• Journal of rehabilitation welfare engineering & assistive technology
• /
• v.8 no.4
• /
• pp.239-244
• /
• 2014

This research was carried out for the purpose of providing basic data to establish a policy for improving health and medical service inequality in the disabled's households, by analyzing it according to composed groups through the application of data about the panel survey of the employment for the disabled, from 2010 to 2012. The results of analysis showed that as for Gini's coefficient, disabled women, the disabled without participation in economic activities, the disabled in their 40s, physically handicapped people and severely disabled people had more and more inequality in expenditure of health care expenses, and inequality in North Gyeongsang Province continued to be on the rise. As for the entropy coefficient, disabled women, the disabled without participation in economic activities, the mentally disabled and severely disabled people had more and more inequality in consumption of health care, and the inequality got severe in Ulsan and North Gyeongsang Province. And as for the decomposition of factors by composed group, inequality in health care expenses were higher inside a group than between groups. Based on these results, research limitations and implications were suggested.

• Journal of Korean Public Health Nursing
• /
• v.21 no.2
• /
• pp.146-157
• /
• 2007

Purpose: To investigate the effect of self-efficacy and self-esteem on the mental health of the elderly in a rural area. Method: The subjects were 120 elderly aged 65 years or over. The instruments used in this study were the self-efficacy, self-esteem, and mental health scales. The data were analyzed by SPSS Win version 10.0, including mean, standard deviation, t-test, ANOVA, and stepwise multiple regression. Results: The means were 78.95$\pm$8.11 for self-efficacy, 25.07$\pm$4.79 for self-esteem, and 82.58$\pm$9.78 for mental health. Mental health was significantly influenced by age, spouse, family type, general self-efficacy, social self-efficacy, and self-esteem. These variables accounted for 21.5% of the variances of mental health. Conclusion: The important factors that affected the mental health of the elderly were self-efficacy and self-esteem. Therefore, these findings may provide useful data for constructing a geriatric mental health program of the elderly in a rural area.

• Journal of Korean Public Health Nursing
• /
• v.24 no.1
• /
• pp.49-60
• /
• 2010

Purpose: This study investigated the quality of life, mental health and subjective health status of community dwelling cancer patients. Methods: Subjects were 212 out-patients with cancer at Kangwon University Hospital. The study was conducted from July 10 to August 14, 2008. Quality of life as determined by the Euro Quality of life-5 Dimensions (EQ-5D) was measured using Korea Centers for Disease Control and Prevention(KCDC). Mental health and subjective health status were measured using KCDC. Results: EQ-5D determined degrees of difficulty were 25.5%(mobility), 25.2%(anxiety or depression), 23.6%(pain or discomfort), 20.3%(activities of daily living), and 13.7%(self care). An analysis of the association between several factors and mental health showed that the statistically significant factors were age, gender, medical coverage, and private insurance. An analysis of the association between several factors and subjective health status showed that the statistically significant factor was occupation. Conclusion: Cancer patients suffer from significant psychological distress. Programs that address mental and physical health would be beneficial.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.19 no.4
• /
• pp.211-220
• /
• 2018

This study was conducted to identify the mediating effects of the therapeutic relationship with mental health professionals between empowerment and recovery in mental illness. The participants were 168 adults in two community mental health centers and three rehabilitation centers in Jeonbuk. The data were collected by structured questionnaires from April 15 to April 30, 2015 and analyzed using descriptive statistics, Pearson's correlation coefficient, and multiple regression analysis with the SPSS 19.0 statistical program. The mean score of empowerment for mental illness, recovery and therapeutic relationship were $60.4{\pm}10.85$, $101.8{\pm}20.70$ and $74.5{\pm}14.30$, respectively. There were significantly positive correlations between recovery in empowerment and therapeutic relationship (r=0.33, p<0.001), as well as empowerment and recovery (r=0.51, p<0.001), while there were significantly positive correlations between therapeutic relationship and recovery (r=0.55, p<0.001). Therapeutic relationship had a partial mediated effect between empowerment and recovery, which was found to be significant by the Sobel test (z=3.706, p<0.001). The results of this study can be used as basic data for development of a practical recovery-enhancing program to promote therapeutic relationships and improve empowerment in relation to therapist of the mentally disabled.

• The Journal of the Korea Contents Association
• /
• v.13 no.1
• /
• pp.221-233
• /
• 2013

This study aims to explore how to cognize and perform case management process to community psychiatric rehabilitation center in Busan area. The case of case manager for 12 people obtained by conducting focus group interviews were in-depth analysis. Many commissioned by a variety of human service organizations in the contract and the client-centric intake has been received. Assessment, rather than a function of mental disabilities center service needs, planning difficulties in securing resource discovery and felt. Intervention phase focuses on direct service and when several agencies responsible for the case management approach. The possession of responsibility was unclear. Mainly monthly facilities within the checking step checks are being made, there was a desire for the realistic-supervision. Completion stage expectations showed a performance evaluation oriented, and individualized case management that can be represented well on the rating scale.

• The Journal of Korean Society for School & Community Health Education
• /
• v.25 no.1
• /
• pp.29-41
• /
• 2024

Objectives: This study used an efficient data mining algorithm to explore association rules between the lifestyle risk behaviors and multimorbidity (having more than one chronic disease) in Korean adults. Methods: We used data from the 8th Korean National Health and Nutrition Examination Survey(2019-2020) for 7,609 adults aged ≥19 years. This study was undertaken where 6 lifestyle risk behaviors and 11 morbidities were analyzed using R and Rstudio for the ARM. Results: Among 117 association rules, combinations of hypertension, dyslipidemia and diabetes, hypertension were important role in inadequate sleep, physical inactivity and inadequate weight. Conclusion: The findings of this study are significant because they demonstrate the importance of lifestyle risk factors and the role of multiple chronic diseases using big data analytics such as association rule mining. We recommend developing selective and focused health education programs, such as exercise programs to address physical inactivity, dietary interventions to address inadequate weight, and mental health education programs to address inadequate sleep.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2024.05a
• /
• pp.565-566
• /
• 2024

본 연구는 서울시의 우울증 진단 경험률 통계 데이터를 분석하여 지역별 우울증 발생 패턴과 인구 통계적 특성을 파악하고자 하였습니다. 결측치 처리와 이상치 조정을 통한 데이터 전처리 후, 연령대와 성별, 교육 수준 등 다양한 변수에 따른 우울증 진단률의 분포를 탐색적 데이터 분석을 통해 시각화하였습니다. 특히 여성과 고령 인구에서 높은 우울증 경험률을 관찰하였으며, 이를 통해 맞춤형 정신건강 개선 방안을 제시하고자 하였습니다. 본 연구는 정책 입안자와 보건 전문가들에게 유용한 인사이트를 제공하고, 효과적인 우울증 관리 및 예방 전략 개발에 조금이라도 기여할 것으로 기대됩니다.

• Proceedings of the Korea Society of Environmental Toocicology Conference
• /
• 2000.05a
• /
• pp.41-77
• /
• 2000

Responsible Care는 모든 종업원, 경영자 및 관리자의 환경, 안전, 보건에 대한 사고(mind)를 바꾸는 것이다. Responsible Care는 실행지침(management Practices)을 완전히 실행하는 것이 궁극적인 목표가 아니고 각 개인이나 회사가 자발적으로 지속적으로 환경, 안전, 보건의 Performance을 향상시키고 이에 스스로 약속하는 것이다. Responsible Care는 일회성의 프로그램이나 운동이 아니라, 화학 산업계가 계속해서 사회와 더불어 사업을 지속하기 위해, 화학 산업계가 스스로 만든 환경, 안전, 보건의 Performance을 향상시키기 위한 하나의 도구이며, 약속이다. Responsible Care는 화학산업계가 스스로 만든 도구이고 사회에 대한 약속이므로 환경, 안전, 보건에 대해 신의와 정직을 바탕으로 사회와 더불어 공존하는 마음가짐에 그 기본 정신이다. Responsible Care는 우리자신의 Performance를 향상시키는 것 뿐 아니라 우리의 고객 또는 다른 화학 회사들의 Performance를 향상시켜 궁극적으로 사회나 정부로부터 화학 산업에 대한 선호도를 향상시키는 것이다. Dow Korea는 CMA(American Chemical Manufactures Association)Code를 기본으로 환태평양 문화에 맞게 실행지침(Management Practices, Key Activities)을 수정한 Dow Pacific Area Responsible Care Code를 1993년부터 시작하였다. 시작 초기에 1997년 말에 모든 실행지침이 실행(Practices In Place)되도록 목표를 설정하여 생산 공장 관련 Code(CAER, Distribution, Employee Health and Safety, Pollution Prevention, Process Safety)의 대부분이 목표에 달성되어 생산 공장의 안전 사고 방지, 종업원 건강 증진, 페기물 발생 억제 분야에 상당한 성공을 거두었으며, 지금도 지속적으로 유지 관리 및 미비한 부분(CAER, 등)의 향상에 노력하고 있다. Dow Korea의 수입 판매 부분에 주로 관련된 Product Stewardship 및 Distribution Code는 여러 사업부 및 여러 지역(미국, 유럽, 아시아 등)에 위치한 담당자가 관련된 까닭에 가장 복잡한 부분이어서 많은 인력과 시간을 소비하면서 노력하고 있으나 아직까지 소정의 목표에 도달하지 못했으며, 2000년 말에 모든 실행지침이 실행되도록 목표, 실행 계획 및 조직을 수정하여 노력하고 있다.

• Journal of agricultural medicine and community health
• /
• v.27 no.1
• /
• pp.21-31
• /
• 2002

The aim of this study was to analyse and conduct the comprehensive geriatric assessment for the elderly in rural area. The subjects were 388 older people aged 65 years or older living in the community. Data for comprehensive assessment such as physical, mental, functional, social and environmental conditions were collected from January to February, 2001 through a person-to-person interview. Of the total 388 olders, 169(43.6%) were men and 219(56.4%) were women. Mean ages of men and women were $73.5{\pm}6.4$ and $74.0{\pm}6.2$ years respectively. Three common diseases of the elderly were arthralgia(51.6%), chronic back pain(33.2%) and hypertension(18.6%), and higher in women than in men. Impairment rate of vision, hearing and bowel or bladder control was 59.0%, 20.1%, and 28.4% respectively. But that of lover extremities 3.4%. In terms of cognitive function, short term memory loss was found in 33.7% of males and 44.7% of females. The percentage of fully independent in the six ADL items was 72.2% in men and 58.9% in women. In the social supportive system, 49.5% of the elderly were living with spouse, and 22.9% living alone, 26.3% having care giver. These results will provide basic data for the development of community-based health program, which gives appropriate health service for the elderly living in the community.

• Korean Journal of Psychosomatic Medicine
• /
• v.28 no.2
• /
• pp.168-176
• /
• 2020

Objectives : Loneliness and poor sleep quality are common phenomena in old age and are associated with negative physical and mental health. However, little is known regarding the relation between loneliness and sleep quality. The aim of this study was to examine the association of loneliness and sleep quality among the elderly living alone. Methods : This is a cross-sectional study that enrolled 1,090 subjects who are the community-residing elderly living alone. Sociodemographic status, medical condition, cognition, mood disorder, sleep quality and levels of loneliness were collected using a self-administered questionnaire and a specific semi-structured interview conducted by trained nurses. Descriptive statistics were used to analyze data regarding sociodemographic variable and loneliness. Univariate and Multivariate regression analyses were applied to examine the association between loneliness and sleep quality after adjustment for multiple confounding variables. Results : The Pittsburgh Sleep Quality Index (PSQI) mean score of "lonely group" (9.2±4.2) was significantly higher than that of "not lonely group" (7.3±3.7) (student-t test, p<0.001). Loneliness was significantly associated with PSQI (standardized β=0.065, p=0.025), sleep disturbance (standardized β=0.086, p=0.005), use of sleep medication (standardized β=0.065, p=0.034) after adjustment for possible confounding variables including sex and mood disorder. Conclusions : Loneliness was associated with sleep disturbance and this finding implied negative impact of loneliness on sleep quality of older adults. Public health promotion efforts to reduce loneliness may improve sleep quality and mental health in the elderly living alone.