• The Journal of the Korea Contents Association
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• v.16 no.12
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• pp.91-101
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• 2016

Using 1,419 lower-income group participating self-sufficiency program in Gangwon Province, this study investigated what would affect suicidal ideation of low-income. For the purpose showed significant differences in suicide ideation, as living status, subjective economic status, family friends neighbors contact frequency, using social services, chronic disease or not, drinking frequency, depression, the suicide of a family or someone close, suicide attempt by setting the independent variables was performed logistic regression analysis. The results showed that neighbors contact frequency, depression, the suicide of a family or someone close, suicide attempts affect suicidal ideation. It was an unusual result in lower-income group participating self-sufficiency program do not appear as factors affecting suicidal ideation. Based on the findings, this study provides suggestions to prevent suicide of lower-income and future research agenda.

• Journal of Korean Public Health Nursing
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• v.13 no.1
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• pp.25-40
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• 1999

This study was to identify various personal characteristics between those having a helper and those not having a helper for ADL and IADL performance in noninstitutionalized elders. Secondary analysis was done with the data collected in 1994 national survey of aged householders. Of the elders with ADL limitations $47.8\%$ had no helper. while $26.2\%$ of those with IADL limitations had no helper. Those elders with a helper experienced more limitations in ADL and in IADL than those with no helper. Most of the helpers were family members. whereas very few had a formal helper. Age period and subjective economic status were significantly different between the groups with a helper and with no helper for both ADL and IADL. Compared to the elders with a helper. those elders with no helper had fewer children living together. whereas they had more grandchildren. They also had more contacts with friends or neighbors. Health status. in general. was worse in those elders with a helper than those with no helper. Logistic regression analysis revealed that ADL and IADL limitations had largest influence on having an ADL helper. The odds ratios for low levels of subjective economic status were very high. As for having an IADL helper. IADL score was the most important predictor. In particular. ADL limitations had a negative effect on having an IADL helper. This finding may indicate the urgency of ADL needs. which leads to the lack of an IADL helper when both ADL and IADL limitations are present. Considering the nature of ADL. those disabled elders with low economic status need public support for their daily activities and for home visiting nursing services. There should be studies of examining the adequacy of help in satisfying basic needs for performing ADL and IADL in elders.

• Journal of Korean Academy of Nursing
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• v.50 no.4
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• pp.533-540
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• 2020

Purpose: This study aimed to evaluate nursing students' understanding of the prevention of COVID-19, as well as their anxiety towards the disease and their perception of their professional identity in the wake of the pandemic, in Zhengzhou, China. Methods: A cross-sectional study was designed to investigate 474 nursing students by cluster sampling using a stratified questionnaire from February 15 to March 31, 2020. Multiple linear regression was used to identify the factors affecting professional identity. Binary and multiple logistic regression were used to identify the factors affecting anxiety. Results: Responders with a high level of understanding of COVID-19 and frequent use of behavioral strategies for its prevention comprised 93.2% and 30.0% of the cohort, respectively. Professional identity was significantly associated with gender and anxiety (p < .050). The prevalence of anxiety among nursing students was 12.4%. Male (odds ratio [OR] = 2.39; 95% confidence interval [CI] = 1.26~4.52), sophomores (OR = 5.30; 95% CI = 1.61~7.45), and infrequent use of prevention measures (OR = 3.49; 95% CI = 1.16~5.19) had a significant effect on anxiety. Conclusion: Anxiety during the COVID-19 epidemic gives an adverse effect on the professional identity of nursing in students. Nursing education institutions need to provide psychological counseling services for nursing students, in addition to improving their teaching of COVID-19 prevention strategies.

• Korea Journal of Hospital Management
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• v.25 no.3
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• pp.29-37
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• 2020

Purposes: The purpose of this study was to identify the factors related to the long-stay hospitalization of dementia patients aged 65 years or older who had received inpatient care at geriatric hospitals according to the minute facility characteristics and patient features. Methodology: This study was conducted on 317,353 cases of 1,512 geriatric hospitals using the Health Insurance Review and Assessment Service dataset. The data collected were processed using the SAS Enterprise Guide 4.3 for descriptive statistics, the chi-square test, and the binary logistic regression analysis. Findings: As a result of the study, in the facility characteristics of geriatric hospitals, the long-stay hospitalization of the aged with dementia were found to be related to the type of facility establishment, the number of hospital beds, the number of medical specialists, the number of nursing personnel, and the number of geriatric hospitals by region and province. In the personal features of patients, the long-stay hospitalization was found to be associated with the gender, age, insurance, and the patient classification groups. Practical Implication: Considering the results of this study, it seems that securing the sufficient medical personnel in a geriatric facility, providing the good quality medical services, and preparing the appropriate discharge plan can reduce the unnecessary long-stay hospitalization and spend the medical expenses for the older patients.

• Korean Journal of Health Education and Promotion
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• v.26 no.2
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• pp.1-13
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• 2009

Objectives: This study identified how personal characteristics, family environment, governmental policy for the prevention and cessation of smoking might influence on adolescent smoking. Methods: This study used data from the 2006 Korea Youth Risk Behavior Web-based Survey of 71,404 middle school and high school students, giving a response rate of 90.9%. We selected 61,508 adolescents subjects of the final analysis without missing data on independent variables and dependent variables which are used in this study. This study used $\chi^2$ tests and logistic regression models. Variables were added to the regression model in three groups using a hierarchical approach.Results: Adolescents were significantly more likely to become current smokers if they were boys, were in a higher grade, and had lower academic achievement. Adolescents experiencing stress and depression were associated with increased risk of current smoking. Adolescents with single parents or students of non-living with parents comparing with students of living with parents showed the high possibility of smoking. Lower father's education was associated with increased likelihood of current smoking. Adolescents who were exposed to smoking at home were more likely to smoke. Adolescents without contacting with the antismoking media campaign was associated with increased likelihood of current smoking. Conclusion: Promoting antismoking media campaigns targeted at adolescent is required, and the smoking prevention education which are proper for subjects are required. Proper plans which could decrease the exposure of secondhand smoking should be established.

• Journal of the Korean Institute of Navigation
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• v.18 no.2
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• pp.91-109
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• 1994

Technological and organisational changes in transport system have introduced new dimension into port system development and inter-port competition. The quality of service now required by the customer is costly and not easily provided by small shipping companies and small ports. It has been suggested that in the future container shipping may be concentrated by space-sharing arrangements or actual mergers into the hands of a few mega-operators with the investment potential to provide total logistics networks. In order to compete effectively, high load factors will be essential and port concentration inevitable. A fa-voured few ports will become the load centres and other ports will assume a secondary feeder role. In this study, three questions are raised and attempts are made to answer them : (a) what is the new role of ports today ; (b) why should ports be engaged in this new role ; and (c) how can ports play this new role. In short, a modern port should be a service centre and a logistic platform for international trade and transport-a third generation port. Ports, in particular, have to make every effort to be competitive in the cost and quality of services and to make the port a transport and distribution service centre. For most ports, this is not an option but a must ; an essential requirement for survival in this win or lose situation. The best way to win is to maintain a close contact with port users, listen to them, discuss with them, help them and satisfy them. That is port marketing. Starting from the findings of port marketing, it is es-sential to work out appropriate development plans and marketing targets and to improve port competitive-ness. As an alternative method, a port competitiveness model is suggested, which may help port managers to make appropriate improvements.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.39C no.9
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• pp.811-819
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• 2014

Activity recognition is a key component in identifying the context of a user for providing services based on the application such as medical, entertainment and tactical scenarios. Instead of applying numerous sensor devices, as observed in many previous investigations, we are proposing the use of smartphone with its built-in multimodal sensors as an unobtrusive sensor device for recognition of six physical daily activities. As an improvement to previous works, accelerometer, gyroscope and magnetometer data are fused to recognize activities more reliably. The evaluation indicates that the IBK classifier using window size of 2s with 50% overlapping yields the highest accuracy (i.e., up to 99.33%). To achieve this peak accuracy, simple time-domain and frequency-domain features were extracted from raw sensor data of the smartphone.

• The Journal of the Convergence on Culture Technology
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• v.1 no.1
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• pp.15-26
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• 2015

The purpose of this study was to analyze the sexual related predicting factors for Female University students in Korea. The cross-sectional descriptive study design was used. We selected 320 students from 6 Universities located in Seoul, Chungchung-do and Gangwon-do by convenience random sampling and received IRB from Y Univ. 299 students were included in the final analysis using logistic regression. Among 299 students, 60.2% of students reported to have sexual experience. The result of analyzing the related factors to sexual experience revealed that the students who were having friends who had sexual experience, smokers and those who were high grade, had significantly more sexual experience. According to the results of this study, there should be an intensive and female tailed sexual related program development for the University students, especially for smokers and including smoking cessation program. And the school health services of University combined general staff working should be strengthened to protect the University students from the critical situation caused by unwanted sexual experience.

• Korea Journal of Hospital Management
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• v.9 no.4
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• pp.45-69
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• 2004

The purpose of this study is to identify the nature of the inpatient service quality of national university hospital, and based on that, to examine the relationship of hospital inpatient's perceived quality, overall satisfaction, customer loyalty(intention of revisiting, intention of oral transmitting). To carry out these objectives, first we analyzed the dimensions of inpatient care service quality using SERVQUAL scale. The SERVQUAL scale is based on the gap theory, that is, the difference of patients' expectations and the actually received medical care service in hospital. On the basis of this theory, we measured the inpatient's perceived service quality, overall patient satisfaction and customer loyalty. Data were collected by self-administered questionnaires at a 809 bed national university hospital. These questionnaires measuring the service quality were distributed to 400 inpatients. The data samples are 347 cases in final. The response rate was 86.8%. Firstly, to categorize inpatient service quality in hospital, the factor analysis was performed on 48 items. The reliability and validity of these items was evaluated. Finally to explore the relationship of service quality, overall satisfaction, and customer loyalty, the multiple regression and logistic regression analysis are used. This study shows firstly, the dimension of inpatient service quality was categorized into 7 dimensions, that is, kindness, medical service, nurse caring, environment, facilities, appropriateness and access. Secondly, the reliability and validity of inpatient service quality items was satisfied. Thirdly, as a result of multiple regression analysis, the effect of inpatient's perceived service quality, especially, nurse caring(P<0.01), environment (P<0.01), facilities, appropriateness and access variables(P<0.05), on overall satisfaction was statistically significant. Lastly, in case of the effect on customer loyalty as a intension of oral transmitting, medical service(P<0.05), environment(P<0.01) and overall satisfaction(P<0.01) are statistically significant. Also, in case of intension of revisiting, medical service, environment, access, and overall satisfaction variables are significant factors. In conclusion, to maintain the satisfaction and customer loyalty on national university hospitals, the efforts to improve the inpatient service quality, especially, environment, medical service, and access factors might be needed.

• Journal of Preventive Medicine and Public Health
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• v.40 no.2
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• pp.130-136
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• 2007

Objectives : Recent educational efforts have concentrated on patient's early hospital arrival after symptom onset. The purpose of this study was to evaluate the time interval between symptom onset and hospital arrival and to investigate its relation with clinical outcomes for patients with acute ischemic stroke. Methods : A prospective registry of patients with signs or symptoms of acute ischemic stroke, admitted to the OO Medical Center through emergency room, was established from September 2003 to December 2004. The interval between symptom onset and hospital arrival was recorded for each eligible patient and analyzed together with clinical characteristics, medication type, severity of neurologic deficits, and functional outcomes. Results : Based on the data of 256 patients, the median interval between symptom onset and hospital arrival was 13 hours, and 22% of patients were admitted to the hospital within 3 hours after symptom onset. Patients of not-mild initial severity and functional status showed significant differences between arrival hours of 0-3 and later than 3 in terms of their functional outcomes on discharge. Logistic regression models also showed that arrival within 3 hours was a significant factor influencing functional outcome (OR=5.6; 95% CI=2.1, 15.0), in addition to patient's initial severity, old age, cardioembolism subtype, and referral to another hospital. Conclusions : The time interval between symptom onset and hospital arrival significantly influenced treatment outcome for patients with acute ischemic stroke, even after controlling for other significant clinical characteristics. The findings provided initiatives for early hospital arrival of patients and improvement of emergency medical system.