• 치위생과학회지
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• 제9권4호
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• pp.475-483
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• 2009

한국 노인을 대상으로 외국에서 비교적 높은 신뢰도와 타당도가 입증된 Oral Health Impact Profile 14(OHIP 14)를 한국의 문화적 특성이나 사고방식에 맞게 번역하여 강릉시에 거주하는 노인 만 65세 이상 668명을 대상으로 2005년 1월부터 2월까지 2개월간 OHIP 14 지표의 신뢰도와 타당도를 검증(Kappa index, Cronbach's alpha Correlation & Spearman ranked correlation coefficient)하고, OHIP 14와(구강)건강인식도, 구강건강상태, 전신건강 상태와의 차이를 검증(Kruskal Wallis test, Mann-Whitney U-test)함으로써, 향후 우리나라 노인 구강건강문제를 포괄적으로 파악하기 위한 지표로 활용할 수 있는 지를 검토하고자 하였다. 1. (구강)건강인식도와 OHIP 14는 전신건강인식도, 구강건강인식도, 치과치료필요도, 구강건강만족도, 통증에 대한 시각적 정도, 틀니만족도, 구강건강상태와 OHIP 14는 무치악 여부, 현존 자연치아의 개수, 치아치료필요, 전신건강상태와 OHIP 14는 질병의 개수, 치매, 눈, 귀, 호흡기, 심혈관, 소화기, 비뇨생식기, 근골격계, 신경계, 심리상태가 상관관계가 있는 것으로 나타났다. 2. (구강)건강인식도에 따른 OHIP 14는 전신건강인식도, 구강건강인식도, 치과치료필요도, 구강건강만족도, 통증에 대한 시각적 정도, 틀니만족도, 구강건강상태에 따른 OHIP 14는 무치악 여부, 치아치료필요, 현존 자연치아의 개수, 전신건강상태에 따른 OHIP 14는 치매, 귀, 호흡기, 심혈관, 소화기, 근골격계, 신경계, 심리상태에서 현저한 차이를 보였다. 본 연구는 일부 노인에서 임상지표를 이용한 OHIP 14에서 (구강)건강인식도, 구강건강상태, 전신건강상태가 OHIP 14와의 타당도와 연관성이 있다는 사실을 일부에서 확인할 수 있었다. 이상의 결과로 향후 한국노인의 구강건강문제를 포괄적으로 파악하는데 전통적인 구강건강 상태검사, 전신건강상태검사와 더불어 '구강건강 관련 삶의 질' 지표인 OHIP 14를 활용할 수 있을 것으로 사료된다.

• 한국병원경영학회지
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• 제24권3호
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• pp.61-71
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• 2019

Purposes: The purpose of this study is to analyze nurses' perception on the clinical career ladder system which was introduced to enhance the nursing capabilities in general hospital. Methods: Research data has been collected for approximately 30 days since March 28, 2017 from 171 nurses who had been involved in the clinical career ladder system, 177 nurses who had not participated, and a total of 348. Finding: The study results showed that nurses' perception on the cost effectiveness of clinical career ladder system is significantly different depending on the sex, age, program experience, personal stage in the clinical career ladder system and the individual's health condition. In addition, the nurses' willingness to pay for the clinical career ladder system was significantly associated with their department and the needs for the system. With adjusted age, gender, position, education and marital status, nursing competency was 8.71(95% Confidence Interval; 4.79 to 12.63) in the presence of system experience, but the perception on clinical career ladder system was 4.34(95% Confidence Interval; -6.84 to -1.84). Practical Implications: Based on the study results, we expect that more hospitals introduce the clinical career ladder system and also use these study results as basic data for securing excellent nurses.

• 보건행정학회지
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• 제26권3호
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• pp.207-218
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• 2016

Background: This study was performed to identify factors associated with the utilization of tests for diabetes complication and hemoglobin A1c (HbA1c) among diabetes patients in Jeollanam-do, Korea. Methods: The study subjects were 2,310 diabetes patients participated in 2014 community health survey in Jeollanam-do, Korea. Dependent variables were the utilizations of fundus examination, microalbuminuria test, and HbA1c test. The used statistical analysis methods were chi-square test and hierarchical regression analysis with weight in consideration of complex sample design. Results: The utilization rates of fundus examination, microalbuminuria test, and HbA1c test were 25.8%, 27.4%, and 12.3%, respectively. In the results of hierarchical regression, fundus examination was significantly related to age, education level in predisposing factors, residential area in enabling factors and recognition of blood sugar, drug therapy, and subjective health status in need factors. Microalbuminuria examination was significantly related to monthly income, residential area in predisposing and health screening, recognition of blood sugar, drug therapy, diabetic education, number of chronic disease, and subjective health status in need factors. HbA1c examination was significantly related to age, education level, marital status in predisposing factors, residential area in enabling factors and drinking, recognition of blood sugar, drug therapy, and diabetic education in need factors. Conclusion: The results of this study were shown that perception of their disease seriousness, education about diabetes management, and accessibility of tests were important to utilization of test for diabetes complication and HbA1c. It might be necessary to the develop and strength strategies for enhancing the utilization of tests for diabetes complication and management in diabetes patients.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3301-3307
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• 2016

Background: Cancer is a leading cause of death in Korea. To prevent cancer, it is essential to facilitate and promote appropriate cancer screening behavior in the adult population. The aim of this study was to examine health beliefs related to cancer screening intentions using the Health Belief Model (HBM). Materials and Methods: The research participants comprised 275 male health and safety managers at commercial companies in Korea. The self-administered survey explored demographic characteristics, cancer-related factors, beliefs about cancer/cancer screening (BCCS) (vulnerability to cancer, severity of cancer, benefits of screening, and barriers to screening), and cancer screening intention. Multivariate logistic regression analyses were used to identify factors associated with an intention to be screened for cancer. Results: Perceived health status and need for cancer prevention education were major factors associated with BCCS. Poorer health status was associated with greater perceived vulnerability, a perception of fewer benefits, and more barriers (p<0.05). A perceived greater need for cancer prevention education was associated with a higher perceived severity of cancer and more perceived barriers to screening (p<0.05). Marital status, cancer screening experience, and perceived vulnerability to cancer were significant influences on the cancer screening intention (p<0.05). Participants who had undergone cancer screening in the past 2 years were more likely to intend to be screened for cancer than were those who had not been screened; this was true across all degrees of intention and all types of cancer (p<0.01). Hesitant people considered themselves less vulnerable to gastric, lung, and liver cancer than did the poeple who intended to undergo cancer screening (p<0.05). Conclusions: Based on our findings, we recommend that workplace cancer prevention programs attempt to increase awareness about vulnerability to cancer among workers who hesitate to undergo cancer screening.

• 한국융합학회논문지
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• 제13권5호
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• pp.389-400
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• 2022

본 연구는 1인 가구원의 정신건강의 영향요인을 확인하기 위하여 수행되었다. 제8기 1차연도 국민건강영양조사 자료(2019)를 활용한 연구로 연구대상자는 19세 이상의 1인 가구원 768명이었고, SPSS/Win 21.0 프로그램을 사용하여 복합표본 분석을 하였다. 1인 가구원 중 스트레스 인지가 높은 경우는 29.9%, 우울감이 있는 경우는 16.2%, 자살생각이 있는 경우는 8.2%로 나타났다. 스트레스의 영향요인은 연령과 주관적 건강상태이었고(p<.001), 우울감 영향요인은 가구소득, 주관적 건강상태 및 스트레스 인지로 나타났으며(p<.001), 자살생각 영향요인은 연령, 가구소득, 주관적 건강상태, 스트레스 인지 및 우울감이었다(p<.001). 본 연구결과는 1인 가구원의 정신건강 서비스 개선을 위한 기초자료로 활용될 수 있을 것이다.

• 한국보건간호학회지
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• 제31권2호
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• pp.341-351
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• 2017

Purpose: The aim this study was to identify the factors that influence the social adjustment of North Korean defectors. The participants were 156 North Korean defectors over 20 years old residing in G and C cites. Methods: The data were collected from August 1 to October 31, 2014, and analyzed using the SPSS/WIN 21.0 program with one-way ANOVA, t-test, Pearson correlation coefficients and multiple stepwise regression. Results: The general characteristics, such as family, health status, and job, had a significant influence on social adjustment. The level of depression and anxiety was less than moderate and the levels of self-esteem, hope, and social adjustment were moderate. The correlations among depression, anxiety, self-esteem, hope, and social adjustment were significant. These variables showed an explanation rate 28% and self-esteem (${\beta}=.17$), depression (${\beta}=-.15$), anxiety (${\beta}=-.15$), hope (${\beta}=.14$), job (temporary)(${\beta}=-.10$), health status (bad)(${\beta}=-.07$), job (no)(${\beta}=-.04$) were statistically significant among the variables that influenced social adjustment. Conclusion: A program of nursing intervention is needed to care for the mental and physical health problems as well as social education to reduce the negative perception of North Korean defectors.

• 디지털융복합연구
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• 제14권1호
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• pp.229-240
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• 2016

본 연구는 의무기록사들의 직업전문성 인식도와 그의 관련요인을 알아보고자 종합병원에 근무하고 있는 의무기록사 428명을 대상으로 2015년 9월 1일부터 30일까지 기간 동안 표준화된 자기기입식 설문지를 이용한 설문조사를 실시하였다. 연구결과, 조사대상자들의 직업전문성 인식도는 연령이 낮을수록, 학력이 낮을수록, 기혼군보다 미혼군에서, 월수입이 낮을수록, BMI가 낮을수록, 직위가 낮을수록, 업무에 대해 만족하지 않는다는 군에서, 업무가 적성에 맞지 않는다는 군에서, 업무의 전환의사가 있다는 군에서, 규칙적인 운동을 하지 않는다는 군에서, 아침식사를 규칙적으로 하지 않는다는 군에서, 의무기록사의 사회경제적 지위가 낮다고 인식할수록, 응답자 자신의 사회경제적 지위가 낮다고 인식할수록, 장래 의무기록사에 대한 사회적 지위 전망이 좋지 않다고 인식할수록 유의하게 낮았다. 특히 위계적 다중회귀분석에서 인구사회학적 특성과 직업관련 특성이 직업전문성 인식도와 높은 관련성을 보이고 있어 의무기록사들의 직업전문성 인식도에는 인구사회학적 특성 및 직업관련 특성 변수들이 높은 관련성을 보이고 있음을 시사하고 있다.

• 한국환경보건학회지
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• 제37권4호
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• pp.323-331
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• 2011

Objective: This study aimed to examine the level of risk perception related to pesticide contamination of food products and associated sociodemographic factors, as well as investigate the association with environmental pollution preventive behaviors. Methods: Based on data from Social Survey conducted in 2008 among a nationally representative sample of the population 15 years or older, we estimated proportions and 95% confidence intervals of the risk perception of pesticide contamination of food products. Logistic regression analyses were used to analyze the effects of sociodemographic status on risk perception. Results: Among respondents, those who feel anxious about the risks of pesticide contamination of domestic food products accounted for 40.4%, whereas the proportion rose to 87.0% with imported food products. These numbers showed that levels of anxiety about the pesticide contamination of imported food products were ranked at the top, and those for domestic products were at the bottom of the list of all environmental pollutants examined in the survey. Significantly related factors to anxiety about pesticide contamination of food products included women, the 40-50 age group, university graduates, married, non-manual employment, having school-aged children, and owning one's own home. The population attempting to prevent environmental pollution showed higher levels of anxiety about pesticide contamination of food products than did those who were not taking such steps. Conclusion: Compared to other forms of environmental pollution, Koreans show the highest levels of anxiety about pesticide contamination of imported food products. Therefore, it is necessary to establish appropriate regulations and transparent risk communication with the public about the safety of imported food.

• 한국치위생학회지
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• 제4권2호
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• pp.265-276
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• 2004

The purpose of this study,was to find out health status, characteristics related to working conditions, occurrence of low back pain and its related factors among dental hygienists working in dental clinics, and, thus, to provide basic information necessary to set up some plans for preventing the occurrence of low back pains and improving working conditions for dental hygienists. The data were collected from 310 dental hygienists working at dental clinics in Pusan and Kyungnam area, including Masan, Changwon, Jinhae and Jinju, with a self-administered questionnaire and were analyzed finally for 295 records with SPSS for Windows(7.52K) program. The results were as follows : Working condition was considered to be fair by 562% of dental hygienists were thought to threaten their health in the dental clinics. About seventy percent of dental hygienists worked over ten hours a day and 72.8% were standing while working over 7 hours, 65% considered working hours too long. Health status was thought be more than average for 82.3% while more than half perceived certain degree of stress frequently. The rate of complaining low back pains among dental hygienists was 87.8% with pains more than medium level for 39.3%. The variables significantly related to the degree of low back pains were height, uncomfortable postures, type of working postures and the height of working table, while some variables including height, hours of working on the feet, the presence of hazardous work environment, uncomfortable postures, the presence of hazardous works, the amount of working hours, type of working postures and work-associated stresses, were significantly related to the number of symptoms for low back pains. Multiple regression analysis showed that occurrence of low back pains was significantly influenced by 5 factors such as subjective status of health, work-related stresses, the degree of perception to work environment, the degree of perception to the amount of working hours and age. In conclusion, it might be necessary to manage working conditions effectively by reducing working hours, making good postures while working and removing stressful conditions in order to reduce risk factors for the occurrence of low back pains among dental hygienists. Therefore good working postures, assignment of appropriate rest time and some programs for early detection, care and education of low back pains should be provided for the dental hygienists.

• 한국노년학
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• 제30권4호
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• pp.1095-1106
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• 2010

본 연구의 목적은 복부비만이 있는 노인의 자가 건강 평가를 위한 건강수준 측정 도구를 개발하는 것이다. 연구대상은 노인 총 255명 (예비조사 56명, 본 조사 199명)이며, 건강수준 측정 도구 설문지의 타당도와 신뢰도를 검증하였다. 조사기간은 2009년 6월에서 8월까지 실시되었고, 수집된 자료는 SPSS 12.0 프로그램을 이용하여 평균, 표준편차, 내적일관성 신뢰도 분석, 요인분석으로 분석하였다. 연구결과로는 첫째, 경험적 인터뷰 자료와 이론적 자료에 의한 개념으로 구성된 문항을 간호학과 교수 4인, 예방의학과 교수 1인에게 내용타당도를 검증받았다. 둘째, 요인분석 결과 사회적 수준(사회참여 6문항, 신체활동 2문항), 신체적 수준(질병인식 4문항, 신체지표 2문항), 심리적 수준(정서적 지지 2문항)으로 3개 영역 5개 하위요인으로 추출되었다. 셋째, 신뢰도 검사 결과 전체 문항에 대한 Cronbach's α는 .868로 높은 신뢰도를 나타냈고, 요인별 문항의 내적일관성 신뢰도 범위는 .806에서 .577이었다. 따라서 본 연구에서의 건강수준 도구는 한국 복부비만 노인의 특성을 반영하기 위해 개념구성에서 이론적, 실증적 자료를 기반으로 구성하여 예비조사, 본조사를 통해 타당도와 신뢰도를 검증하였기에 복부비만이 있는 노인의 건강수준을 측정할 수 있는 적절한 도구로 평가할 수 있다.