data collection interview was continued from February till May in 1996. The interview questions were modified with adjustment to Korea situation. with basis of the WHO's health promotion program components. The collected data were analyzed using SAS program for frequency, correlation, regressions. The major findings were as follows : (1) $74.8\%$ of the surveyed were sick at the survey time point. and $95.9\%$ known the diagnosis name of the disease. The most frequently complained diseases were Muscular-Skeletal diseases $(43.7\%)$. $34\%$ of those sick had never treated or discontinued therapeutic procedures. so that shown the necessity of systematic and usual health care services with health promotion program development for the elderly. (2) The percent of those who make social participation was $95.3\%$. and the activities were visiting neighbors $(70.4\%)$ and lack of qualified social activity programs. (3) $78.1\%$ of the surveyed had health counseling and education from professional health workers. Those ceased smoking and drinking were $59.6\%,\; 60.3\%$. respectively. Those had no application of therapeutic drugs or nutrion supplements was $40.7\%\;and\;94.1\%$ had regular meals. Those practiced exercises was low remarking $17.7\%$. (4) Positive health behaviors were better carried out by sick groups than by the healthier. except smoking. regular meals. and exercise. $17.5\%$ of sick group smoke more than one case of cigarettes. in contrast to $9.5\%$ of the healthier. (5) Mental health status was heathier among positive health behavior earners. Health counseling and education shown better score of mental health than those never counseled. (6) Positive health behavior practice frequency did not show significant differences when crossed by social activity participation status. (7) Health behaviors of the rural elderly people were carried out better when they had positive 'continuency in therapeutic procedure' 'health status'. 'familial relationship'. 'Health Status' of the rural olderly were explained by 'exercise'. 'drinking'. 'familial relationship'. 'activities of daily living'. Thus, health behaviors practice mutually interact with health status. In conclusion. the health promotion and care program component are recommended to include ation on the necessity of positive health promotion active social acitivities. pleasant life style, adaption into changes on the elderly, safety in residential area. community acitivity and resource utilization. etc .. in addition to the elderly's disability and sickness caring services.

• 보건의료산업학회지
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• 제12권4호
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• pp.139-154
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• 2018

Objectives: The aim of this study was to examine factors influencing health-related quality of life of waged workers. Methods: This study used data from the Seventh Korea National Health and Nutrition Examination Survey. Data were analyzed with the $x^2-test$, t-test, ANOVA, and multiple regression. Results: The significant predictors of health-related quality of life were depression, subjective health status, age, activity limitation, education, worker status, monthly income, drinking, smoking, physical injury, stress, and moderate physical activity. Conclusions: Personal health characteristics, psychological characteristics, socioeconomic characetrictics and working characetrictics affect health-related quality of life. Health-related quality of life is also affected by social structural problems such as socioeconomic factors and employment instabilitye. In addition to the development of health care programs to improve health-related quality of life of twaged workers, policy changes are needed to improve the social structure.

• 치위생과학회지
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• 제12권2호
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• pp.93-102
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• 2012

보건의료분야의 제반환경의 개선에도 불구하고 국민들의 구강건강상태는 아직도 OECD국가 중에서 매우 열악한 상태이다. 국민들의 구강건강을 효율적으로 증진유지하기 위해서는 중대구강병인 치아우식증을 예방하고 조기에 치료할 수 있는 구강보건진료가 이루어져야 한다. 특히 평생구강건강유지에 중요한 연령층인 초등학교학생들을 대상으로 정기적인 계속구강건강관리제도가 시급히 필요하나 초등학생 대상 계속구강건강관리방식의 치아우식예방관리법의 효과에 관한 사례가 부족한 실정이다. 따라서 광주광역시 소재의 S 치과에 2005년 12월부터 2006년 2월에 내원한 만6세에서 13세 환자 중 환자보호자의 동의를 받은 총 39명을 대상으로 실험군과 대조군으로 분류하여 치아우식활성도와 치아우식경험도를 조사하여 지역사회 치과의원에서 기초자료로 활용할 목적으로 시행한바 다음과 같은 결과를 얻었다. 1. 계속구강건강관리군의 기간별 Alban's test 및 Lactobacillius test 점수는 6개월경과 후 초진시의 1.4배에서 1.5배 감소되었고, 12개월경과 후 초진시의 1.5배에서 1.6배 감소되었다(p<0.001). 2. 계속구강건강관리군의 기간별 간이구강위생지수는 6개월과 12개월경과 후 초진시의 1.6배 감소되었다(p<0.05). 3. 12개월경과 후 우식경험영구치지수는 계속관리군(1.88개)에서 대조군(2.72개)보다 1.4배 감소되었으며, 우식영구치지수는 계속관리군(0.07개)에서 대조군(0.85개)보다 12배 감소되었다(p<0.05). 4. 12개월경과 후 제1대구치건강도는 계속관리군(98.04%)에서 대조군(95.97%)보다 1.02배 높게 나타났다(p<0.05). 이상과 같은 결과에 의하여 지역사회 치과의원에서 지속적인 계속구강건강관리제도를 시행하여 아동의 평생구강건강상태를 유지시켜야 한다고 사료되었다.

• 대한한의학회지
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• 제32권1호
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• pp.97-108
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• 2011

Objective: This study aimed to analyze the utilization of Oriental medical services and its determinants among the elderly. Method: Data from a Korean longitudinal study of aging was used. Regression analysis was used to find the determinants of the utilization of medical care. Results: People with low education and low income were more likely to use Oriental medical services. Determinants of using Oriental health service were sex, marriage, income, subjective health condition, activity restriction due to pain, and chronic disease. Among them, only subjective health condition and activity restriction due to pain were significant determinants of frequency of and expenditure on Oriental medical services. Especially, activity restriction due to pain was a significant factor in the use of Oriental medical services, but not in the use of Western medical services. Conclusion: Treatment related to pain was closely associated with Oriental medical services. These treatments need to be developed with scientific and clinical evidence.

• 한국콘텐츠학회논문지
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• 제10권4호
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• pp.98-105
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• 2010

사람들의 건강에 관련된 혈당, 혈압, 활동량 등을 생체 센서를 이용하여서 생체 정보를 획득하고, 건강상태를 모니터링하기 위한 시스템을 개발하기 위한 연구가 많이 되고 있다. 본 논문에서 생체 정보를 모니터링하여 분석하는 u-헬스 케어 에이전트 시스템을 개발하였다. 활동량 측정은 3축 가속도계 센서 기술을 이용한다. 3축 가속도 센서에서 획득되는 정보를 이용하여 활동량을 분석하여 정확한 활동량을 계산하는 알고리즘을 개발하였다. 기존 시스템들 보다 더 정확한 소모 칼로리를 계산하고, 이를 데이터베이스에 저장 관리한다. 또한 활동량과 생체 정보를 활용하여 건강 상태를 점검할 수 있다.

• 한국치위생학회지
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• 제20권5호
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• pp.571-580
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• 2020

Objectives: This study aimed to investigate the factors associated with unmet dental needs among adults with activity limitations. Methods: Data were obtained from the seventh Korean National Health and Nutrition Examination Survey (KNHANES). The final sample consisted of 945 adults aged 20 years or older with limited activity. Logistic regression analysis was used to examine the influence of predisposing, enabling, and need factors on unmet dental needs. Results: The proportion of adults with unmet dental needs during the last year was 52.2% in the middle-aged group and 45.5% in the older adult group. Higher household income was associated with fewer unmet dental needs in both groups. In the older adult group, married people were less likely to have unmet dental needs. In the middle-aged group, adults who perceived their oral health as poor were more likely to have unmet dental needs. Conclusions: All three factors (predisposing, enabling, and need) were found to be associated with unmet dental needs among adults with activity limitations. Special efforts should be made to improve access to dental care services for middle-aged adults with activity limitations.

• 융합보안논문지
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• 제15권7호
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• pp.63-68
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• 2015

급속한 인구 고령화 시대에 노인들의 건강한 삶을 위해서는 질병예방과 관리가 무엇보다 중요하다. 규칙적인 신체활동은 노인들의 신체적 정신적 건강을 위한 유용한 중재방법으로 알려져 있다. 본 연구에서는 노인들의 규칙적인 신체활동을 유도하기 위한 중재 방식으로 IT기술이 적용된 융합형 콘텐츠들을 탐색하였다. 건강관리와 IT기술 융합으로 u-Healthcare와 기능성 게임을 들 수 있으며, 이 중 게임적 요소인 재미에 교육, 훈련, 치료 등의 특별한 목적이 부가된 기능성 게임은 신체활동을 유도하는 다양한 콘텐츠를 제공하기에 매우 적합하다 할 수 있다. 노인들의 신체활동 향상을 유도하여 건강관리에 도움이 되는 콘텐츠로 "Puffer(ATARI, 미국)", "WiiFit(닌텐도, 일본)", "Age Invaders(MXR Lab, 싱가포르)", "Xbox $360^{\circ}$+kinect(Microsoft, 미국)", "체감형 자전거 게임(동신대학교, 대한민국)", 그리고 "3D 게이트볼 게임(숭실대학교, 대한민국)" 등이 있었다. 이들 콘텐츠의 활용을 통해 신체활동량을 증가시킴으로써 노인들의 일상생활에서 요구되는 체력요인과 신체기능 향상을 도모하고 심리적 안정과 긍정적 정서를 가능하게 하여 건강을 유지 증진시키고 질병 예방을 도모할 수 있을 것이다.

• 가정간호학회지
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• 제26권1호
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• pp.72-80
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• 2019

Purpose: This study aimed to measure health-related quality of life (HRQoL) and investigate the relevant factors for middle aged women using the 2014 Korea Health Panel data. Methods: The Korea Health Panel data 2014 were collected from February to August 2014 by the Korea Institute for Health and Social Affairs and the National Health Insurance Corporation and included 2,075 people who responded to the questionnaire. Using SPSS WIN program, the data were analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis. Results: Limited activity was the most influential factor for the health-related quality of life of middle-aged women. For health behavior, the factors affecting HRQoL were drinking, sleeping time, and physical activity. For physical health, factors affecting HRQoL were vision problems, eating problems, and hearing problems. For mental health, the factors affecting HRQoL were suicidal impulse, stress, and frustration. Conclusion: These results indicated that to improve HRQoL for middle-aged women, limited activity and suicidal impulses should be addressed.