• 한국응용과학기술학회지
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• 제40권6호
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• pp.1298-1308
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• 2023

본 연구는 대학생들이 받는 스트레스와 탈모와의 관련성, 탈모 인식 현황을 파악하고, 유형별 스트레스와 탈모 인식의 상관관계를 분석하는데 목적을 두고 경기도 지역 대학생들을 대상으로 245부의 설문지를 회수하여 SPSS 통계 패키지를 이용하여 분석하였다. 연구 결과 탈모로 인한 가장 큰 문제는 '자신감 상실'로 분석되었고, 특히 진로/취업과 학업에 대한 스트레스가 큰 사람일수록 '자신감 상실'에 대한 문제를 가장 심각하게 생각하고 있는 것으로 분석되고, 탈모 인식에 대한 일반적 특성과 '최근 가장 큰 스트레스' 항목의 교차분석 결과와 유형별 스트레스와 탈모 인식을 구성하는 탈모 현황의 상관관계분석 결과 모든 유형의 스트레스가 대학생 탈모에 영향을 미치는 것으로 분석되었다. 그중 가장 큰 영향을 미치는 스트레스는 진로/취업 스트레스와 학업 스트레스인 것으로 나타났고, 탈모가 생겼을 경우 대인관계나 경제적 문제에 앞서 진로/취업, 학업, 외모를 위해 보다 더 적극적으로 탈모 치료에 임할 의향이 있는 것으로 분석되었다. 따라서 본 연구는 스트레스를 유형별로 분류하고, 탈모 인식에 있어서 탈모 현황, 탈모 관리, 탈모 치료의 3가지 항목으로 구체화하여 실증적 연구 방법을 통해 상관관계를 분석하였다는 점에서 큰 의의가 있다고 판단된다.

• 디지털융복합연구
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• 제17권7호
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• pp.225-233
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• 2019

본 연구는 20-30대 미혼남녀 근로자의 결혼 필요성 인식 영향 요인으로 건강이 어떠한 영향을 미치는지 규명하고자 한다. 본 연구는 2016년 청년사회 경제실태조사의 원시자료를 이용하였다. 2,534명의 대상자 중 현재 근로자이며, 20-30대 미혼 남녀 904명이 분석에 포함되었다. 종속변수는 결혼 필요성 인식여부이고, 독립변수는 인구사회학적 특성인 나이, 성별, 키, 몸무게, 학력, 본인의 월 평균 소득, 부모님의 경제적 수준이었고, 건강관련 변수로는 주관적 건강, 일상생활 스트레스, 규칙적인 운동 여부 및 삶 만족도가 포함되었다. 통계분석은 로지스틱 회귀분석을 통해 수행하였다. 연구 결과, 20대 남성의 결혼 필요성 인식 영향 요인 변수는 발견되지 않았던 반면 20대 여성에서는 학력으로 나타났다. 30대 남성에서 규칙적인 운동을 할수록, 월 소득이 적을수록 결혼 필요성 인식에 긍정적이었다. 30대 여성에서 주관적 건강이 좋을수록 결혼 필요성 인식에 긍정적이었다. 본 연구의 결과는 30대 미혼남녀 근로자의 결혼인식에 건강이 영향을 줄 수 있음을 시사한다.

• Journal of Korean Biological Nursing Science
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• 제21권4호
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• pp.308-317
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• 2019

Purpose: This study aimed to investigate the level and related factors related to health-promoting lifestyle in operating room nurses in Korea. Method: A cross-sectional descriptive survey design was employed. The data were collected using questionnaire for three weeks in December 2018 from 110 operating room nurses working for more than six months in a general hospital located in Seoul. The Health Promoting Lifestyle Profile-II, The Korean Version of the Practice Environment Scale of Nursing Work Index, and Operating nurse's Job stress Factor Scale were used. Results: Significant relationships were observed between health promoting lifestyle and educational level(p= .025), perceived economic status (p= .001) wearing a lead apron for protection from radiation during the operation(p< .001), work satisfaction(p= .016), and fatigue related to work(p= .006). Also significant correlations were identified between nursing work environment and health promoting lifestyle. However, the health promoting lifestyle was not statistically different based on occupational stress(p= .365). In multiple linear regression analyses, the level of health promoting lifestyle found to be higher in subjects who did not wear a lead apron for protection from radiation(p= .017), and who had more positive perception of the nursing work environment(p= .034). Conclusion: In order to increase health promoting lifestyle of operating nurses, the strategies to improve the nursing work environment are essential.

• 대한간호학회지
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• 제22권2호
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• pp.238-247
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• 1992

Immigration of Koreans to the United States has increased since the 1960's. Adjusting to life in the United States produces a great deal of stress for immigrants. Despite better economic opportunites, many see the U.S. culture as threatening to their family and cultural values. Differences in culture, language, expectations and social behavior can lead to misunderstandings between health care providers and clients. These misunderstanding can leaf to frustration on the part of each. The ultimate result of this is that often Korean-immigrants do not get their health care needs met and stress response symptoms can lead to disease if there is no appropriate care. To determine the health care needs and concerns of Korean-Americans, a health needs assessment is needed. Appropriate and adequate information about the health care needs of these individuals is important as it relates to American policy changes allowing greater numbers of immigrants to enter the U.S. The purpose of this prospective study was to describe Korean-American stress response. This study focused on the primary presenting problems for which subjects reported having sought care. These included a variety of stress-related symptoms, including peripheral manifestations, cardiopulmonary symptoms, central-neurological symptoms, gastrointestinal symptoms, muscle tension, habitual patterns, depression, anxiety, emotional irritability and cognitive disorganization. Of the 300 subjects who entered the study, 80% (N＝223) completed the questionnaire in full. Demographically, the percentage of females and males was 50% each and they ranged in age from 20 to 69 years. Ninety percent of the subjects were highly educated, 25% owners of business, 25% white collar professionals, 15% employed in sales or as skilled /unskilled labor, 30% had no occupation : and 5% were housewives or students. The SOS inventory is designed to quantify self-perception of behavioral, cognitive, and physiological components of the stress response. It consisted of 94 items divided into 10 subscales. The result of this study are as follows : The total mean 505 of all subjects (N＝223 was .8129 ; the mean 505 for male(N＝114) was .7665 and for females, (N＝108) .8594. The level of symptoms for central-neurologic and muscle tension was higher for than for males. The highest stress response of all subjects was emotional irritability symptoms(1.0644) : the lowest stress response of all subjects was peripheral manifestation symptoms.

• 정신신체의학
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• 제4권2호
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• pp.207-214
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• 1996

본 연구의 목적은 시험스트레스 및 vitamin B 복합제가 혈장 ACTH, cortisol 및 prolactin치에 미치는 영향을 알아보고자 하는 데 있다. 본 연구는 의과대학 2학년 학생들 중 시험 4주전, 시험 2주전 및 시험기간 세차례를 모두 완료한 21명을 대상으로 하였다. 상기 혈장 hormone치는 방사성 면역분석법에 의해 측정되었다. 그리고 스트레스지각 및 정신병리는 global assessment of recent stress(GARS)척도와 SCL-90R척도를 사용하여 평가되었다. 혈장 ACTH치는 시험 4주전에 비해 시험 2주전과 시험기간 중에 각각 유의하게 더 높게 나타났다. 그러나 세기간 중 혈장 cortisol과 prolactin치는 각각 유의한 차이를 보이지 않았다. 한편 vitamin B투여 유무 간에는 혈장 ACTH, cortisol 및 prolactin치는 각각 유의한 차이를 보이지 않았다. 또한 시험 2주전에 경제적 문제와 관련된 스트레스지각 점수는 혈장 ACTH 및 prolactin치와 유의한 양상관성을 보였다. 시험 2주전에 적대감척도 점수는 혈장 ACTH치와 유의한 양상관성을, 편집증척도 점수는 혈장 ACTH치와 양상관성의 경향을, 시험기간 중 불안척도 점수는 혈장 cortisol치와 양상관성의 경향을 보였다. 시간경과는 물론 vitamin투여 유무에 따른 혈장 ACTH, cortisol 및 prolactin치의 변화량에 있어서도 유의한 차이를 보이지 않았다. 결론적으로 시험스트레스에 대해서 cortisol이나 prolactin보다는 ACTH가 더 예민한 반응을 나타내고, 주관적 스트레스지각이나 시험전 적대감 및 편집증, 그리고 시험기간 중 불안과 같은 정신병리가 상기 hormone과 관련될 가능성이 높다. 그러나 vitamin B복합제는 스트레스에 의한 상기 hormone의 변화에 영향을 미치지 않음을 시사한다.

• 한국학교보건학회지
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• 제36권3호
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• pp.113-125
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• 2023

Purpose: The purpose of this study is to develop a model for predicting mental health risk among adolescents based on health behavior information by employing a hybrid machine learning method. Methods: The study analyzed data of 51,850 domestic middle and high school students from 2022 Youth Health Behavior Survey conducted by the Korea Disease Control and Prevention Agency. Firstly, mental health risk levels (stress perception, suicidal thoughts, suicide attempts, suicide plans, experiences of sadness and despair, loneliness, and generalized anxiety disorder) were classified using the k-mean unsupervised learning technique. Secondly, demographic factors (family economic status, gender, age), academic performance, physical health (body mass index, moderate-intensity exercise, subjective health perception, oral health perception), daily life habits (sleep time, wake-up time, smartphone use time, difficulty recovering from fatigue), eating habits (consumption of high-caffeine drinks, sweet drinks, late-night snacks), violence victimization, and deviance (drinking, smoking experience) data were input to develop a random forest model predicting mental health risk, using logistic and XGBoosting. The model and its prediction performance were compared. Results: First, the subjects were classified into two mental health groups using k-mean unsupervised learning, with the high mental health risk group constituting 26.45% of the total sample (13,712 adolescents). This mental health risk group included most of the adolescents who had made suicide plans (95.1%) or attempted suicide (96.7%). Second, the predictive performance of the random forest model for classifying mental health risk groups significantly outperformed that of the reference model (AUC=.94). Predictors of high importance were 'difficulty recovering from daytime fatigue' and 'subjective health perception'. Conclusion: Based on an understanding of adolescent health behavior information, it is possible to predict the mental health risk levels of adolescents and make interventions in advance.

• 지역사회간호학회지
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• 제20권2호
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• pp.123-133
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• 2009

Purpose: This study aimed to classify nursing interventions by developing a list of interventions for family nursing care. Methods: A new intervention list was confirmed after the researchers' discussion and professional consult. All possible interventions were re-organized. Results: Five grand categories were identified, which include health education, providing direct nursing care, utilization and referral of community resources, reinforcing family resources, and stress management. The category of health education consists of anticipatory guidance, training and education, providing information, and consult and motivation. The category of providing direct nursing care consists of identifying problem, providing technical nursing, providing family tailored nursing care, family contract, monitoring or evaluation, and collaboration with experts. The utilization and referral of community services includes utilization of health care facilities, utilization of social welfare facilities, use of neighbors, friends, and relatives, connecting to professionals or supporting groups, and utilization of other sources. Reinforcing family resources includes reinforcing economic resources, reinforcing physical resources, and reinforcing human resources. Stress management includes reorganization of perception, resolving conflicts, division of role, preparing communication strategies, time management, creating familiarity, supporting spirituality, and developing sense of humor. Conclusion: This study provides useful resources to promote nursing activities by identifying possible family nursing interventions.

• 지역사회간호학회지
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• 제31권spc호
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• pp.577-590
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• 2020

Purpose: The purpose of this study was to find out the suicidal ideation rate of the elderly including individual and regional factors by sex. Methods: This is secondary analysis study that combines the data of the 2017 Community Health Survey with the e-indicator data set of the National Statistical Office, and a descriptive correlation study. Statistical analysis used hierarchical logistic regression by SAS 9.4. Results: The 11.5% of the elderly had suicidal ideation within the last year, and 18.4% in Chungnam is the highest. Individual characteristics include females, older people, lower education levels, no job or housewife, no spouse, less than seven hours of sleep per day on the average, low subjective health, high subjective stress, and the worse their economic conditions, the more they had suicide ideation. Considering regional characteristics, suicidal ideation tended to increase significantly as the number of hospital beds per 1,000 people and the rate of obesity was lower, the rate of stress perception was higher, and the odds value was small. When both individual and regional factors were considered, the model conformity of the suicidal ideation improved (ICC=0.0814). Conclusion: In order to lower the suicidal rate of the elderly, it seems that both individual and community factors need to be comprehensively approached from the stage of suicidal ideation in the community.

• 한국병원경영학회지
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• 제25권1호
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• pp.21-31
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• 2020

Purposes: Family living with dementia patients have the burden for caring and suffer from health problems. Therefore, proper supports for their health disorders are required. The purpose of this study with regard to this is to subdivide unmet healthcare needs of family living with dementia patients into affordability, accommodation, and accessibility and figure out the relevant factors. Methodology: The 2017 Community Health Survey was used, and 2,331 families living with dementia patients was included. To figure out the factors with regard to the types of unmet healthcare needs, multinominal logistic regression analysis was conducted. Findings: According to the analysis result, sex, age, monthly household income, economic activity, self-rated health, self-rated stress and perception of depressive symptoms turned out to be the factors related to unmet healthcare needs. Regarding affordability, unmet healthcare needs were low when the object was female, over 65, highly educated, and monthly household income were high. On the other hand, unmet healthcare needs was high when self-rated health was bad, self-rated stress was high, and had depression. With regard to accommodation, unmet healthcare needs were low when the object was over 65. Unmet healthcare needs were high when the object was female, economically active and had depression, and self-rated health was high. Regarding accessibility, unmet healthcare needs were low when the object was high school graduate, but it was high when self-rated health was bad. Practical Implication: This study confirmed that the family with dementia patients had a high proportion of unmet healthcare needs due to affordability and accommodation. The existing main discussion was that the experience of unmet healthcare needs normally occurred due to economic reasons, but a consideration on various cases and factors is required to ultimately achieve the policy goal to reduce the unmet healthcare needs of the family living with dementia.

• 한국학교보건학회지
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• 제35권3호
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• pp.143-151
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• 2022

Purpose: The purpose of this study was to examine the effects of being aware of the physical and psychosocial environment of the school on subjective feeling of happiness in Korean middle and high school students. Methods: The data of "Health and lifestyle Survey (2019)" conducted by the National Youth Policy Institute were analyzed after receiving approval though the website. A total of 5,311 middle and high school students were included in the analysis. Descriptive statistics, t-test, one-way ANOVA, pearson correlation, and multiple regression analysis were executed using SAS 9.4. Results: The mean score of subjective feeling of happiness was 6.92±0.56 out of 10. From the univariate analysis, the more positive the perception of the physical school environment was, such as classrooms, restrooms, exercise facilities, catering facilities, health facilities, other school facilities and school uniform, the higher the subjective feeling of happiness was (p for all <.001). In addition, the psychosocial environment of the school was significantly related to the happiness of adolescents (p<.001). After controlling for gender, school level, school grade, socio-economic status, and stress, positive perception of classrooms (B=0.04, p<.001), catering facilities (B=0.01, p=.021), health facilities (B=0.08, p<.001), and the psychosocial environment of the school (B=0.18, p<.001) was significantly associated with happiness of the students. Conclusion: Positive perception of the school environment was found to increase happiness in adolescents. Therefore, efforts should be made to make classrooms, catering facilities, and health facilities a pleasant space as well as to create a school atmosphere that values health.