• 한국치위생학회지
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• 제21권6호
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• pp.731-740
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• 2021

Objectives: The purpose of this study was to examine the effects of oral and mental health status on temporomandibular joint disorders (TMDs) and the effects of TMD symptoms on quality of life using data from the 5th 2012 National Health and Nutrition Examination Survey. Methods: A total of 1,154 people were selected as subjects for the study. Temporomandibular joint (TMJ) sounds (672 persons), TMJ pain (227 persons), and TMJ dislocation (255 persons) were the factors studied. The complex sample chi-square test was performed to compare demographic characteristics according to the three groups of TMD symptoms. Complex sample logistic regression analysis was performed to confirm the effect of oral and mental health status on TMDs, and complex sample linear regression analysis was performed to check the effect of TMDs on the quality of life (EQ-5D). Results: After adjusting for demographic characteristics, those without TMJ sound symptoms had lower pain/discomfort (OR: 0.055, CI: -0.095 to -0.016) and anxiety/depression (OR: 0.053, CI: -0.092 to -0.014). Those without TMJ pain had lower pain/discomfort (OR: 0.119, CI: -0.192 to -0.046) and anxiety/depression (OR: 0.071, CI: -0.137 to -0.004). Pain/discomfort (OR: 0.063, CI: -0.125 to -0.001) was lower in those without TMJ dislocation symptoms. After adjusting for mental health status, pain/discomfort (OR: 0.088, CI: -0.161 to -0.014) was found to be lower in those without TMJ pain symptoms (p<0.05). Conclusions: Based on the results of this study, the treatment of TMDs, oral health, and also mental health, is needed to improve the quality of life.

• 한국산학기술학회논문지
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• 제19권1호
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• pp.355-367
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• 2018

본 연구는 C시에 소재한 보건소의 방문건강관리 대상 노인 중 만성 관절통증이 있는 65세이상 취약계층 재가 여성노인 234명을 대상으로 삶의 질에 영향을 미치는 주요 요인을 파악하기 위한 서술적 상관관계 연구이다. 본 연구의 자료는 일반적 특성, 통증양상, 통증정도, 지각된 건강상태, 일상생활능력, 수면양상, 우울, 삶의 질로 구성된 구조화된 설문지를 통해 2017년 2월 16일부터 3월 13일에 걸쳐 수집되었으며, t-test, ANOVA, 상관분석, 위계적 다중 회귀분석으로 분석하였다. 연구결과, 대상자의 일반적 특성을 포함하여 대상자의 삶의 질에 영향을 미친 변수는 우울(${\beta}=-.60$, p<.001), 통증정도(${\beta}=-.15$, p=.007), 의료보장 유형(${\beta}=.15$, p=.001), 지각된 건강상태(${\beta}=.14$, p=.007), 통증지속기간(${\beta}=-.10$, p=.019), 결혼상태(${\beta}=.10$, p=.024), 일상생활능력(${\beta}=.09$, p=.036)순으로 나타났으며, 모형의 총 설명력은 63.1%였다. 본 연구를 통해 만성 관절통증이 있는 재가 여성노인의 삶의 질을 향상시키기 위해서는 지역사회 중심의 체계적인 우울 예방 및 관리 프로그램 운영이 우선 실시되어야 하며, 특히 경제적으로 취약한 공적부조 대상 노인의 삶의 질에 관심을 기울여야 하고, 통증 발현 초기부터 통증에 대한 정확한 사정을 토대로 통증완화중재 개입을 시행해야 한다.

• 한국보건간호학회지
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• 제23권1호
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• pp.91-100
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• 2009

Objectives: The purpose of this study was to compare the health status and life satisfaction of elders in charged and free welfare facilities. Methods: The subjects of this study were selected among those without cognitive impairment from charged (124 persons) and free (126 persons) welfare facilities in D city. The data were analyzed using frequency analysis, $x^$ test, and t-test. Results: Subjective health status was significantly higher for the residents in the charged welfare facilities. The data collected indicated significantly higher scores for the residents at charged welfare facilities when questioned regarding the physical health status, sense, personal hygiene, excretion control and activity. The data collected indicated significantly higher scores for the residents at charged welfare facilities when questioned regarding the mental health status, recall of breakfast side dishes, awareness of dates, interests in daily matters, feelings of happiness, feelings of loneliness and depression. Life satisfaction was significantly higher for the residents at the charged welfare facilities. Conclusions: There were significant differences in health status and life satisfaction of elders in charged and free welfare facilities.

• 가정∙방문간호학회지
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• 제24권1호
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• pp.61-68
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• 2017

Purpose: The purpose of this study was to understand how disease activity and uncertainty influence anxiety and depression in patients with ankylosing spondylitis Methods: Participants were 125 patients with ankylosing spondylitis who had attended the rheumatology division of a university hospital. A structured questionnaire was used to assess disease activity, uncertainty, anxiety, and depression. The data gathered were analyzed using t-tests, ANOVAs, Pearson correlation coefficients, and a multiple regression. Results: Differences were observed in anxiety based on job status, and in depression based on age, marriage, and job status. Uncertainty and disease activity predicted patients' anxiety and explained 40% of the variance in this measure, and the relative influence of uncertainty (${\beta}=.38$, p<.001) was larger than that of disease activity (${\beta}=.30$, p<.001). Furthermore, uncertainty and disease activity predicted depression and explained 36% of the variance therein, and the relative influence of uncertainty (${\beta}=.27$, p=.002) and disease activity (${\beta}=.27$, p=.003) was similar. Conclusion: This study confirmed that disease activity and uncertainty influenced anxiety and depression in patients with ankylosing spondylitis. Therefore, efforts to decrease anxiety and depression in patients with this condition must take into consideration disease activity when implementing nursing interventions and should include strategies to lower uncertainty.

• 디지털융복합연구
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• 제16권3호
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• pp.457-468
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• 2018

본 연구는 섬유근통증후군환자를 대상으로 요가자조관리프로그램을 실시하여 대상자의 건강상태와 우울에 미치는 효과를 규명하고자 시도하였다. 연구에 참여한 대상자는 G시에 소재한 일개 대학병원에서 섬유근통증후군으로 진단받은 환자이다. 참여자 수는 총 43명으로, 실험군 21명과 대조군 22명이다. 실험군에게는 8주간 주 2회 총 16회의 요가자조관리프로그램을 요가센터에서 실시하였고, 가정에서도 시행 할 수 있도록 개발한 요가DVD와 사진자료, 교육용 책자를 제공하였다. 대조군에게는 중재 없이 사전검사와 사후검사를 실시하였다. 자료의 분석은 SPSS 18.0 Program을 이용하였다. 연구의 결과, 실험군이 대조군보다 유의미하게 건강 상태(압통점, 섬유근통증후군영향척도)가 향상되었고, 우울은 감소하여 섬유근통증후군 환자의 중재전략에 효과가 있음을 확인하였다.

• 보건행정학회지
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• 제30권3호
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• pp.366-375
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• 2020

Background: The purpose of this study is to investigate association between harms from the alcohol consumption of others and depression measured by Patient Health Questionnaire-9, perceived stress among Korean adults. Methods: This study used data from the 7th Korea National Health and Nutrition Examination Survey (2016-2018; n=9,668). We used multivariate survey logistic regression analysis in order to investigate the association. Results: Among participants, 5.55% had experience for harms from the alcohol consumption of others. Among them, 15.25% had depression and 8.97% had perceived stress. Multivariate survey logistic regressions revealed that objective depression and perceived stress were associated with harms from the alcohol consumption of others (objective depression: odds ratio [OR], 3.30; 95% confidence interval [CI], 2.32-4.70; perceived stress: OR, 2.04; 95% CI, 1.62-2.56). Conclusion: Objective depression and perceived stress was significantly associated with harms from the alcohol consumption of others. This study suggests that government agencies and policy makers should recognize current status, further, develop a plan to identify the causes of harms from the alcohol consumption of others and protect vulnerable groups.

• 한국산학기술학회논문지
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• 제16권10호
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• pp.7146-7156
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• 2015

본 연구는 노인 만성질환자의 건강행위, 회복탄력성, 웰다잉 인식이 우울에 미치는 영향을 파악하여 노인 만성질환자의 우울을 중재할 수 있는 기초 자료를 제시하고자 시행하였다. 본 연구 대상자는 노인 만성질환자 185명을 대상으로 2015년 2월 13일부터 3월 20일까지 실시하였으며, 자료분석은 SPSS 20.0 program을 사용하였다. 연구결과 건강행위는 2.60점, 회복 탄력성은 3.14점, 웰다잉 인식은 3.41점, 우울은 3.29점이었다. 우울은 건강행위, 웰다잉 인식과 부적 상관이 있는 것으로 나타났으며 우울에 가장 큰 영향을 미치는 변인은 건강행위, 주관적인 건강상태, 웰다잉인식, 동거여부, 성별 순이었으며 변인들에 의한 설명력은 44.8%이었다. 따라서 노인의 우울은 단순한 요인이 아니므로 신체적, 심리적, 성별 차이 등 다양한 요인들을 고려한 맞춤형 중재 프로그램 개발이 필요하다.

• 대한통합의학회지
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• 제7권1호
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• pp.57-64
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• 2019

Purpose : This study was implemented to identify the risk conditions influencing suicidal ideation in a nationally representative sample of elderly South Koreans. Methods : Data from 1,152 men and 1,581 women aged 65 years or older were gathered from the 2013 and 2014 Korea National Health and Nutrition Examination Survey VI. All analyses were performed using SPSS. To determine significant correlations between risk condition and suicidal ideation, a t-test was used. Results : There were differences in suicidal ideation according to the following individual factors: age, educational background, marital status, economic activity, recognition of stress, experience of depression, and economic status. There were differences in suicidal ideation according to the following health-related factors: subjective health status, EQ-5D (EuroQoL-5 Dimensions), hours of sleep, and BMI. There were also differences in suicidal ideation according to the following disease-related factors: HTN, COPD, asthma, stroke, depression and osteoarthritis. Conclusion : The findings indicate that broad intervention programs should be distributed to prevent suicidal ideation. It is also recommended that programs be developed in a way that can help manage the variables identified in this study. Furthermore, follow-up studies should be conducted to verify the program.

• The Journal of Korean Physical Therapy
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• 제29권2호
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• pp.62-68
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• 2017

Purpose: This study was conducted to identify the impacts of stroke patients' general and disease-related properties on depression and family support. Methods: Subjects consisted of 79 persons who were diagnosed with cerebral hemorrhage and cerebral infarction and met the criteria for selection. The Korean version of Beck depression inventory (BDI) and a revision of the family support developed by Cobb were used. Frequency analysis of the subjects' general and medical history properties was conducted, and one way ANOVA was utilized to evaluate the degree of depression and family support with respect to the properties. Pearson's correlation coefficient was conducted to investigate the degree of depression and family support. Results: Participants showed no significant difference in depression based on the subjects' general and disease-related properties (p>0.05), although there were significant differences in family support based on marital status, hobbies and the medical expenses payers (p<0.05). The correlation between family support and depression was r=-0.491 (p<0.01). Conclusion: Through the results of this study, it was found that general and disease-related properties would not have any impact on depression while they would affect family support.

• 보건교육건강증진학회지
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• 제31권1호
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• pp.27-43
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• 2014

Objectives: The purpose of this study was to evaluate depression of mothers with children in early childhood and to identify predictors by income level. Methods: The research was conducted with 1,761 data from the 3rd wave of the Panel Study of Korean Children(PSKC) data. Independent variables were socio-demographic data, self-esteem, normative life-events, non-normative life events, parenting stress, marital conflict, social support. Data were analyzed by t-test, ANOVA, hierarchical multiple regression analysis were conducted. Results: Significant factors of depression of female in low-income were non-normative life events, parenting stress, marital conflict. In middle class, significant factors were education, birth order of children, self-esteem, normative and non-normative life events, parenting stress, marital conflict, sociable support. At last, we found that marital conflict was the biggest factor for depression of female in low-income and parenting stress was the most powerful predictor in middle class. Conclusions: Mother's depression has a enormous impacts on development of children in early childhood. Therefore It is required to prevent depression in mothers and it is important to intervene at the early stage of depression. Results of this study showed a different pattern of predictors by income level. Therefore, Intervention and services for a mother's depression should change the direction depending on the level of income.