• 한국산학기술학회논문지
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• 제16권11호
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• pp.7844-7854
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• 2015

본 연구의 목적은 한국 여성 문제음주자의 음주실태, 건강행태, 건강관련 삶의 질과 우울의 정도를 파악하고, 건강행태와 건강관련 삶의 질이 우울에 미치는 영향을 파악하는 것이다. 본 연구는 보건복지부와 질병관리본부에 의해 2010년 1월부터 2012년 12월까지 시행된 제 5기 국민건강영양조사의 원시자료를 사용하였다. 본 연구의 대상자는 AUDIT(Alcohol Use Disorder Identification Test)에 의해 8점 이상으로 분류된 여성 문제음주자 328명이었으며, 자료는 IBM SPSS 21.0 프로그램으로 복합표본 분석하였다. 연구결과, 높은 수준의 스트레스를 인지하는 대상자와 건강관련 삶의 질이 낮은 대상자는 우울을 경험할 위험이 증가하였다. 또한 1-4시간의 수면을 취하는 대상자는 8시간 이상 수면을 취하는 대상자에 비해 우울을 경험할 위험이 증가하는 것으로 나타났다. 그러므로 한국 여성 문제음주자의 우울 및 정신건강 향상을 위해 이에 영향을 주는 요인인 스트레스, 수면, 건강관련 삶의 질 향상에 관심을 가져야 할 것이다. 특히 위험도가 높았던, 높은 수준의 스트레스를 인지하는 여성 문제음주자의 우울 관리를 위한 치료적 지지체계가 계획되어야 할 것이다.

• 동서간호학연구지
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• 제23권2호
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• pp.180-189
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• 2017

Purpose: This study was conducted to identify the perception of and attitude toward dementia and depression among residents in a community. Methods: Data were collected using the questionnaire from 226 residents in Incheon city from February to May, 2017. The data were analyzed using t-test, ANOVA and Scheffe's test to identify differences in perception of and attitude toward dementia and depression. Pearson correlation coefficients were used to identify the correlation between the study variables, and multiple regression was used to identify factors affecting depression. Results: There were significant differences in perception of dementia according to age, education, marital status, and exercise. Also, significant differences in attitude toward dementia were found in occupation, family history of dementia and education about dementia. Depression was significantly different depending on the type of health insurance coverage and alcohol drinking. The scores of perception of dementia and depression were 11.09, 2.37, respectively on a 2-point scale and for attitude toward dementia was 85.94 on a 7-point Likert scale. The perception of dementia was positively correlated with the attitude toward dementia and there were negative correlations between perception of dementia and age and between depression and attitude toward dementia. Conclusion: The results of this study suggest that we should improve perception of and attitude toward dementia and reduce depression to prevent and manage dementia effectively.

• Journal of Preventive Medicine and Public Health
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• 제21권2호
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• pp.365-373
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• 1988

Information on work stress and mental health status of industrial workers was required for optimum staffing and health care management. This study dealt with the relationship between mental health status examined by PSI(psychiatric symptom index) and socio-demographic variables. Especially this study attempted to find relevant determinants of the stress and mental health through multiple stepwise regression analysis based on data obtained from 687 occupational workers. The findings of this study were as follows; Mean scores of symptom dimension were higher in youth, female, more educated, unmarried and divorced, and workers in the noisy condition and short duration in job. And it showed high scores in long duration in job for anxiety; college educated for anger; unmarried for cognitive disturbance. The factors affecting the mean scores of psychiatric symptom index were varied according to the types of symptom: age, sex and duration in job for anxiety; age, sex, living with parent, education and marital status for anger; sex and marital status for depression; noisy condition and sex for cognitive disorder.

• 대한지역사회영양학회지
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• 제17권3호
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• pp.290-301
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• 2012

This survey of 836 midlife women ($51.0{\pm}4.0$ yrs) was undertaken by exclusively a face to face interview by well-trained interviewers guarantying data collection of higher quality. This survey data was analyzed using the SPSS program. The main purpose of this study was to describe the factors affecting self-rated health status, including dietary habits and physical mental social factors. In the self-rated health status of a 'good' group, age was lower (p < 0.05), monthly income was higher (p < 0.01), dietary habits score (p < 0.001) and appetite (p < 0.001) and the degree of movement (p < 0.001) and life satisfaction (p < 0.001), marital intimacy (p < 0.001) and relationship satisfaction with their children (p < 0.001) were significantly higher than the 'bad' group. The level of depression (p < 0.001) and severe feeling of menopausal symptoms (p < 0.001) were significantly higher in the 'poor' group. The results of correlation analysis demonstrated that educational level (r = 0.069, p < 0.05), income (r = 0.157, p < 0.001), eating habits (r = 0.235, p < 0.001), appetite (r = 0.263, p < 0.001), life satisfaction (r = 0.197, p < 0.001), marital intimacy (r = 0.167, p < 0.001), child relationship satisfaction (r = 0.149, p < 0.001), positive attitude toward menopause (r = 0.070, p < 0.05) showed a positive correlation, but depression (r = -0.122, p < 0.001) and menopausal symptoms (r = -0.292, p < 0.001) showed a negative association with self-rated health status. The predictable factors affecting the self-rated health status of middle-aged women were examined by multiple regression analysis. The 'menopausal symptoms - physical discomfort' was the most important variables followed by the 'appetite', 'eating habits', 'menopause symptoms - sensory problems', 'BMI', 'positive attitude toward menopause' and 'high marital intimacy'. These results showed that the 'appetite' and 'eating habits' are important factors affecting the self-rated health status. Therefore, a program of dietary education must be considered for the effective health education and counseling of middle-aged women.

• 한국노년학
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• 제29권2호
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• pp.743-759
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• 2009

본 연구는 우리나라 중고령자의 경제활동상태(취업과 은퇴)가 정신건강에 어떠한 영향을 미치는지 살펴보고자 하였으며, 경제활동상태가 정신건강에 미치는 영향에서 소득수준과 가족관계만족도가 매개적 역할을 하는지를 이론적 모형을 통해 검증하고자 하였다. 이를 위하여 고령화연구패널(Korean Longitudinal Study of Ageing) 자료 중 과거 노동경험이 없는 사람과 구직자를 제외한 취업자와 은퇴자 중, 현재 배우자와 자녀가 모두 있는 45세 이상의 중고령자를 분석대상으로 선정하였다. 이들의 경제활동상태(취업, 은퇴), 소득수준, 가족관계만족도(부부관계만족도, 자녀관계만족도), 정신건강(행복감, 우울감)을 살펴본 결과, 취업상태에 있는 중고령자의 비율이 은퇴상태에 있는 비율보다 높았고, 부부관계만족도와 자녀관계만족도는 전반적으로 높은 수준인 것으로 나타났다. 정신건강의 경우 행복감은 높은 편이며 우울감은 낮은 편이었다. 중고령자의 경제활동상태가 정신건강에 미치는 영향의 경로를 분석한 결과, 경제활동상태는 정신건강에 직접적인 영향을 줌과 동시에, 소득수준과 가족관계만족도를 매개로하여 정신건강에 간접적인 영향을 미치기도 하는 것으로 나타났다. 즉 취업상태는 소득수준과 가족관계만족도 수준을 높이고, 정신건강에도 긍정적인 영향을 미치는 것으로 나타났다. 이에 비해 은퇴상태는 소득수준과 가족관계만족도의 수준을 낮추고, 정신건강에 부정적인 영향을 미치는 것으로 나타났다.

• 동아시아식생활학회지
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• 제25권4호
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• pp.631-642
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• 2015

The purpose of the study was to examine health status and mini nutritional assessment (MNA) according to self-esteem status of elderly in care hospital. The survey was carried out from $13^{th}$ to $31^{st}$ of September, 2014 in five care hospitals. Analysis was performed for 226 subjects. Evaluation criteria included demographics, clinical status, MNA, health-related quality of life (EQ-5D) and self-esteem. The SE I, SE II and SE III groups were divided by self-esteem scores. Data were analyzed one-way ANOVA, Duncan' multiple range test and Pearson's correlation using SPSS 15.0. Education level, religion, dental condition and medical endurance type were significantly different in all groups. Many elderly people were normal BMI ($20.94{\sim}21.67kg/m^2$). Self-esteem significantly increased in order of SE I, SE II and SE III. Mobility, usual activity and anxiety or depression were significantly different in all groups, and EQ-5D of SE II and SE III groups were significantly higher than that of SE I group. Comparison of MNA screening score in elderly patients was as follows : Score for food intake, psychological stress or acute disease, neuropsychological problems, pressure scores or skin ulcer, protein intake, mode of feeding, nutritional status and health status in SE I group were significantly lower than those of SE II and SE III groups. Mobility and drug intake of SE I group were significantly lower than those of SE III groups. Fruit and vegetable intake SE I group were significantly higher than those of SE II and SE III groups. MIS (Malnutrition Indicator Score) was significantly different among the SE I, SE II and SE III groups. We conclude that self-esteem score is positively correlated with protein intake, nutrition status, health status and MIS in elderly care hospital. To improve nutritional status of elderly in care hospitals, systematic nutrition management and self-esteem education program should be implemented.

• 지역사회간호학회지
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• 제12권2호
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• pp.459-467
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• 2001

Although much has been written about the health status of adolescents, little is known about adolescents perception of their own health. family support and risk behaviors. The purpose of this study is to describe the perceived health status. family support and risk behaviors in urban high school students in Korea. and to examine the relationships between those variables. Design for the study is descriptive-correlational. The sample consisted of 600 10th-grade students who were randomly selected from 12 urban high schools located in Seoul. Data were collected on demographic characteristics, perceived health status, family support, and health risk behaviors such as tobacco use, alcohol use. eating habits, exercise, stress and coping skills. Preliminary findings of the study were as follows. In terms of perceived health status. 54.2% of the students reported that they are healthy. Students with higher socioeconomic status perceived themselves healthier than the students with lower socioeconomic status (p<.05). Overall. frequently reported health concerns were eating habits (17.2%), depression (4.8%), tobacco use(0.8%), and alcohol use (0.7%). The mean score of family support of the students was 7.67 (SD=2.43) within the range of 1-12. Gender was significantly associated with a higher level of family support among girls than boys. Data will be further analyzed in detail. The results will suggest that health promotion program should consider involving adolescents in planning. both (1) to ensure congruence of the plan of care with adolescentsconcerns and (2) to clarify the interpretation and meaning of their health risk behaviors.

• 한국노년학
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• 제32권3호
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• pp.941-954
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• 2012

본 연구의 목적은 일 도시지역 저소득 노인을 75세 미만의 전기노인과 75세 이상의 후기노인으로 구분하여 우울 유병율과 관련요인을 확인하는 것이다. 본 연구의 대상자는 60세 이상 국민기초생활보장 수급자로 434명의 전기노인과 206명의 후기노인이다. Yesavage등이 개발한 한국판 노인우울척도(Geriatric Depression Scale)로 측정한 우울의 유병율은 전기노인이 53.9%인데 비해 후기노인이 63.2%로 더 높았다. 로지스틱 회귀분석 결과 전기노인은 주거상태가 자가인 노인에 비해 월세인 노인에서, 자가평가 건강상태가 건강한 노인에 비해 건강하지 못한 노인에서, 규칙적인 여가활동을 하는 노인에 비해 규칙적인 여가활동을 하지 못하는 노인에서, 규칙적인 식습관을 가진 노인에 비해 규칙적인 식습관을 갖지 못하는 노인에서 우울 유병율이 높았다. 이에 비해 후기노인은 사회적 지지가 낮을수록, 자가평가 건강상태가 건강한 노인에 비해 보통이거나 건강하지 못한 노인에서, 규칙적인 여가활동을 하는 노인에 비해 하지 못하는 노인에서 우울 유병율이 높았다. 본 연구에서 국민기초생활보장 수급 노인을 대상으로 우울 유병율과 관련요인이 전기노인과 후기노인 간에 차이가 있다는 것을 확인하였다. 본 연구의 결과가 저소득 노인의 우울을 관리하는데 있어 전기노인과 후기노인의 차이에 따라 차별화된 전략을 개발하기 위한 근거가 될 것으로 본다.

• 치위생과학회지
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• 제19권4호
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• pp.245-253
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• 2019

Background: This study aimed to analyze correlations between depression, cognitive function, oral health state, ability to perform activities of daily living, oral dryness symptoms, and oral health-related quality of life, and determine factors influencing the latter. Methods: This was a cross-sectional study based on questionnaires completed by 260 participants with suspected dementia, residing in South Korea. Psychiatrists, psychiatric nurses, and dental hygienists visited clinics in the participating regions for examination and questionnaire administration. General characteristics, the geriatric depression scale, ability to perform activities of daily living, cognitive function, oral health state, and oral health-related quality of life were analyzed. Independent t-tests, one-way analysis of variance (ANOVA), correlation analysis and multiple regression analysis were conducted, identifying factors affecting oral health-related quality of life. Data analysis was performed using SPSS ver. 20.0 (IBM Corp., USA), and the significance was set at p<0.05. Results: Approximately 65.0% of participants were female, 63.5% were in their 70s, and 90.0% had health insurance. About 21.5%, 42.0%, and 36.5% were normal, slightly impaired, and had dementia, respectively. High cognitive impairment was associated with poor oral health. Sex, education levels, marital status, and living arrangements influenced oral health-related quality of life. According to the regression analysis, geriatric depression and oral dryness affected the Geriatric Oral Health Assessment Index scores. Conclusion: In conclusion, oral dryness and depression levels among elders influenced oral health-related quality of life. The results showed that to enhance elders' oral health-related quality of life, it is essential to not only improve their oral health state, but also relieve oral health problems, especially oral dryness, and take into consideration their psychological aspects.

• 한국보건간호학회지
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• 제11권2호
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• pp.38-56
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• 1997

A great deal of attention has been paid to the quality of life in citizens due to the increased number of long term life expectancy. reported as effective in the health promotion of the senior citizens. In this study, the principal investigator developed an exercise program for the senior citizens, which could be educated and managed by nursing staff. This kind approach may support the need of exercise program on regular base via the social organization, which may mean the intentional change of life style. The exercise program consisted of exercise, health education, and a direct the population of the senior A regularexercise has been nursing care. A quasi -experimental study was conducted to investigate the effects of excercise program on health of the elderly in senior citizen's center. Independent variable was a 9 weeks exercise program. Dependent variables were: 1) physical health [e.g. physical fitness(cardiopulmonary endurance, back muscle strength, grip strength, muscular tolerance, flexibility and body fat proportion), physiologic parameters(blood pressure, pulse, respiration. and blood glucose), and perceived physical health status; 2) mental health measured by depression score; and 3) cognitive perception of exercise measured by usefulness and self-efficacy. A total of 37 subjects was randomly assigned into either the control group (without the exercise program: n=18) or the intervention group(with the exercise program: n=19). The results of the study analyzed using a SAS, were as follows: 1) In physical fitness of physical health, there was a significant improvement in cardiopulmonary tolerance. back muscle strength. muscular tolerance and flexibility in the intervention group, compared to the control group, while no difference in grip strength and body fat proportion. The exercise program resulted in decreases in blood pressure, pulse, respiration and blood glucose within normal range and improvement of perceived physical health status in the intervention group. 2) There was a slight increase of mental health(depression score) in the intervention group compared to the control group. but without statistical significance. 3) There was a significant improvement in cognitive perception of exercise(e.g. usefulness and self -efficacy) in the intervention group, compared to the control group. It was concluded that the exercise program employed in this study was appropriate for women senior citizens and had a positive effect on health in general.