• Title/Summary/Keyword: 보건 의료

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Relationship between Somatization and Mental Health of Registered Nurses (간호사의 신체화 증상과 정신건강의 관계)

  • Joo, Jungmin;Goo, Ae Jin;Kim, Sung-Wan
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.135-142
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    • 2020
  • Objectives : To identify the relationship between somatization, stress, depression, anxiety, and psychological symptoms risk for nurses working in the intensive care unit. Create clinical evidence of psychosomatic medicine research and complement the meaning of somatization. Methods : Seventy of the mental health checkups conducted by the National Mental Health Center among the nurses using tools including Perceived Stress scale, Fatigue Severity Scale, Patient Health questionnaire-15, Korean Beck Depression Inventory, Korean Beck Anxiety Inventory, and Symptom Checklist-90-Revision. Results : 12.9% of the patients experienced more than moderate somatization. There was no statistical relationship between somatization and psychological stress perception, but feeling of anxiety and decreased self-confidence were related to the level of somatization. The group with severe somatization experienced more depression and anxiety. The group with high physical fatigue also had no statistical relationship with psychological stress perception, but had an effect on the feeling of tension, stress, or decreased control. Physical fatigue level was increased by experience of depression, not by anxiety. For psychological symptoms the higher the level of somatization, the higher the obsession and hostility was explored. In the linear regression model, stress, depression, and anxiety accounted for 39.3% of somatization and 16.1% of physical fatigue symptoms. Conclusions : We can estimate the decrease in stress cognitive symptoms, accompanying depression and anxiety, compulsion and hostility as characteristics of somatization. The causal relationship between somatization and psychological symptoms cannot be confirmed in this study, but the interrelationships are observed, can be referred to mediation strategies.

Anti-cancer effects of Salicornia herbacea extract in OVCAR-3 cells by induction of apoptosis pathway (함초 추출물의 세포사멸 유도에 의한 난소암세포에서 항암 효과)

  • La, Yu Ri;Lee, You Rim;Lee, Dong Seok;Kim, Soo Hwan;Lee, Hyeong Seon
    • Korean Journal of Food Science and Technology
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    • v.53 no.1
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    • pp.34-39
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    • 2021
  • This study investigated the anti-cancer effects of Salicornia herbacea L. fractions in human ovarian cancer cells (OVCAR-3). S. herbacea powder was extracted with 95% EtOH and sequentially fractionated with hexane, dichloromethane (DCM), ethyl acetate, butanol, and H2O. Further, the growth inhibitory effects of the six fractions were determined using the MTS assay. The DCM fraction dramatically decreased cell viability. Similarly, the cell cycle was arrested at the subG1 phase in DCM-treated cells. To confirm apoptosis, the cells were stained with annexin V/FITC-PI solution. Total, early, and late apoptotic cells were significantly increased in the DCM fraction. The mRNA expression of Bcl-2 was reduced, whereas the pro-apoptotic factors Bax and Bak were increased in DCM fraction-treated cells. These results indicated that the DCM fraction in S. herbacea exhibited strong apoptotic effects through the p53-dependent signaling pathway.

Relationship Between Internal Marketing, Job Satisfaction and Organizational Commitment of Clinical Dental Hygienists (임상치과위생사의 내부마케팅, 직무만족도와 조직몰입간에 관련성)

  • Do, Yu-Jeong
    • Journal of Convergence for Information Technology
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    • v.10 no.12
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    • pp.1-8
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    • 2020
  • The purpose of this study was to identify the factors that influence the organizational commitment of clinical dental hygienists to contribute to manpower management. The subject of the study was 195, and the following results were obtained as a result of collecting and analyzing data using a self-filling questionnaire from March 10 to April 20, 2020. The degree of organizational commitment, job satisfaction, and internal marketing according to general characteristics were analyzed by t-test and one-way ANOVA, and post-test was set to'Scheffe'. The correlation between organizational commitment, job satisfaction, and internal marketing showed a significant positive correlation with job satisfaction (r=0.689) and internal marketing (r=0.678). The factors influencing organizational commitment were multiple regression analysis, and the influencing factors for organizational commitment were internal marketing and job satisfaction. The most influential factor was job satisfaction, and the explanatory power was 56.1%.As a result, the internal marketing of clinical dental hygienists was found to be related to job satisfaction and organizational commitment, and the factor that most affected was job satisfaction. Therefore, institutional and administrative support from dental medical institutions is needed to improve job satisfaction, which has an impact on organizational commitment of clinical dental hygienists.

The Effects of Evaluations of Social Safety Net and Trust in Government on the Willingness to Accept Tax Increases in the Era of COVID-19: the Moderating Role of Income Levels (COVID-19 시대 사회안전망 평가와 정부신뢰가 증세 수용에 미치는 영향: 소득 수준의 조절효과를 중심으로)

  • Roh, Minjung
    • The Journal of the Korea Contents Association
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    • v.20 no.12
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    • pp.154-165
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    • 2020
  • With a long-lasting pandemic of COVID-19, we have faced unprecedented socioeconomic threats. The regulation of human exchange has exposed us not only to the threat of health and medical care problems, but also to the burden of the contraction of economic activity. The outbreak of COVID-19 did give us an opportunity to reexamine the social safety net which has been prepared for such crisis situations. The current study, in this vein, aims to investigate the impact of evaluations of social safety nets on the trust in government and on individual willingness to accept tax increases. To this end, this study has explored the data from a survey conducted on 1,000 adult men and women across the country (South Korea) in May, 2020, when COVID-19 has entered a pandemic phase. The analysis result then has shown that the evaluation of social safety net after the outbreak of COVID-19 had a positive impact on the trust in the government, which in turn led to the increase of the willingness to accept tax increases. Moreover, the positive impact of trust in government on the willingness to accept tax increases has been more amplified when the income level was increased. These results could contribute to laying the theoretical foundation for restructuring the policies and systems for the post COVID-19 era.

A Study in the Health Information Use of Immigrants (이민자의 건강정보이용 실태 분석)

  • Jang, Seon Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.629-638
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    • 2020
  • This study was designed to investigate the health information usage of immigrants. A questionnaire survey was conducted on 171 immigrants. Data was analyzed for descriptive statistics, chi-square test, and Fisher's exact test. The frequency of migrants' use of health information is low, and the number of respondents who use health information less than once a month is highest. There were statistically significant differences in the frequency of use of health information according to age, occupation, and those who contracted diseases. The main source of health information was the Internet, and there were differences in the sources of health information according to age and whether the Internet was used. Most of the respondents used health information for themselves, and there was a difference in the targets of using health information according having a cohabitee and the perceived health status. It was found that the majority of immigrants do not actively use health information. However, when the age increased or the immigrant was unhealthy, the use of health information increased to solve health problems. Therefore, it is important to provide health information in a variety of ways according to the characteristics of immigrants.

The analysis of Factors associated with the Health Examination expenditure in a General Hospital based on the cased (일개 종합병원 종합(민간)검진 비용 영향요인 분석)

  • Lim, Ji Hyun;Suh, Won Sik
    • Korea Journal of Hospital Management
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    • v.25 no.4
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    • pp.76-93
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    • 2020
  • Purpose: In this study, the general characteristics of subjects who spent more than a certain amount of cost for general medical examination at the general hospital health promotion center, and the characteristics of disease, family history, and lifestyle (smoking, alcohol, physical activity, oral care) significantly differed in cost expenditure. We intend to provide basic data for establishing an appropriate marketing strategy for comprehensive examination. Method: It was conducted for users who received comprehensive checkups at a health promotion center at a general hospital in Seoul. The research data collection period is for 979 people who performed comprehensive examinations from January 2019 to December 2020. In order to carry out a comprehensive examination, a questionnaire before the examination was distributed to the subjects who visited the hospital to prepare, and the investigation was conducted in a way that the subjects of the investigation directly filled in. Results: There was a significant influence on the difference in expenditure for comprehensive examination according to the gender, age, and type of health insurance of the subject. In addition, there were significant differences in expenditure according to the presence or absence of disease and the type of family history. Weight loss, smoking history, smoking period, smoking frequency, drinking history, and drinking frequency all had significant effects on cost expenditure. Also, strength training and oral treatment management showed a significant effect on the cost of comprehensive examination. The number of flossing and interdental brushing was also found to have a significant effect. According to the results of multiple regression analysis, disease history (t=2.683, p<.01) and mean smoking frequency (t=4.315, p<.001) appeared to have the most significant effect on expenditure statistically. In other words, when the subject has a history of disease and when the average number of smoking is large, it means that the comprehensive examination cost is remarkably large. Conclusion: By using these contents, hospitals can further refine the marketing of the examination center. In addition, a more convenient and specialized process should be used by patients by linking the general medical department and the examination center well. In terms of management of operating medical institutions, this can be expected to create patients and increase profits.

Occupational Therapists' Perception and Communication of the Elderly (작업치료사를 대상으로 한 노인 인식 및 의사소통 현황)

  • Park, Sung-Ji;Han, Hee-Won;Jung, Yu-Jin;Woo, Hee-Soon
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.3
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    • pp.15-26
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    • 2020
  • Objective : Due to the rapid aging of the country, the elderly population is increasing and the ratio of face-to-face meetings with the elderly in major areas of occupational therapy is high. The purpose of this study was to investigate the overall perception of the elderly and the status of communication with the elderly. Methods : This survey was conducted From April to June 2020. Occupational therapists who provide interventions for the elderly in hospitals and public health centers across the country were collected using online questionnaires. A total of 91 questionnaires were collected through a self-administered questionnaire, of which 82 were used for data analysis, excluding 9 with insufficient responses. Results : Occupational therapists generally had a lot of negative perceptions of the elderly. In addition, as factors that hindered communication with the elderly, they responded in order of hearing-related, language understanding related, and articulation related. Lastly, occupational therapists were found to induce smooth communication with the elderly in the order of conversation response management, emotional expression, understanding enhancement, and relationship control. Conclusions : Occupational therapists are health care professionals who play a major role in improving the subjects' social participation and quality of life. Therefore, it is necessary to provide professional therapeutic interventions and related education using improved communication skills along with an understanding of the elderly's communication skills and their level of communication.

A Study on the Effect of Virtual Reality Intervention on Cognitive Function in Individuals With Stroke Through Meta-analysis (메타분석을 통한 뇌졸중 환자의 인지기능에 대한 가상현실 중재 효과 연구)

  • Kwon, Jae Sung
    • Therapeutic Science for Rehabilitation
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    • v.10 no.3
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    • pp.7-22
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    • 2021
  • Objective : The purpose of this study was to verify the effect of virtual reality interventions (VRIs) on cognitive function in individuals with stroke through a systematic literature review and meta-analysis. Methods : We reviewed randomized controlled trials (RCTs) the last 10 years using academic databases. PubMed, MEDLINE, and CINAHL were used for international studies, and DBpia, KISS, Kyoboscholar, and e-article were used for Korean studies. For the quantitative meta-analysis, subgroups of outcomes were classified into general cognitive function (G-CF), attention and memory (A&M), and executive function (EF). Results : Nine RCTs were analyzed. The total number of participants was 271 (140 in the experimental group). The effect size (Cohen's d) was estimated using a random effects model. The effect sizes of the outcome subgroups of were as follows: small to medium for G-CF (d=0.422; 95% CI: 0.101~0.742; p=0.010), small for A&M (d=0.249; 95% CI: -0.107~0.605; p=0.170), and medium for EF (d=0.666; 95% CI: 0.136~1.195; p=0.014). Conclusion : Considering the various stimuli provided by the virtual environment and the results from available research, virtual reality should be applied to interventions for integrated cognitive functions. In addition, it would be appropriate to be used as an additional intervention to traditional cognitive rehabilitation for stroke.

The Analysis of Research Trends in Korea on Nursing Informatics Competencies: A Scoping Review (간호정보역량 국내 연구동향 분석: 주제범위 문헌고찰)

  • Roh, Min;Kang, Hyun Seon;Kwon, Yong Eun
    • Journal of Digital Convergence
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    • v.20 no.4
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    • pp.779-790
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    • 2022
  • The purpose of this study was to identify research trends related to nursing informatics competency and to present further directions. This study was scoping review designed and used methodological framework by Arksey and O'Mally. The reviewed study were found through electronic databases and published from January 2000 to December 2021. There were a total of 18 studies that were included in the analysis. The framework is comprised of evaluating the characteristics and the topic of research conducted. Research in regards to nursing informatics competency has increased after 2010, and quantitative research and research with nurses as the primary subject accounted for the majority of the studies performed. Factors that influenced the outcome for the nursing informatics competency were education, position, and key variables were work performance, self-leadership, job satisfaction, nursing work achievements, nursing organizational culture, and working environment. This research is significant that it systematically reviewed the nursing informatics competency and set a direction for further studies. In the further study, it is necessary to reflect changes in the health care system and nursing work environment and it is suggested to develop educational programs to improve nursing informatis competency for nurses and nursing students.

Effects of periodic breast massage on the cyclical mastalgia of fertile women before their menstrual period (유방 마사지가 가임기 여성의 월경 전 주기적 유방통 완화에 미치는 효과)

  • Kang, Kyoung Ae;Lee, Ji A;Hur, Myung-Haeng
    • Journal of the Korea Convergence Society
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    • v.13 no.3
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    • pp.353-362
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    • 2022
  • This study was a randomized controlled trial to examine the effects of breast massage applied to women of childbearing age with cyclic mastagia on breast pain, breast hardness, nipple extensibility, breast size, and breast blood circulation. The study participants were 54 women with cyclic mastalgia who were recruited from Medical Center C, Women's Hospital M, department stores located in City D, and Internet cafes. The experimental treatment was to apply breast massage for a total of 30 minutes, 15 minutes each to the left and right breasts during the period of cyclic mastalgia. After experimental treatment, breast pain (F=49.16, p<.001), breast hardness (Rt t=8.93, p<.001; Lt t=-10.34, p<.001), nipple extensibility (Rt t=3.58, p<.001 ; Lt t=4.66, p<.001), breast size (Rt F=60.59, p<.001; Lt F=51.05, p<.001) and breast blood circulation (Rt t=-1.30, p=.201; Lt t=-2.82, p=.007) were significantly different between the two groups. In conclusion, breast massage performed in this study was effective in relieving breast pain, relieving breast hardness, and improving breast blood circulation in participants with cyclic mastalgia.