• 근관절건강학회지
• /
• 제7권1호
• /
• pp.102-130
• /
• 2000

The aims of this study were to understand and to predict the determinant factors affecting the exercise behaviors and physical fitness by testing the Ponder's health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continuous exercise program, and to help them maximize the physical effect such as muscle strength. endurance, and fuctional status and mental effects including self efficacy and quality of life, and improve the physical and mental wellbeing, and to provide a basis for the nursing intervention strategies. We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul between October 5, 1999 and October 24, 1999. Data were composed of self reported questionnaire and good of fitness score which were obtained by pedalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. 24 Of 54 hypothetical paths were supported in modified model, which was considered as a proper model with improved fit index. The physical fitness was directly influenced by exercise participation behavior and education level, and indirectly by physical fitness, while fatigue, physical disability, pastexercise behavior, life-style, self-efficacy, which explained 20% of physical fitness. The exercise participation were directly influenced by perceived benefits and self-efficacy, and indirectly influenced by life-style, fatigue and physical disability, and directly and indirectly by past exercise behavior, which explained 53% of exercise participation. Exercise score were directly affected by perceived health status, perceived benefits, self efficacy, and past exercise behavior, and were indirectly affected by fatigue, physical disability, and life-style, which explained 50%. Perceived health status were directly influeced by level of education, depression, sleep disorder, and physical disability, which explained 34% of perceived health status. Perceived benefit was directly influenced by fatigue, sleep disorder, physical disability, and life-style, which explained 45%. Perceived barriers was directly influenced by fatigue, sleep disorder, and lifestyle, which explained 9%. Self- efficacy was directly influenced by fatigue, physical disability, past exercise behavior, and level of education, which explained 61%. In conclusion, important variables for physical fitness were exercise participation and level of education, and variables affecting exercise participation were perceived self-efficacy, benefits, and past exercise behavior. Perceived self-efficacy of exercise was a significant predictor of exercise participation. Life-style, fatigue, and physical disability showed direct effects on perceived benefit, perceived barriers, and self-efficacy, and indirect effects on exercise behavior. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be soaked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved.

• 한국환경보건학회지
• /
• 제41권1호
• /
• pp.24-29
• /
• 2015

Objectives: The objective of this study was to identify determine factors for blood VOCs levels in college students. Methods: Venous blood samples were collected from healthy 29 male and 25 female volunteers. The samples were analyzed with solid-phase microextraction gas chromatography and mass spectrometry. Results: Blood concentrations of benzene, toluene, ethylbenzene, m-,p-xylene, o-xylene were higher in smoking group than in non-smoking group. Geometric means of smoking group and non-smoking group were 0.45 and $0.36{\mu}g/L$ in benzene, 0.82 and $0.47{\mu}g/L$ in toluene, 0.44 and $0.41{\mu}g/L$ in ethylbenzene, 0.49 and $0.39{\mu}g/L$ in m-,p-xylene and 0.47 and $0.43{\mu}g/L$ in o-xylene, respectively. Gender, alcohol drinking, coffee, commuting time (30 minutes) by a car and adjacency between home and road were not associated with increasing blood VOCs concentrations of college students. Conclusion: Smoking habit was significantly associated with blood concentrations of benzene, toluene, ethylbenzene, o-,m-,p-xylene in college students.

• 여성건강간호학회지
• /
• 제13권2호
• /
• pp.77-87
• /
• 2007

Purpose: This study was examined the quality of the sexual life among married women in terms of the factor structure of Sexual Quality of Life(SQOL) and evaluated the predictive value of 11 variables for SQOL. Method: Two hundred and ninety-three married women completed the Korean version SQOL scale with information on age, education, length of marriage, family income, health, sexual knowledge, coital frequency, harmony with family members, levels of affection, and general and sexual communication. Data were analysed with principal components and regression analyses. Result: The SQOL scale had two clearly defined factors, Negative Quality of Sexual Life and Positive Quality of Sexual Life, on which all scale items were significantly loaded, accounting for 54.3% of the total variance. Independent regression analysis showed all variables except education to be significant predictors of SQOL with interpersonal variables (general and sexual communication, affection and harmony with family members) being the most powerful predictors. However when the 11 variables were combined together in stepwise analysis, only 6 variables (general communication, age, affection, coital frequency, sexual knowledge and health) were significant, accounting for 39% of the total variance. Conclusion: The Korean version SQOL scale is a good measure to tackle SQOL in married women. To enhance SQOL, strengthening interpersonal interaction focusing on general/sexual communication, affection and harmony with family members seems to be more important than sexual activities and personal characteristics.

• 식품보건융합연구
• /
• 제8권3호
• /
• pp.25-35
• /
• 2022

The purpose of this study was to investigate the factors that determine whether college graduates majoring in culinary arts are employed. To achieve this purpose, this study largely divided the factors affecting the status of employment into the personal background, college life, and employment preparation activities factors. And, the data of 164 graduates who graduated from culinary arts-related departments participating in the Graduate Occupational Mobility Survey (GOMS) were used. The analysis results are summarized as follows. First, it was found that the health status and experience of job-seeking activities of college graduates majoring in culinary arts decreased the employment probability. On the other hand, major satisfaction and certification acquisition were found to increase the employment probability. Second, the health status and experience of job-seeking activities of graduates who participated in 2018GOMS were found to decrease the employment probability, and major satisfaction and grade were found to increase the employment probability. Third, it was found that only the health status of graduates who participated in 2019GOMS affected the status of employment. Therefore, in order to increase the employment rate of culinary arts majors at the end of COVID 19, universities need to make efforts to increase their satisfaction with their majors and their grades while attending college.

• 유통과학연구
• /
• 제20권1호
• /
• pp.77-85
• /
• 2022

Purpose: The Covid-19 pandemic has triggered several herd purchase behaviors, and online shopping has been considered a health-related preventative behavior. Thisstudy aimsto the relative impact of health threat beliefs concerning Covid-19 (perceived susceptibility and perceived severity) and herd mentality on consumers' online shopping post-adoption disconfirmation and continuance intention of online shopping. Research design, data and methodology: An internet survey was conducted with Vietnamese consumers, and upon screening, usable data of 292 responses were analyzed using PLS-SEM. Results showed that while herd mentality positively affects disconfirmation, health threat beliefs including perceived susceptibility and perceived severity of Covid-19 do not. Results: Results also provided further support for the notion that disconfirmation is a crucial determinant of post-adoption continuance intention. Moreover, herd mentality also has a significantly negative influence on online shopping post-adoption continuance intention. Conclusions: The research provides evidence supporting the role of herd mentality and post-adoption disconfirmation in driving consumers' intention to continue online shopping. However, the research shows that neither the perceived susceptibility of Covid-19 nor the perceived severity of Covid-19 has significant impact on post-adoption disconfirmation, adding mixed evidence to the application of health belief theory in technology (such as online shopping) adoption.

• 한국병원경영학회지
• /
• 제5권2호
• /
• pp.40-58
• /
• 2000

Nurses are medical personnel, who play a key role in supporting patient care, so it is important to supply them adequately in balance with ever increasing medical demand. But there appears severe shortage of nurses in some hospitals because of their uneven distribution, especially in small sized-hospitals and rural-hospitals. As nationwide distorted distribution of nurses in Korea is just like what monopsony model(a kind of market structure model) tells us, it is attempted to explain this situation of nurse labor market in Korea on the basis of monopsony model and presented in this paper. Specifically, determinants of nurse wage and the level of their relative employment were examined, and monopsony impact on their wage and the level of relative employment controlling those determinants were studied. Major results of this study arc as follows. The most important determinant of nurse wage level in this study was the wage level of a local community where each hospital located Hospital owner's characteristics an educational function of each hospital were also important factors. With these factor controlled, it was found that monopsony power of each hospital was negativel associated with nurse wage level as expected. 1% increase in monopsony power of hospital(measured by Herfindah-Hirschman Index) reduced nurse wage by $5,674{\sim}19,19$ won(in Korean currency). With regard to the level of relative employment, the most important determinant wa the capacity for supplying nurses of the local community. Again, hospital owner characteristics and educational function of each hospital were also important. With these factors controlled, it was found that monopsony power of each hospital was negative associated with the number of nurses per bed, as expected. 1% increase in monopsony power of each hospital(again measured by Herfindah-Hirschman Index) reduced the number of nurses per 100 bed as much as $0.46{\sim}0.67$. In conclusion. structural factors of nurse labor market influence the instability of nurse labor supply in Korea. Further consideration for these market structural characteristics needed for policy making related to nurse resource allocation.

• 한국병원경영학회지
• /
• 제11권1호
• /
• pp.54-90
• /
• 2006

Medical clinics are core institutes that cover the primary medical care in Korea. Financial viability of the clinics is essential for them to conduct their roles and functions, and can be improved by increasing their operating profitability. On this ground, this study aimed at finding important factors that affect the operating profitability, and thereby at suggesting strategic alternatives that can contribute to the improvement of the profitability. Operating margin was set as a dependent variable, and such factors as general management conditions, number of visits, medical revenue, marketing activities, input resources, medical cost as independent variables. Nineteen hypotheses related to the variables were established and tested using data collected from 138 sample clinics for the year 2003. The results of the study are as follows : Firstly, such variables as percent ratio of the depreciation plus rent costs to total administration costs, type of clinical department manifested whether medical, surgical, or quasi-surgical, percent ratio of the interior facility investment to total fixed assets, and total number of outpatient visit are important factors that affect, positively or negatively, the medical profitability of the clinics. Secondly, following measures are needed to be established and implemented to improve the medical profitability. (1) Administration costs share 53.2% of the total medical costs, and depreciation plus rent costs 16.3% of the total administration costs. This implies that such measures as reinforcement of marketing activities, establishment of the cooperative utilizing system of the facility and equipment, or group practice are needed to increase cost-effectiveness. (2) Occupancy rate of the clinics with inpatient bed is as low as 45.5%, causing high fixed costs and low medical profitability. For its improvement, the resource input structure should be reorganized. Thirdly, in the future, a study that can increase sample representativeness of the study and explanation power of the variables should be performed for each type of clinical department to find more specific determinant factors and to contribute to the improvement of the medical profitability of the clinics.

• 한국인구학
• /
• 제5권1호
• /
• pp.167-186
• /
• 1982

Financial barrier is well known as a determinant of the perceived need for and utilization of medical care in urban areas. This study aims to; a) estimate the levels of the perceived need for and utilization of medical care, b) analyze the reasons for not receiving medical care, and c) determine factors affecting the levels of need and utilization, and major reasons for not receiving medical care. The data of household interview survey in urban areas collected for a National Survey on Reorganization of Nationwide Health Care Delivery Network is used. An interview was conducted with a total of 2, 538 households in urban areas during a 28 day period of October through November, 1981, giving an overall response rate of 99 percent. The results show a factor of third-party payer is most influential to utilization (physician visits by patient), and living standard is a determinant to explain the variance of major reasons for not receiving medical care. Therefore, financial burden is still a major determent in utilization of medical care in urban areas. Improved level of living standard and expanded coverage of the third-party payer such as health insurance and public medical assistance will increase both an overall levels of utilization of and the need for medical care in urban areas in the future. The major statistics are as follows; a) rate of the need for medical care during a 15 day period per 100 persons was 33 percent: the differential rates appeared in sex, age, living standard, and third- party payer variables, b) percent of treatment employed per 100 persons who are wanting medical care was 82: the percents were high in young ages, high levels of living standard and education, and persons covered by third-party payer, and c) economic reasons for not receiving medical care per 100 persons who are wanting medical care were occupied with 60 percent: the rates are high in old ages, low levels of living standard and persons not covered by third-party payer.

• 대한교통학회지
• /
• 제34권1호
• /
• pp.43-54
• /
• 2016

공공자전거는 이용 편리성 및 건강증대 효과 등으로 인하여 상당한 인기를 누리고 있고 지속적인 확대요구가 있으나, 낮은 요금수익률로 인하여 계속적인 재정지원 및 확대구축을 위한 정책결정과정에서 판단의 어려움을 겪고 있다. 따라서 본 연구는 계량화된 방법으로 공공자전거시스템의 사용가치인 지불의사금액을 추정하고, 지불의사금액에 영향을 미치는 결정요인을 분석함으로써 지속적인 재정지원 및 시스템의 확대구축 여부에 대한 판단 준거를 제시하는데 목적이 있다. 이를 위하여 본 연구에서는 대전시의 공공자전거시스템인 타슈를 분석대상으로 하여 현장 설문조사를 통하여 자료를 수집하였으며, 조건부가치측정법을 활용하였다. 분석결과, 지불의사금액에 영향을 미치는 요인들은 자전거 이용횟수는 양(+)의 영향, 자동차보유대수 및 연령은 음(-)의 영향 그리고, 성별과 소득 등은 관련성이 나타나지 않았다. 또한, 타슈의 연간 경제적 편익은 최소 499.3억 원에서 최대 636.1억 원에 달하는 것으로 분석되었다. 이는 타슈의 연간 운영비용 25억원을 크게 상회하는 금액으로 타슈로 인한 경제적 편익이 큼을 알 수 있다. 위의 분석결과를 바탕으로 할 때 타슈는 지속적인 확대 구축과 지원을 하는 한편, 운영의 효율화를 기할 수 있도록 이용자 중심의 마케팅 방안이 추가적으로 강구되어야 할 것으로 판단된다.

• 여성건강간호학회지
• /
• 제7권3호
• /
• pp.317-330
• /
• 2001

This study was undertaken in order to examine the relationship of control, perceived health status, self efficacy, social support, and demographic characteristics to health promoting lifestyle of nursing students, and to determine factors affecting health promoting lifestyle of nursing students. The subjects were 270 students of a single university in Busan. The instruments used for this study was a survey of general characteristics, health promoting lifestyle (47 items), control(8 items), perceived health status(6 items), self-efficacy(17 items), and social support(18 items). Data analysis was done by use of mean, percentage, t-test, ANOVA, Pearson Correlation coefficients and stepwise regression with a SPSS PC+ program. The results of this study are as follows : 1) The average item score for the health promoting lifestyle was less than 2.43. In the sub-categories, the highest degree of performance was interpersonal relationships (2.94) and the lowest degree was health responsibility(1.93). 2) Students who were older and higher scores in health responsibility and interpersonal support subscale. Students who had higher grade had higher scores in health support subscale. Students who had experienced disease had higher scores in health responsibility subscale. Students who had experienced exercise had higher scores in health responsibility, exercise and nutrition subscale. 3) Significant correlation between control and self-efficacy, self-efficacy and social support was found. 4) Significant correlations was found between most of the subscales and total health promoting lifestyle. 5) Social support revealed significant correlations with total health promoting lifestyle and all subscales of health promoting lifestyle. Control revealed significant correlations with total health promoting lifestyle and self actualization and health responsibility. Perceived health status revealed significant correlations only with the exercise and nutrition subscale. Self-efficacy revealed significant correlation with the total health promoting lifestyle and all subscales of health promoting lifestyle except exercise and nutrition, stress management subscale. 6) Social support was the highest factor predicting health promoting lifestyles of nursing students(31%). Social support, excercise self-efficacy and control accounted for 35% in health promoting lifestyle of nursing students.