• Title/Summary/Keyword: 간호학

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Factors Associated with Unawareness of Early Symptoms of Stroke and Myocardial Infarction in Adults with Hypertension and Diabetes: Focused on Management related to Disease (고혈압, 당뇨병 성인의 뇌졸중 및 심근경색증 조기 증상 비인지 관련 요인: 질병 관리 관련 특성을 중심으로)

  • Kwon, Young-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.1
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    • pp.60-74
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    • 2021
  • The purpose of this research was to determine the degree of awareness of early symptoms of stroke and myocardial infarction in adults diagnosed with hypertension and diabetes, and to analyze factors related to unawareness. Raw data from the 2017 Community Health Survey were utilized. A total 12,277 adults older than 40 years were included in analysis finally. The early symptom awareness rates of stroke and myocardial infarction were 53.6% and 46.8%, respectively. Logistic analysis was performed to assess factors associated with unawareness of early symptom of stroke and myocardial infarction. After correcting for socio-demographic variables, education for the management of hypertension, recognition of blood pressure level and HbA1c level were significantly related to stroke early symptom unawareness on multivariate analysis. (Education for the management of hypertension, recognition of blood pressure level and HbA1c level were significantly related to the unawareness of early stroke symptoms even after socio-demographic variables were corrected in multivariate analysis.) Recognition of blood pressure level and HbA1c level were also significantly associated with unawareness of early symptoms of myocardial infarction. Therefore, it is required to interventions and strategies to improve the level of awareness of early symptoms of cardio-cerebrovascular disease, such as accelerating promotion and strengthening education for high-risk groups who must manage both hypertension and diabetes.

The Effect of Factors on Aggression in Adolescents: Focusing on Individual, Parent, Friend Factors and SNS Usage (청소년의 공격성에 영향을 미치는 요인: 개인·부모·친구 요인과 소셜네트워크서비스(SNS) 이용 정도를 중심으로)

  • Lee, Yejin;Kim, Kyong-Beom;Heo, Min-Hee;Noh, Jin-Won;Im, Yu-Mi
    • The Journal of the Korea Contents Association
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    • v.21 no.4
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    • pp.699-706
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    • 2021
  • This study aims to identify the effects of factors on aggression in adolescents, focusing on the individual, parent, friend factors and SNS usage. In particular, this study is to provide a basis for easing aggression in adolescence by considering the emotional relationship of parents and friends. This study analyzed frequency, t-test, one-way batch distribution analysis(ANOVA), and multi-linear regression, using the data from the 7th year of the Korean Children and Youth Panel Survey. As a result, adolescents who frequently use SNS are more aggressive than adolescents who use less. Among the parental factors, the more abuse and excessive interference were found to be more aggressive, and the higher the coach, the lower the aggressiveness. Furthermore, among the friend factors, it has been shown that the higher the alienation, the more aggressive adolescents are. In order to reduce aggression among adolescents, it is necessary to prepare an integrated program considering the emotional relationship of parents and friends, who are the most influential neighbors, rather than simply restricting the use of SNS.

Analyzing Health Information Technology and Electronic Medical Record System-Related Patient Safety Incidents Using Data from the Korea Patient Safety Reporting and Learning System (환자안전보고학습시스템 자료를 활용한 의료정보기술 및 전자의무기록시스템 관련 환자안전사건 분석)

  • Cho, Dan Bi;Lee, Yu-Ra;Lee, Won;Lee, Eu Sun;Lee, Jae-Ho
    • Quality Improvement in Health Care
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    • v.27 no.2
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    • pp.57-72
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    • 2021
  • Purpose: At present, there are a variety of serious patient safety incidents related to problems in health information technology (HIT), specifically involving electronic medical records (EMRs). This emphasizes the need for an enhanced electronic medical record system (EMRS). As such, this study analyzed both the nature of and potential to prevent incidents associated with HIT/EMRS based on data from the Korea Patient Safety Reporting and Learning System (KOPS). Methods: This study analyzed patient safety incidents submitted to KOPS between August 2016 and December 2019. HIT keywords were used to extract HIT/EMRS incidents. Each case was reviewed to confirm whether the contributing factors were related to HIT/EMRS (HIT/EMRS-related incidents) and if the incident could have been prevented (HIT/EMRS-preventable incidents). The selected reports were summarized for general clarity (e.g., incident type, and degree of harm). Results: Of the 25,515 obtained reports, 2,664 incidents (10.4%) were HIT-related, while 2,525 (9.9%) were EMRS-related. HIT/EMRS-related incidents were the third largest type of incident followed by 'fall' and 'medication incidents.' More than 80% of HIT/EMRS-related incidents were medication-related, accounting for approximately one-third of the total number of medication incidents. Approximately 10% of HIT/EMRS-related incidents resulted in patient harm, with more than 94% of these deemed as preventable; further, sentinel events were wholly preventable. Conclusion: This study provides basic data for improving EMR use/safety standards based on real-world patient safety incidents. Such improvements entail the establishment of long-term plans, research, and incident analysis, thus ensuring a safe healthcare environment for patients and healthcare providers.

Effect of HPV Prevention Education on College Students Based on Planned Behavior Theory (계획된 행위이론에 근거한 대학생의 HPV예방교육 효과)

  • Lee, Sun-Young;Lee, Hye-Kyung
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.6
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    • pp.1722-1734
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    • 2021
  • The purpose of this study was that HPV prevention education based on the planned behavioral theory was designed to provide college students with HPV vaccine knowledge, cervical cancer knowledge, attitude toward HPV vaccination, subjective norms for HPV vaccination, perceived behavioral control for HPV vaccination, and HPV vaccination. This is an experimental study to confirm the effect on the intention to vaccinate and the behavior of HPV vaccination. The subjects were arbitrarily expressed as 32 subjects in the experimental group and 34 subjects in the control group. The collected data were analyzed by descriptive statistics, t-test, χ2-test, Fisher's exact test and repeated Measures ANOVA. As a result, the experimental group participating in HPV prevention education was compared to the control group who did not participate in HPV vaccine knowledge (t=5.66, p<.001), cervical cancer knowledge (t=4.13, p<.001), attitude (t=2.24, p=) .032 ), subjective norm (t=2.83, p=.008), perceived behavioral control (t=2.65, p=.013), and intention (t=3.91, p<.001) were significantly different. After 4 weeks of HPV prevention education intervention, there was a significant difference in the interaction between group and time course of HPV vaccination intention (F=6.95, p=.002). Therefore, it was confirmed that HPV prevention education is an educational program that can be applied to college students.

An explanatory model for Health Promoting Behaviors in Korean High School Students: An ecological approach (고등학교 청소년의 건강증진행위 설명모형:생태학적 접근)

  • Kang, Na-Gyeung
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.6
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    • pp.1405-1422
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    • 2021
  • This study aimed to construct and test a hypothetical model to explain health-promoting behaviors among high school students in Korea. Data were collected from a self-administered questionnaire of 395 first-year to third-year students at a high school in Gyeonggi-do area. The exogenous variables of this study were family function, friend support, school life environment, and social capital of the local community, and endogenous variables were self-efficacy, self-regulation, and health-promoting behaviors. Data were analyzed by SPSS 21.0 and AMOS 22.0. The final model with 13 of the 9 analyzed paths showed a good fit to the empirical data: χ2/df=1.96, GFI=.90, AGFI=.88, CFI=.94, TLI=.93, RMSEA=.05, SRMR=.06. The variables included in these paths were family function (β=.57), self-efficacy (β=.29), self-regulation(β=.14), the social capital of local community (β=.14), and friend support (β=.13). The variables included in the nine significant paths explained 86% of variance in the explain model. Thus, it is necessary to build up a social support system for dysfunctional families and health-promoting behaviors of adolescents in the families and develop a program for creating the environment of the local community including schools.

Study on Self-worth and University Life Adaptation of Paramedicine Department Students (응급구조학과 학생들의 자기가치감과 대학생활적응)

  • Song-Yi Han;Hyo-Jin Won
    • Journal of Digital Policy
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    • v.2 no.3
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    • pp.17-24
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    • 2023
  • This study identified the degree of self-worth and college life adjustment of students in the department of paramedicine, and analyzed whether there was a difference according to the presence or absence of religion and the intimacy of family members. An online survey was conducted on 183 students in department of paramedicine students attending a university, and the subject's gender, religious affiliation, and intimacy with family members were analyzed by frequency and percentage. Self-worth and adjustment to college life according to the presence or absence of religion and intimacy with family members were analyzed by mean, standard deviation, t-test, and ANOVA. As a result, there was a difference in self-worth according to religion status and family closeness. According to intimacy with family members, there was a significant difference in academic adjustment among the sub-factors of college life adjustment. Through the results of this study, it is necessary to consider the existence of religion and intimacy with family members in setting up a counseling strategy tailored to the factors of personal self-worth improvement and college life adjustment. It is proposed to develop a college life adjustment promotion program to improve various self-worth, apply it to department of paramedicine students, and verify its effectiveness.

Effects of Female Highschool Students's Sense of Self-Control and Social Support on Their Daily Stress (여고생의 일상적 스트레스에 자아통제감과 사회적 지지가 미치는 영향)

  • Ran-Hee Hwang
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.3
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    • pp.363-373
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    • 2023
  • This purpose of this study was to survey sense of self-control, social support and daily stress in female highschool students and to identify variables influencing daily stress. Data were collected 164 female highschool students. Data were handled statistics using t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient and Stepwise Regression Analysis. The mean score of sense of self-control was 20.47±3.86. There was statistically significant difference in sense of self-control on factor such as satisfaction of school life. The mean score of social support was 105.88±19.63. There were statistically significant difference in social support on variables such as satisfaction of school life, parental rearing attitudes. The mean score of daily stress was 58.96±17.33. There was statistically significant difference in daily stress on factors such as relationship with school fellow, satisfaction of school life and parental rearing attitudes. Daily stress was negatively correlated with sense of self-control and social support. Sense of self-control was positively correlated with social support. Factor influencing daily stress were social support, sense of self-control, which explained 45%. Further study with careful sampling will be needed to reduce the daily stress of highschool students.

Factors Influencing Knowledge and Prevention Behavior of Osteoporosis in Low-income Middle-aged Women (저소득층 중년 여성의 골다공증 지식과 골다공증 예방행위에 영향을 미치는 요인)

  • Eun-Jeong Jeon
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.3
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    • pp.392-401
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    • 2023
  • This study was to identify the association between osteoporosis knowledge and performance of osteoporosis preventive behaviors among low-income middle-aged women, and to determine the impact of these variables on osteoporosis preventive behaviors. The subjects were 317 middle-aged women from low-income who visited three general hospitals in P city, and data were collected from February 1, 2021 to December 30, 2022 using structured questionnaires. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, and Stepwise multiple linear regression using SPSS/WIN 27.0 program. As a result of the study, the osteoporosis knowledge of the subjects was low at 11.97±6.89 points, which showed a difference in the case of osteoporosis prevention education, fracture experience. The osteoporosis prevention behavior was low at 41.03±7.63 points, which showed a difference according to religion, comorbidity, osteoporosis prevention education and fracture experience, and subjective health status. There was a statistically positive correlation between osteoporosis knowledge and osteoporosis prevention behavior(r=.527, p<.001), and the factors affecting osteoporosis prevention behavior were fracture experience(𝛽=.415, p<.001), osteoporosis prevention education(𝛽=.359, p<.001), and self-rated health(𝛽=.186, p<.001). Therefore, it is necessary to develop a program that can promote osteoporosis prevention behavior of middle-aged women in low-income and to prepare measures to encourage participation.

The effect of COVID-19 Stress on Premenstrual Syndrome in Female College Students: Mediating Effects of Depression and Coping with Premenstrual syndrome (여대생의 코로나19 스트레스가 월경전증후군에 미치는 영향: 우울과 월경전증후군 대처의 매개효과)

  • Na Won An
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.3
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    • pp.462-475
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    • 2023
  • This study is descriptive research to identify the effect of COVID-19 stress on premenstrual syndrome in female college students and the mediating effect of depression and coping with premenstrual syndrome. The data were collected through an on-line survey for 20 days from November 11 to November 30, 2021, targeting female college students attending C College located in S city. As a result of analyzing a total of 161 data, COVID-19 stress was positively correlated with premenstrual syndrome(r=.383, p<.001) and depression(r=.436, p<.001), and coping with premenstrual syndrome had a positive correlation only in premenstrual syndrome(r=.190, p=.016). As a result of verifying the mediating effect of depression and coping with premenstrual syndrome between COVID-19 stress and premenstrual syndrome, COVID-19 stress had a significant direct effect on premenstrual syndrome(β=4.907, p=.002), and depression(β=6.780, p<.001), and depression had a significant direct effect on premenstrual syndrome(β=.383, p=<.001), coping with premenstrual syndrome had a direct effect on premenstrual syndrome(β=4.292, p=.030) respectively. The indirect effect of verifying the mediating effect in the relationship between COVID-19 stress and premenstrual syndrome confirmed that there was a statistically significant effect only in the path via depression(95% CI, 1.282 to 4.140). Therefore, it is necessary to develop an intervention strategy to reduce depression and alleviate premenstrual syndrome symptoms by controlling related stress, such as COVID-19 stress, in preparation for the outbreak of new infectious diseases and pandemic situations such as COVID-19.

Factors related to the Experience of Violence Damage among Multi-cultural and General Adolescents in Korea: Focusing on health risk behavior (한국 다문화 청소년과 일반 청소년의 폭력피해경험 관련요인 : 건강위험행위를 중심으로)

  • Paek, Kyung-Shin
    • Journal of the Korean Applied Science and Technology
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    • v.39 no.2
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    • pp.193-204
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    • 2022
  • This study was to identify factors related to the experience of violence damage, focusing on health risk behavior of multi-cultural and general adolescents in Korea. Data from the 15th online survey of youth health behavior (2019) was used to analyze 35,574 adolescents. The data were analyzed using complex sample analysis by using SPSS/Win 22.0. The multi-cultural adolescents had significantly higher experience of smoking and habitual drug use and violence damage than those ordinary adolescents. In both multi-cultural and general adolescents, the more they did not live with their family, the more they had smoking experience and habitual drug use experience, the higher they experienced violence. The experience of violence victimization of general youth was significantly related to gender, school, economic status, and drinking experience. To prevent the violence victimization of adolescents, social support for adolescents who do not live with their families is required, and careful attention is needed to adolescents who have smoking and drug use experience. In addition, since multi-cultural youth are more vulnerable to health risk behaviors and violence damage than general youth, educational programs are needed to induce multi-cultural youth to practice correct health behaviors and prevent experiences of violence.