• 한국콘텐츠학회논문지
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• 제18권10호
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• pp.165-174
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• 2018

본 연구는 국민건강영양조사의 자료를 활용하여 뇌졸중 유병자의 근감소증 및 대사증후군의 유병률과 대사증후군과 근감소증의 관련성을 알아보고자 수행되었다. 2008년 하반기에서 2011년 상반기까지 국민건강영양조사에서 만 40세 이상 뇌졸중 유병자 316명(남자 164명, 여자 152명)을 최종 연구대상으로 선정하였다. 근감소증 유무에 따른 연구대상자의 일반적인 특성과 대사증후군 요소별 차이는 Rao-Scott 카이검정과 일반선형모형을 이용하였고, 대사증후군과 근감소증의 관련성을 분석하기 위해서 복합표본 다중 로지스틱 회귀분석을 실시하였다. 연구 결과 뇌졸중 유병자에게서 근감소증 유병률은 남자 47.3%, 여자 46.3%로 나타났고, 대사증후군 유병률은 남자, 여자 각각 50.6%, 73.7%로 나타났으며, 남자에게서 근감소증이 없는 군에 비하여 근감소증이 있는 군이 대사증후군 유병 가능성이 6.734배 높은 것으로 나타났다(95% CI: 2.454-18.482, p<.001). 본 연구결과, 남자 뇌졸중 유병자에게서 근감소증은 대사증후군의 독립적인 위험요인임을 확인할 수 있었다. 그러므로 뇌졸중 유병자의 뇌졸중 재발을 예방하기 위하여 재활치료 시작단계 교육프로그램에 뇌졸중 재발 요인인 대사증후군을 적극적으로 예방 및 관리하기 위한 구체적인 전략으로 근감소증 예방의 중요성과 방법이 포함될 필요가 있다고 본다.

• 한국학교보건학회지
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• 제12권2호
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• pp.321-337
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• 1999

The purpose of this study was to obtain basic data for the prevention and control of adolescent back pain through analyzing connections between study environments and physical posture. The subjects were 960 male general high school students in the Chonju area and the data were collected by a self-reported questionnaire from Mar. 17 to Mar. 22, 1999. The collected data were analyzed by a frequency, chi-square and t-test using an SPSS program. The results are as follows; 1) The experience rate of back pain perceived by subjects was 67.5% and by each grade: 1st-27.5%, 2nd-35.4%, 3rd-37.1%. The relationship between grades and the experience of back pain didn't show any significant difference. 2) The causes of back pain perceived by subjects such as 'postures are not good' was 56.7%, 'sitting too much time in a chair' was 39.1%, and 'too severe exercise' was 32.4%. 27.8% had back pain first during the 3rd grade of middle school, and 23.9% had it first during the 1st grade of high school. 3) Intensity of subjects' back pain spread from 'moderate' at 49.6%, to 'severe' at 16.4%. Concerning the frequency of back pain, 58.6% said it was 'irregalar'. 4) Among interventions to deal with back pain: 'move by exercising my back or ask friends to beat my back' was 41.0%, 'just bear it' was 23.1%, and at home 'don't have 'any treatment' was ranked first, at 54.9%. 5) The relationship between subjects' general characteristics and back pain experiences: height (t=-1.99, P=.046), sitting/height (t=-2.61, P=.009), self-perceived condition of health (${\chi}^2=23.530$, P=.000), family history (${\chi}^2=43.903$, P=.000) showed significant difference, but the kinds of transportation, sleeping postures, sleeping method and smoking didn't show significant differences. 6) The relationship between subjects' learning environment and back pain experiences, the height of students' desk and chair showed significant difference (${\chi}^2=23.054$, P=.000), but the sitting time didn't show significant difference. 7) The relationship between the characteristics of subjects' physical postures and back pain experiences: standing postures (${\chi}^2=15.105$, P=.001), and sitting postures (${\chi}^2=20.264$X2, P=.001) showed significant difference, but lifting postures didn't show significant difference.

• 한국산학기술학회논문지
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• 제21권3호
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• pp.96-107
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• 2020

본 연구는 방사선사를 대상으로 건강신념모델을 적용하여 방사선사 방사선 방어행위 수행도와의 관련 요인을 규명하고자 하였다. 연구대상은 호남지역 내에 근무하는 방사선사 541명을 대상으로 시행되었다. 자료 분석은 SPSS version 18.0 프로그램을 이용하여 t-test, ANOVA, Pearson's correlation, 위계적 다중회귀분석을 하였다. 자료 분석을 실시한 결과는 수정변수에서 교육수준이 높을수록, 일반촬영실 보다는 핵의학검사실 업무 담당자, 신체활동이 많은 경우, 스트레스는 나쁜 경우 보다는 보통인 경우, 방어시설이 좋을수록 방사선 방어행위 수행도가 높았다. 개인의 인지에서 행동계기(β=.292, p<.001), 인지된 심각성(β=.075, p=.010)이 방사선 방어행위 수행도에 영향을 미치는 요인이었다. 행위가능성은 유익성(β=.168, p<.001), 자기효능감(β=.148, p=.007)이 높을수록 방사선 방어행위 수행도가 높았다. 결론적으로 적절한 행동계기가 방어행위에 수행하도록 자극을 줄 수 있는 방어교육을 제공하고, 방사선 방어행위에 있어서 이익을 부각시키는 한편, 높은 수준의 자기효능감을 강화시켜 방어행위 수행도를 높일 필요가 있다. 또한, 방사선에 대한 심각성을 제대로 인지할 수 있도록 관련 정보를 제공하면, 궁극적으로 방사선사의 방사선 방어행위 수행도가 증가할 것이다.

• Journal of Preventive Medicine and Public Health
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• 제42권3호
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• pp.160-164
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• 2009

Objectives : The objective of this study was to determine the relationship between past smoking and the risk factors for metabolic syndrome. Methods : From January 2007 to December 2007, a total of 3,916 over thirty years old male health screen examinees were divided into the nonsmoking, smoking, ex-smoking groups. The diagnosis of metabolic syndrome was based on the criteria of the NCEP ATP III(Executive Summary of The Third Report of The National Cholesterol Education Program). Metabolic syndrome was defined as the presence of three or more of the following: a blood pressure $\geq$ 130/85 mmHg, a fasting glucose level $\geq$ 110 mg/dL, a HDL-C (High Density Lipoprotein Cholesterol) level < 40 mg/dL, a triglyceride level $\geq$ 150 mg/dL and, a waist circumference men $\geq$ 102 cm, but a waist to hip ratio > 0.90 was used as a surrogate for the waist circumference. Results : After adjustment for age, alcohol consumption and, exercise in the smokers, for the ex-smokers compared with the nonsmokers, the odds ratio (OR) of a lower HDL cholesterol level (<40 mg/dL) was 1.29 (95% CI=1.03-1.61) in the smokers, the ORs of a higher triglyceride level were 1.35 (95% CI=1.09-1.66) in the ex-smokers and, 2.12 (95% CI=1.75-2.57) in the smokers, and the OR of a waist to hip ratio was 1.25 (95% CI=1.03-1.52) in the ex-smokers. When there were over three components of metabolic syndrome in the ex-smokers and smokers as compared with the nonsmokers, the odds ratio against the risk of metabolic syndrome were 2.39 (95% CI=1.00-6.63) and 2.37 (95% CI=1.02-6.46), respectively. Conclusions : The present study suggested that there is an association of smoking with metabolic syndrome in men.

• Nutritional Sciences
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• 제5권1호
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• pp.34-39
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• 2002

The objective of tole study was to compare nutritional knowledge, attitudes and food practices of competitive athletes, recreational athletes and non-participants. All students enrolled at the University of Nebraska in an Introductory Nutrition course in which sports nutrition was stressed, were asked to participate in the study. The course was typical of many introductory nutrition courses ; about two thirds of the students were from the Department of Health, Physical Education and Recreation, and most of the students were encouraged to take this course by their advisers. The students were divided into three groups : 20 competitive athletes (mostly runners, swimmers, basketball players and football players for the University), 14 recreational athletes (who were involved in a planned exercise program at least 2 hours per week), and 19 non-participants. At the beginning of the semester, students completed a food frequency questionnaire, and a 24-hour food record based on the Food Guide Pyramid. A nutrition knowledge and attitude questionnaire was formulated specifically for this study, covering normal nutrition and sports nutrition. The results showed that consumption of foods from all Food Guide Pyramid food groups except the fats/oils/sweets group was not significantly different among the three student groups. Regarding the fats/oils/sweets group, competitive athletes consumed significantly more numbers of servings than recreational athletes, while the recreational athletes consumed significantly more than non-participants (p<0.01). The total mean scores from the nutrition attitude and knowledge questionnaire were not significantly different among the three student groups. However, combined athletes (competitive athletes and recreational athletes) obtained significantly higher scores on some of the nutrition attitude questions (p<0.05). The results of the study indicate that athletes, significantly lower scores on some of the nutrition knowledge questions (p<0.05). The results of the study indicate that athletes, whether competitive or some of the nutrition knowledge questions (p<0.05). The results of the study indicate that athletes, whether competitive or recreational, had a very positive attitude regarding the effects of nutrition on their sports performance and health: however, these athletes did not appear to apply scientific principles of sports nutrition to their diet. In conclusion, advising athletes to simply increase or decrease their intakes of certain foods is too simplistic an approach for maintenance of good health and for better sporting performance. Athletes and non-athletes need continuous nutrition education to help with improving their competitive edge and food choices.

• 한국노년학
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• 제32권4호
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• pp.1137-1146
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• 2012

본 연구는 노인의 우울 유무에 따라 임파워먼트와 양생의 차이를 파악하는데 목적을 두고 있다. 연구방법은 S시와 Y시 소재 지역사회 복지관 프로그램 참여노인을 대상으로 설문지를 이용하여 실시하였다. 연구결과로 첫째, 대상자의 37.7%가 우울집단에 속하였고, 둘째, 우울의 유무에 따라 임파워먼트와 양생에서 차이가 나타났다. 셋째, 우울 유무에 따라 양생의 하위범주 중 도덕수양, 마음조양, 음식양생, 활동과 휴식, 운동양생, 수면양생에서 차이가 있었다. 넷째, 노인은 우울할수록 임파워먼트와 양생이 떨어졌으며, 임파워먼트가 높을수록 양생이 높았다. 따라서 노인의 임파워먼트 및 양생을 위한 프로그램 개발 시 노인의 우울이 고려되어야 함을 시사하고, 특히 양생은 신체적, 정서적 건강관리와 관련된 하위범주에서 차이가 나므로 우울한 노인일수록 신체적, 정서적 건강관리를 주의 깊게 확인해야 할 필요성이 있다. 마지막으로 양생은 노인의 임파워먼트와 관련이 있으므로 양생을 위해서 임파워먼트를 높여 주는 전략이 우선적으로 필요하다.

• 농촌의학ㆍ지역보건
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• 제45권4호
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• pp.208-220
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• 2020

본 연구는 해양경찰공무원의 외상 후 성장에 영향을 미치는 요인을 규명하고자 하였다. 연구대상은 2019년 6월 17일부터 7월 31일까지 해양경찰교육원에서 기본 교육 및 전문교육을 받은 해양경찰관 293명을 대상으로 시행되었다. 자료는 SPSS version 21.0 프로그램을 이용하여 빈도와 백분율, 평균과 표준편차, t-검정과 분산분석, 피어슨의 상관분석과 다중회귀분석으로 분석하였다. 연구결과 해양경찰공무원의 외상 후 성장은 평균 39.72±16.56점이었고, 회복탄력성 평균 84.46±9.85점, 사회적지지 평균 86.16±16.21점, 집단문화 9.50±2.26점, 합리문화 10.79±1.94점, 발전문화 9.61±1.95점, 위계문화 10.96±2.00점이었다. 외상 후 성장에 영향을 미치는 요인을 살펴보면 결혼여부(β=0.194, p=0.002), 흡연여부(β=0.152, p=0.010), 규칙적인 운동여부(β=-0.185, p<0.001), 총 근무기간(β=-0.154, p=0.033), 회복탄력성(β=0.310, p<0.001), 사회적지지(β=0.250, p<0.001), 집단문화(β=0.158, p=0.004)가 외상 후 성장에 영향을 미치는 요인으로 확인되었고, 이들 변수의 설명력은 56.5%이었다. 본 연구 결과로 해양경찰공무원의 외상 후 성장은 개인적인 특성 뿐 아니라 가족과 동료들의 지지, 근무 환경 및 문화에 의해 영향을 받았다. 향후 스트레스의 완화를 위한 조직 차원의 관리가 적극적으로 시행되어야 하며, 가족 및 동료와의 유대감을 강화하고 친근한 분위기가 형성될 수 있는 근무환경 및 문화의 변화가 이루어지면 외상 후 성장을 높일 수 있을 것으로 사료 된다.

• 한국식생활문화학회지
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• 제25권4호
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• pp.389-399
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• 2010

This study was conducted in order to investigate and compare anthropometric measurements, bone density, nutrient intake, blood composition and food habits between non-smoking, non-alcohol drinking and smoking, alcohol drinking male university students in Seoul, South Korea. The data for food habits and health-related behaviors were obtained by selfadministered questionnaires. The BQIs of the subjects were measured by Quantitative Ultrasound (QUS). The subjects were divided into two groups: NSND (non-smoking and non-alcohol drinking, n=62) group and General (smoking and alcohol drinking, n=160) group. The results were analyzed using the SPSS program and were as follows: The average heights, weights, and BMIs of the two groups were 173.3 cm, 66.5 kg and 22.1 and 173.4 cm, 68.7 kg and 22.9, respectively. There were no differences between the groups regarding height, weight or BMI. SBP and DBP, however, were significantly higher in the general group than in the NSND group (p<0.01). The BQIs, Z-scores and T-scores of the two groups were 99.83, -0.23, and -0.31 and 98.24, -0.27 and -0.39, respectively, producing no significant differences between the two groups. The percentages for normal bone status, osteopenia and osteoporosis were 83.88%, 16.12% and 0.0% and 74.37%, 25.62% and 0.01%, respectively. Mean intakes of animal protein (p<0.05), animal fat (p<0.05), fiber (p<0.05), animal Ca(p<0.05), animal Fe (p<0.001), Zn(p<0.05), vitamin B1 (p<0.05) and niacin (p<0.05) were significantly different between the two groups, and mean serum levels of SGOT (p<0.01), SGPT (p<0.001), ${\gamma}$-GTP (p<0.001), triglycerides (p<0.01), total cholesterol (p<0.05) and hematocrit (p<0.05) were also significantly different between the two groups. Overall, there were no differences in meal regularity, frequency of snacking, reasons for overeating, exercise and defecation between the groups. However, favorite foods (p<0.05) and night-time meals (p<0.05) were significantly different. In conclusion, the health status of the NSND group was superior compared to the general group. Thus, students who smoke and alcohol drink should receive a practical and systematically-organized education regarding the increased health benefits of quitting smoking and alcohol drinking.

• 가정∙방문간호학회지
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• 제6권
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• pp.5-18
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• 1999

This study was attempt to encourage for developing on rehabilitation delivery system and programs as a substitute service instead of hospitalization for accident patients at work, such as hospital based home health care nursing service. It needs vary substitutes service of hospitalization to curtail the length of stay for inpatients who were hospitalized with workers compensation insurance. It focused on developing an estimation of early discharge day of accident inpatients based on a detail statement of treatment for 115 inpatients who were hospitalized at General Hospital in 1997. This study has four specific purpose as follows. First, to find out the status of health service utilization. Second, to estimate the early discharge days and income increasing effect based on the early discharge for those patients. Third, to identify the factors to affect total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze of the length of stay and medical expenditure for inpatients who were hospitalized due to the accident, the authors conducted with micro-analysis and macroanalysis from medical records and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria. such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the tests consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, stable conditions. In addition to identify affected variables for medical expenditure. the length of stay and income effect due to early discharge day, the data was analyzed with multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study as follows. First, the mean length of stay was 37.1 days, whereas the mean length of stay due to early discharge was 28.2 days at the hospital. The estimation of early discharge days were shown that depends on the length of stay. The longer length of stay, the longer length of early discharge days, such as under 7 days length of stay patients was to estimated the mean length of stay was 4.9 days and early discharge days was 4.6. whereas the mean length of stay was 122.6 days and early discharge days was 92.0 respectively. The mean medical expenditure per day were found to be 133.409 Won. whereas the mean medical expenditure per day was shown negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to 11 early discharge days per bed was around 2,150,000 won. However, it means not the real benefits from early discharge, but the income increasing amount without considering medical prime cost in general hospital. Therefore, it needs further analysis on the cost containments and benefits under the considering as well turn over rates per bed as the medical prime costs. The length of stay was most significant and the sign was positive to the total medical expenditure, as expected. Surgery and patient's residential area also an important variable in explaining medical expenditure. The level of complications was most significant variable in explaining the length of stay. The level of the needs on horne health care nursing service which can be used for early discharge accident patients were shown very high. The needs distribution varied from 65.5% of patients and 88.9% of caregivers, to 96.4% of doctors, and 99.1% of nurses. In addition horne health nurse responded that they can be managed the accident inpatients from early discharge. From these research findings. the following suggestions has been drawn it needs to develop strategies on rehabilitation delivery system in order to focused on consumer's side which is planned for 21 century health policy in Korea. Vary intermediate facilities and horne health care would have been developed in the community based for comprehensive rehabilitation services as a substitutes of hospitalization for shortening the length of stay of hospitalizations. In hospital based horne health care nursing service, it's available immediately to utilize for the patients who wanted rehabilitation services as a substitutes of hospitalization under the cooperations with workers compensation insurance company.

• 가정∙방문간호학회지
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• 제7권1호
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• pp.58-72
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• 2000

This study was an attempt to encourage the development of a rehabilitation delivery system and programs as a substitute service for hospitalization on the case of car accident patients, such as hospital based home health care nursing services. Various substitute services for hospitalization are required to curtail the length of stay for inpatients who were hospitalized with car accident compensation insurance. It focused on developing an estimation an early discharge day for car accident inpatients based on detailed statements of treatment for 111 inpatients who were hospitalized at the General Hospital in 1997. This study had four specific purposes as follows. First. to find out the utilization of medical services. Second, to estimate the time of early discharge and income increasing effect based on early discharge for those patients. Third, to identify the factors affecting total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze the length of stay and medical expenditure for inpatients who were hospitalized due to car accidents, the authors conducted micro- and macro-analysis of medical and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria, such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the test consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, and stable conditions. In addition to identifying variables affecting medical expenditure, and the length of stay and income effect due to early discharge day, the data was analyzed with a multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study were as follows. First. the mean length of stay was 50.3 days. whereas the mean length of stay due to early discharge was 34.3 days at the hospital. The estimation of time of early discharge depended on the length of stay. The longer the length of stay, the longer the length of time of early discharge : for instance a length of stay under 10 days was estimated as correlating to a mean length of stay of 6.6 days and early discharge of 6.5. The mean length of stay was 217.4 days and the time of early discharge was 110.1 respectively. The mean medical expenditure per day was found to be 169.085 Won and the mean medical expenditure per day showed negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to being discharged 16 days early was around 2,244,000 won per bed. However. this sum does not represent the real benefits resulting from early discharge, but rather the income increasing amount without considering medical prime cost in the general hospital. Therefore, further analysis is required on the cost containments and benefits as turn over rate per bed as the medical prime costs. The length of stay was most significant and was positive to the total medical expenditure, as expected. Surgery and patient's residential area was also an important variable in explaining medical expenditure. The level of complications was the most significant variable in explaining the length of stay. There was a high level for need a home health care nursing service which further supports early discharge for accident patients. In addition, when the patient was discharged. they needed follow up care for complications suffered during the car accident. $86.8\%$ of discharged patients responded that they needed home health services after early discharge. From these research findings, the following suggestions have been drawn. Strategies on a health care delivery system must be developed in order to focus on the consumer's needs and being planned for 21 century health policy in Korea. Community based intermediate facilities or home health care should be developed for rehabilitation services as a substitute for hospitalization in order to shorten the length of stay would be. A hospital based home health care nursing service. it would be available immediately to utilize by patients who want rehabilitation services as a substitute for hospitalization with the cooperation of car insurance companies.